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32 | LPA observed a changing table within arms length of a sink in the toddler rooms (room 3 and room 4). The isolation area is located in the main office.
Per Director, one child is currently on medication. LPAs observed medication to be locked in a storage container in the kitchen inaccessible to children in care. Medication is administered on a as needed basis.
LPA toured the outdoor play area. LPA observed the toddler play area to be physically separate from the preschool play area. LPAs observed age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb a fall. Shade was observed in the outdoor area. Per Director, water is provided to toddlers via water pitchers during out door play. Per Director, preschool children use the water fountain during outdoor play. LPA observed no large bodies of water on the premises.
LPA observed the kitchen area, food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator not to be expired. Food that was not in the original packaging were sealed and labeled with an expiration date. LPA observed a current Children's roster.
During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.
LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. All documents were observed to be posted in the main lobby area.
LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted on 3/23/23).
Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). LPA observed three children (C4, C10, C11) not to have an infant sleep log available for review. LPA advised Administrator that documentation of 15-minute infant sleep check shall be kept for infants up to 24 months. |