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32 | The LPA reminded the Site Supervisor that Pediatric First Aid/CPR and Mandated Reporter Training must be renewed every two years. The LPA also advised Site Supervisor that aides and assistants must be under direct supervision of a qualified teacher except during nap time and taking children to the bathroom.
During the inspection, the Licensing program analysts (LPAs) reviewed five children's files. All files were complete and included the Admission Agreement, Identification and Emergency Information (LIC 700), Consent for Emergency Medical Treatment (LIC 627), Physician's Report (LIC 701), immunization records, TB test results, Personal Rights (LIC 613A), Notification of Parent’s Rights (LIC 995A), and Child's Pre-admission Health History. LPA reviewed facility roster, sign-in/out and completed using full legal signatures and recorded times.
First-aid supplies were accessible to staff but out of reach of children. The kit included a first aid manual, bandages, scissors, adhesive tape, thermometer, tweezer and antiseptic solution.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/.
During the outdoor inspection, LPA observed that all walkways, ramps, and stairs were clear of tripping hazards. The play area had proper shade, was well-organized to prevent accidents, and the ground was free of debris or dangerous items. Climbing structures and slides had protective surfacing, rubber foam. The sandbox was clean and safe. Outdoor equipment was age-appropriate, securely anchored, in good condition, and free of sharp edges or loose parts. The outdoor area was fully enclosed by a fence at least four feet high. No dangerous equipment, chemicals, or utility fixtures were accessible.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
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