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Proof of immunization against pertussis, measles were reviewed and within compliance. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 05/2023.
The Director was informed that the Criminal Record Statement (LIC 508) has been updated, and the facility must now use the new form with revised date 7/15. Director was also informed that the LIC 508 must be submitted with all Criminal Background Clearance.
Children's records were reviewed and there was a separate, complete and current record for each child. A random sample of 5 of 5 children's files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700), Immunization records, Physicians Report, Consent for Emergency Medical Treatment (LIC627), Notification of Parent’s Rights (LIC995A), Admissions Agreement, Personal Rights (LIC 613A), and Needs and Services Plan for Infants was found to be in compliance. LPA observed and reviewed LIC 9227 Individual Infant Sleeping Plan in children’s files. In the areas reviewed the children’s files were found to be in full compliance. Sign in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day.
The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material appeared to be enough to absorbs falls. Drinking water in the outdoor activity space is provided by large water dispenser with water from faucets that do not exceed harmful levels of lead, as well as, water bottles with the child’s name on it brought from home. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility.
Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.
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