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32 | Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.
This facility provides Incidental Medical Services – IMS. Currently there are No children on medication Licensee shared with LPA the process. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Lunches are not prepared by the school; Parents provide snack for their children. Cleaning supplies are out of reach to the children and is stored separately in a locked room outside of classroom.
Inspection of the outdoor play area was conducted climbing structures, swings, slides and other large play equipment is found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. There is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.
Children and staff records were reviewed for completeness records were found to be complete.
Director advised that records for all children and staff must be maintained for 3 years after separation from the facility. A record of teachers/assistant’s names was check against current facility roster; Staff are currently associated to the campus in which they are assigned to work. LPA observed CPR/First Aid expires 10/02/2022 Mandated Reporter Certificate Completion Date 08/26/2022. LPA advised Director that staff who has currently been working for the school for a long period of time forms should be updated. LPA shared the Regulation 101216.The required fire extinguisher, smoke detectors and carbon monoxide detector are in operable condition. LPA observed required postings in the facility (Facility License, Emergency Disaster Plan, Parents Rights Poster). LPA shared information regarding the Preventative Health & Safety Class and provided the resources EMSA CA. gov, Crystal Stairs, CCRC |