Health & Safety Inspection — July 16th, 2018
1. Provider Age/Supervision
1. Provider Age/Supervision:Providers must be 18 years old or older. Persons 16 or 17 may provide care if directly supervised by a provider. An adult must be awake and within sight and hearing of children
Inspector's comments: At the time of investigation, all children were within sight and sound of providers.
2. Pediatric Rescue Breathing CPR/1st Aid
2. Pediatric Rescue Breathing CPR/1st Aid:Must have at least ONE adult on premises at all times who has a current certification in pediatric rescue breathing, CPR, and pediatric first aid.
Inspector's comments: At the time of investigation, Provider stated that any time an accident happens a report is completed and parents are notified.
3. Child-Staff Ratio
3. Child-Staff Ratio:Child to staff ratio must be adhered to during all hours of operation. Ratios are determined by a point system. Points are determined by the age of children. Twelve points per staff member is the maximum. Child 0-24 mos. = 2 pts.; Child 24-36 mos. = 1.5 pts.; Child 36-60 mos. = 1 pts.; Child 60 mos-13yrs = .5 pts. Local jurisdictions that license child care providers may be more stringent.
4. Staff/Children Excluded When Ill
4. Staff/Children Excluded When Ill:Provide a written procedure that outlines what will be done if a child becomes ill while in your care. Staff or children who are diagnosed with a day care restrictable disease must not attend a day care facility as long as the disease is in communicable form
5. Immunization Records
5. Immunization Records:Each child’s immunization record or reason for exemption is collected by the provider within fourteen (14) days of initial attendance
6. Disaster and Emergency Plan and Communication
6. Disaster and Emergency Plan and Communication:Facilities must have an approved fire safety and evacuation plan. Fire and evacuation drills must be conducted on a routine schedule and staff and children must participate. An operable telephone or cell phone must be available at all times and must be available to parents and guardians.
7. Smoke Detector, Fire Extinguisher, Exits
7. Smoke Detector, Fire Extinguisher, Exits:Centers, Group, and licensed Family Day Cares must be inspected by the local Fire Official or designee. Providers must have at least one fire extinguisher, inspected annually. Smoke detectors must be placed in each sleeping area, hall-way, and on each floor level. No second story or basement child care without an approved fire exit. Unlicensed Family ICCP providers must be in compliance with Fire Safety Standards in the Child Care Licensing Rules.
8. Fire Safety Evacuation Plan, Postings
8. Fire Safety Evacuation Plan, Postings:A fire evacuation plan must include the staging area, exit locations, evacuation routes and fire extinguisher locations. Include a routine drill schedule.
9. Food Source / Food Thawing
9. Food Source / Food Thawing:Providers must serve only pasteurized milk and juice, and only USDA approved meat only. Providers must not serve home canned foods, except jams or jellies. Food should be thawed safely.
10. Food Handling/Personal Hygiene
10. Food Handling/Personal Hygiene:Cook meat to proper temperatures. Avoid cross-contamination. Practice proper hand washing often. Minimize bare hand contact with food. Unwrapped foods may not be re-served once plate is on the table.
11. Food Temperatures/Thermometers
11. Food Temperatures/Thermometers:Refrigerators must be equipped with an accurate refrigerator thermometer, metal or plastic shielded. Refrigerators must be cold at 41° F (38-40° F preferred) or below.
12. Food Storage/Cross Contamination
12. Food Storage/Cross Contamination:Cooked foods are stored above raw foods. Store eggs, raw meat and poultry below ready-to-eat food. Keep food stored off the floor and protected from dust, flies, pets, water, and chemicals. Do not store under plumbing pipes. Foods stored in the refrigerator must be covered to prevent cross contamination.
13. Food Contact Surfaces/Sanitizing
13. Food Contact Surfaces/Sanitizing:Food contact surfaces must be kept clean (counters, tables, high chairs, cutting boards) and sanitized. Cutting boards, knives, counters, pots and pans, plates, cups, forks, and spoons must be clean and sanitized, in good repair, smooth, and easy to clean. Refrigerators, cabinet shelves, sinks, dish machines, utensil handles, must be clean, in good repair, smooth and easy to clean. Wiping cloths, dishcloths used for tables, counters, high chairs, etc. are rinsed in a sanitizing solution before and after use.
14. Dishwashing/Sanitizing:Dishes, glasses, utensils and silverware shall be washed either in a dishwasher with a sanitizing dry cycle, or by the four-step method.
15. Utensil Storage
15. Utensil Storage:Protect clean utensils, glasses, dishes, pots and pans, from contamination. Drawers holding sharp utensils should be secured with child-proof latches.
16. Medicines/Hazardous Substances
16. Medicines/Hazardous Substances:STORE ALL CHEMICALS AND MEDICINES OUT OF REACH OF CHILDREN, OR IN A LOCKED CABINET. Bleach, cleaners, disinfectants, plant fertilizers, insect sprays, paint thinners, or other chemicals must be stored away from foods and utensils. Store medicines and vitamins out of reach of children. Cleaning materials, detergents, aerosol cans, pesticides, health and beauty aids, poisons, shall be used only in a manner that will not constitute a hazard to the children. When not in actual use, such materials shall be kept in a place inaccessible to children and separate from stored medications and food. All arts and crafts materials used in the facility shall be non-toxic. Poisonous or potentially harmful plants on the premises shall be inaccessible to children.
17. Garbage Covered/Removed
17. Garbage Covered/Removed:Garbage and disposable diapers must be in covered containers or closed garbage bags. They should be taken to outside containers daily for weekly removal. Garbage/trash needs to be stored where it is inaccessible to children and cannot attract vermin.
18. Plumbing/Sewage Disposal
18. Plumbing/Sewage Disposal:Water supply pipes, faucets, or hoses below a sink rim or in a drain or sewer may create a cross-connection between drinking water and dirty water; proper backflow prevention should be present. Plumbing must be in good condition and comply with local plumbing code. Sewage must be properly disposed with no overflows or surfacing that may cause contamination.
19. Water Supply/Well Sampled
19. Water Supply/Well Sampled:The water must be from a Health District approved source and be free of contamination. A sample of the water will be collected and the visible portion of the well will be inspected.
20. Handwashing Facilities
20. Handwashing Facilities:A hand sink needs to be close to the diaper changing area. The kitchen sink is not to be used for hand washing after changing diapers. The sink(s) used for hand washing must have hot and cold running water through a mixing faucet. Soap and paper towels must be present.
21. Diaper Changing Facilities
21. Diaper Changing Facilities:The changing area cannot be in the kitchen or on counters or tables used for food preparation or dining. A smooth non-absorbent diaper changing surface is required. Dirty diapers and soiled clothing must be stored to prevent access by children. Sanitize the diaper changing surface after each diaper change. Use gloves. The employee is to wash his/her hands between each diaper change. The child’s hands should also be washed.
22. Firearm Storage
22. Firearm Storage:Firearms must be in a locked container or other container inaccessible to children. Ammunition is to be in a separate locked container.
23. Water Hazards (Pools, Canals...)
23. Water Hazards (Pools, Canals...):Pools, hot tubs and other bodies of water must be inaccessible to children.
24. Smoking/Alcohol Consumption
24. Smoking/Alcohol Consumption:Use of alcohol or smoking is prohibited during operating hours when children are present.
25. Sleeping-Play Areas, Restrooms Clean
25. Sleeping-Play Areas, Restrooms Clean:Sleeping cots, blankets and mats are kept clean and sanitized regularly. Keep play areas clean. Toys, tables, and chairs should be washable and sanitized frequently. Restroom(s) must be cleaned daily and ventilated.
26. Heat, Light & Ventilation
26. Heat, Light & Ventilation:Adequate heat, light, and ventilation are required. Screened doors and windows are required when open. Wood stoves must not be accessible to children.
27. Outdoor Play Areas
27. Outdoor Play Areas:Maintain areas free from hazards, such as window wells, garden tools, lawn mowers, gas grills, ATVs, motorcycles, and animal waste. Play equipment must be safe, in good condition, and anchored.
28. Animal, Pet Health/Vaccination
28. Animal, Pet Health/Vaccination:Animals must be in good health, friendly, and vaccinated.
29. General Safety
29. General Safety:Electric cords and outlets must be in good condition. Keep electric outlets covered. Cords for blinds must be out of reach. Fueled equipment and repair equipment must be inaccessible to children. Choking hazards may not be accessible to children. Building and physical premises must be safe, including identification of and protection from hazards that can cause bodily injury including but not limited to, electrical hazards, bodies of water, and vehicular traffic.
30. Transportation Safety
30. Transportation Safety:Providers who transport children as part of their child care operations must operate safely, using child safety restraints and seat belts as required by state and local statute.
31. Safe Sleep-Alone, on back CPSC crib
31. Safe Sleep-Alone, on back CPSC crib:Providers must place newborn infants to twelve (12) months in a safe sleep environment. Safe sleep practices include alone, on their backs, and in a Consumer Product Safety Commission (CPSC) certified crib.