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32 | There are cubbies available for children's belongings with names labeled. LPA observed two changing tables. LPA observed that the diaper changing tables have at least 1" thick padding covered with disposable paper and with sides raised to a minimum of 3". The changing tables are within arm's reach of the sink, and disposable wipes are used to clean after each use. There is a separate napping area for children to nap or rest without distraction or disturbance. There is sufficient sleeping equipment, cribs, and cots for each child present. Mats and beddings are appropriately stored. Breast milk/formula parents provide is stored appropriately in the refrigerator, and each bottle is labeled. Parents provide formula, food, and diapers for their children. LPA observed that the food prep area was clean and organized. Per Director, the toddler playroom is partitioned into two separate areas, and each toddler group is not exceeding 12 toddlers. The toddler room has a portable sink and two portable toilets.
LPA discussed with the Director the infant/teacher ratio. LPA reminded the Director that there is one teacher for every four infants. An aide may be substituted for a teacher when a fully qualified teacher directly supervises no more than 12 infants. Also, each aide is responsible for the direct care and supervision of a group of no more than four infants.
The facility currently has an outdoor waiver approved for 27 children to use the outdoor at one time, and a rotational schedule is required. The outdoor infant and toddler play area is kept free of debris and dangerous conditions. The infant play area is separated from the 'Toddler' play area by a gate. All outdoor toys and equipment are age-appropriate and in good repair. LPA observed the smaller outdoor play area was cemented, and observed the larger outdoor play area was grassy and accessible by climbing a flight of stairs. The stairs are gated off at the top of the stairs. Drinking water is readily available indoors and outdoors.
LPA reviewed personnel's and children's records. A sample of children's files was checked and found to have medical assessments, needs, services, feeding plans, and signed admission agreements. Staff files are organized, complete, and have documentation of education credits. Multiple staff members have valid CPR cards in files and have immunization documentation for Measles, Pertussis, and Influenza. LPA also observed that the facility had posted the required forms. (i.e., License, menus, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan). The Director stated Fire and Earthquake drills are done every month, and the last fire drill was conducted on 4/15/2022. |