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32 | Medications are stored in an area that is inaccessible to children in the front desk in a locked plastic container, with the specific location noted. Hazardous items, including disinfectants, cleaning solutions, and other dangerous substances, are stored out of children’s reach, while poisons and toxins are securely locked away. The floors were observed to be clean, safe, and well-maintained. Highchairs and tables have broad-based legs, and trays that lock into place for additional safety. Changing tables are within arm’s reach of a sink, have a minimum one-inch thick padding, and feature raised sides of at least three inches covered in washable vinyl or plastic. Proper handwashing procedures were observed before and after diapering and feeding.
The bathrooms were found to be clean, safe, and in proper working condition. At least one potty chair is available for every five potty-training infants. Outdoor play areas are equipped with age and size-appropriate equipment in good condition. The food preparation area is clean, free of litter and pests, and properly maintained. However, During the facility tour LPA observed multiple infant bottles that did not contain the date on them. This poses a potential health and safety risk to children in care a citation will be issued. Filtered water is used for food preparation Food is stored correctly to prevent contamination. Waste containers have tight-fitting covers and are in good repair.
The sign-in/sign-out records were reviewed and found to be compliant with regulations. Disaster drills are conducted at least every six months, with the most recent drill occurring on 07/24/2025. A review of children’s records were reviewed and were not complete. During file reviews and interviews LPA did not observe accurate sleep logs. Interviews with staff stated they turned in a full sleep log folder approximately three weeks ago and has not been conducting sleep logs since. Staff also stated, on most days they are unable to properly document sleep logs due to holding sleeping infants, sometimes two at once making it impossible to log 15 minute sleep checks. This poses a potential health and safety risk to children in care. A type B citation will be issued. S During file reviews and interviews LPA did not observe accurate sleep logs. Interviews with staff stated they turned in a full sleep log folder approximately three weeks ago and has not been conducting sleep logs since. Staff also stated, on most days they are unable to properly document sleep logs due to holding sleeping infants, sometimes two at once making it impossible to log 15 minute sleep checks. This poses a potential health and safety risk to children in care. A type B citation will be issued. Staff records confirmed that all required documents are complete. Staff qualifications meet licensing requirements, and at least one staff member has a valid Pediatric CPR/First Aid certification and was present, with certification
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