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32 | LPA observed three changing tables, two are for infants, and one is for toddlers. The diaper-changing tables have at least 1" thick padding, are covered with disposable paper and have at least 3" elevated edges. The changing tables are within arm's reach of the sink, and disposable wipes are used to clean after each usage. There is sufficient sleeping equipment, cribs, and cots for each child. Mats and bedding are kept in the appropriate location. Parents' breast milk/formula is appropriately stored in the refrigerator, and each bottle is labeled. Parents provide their children with formula, food, and diapers. LPA noticed that the food preparation site is clean and organized and that children are not permitted.
The facility presently has an outside waiver that allows eight children to utilize the outdoors simultaneously, and a rotating schedule is necessary. The outdoor infant play area is maintained clean and free of debris.
LPA checked personnel and children's records. A sample of children's files was evaluated and found to have medical assessments, needs, services, feeding plans, and signed admission agreements. Per the Director, infants' needs and services are updated quarterly. Staff files are well-organized and thorough, including proof of educational credentials. Multiple staff members have valid CPR cards in their files and Measles, Pertussis, and Influenza vaccine proof. LPA also noticed that the facility had posted the required documents. (License, menus, waivers, Notification of Parental Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan.) The Director indicated that fire and earthquake drills are held quarterly.
LPA discussed the safe sleep regulations with the Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
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