| Each infant is to be under direct visual observation and supervision by staff at all times. If the napping area does not have a half or transparent wall that allows for audio and visual supervision from the activity area, staff is present in the napping area. Sleep checks are conducted and documented every 15 minutes for all infants. Appropriate supervision was in place during this visit.
The outdoor activity space is fully fenced and separate from other programs with age appropriate play equipment. There is sufficient cushioning and adequate shade. LPA observed a planted citrus/fruit tree with large shells in the soil around the tree. Upon examination of the shells, several had rough edges and the tree itself had some pointy and jagged branches. The tree was approximately two feet tall and has the potential to become a hazard should a child fall into the tree or shells. A Type B citation will be issued for correction. See LIC 809D.
Filtered drinking water is available at all times, both inside and outside. There are several staff present with current CPR and First Aid certification. Medications are centrally stored near the Director's office, inaccessible to children with all required documentation in place. There is no evidence of rodent or insect activity. The carbon monoxide detectors are operational. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting evacuation drills every six months. The last emergency drill was conducted on 5/16/23. The facility does not transport children.
LPA reviewed sign in/out sheets, a sample of personnel records and a sample of children's records. All were found to be in compliance with Title 22 regulation. Facility is reminded the Mandated Reporter Training is to be retaken every two years. The Licensee, Bright Horizons, uses an Licensing approved course of their own. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office or a quiet area of the classroom.
Reporting requirements for positive Covid-19 results in children or staff were discussed to include contact with County Department of Public Health for guidance (619-692-8499) and Licensing (619-767-2248) to report the unusual incident for three or more cases.
LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at
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