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HomeMy WebLinkAboutEvaluation Form (7) 1 Revised 3/2021 ALABAMA DEPARTMENT OF HUMAN RESOURCES CHILD CARE CENTER LICENSING EVALUATION RENEWAL (Health and Safety Guidelines items marked with an asterisk* IName of Center: Kidz Came Date(s) of Evaluation: W2_1 Address: Date(s) of Follow-up: 12516 HWY 43 Killen,I AL 35645 Purpose of Visit: Renewal Telephone #• ( 256 ) 272-5060 Director: Amanda Robertson County: Lauderdale Licensee: Amanda Robertson License Number: L39000023 Effective Dates of License: From: 6/5/19 To: 6/5/21 Lic ensed Capacity: Day 46 Night X Days of Operation: Day Mon.-Fri. Night x Age Range: Day 6wks- Night X Hours of Operation: Day 6:00am- Night X 14yrs 6:00pm Day ❑ Night ❑ Subsidy Code: O - Observed by DHR Licensing Representative Health t afe y Requirements Met S - Certified by Licensee/Staff in charge Date: D - Discussed with Licensee/Staff in charge x - Not Applicable-Not reviewed with Licensee/Staff in charge Deficiencies Noted: Ye ❑ No DHR Licensing Representative: 13 Sonya Richards Deficiencies Corr. Date: l l� Sections to be completed at the discretion of the DHR Licensing Representative. U U U U RE ULATIONS C REGULATIONS m m CU 0 Q _ 0 •Q _ E E a E CL Q ° Q O c°� Q U o 0 U o 0 Z Z Z Z Faei ities (II. C., pages 16-23) *e. Space for ill or injured child F/ 1. InPoor area(11.,C.,4., pages 16-19) *f. Items used by ill child disinfected *a. E+usive use of activity areas *g. Storage space for teacher's supplies 0 *b. Designated space for each grouping of children *h. Office space provided <0 *c. Bathrooms located on same level/under same roof i. Ventilation,lighting,heating(pages 17-18) (1) one flush toilet for each 15 children * (1) Heating/air conditioning provided (2) ¢ne handwashing sink for each 15 children * (2) Temperature 68-82 at child level D(3) One tub(portable plastic acceptable) * (3) Thermometer in each area used by children * (4) Fixtures child size or adjusted for easy use b * (4) Thermometer out of reach of children 0 *d. O le handwashing sink with warm running water, * (5) Outside windows that are opened are soap,pper towels in each room where children are Q screened diapered { 1 U U U a) cc REGULATIONS c� v REGULATIONS fII U a E E O o Q O o Q U Z Z U Z Z * (6) Outside doors kept closed 3. Swimming and Wading at the Center(II., C.,6.,pages 20-21) * (7) Lighting adequate for activities a. Pools two feet or more in depth(pages 20-21) * (8) Lighting adequate at nap/rest time to allow * (1) Lifeguard at poolside at all times pool is in children to be seen use *j. Operational telephone for center business only * (2) Lifeguard Training Certificate,First Aid Certificate,CPR Certification on file *k. DVR notified if telephone is out of order or if * (3) Lifeguard not counted in ratios number changes I. Hazard prevention(page 18)(Indoor Area) (4) Staff-child ratios for children in the pool: * (1) Center free of apparent hazards (a) one staff for each child younger than 2%2 Vyears of age * (2)1 Hazardous substances under lock and key or * (b) one staff for every 4 children ages 2%2 combination lock years up to 4 years * (3) Containers labeled * (c) one staff for every 6 children ages 4 years up to 6 years * (4)�No firearms or ammunition kept or allowed in * (d) one staff for every 10 children ages 6 center iexcept law enforcement years and older. * (5)I Stairways have hand railings in child's reach * (5) Ratios determined by youngest child in the pool * (6) Clear glass doors marked at child level * (6) Persons counted in ratios meet child care worker qualifications/in the pool at all times * (7)(Medicines and drugs kept under lock and key or * (7) Staff provided to supervise children in combination lock,separate from harmful items pool area,but not in pool * (8) Barriers around heaters,radiators,fans * (8) If any part of a child's body is in the accessible to children water,child considered in pool * (9) Exposed electrical outlets have protective covers * (9) Pool enclosed with fence or solid wall at least 4 feet in height,constructed to prevent 0 * (10i Consumption of alcohol or use of non- accessibility by children prescription narcotic or illegal substances prohibited lJ * (11) Smoking or use of tobacco prohibited on b. Wading structures less than 2 feet in depth: premisl s (page 21) * (1�) Bio Contaminants shall be stored and disposed of prol erly m. Cc iter kept clean/Cleaning done daily(pages 18-19) * (1) At least one staff with CPR&first aid at each wading structure * (1)(Floors,bathroom fixtures cleaned/disinfected * (2) Required ratios met as stated on page 24 * (2)(Carpets vacuumed daily * (3) At least two staff at each wading structure * (3) Cleaning does not interfere with children's ® * (4) Clean water provided each day activities i 2. Outdoor area(II.,C.,5.,pages 19-20) * (5) Wading structure emptied when not in use See CLcklist V *a. Off street loading/unloading provided 4. Away from center activities (II.,C.,7., page 21) *b. Searate areas for children younger than 2%2(may NOTE. The Department of Human Resources p does not inspect activities away from the center, be achieved by scheduling) 0 including swimming and wading activities. The *c. O +door area adjoins or is safely accessible licensee shall assume full authority and responsibility for away from the center activities. *d. Outdoor play area free of apparent hazardous conditions 2 U U a) U U N (ts N An 0 REGULATIONS ° ° REGULATIONS E Q E Q E a ° ° Q ° ° Q U o 0 U o 0 Z Z Z Z 5. Furnishings and equipment(II.,C.,8., *j. Staff with infant-child CPR and first aid pages 121-23)See Checklists present during all hours of operation Child1 *k. Second staff available when 7 or more Care Program (II.,D., pages children present/required ratios met 24-37) *1. Required ratios maintained at all times *l. No staff on duty more than 8 continuous hour on a regular basis * a. 0 i p to 18 months 1 to 5 @� *in. Staff free from other duties while working �/ with the children * b. 18 months up to 2'/2 years 1 to 7 ((� 5. Infant/Toddler Program (II.,D., `D 2.,pages 26-29) * d. 24,t months up to 36 months 1 to 8 a. Learning/growth activities:(page 26) * e. 21 years up to 4 years 1 to 11 ® (1) Encouraged to play with a variety of toys (COP * f. 4 fears up to school age 1 to 18 (2) Time outdoors daily,when weather permits ID * g. Sghool age up to 8 years 1 to 21 * (3) Freedom of movement outside cribs daily * h. 8 ears and older 1 to 22 * (4) Placed on tummy part of time while awake and observed *2. Children younger than 2'/2 grouped separately /� (5) Staff talks to each child and encourages from older children ly response * a. rLeption for group 24-36 months * (6) Cries/signs of distress investigated immediately * b. ECception for individual children's needs b. Diapering/toileting:(pages 26-27) *3. St4f counted in ratio only when giving full * (1) Clean,dry diapers/clothing provided attention to the children i 1 4. Staf�coverage(page 25) * (2) Wet/soiled diapers/clothing changed promptly i * a. All children supervised at all times * (3) Changing area cleaned and disinfected �) * b. Staff assigned responsibility for same * (4) No child left unattended while being t� infants4oddlers each day diapered lldd * c. Shstitute staff available ® * (5) No child diapered on the floor * d. Director authorized to conduct center business ® * (6) Each child's hands washed after diapering n * e. Stlaff person in charge when director is absent, * (7) Staff use universal precautions when �y authori ed to conduct center business ® diapering lj * f. St IT in each room during napping/resting * (8) Staff use clean disposable gloves for diapering each child/for each diaper change * ff g. Sta able to see all the children .(9) Wet/soiled diapers placed in covered, plastic-lined container and disposed of daily * h. Rh do during napping/resting(page 25) * (10) Individual,disposable wipes used at each diaper change,disposed of properly * (1)1 0 up to 18 months 1 to 5 * (11) Potty chairs emptied,rinsed,disinfected IIII after each use lu * (2)� 18 months up to 2'/z years 1 to 14 * (12)Diapering area separate from food service }� area u * (3) 2%:years and older 1 to 36 c. Napping/resting(page 27) 3 RE ULATIONS REGULATIONS C o CU E 0 CL Q E 0 Q 0 c°) Q 0 o Q U U 0 0 0 0 Z Z Z Z * (1) 11nfants allowed to form own sleep patterns * (12) Toddlers seated while eating * (2) nfants placed on back to sleep unless physician's * (13) Child encouraged to experiment with eme stat t indicates otherwise self-feeding,utensils provided �4f * (3) nfants who can easily turn placed on back but * (14) Disposable utensils used only with close {1 allowed Ito adopt preferred position supervision V i * (4) No positioning device used unless specified by * (15) Foods eaten from a dish physician i * (5) Staff recognize differing needs of toddlers/allow * (16) Dishes,bottles unbreakable to follow their own sleep patterns d. Cri Is,cots,and bedding(pages 27-28) * (17) Drinking water offered to toddlers * (1) two feet between occupied cribs {' * (18) Child not forced to eat * (2) lots positioned to allow space for access or * (19) Food not used as reward or punishment b emergency exit * (3) �ribs/cots cleaned and disinfected and sheets and V * (20) Child's hands washed before and after 0 covers washed before used by another child snacks,after diapering,toileting * (4) or infants,clean bottom sheets daily or more * (21) Staffs hands washed before food y� often if eeded,sheets fit snugly (D preparation and service,after assisting with 0 toileting,after diapering * (5) loft material prohibited in infant's sleeping * (22) Individual paper towels for each washing environment,no pillows,quilts,comforters,etc. and drying * (6) No infant put to sleep on sofa,soft mattress 6. Preschool/School-age Program (II.,D.,3.,pages 29-32) * (7) or toddlers,clean bottom sheets and top a. Learning/growth activities(pages 29-30) coverin�s weekly,more often if needed e. Feeding(page 28-29) AA (1) Schedule posted * (1) Formula,food for infants if provided by center, (2),Variety of indoor/outdoor activities plannedlfwith parent or physician d,J * (2) If formula provided by center,ready to feed, (3) Time outdoors daily when weather permits properl}�stored and handled * (3) i Meals and snacks comply with requirements (4) Staff permit/encourage conversation among Q�q children �p * (4) I1 formula provided by parent,labeled, (5) Staff give individual attention to each child refrigerl1�ted daily * (5) t ottles sent home or contents discarded at end of (6) Radio,TV,videos used only to day I ® supplement/enhance daily plan * (6) mall hard candies,nuts not served to children * (7) No child required to watch TV or videos underflur * (7) If oods that may cause choking prepared * (8) Videos previewed by staff for appropriately for the child appropriateness * (8) Deeding schedule according to child's needs * (9) Sexually explicit,violent,frightening materials prohibited * (9) I1 fants held for bottle feeding b. Napping/resting(page 30) (10) r o bottles propped ® * (1) Staff recognize differing needs of children D (11) !When able,infants allowed to sit in feeding chair (2) Rest period for children in attendance more than 5 hours 4 U U U U C Z C Z N U cu n U REGULATIONS -Q REGULATIONS a E Q U Q U Q U Z0 U o 0 Z Z Z (3) Rest period at least 45 minutes,not more than 2'/z * (15) Children seated while eating hours * (4)�If a child who does not sleep after 45 minutes, X * (16) No child forced to eat quiet activities permitted * (5) Cots cleaned and clean bottom sheets and top * (17) Children not allowed in kitchen sheet4 overs provided before used by another child 10 * (6) Clean sheets/covers provided weekly,more often 1 * (18) Children's hands washed before meals if needed and snack and after toileting * (7)1Cots positioned to allow space for access or * (19) Staff hands washed before food emergency exit b preparation and service,and after assisting with toileting or contact with bodily fluid * (8)f At least one staff present in each room ih (20) Disposable gloves used for diapering * (9) Staff able to see all children * (2 1) Individual paper towels for each washing and drying i c. Toileting(page 30) * (22) Catered meals and snacks meet requirements * (1)�ashed According to each child's needs,each child's A e. Disciplinary Practices(page 32) hands V * (2)I Staff use Universal Precautions when diapering �y * (1) Discipline appropriate to age and or handling bodily fluids LL"" developmental level of the children d. Feeding(pages 30-32) * (2) No corporal/physical punishment 0 * (1)(Children in attendance served breakfast or a.m. * (3) No verbal abuse snack,lunch,p.m.snack V * (2) Meals and snacks comply with USDA guidelines (4) No discipline associated with food,naps, t� * '1LJ/ on pag,s 29-30 or bathroom procedures i * (3) Fluid milk served,no powdered milk for drinking (5) No physical restraint as punishment * (4) o child deprived of meal or snack (6) No punishment administered by another 4� child * (5) pecial dietary needs in accordance with written f. Staff-Parent Communication(page 33) instruc ions * (6) eals and snacks provided by the center (1) Discipline,behavior problems discussed with parent * (7) /ending machines prohibited in areas used by (2) Center open to visits from parents at any U childre� time lJ * (8) �mall hard candies,nuts not served to children (3) Parents informed of right to visit under our * (9) F Foods that may cause choking prepared (4) Staff available for communication/ appropiately for the child conferences * (10)1 Portions of food suited to child's needs,second (5) Parents notified of complaint procedures Al portions available �J * (11)I Unbreakable or single-use dinnerware used (6) Parents provided with information on !!II influenza * (12)lSingle-use cups or glasses or a drinking fountain ® g. Health information(pages 33-36) provided for water * (13)�Drinking water offered during the day * (1) No ill child admitted * (14) Food served on individual dishes or napkins,not * (2) If a child becomes ill or is injured,he/she directlyl on table is separated from group,but continuously supervised, 5 0 iU U N U U a) II f0 (6 N N REGULATIONS Q `—' � E 0- REGULATIONS E E Q o Q O 0 Q o O o O Z z Z Z * (3)1Parent of ill/injured child notified immediately (e) Children and staff wash hands after and required to come for child handling animals * (4) If parent cannot be reached or illness/injury *h. Emergency Preparedness and Response severe emergency medical attention is obtained Plans(page 36-37) See Checklist * (5)f Parents notified of exposure to contagious, Transportation (II.,E.,pages 38— disease/condition 40) * (6) Parents urged to notify center if a child is 1.Transportation provided by the Center expos id to a contagious disease outside center (pages 38-40) n I * (7)1Center reports contagious disease/condition to NOTE: The Department of Human Resources does health department as required not inspect activities away from the center, I including swimming and wading activities. The (13) edication/Medical Procedures(pages 34-35) licensee shall assume full authority and responsibility for away from the center activities. Does tre center's staff i e medication/medical procedures? Yes No El oet * (a Medication administered only with written Does the center's s f provide transportation? authorization from parent Yes ❑ No 1" No blanket authorization forms for medication 4n *a. Transportation checklists used as required * (o� Medication in original container,labeled *b. Designated staff complete and sign checklist * ( ) Measuring device provided J *c. Driver signs checklist,indicating he/she has II checked each seat * (0) Medication administered by designated staff o *d. Checklists kept on file for current year plus 2 * (� Locked storage provided for medication b additional years * ( ) Medication returned to parent or disposed of *e. Center responsible for picking up child at when 'o longer needed designated location and delivering child to designated person * ( ) Time and date medication is given is documbnted in writing,kept in child's file/copies f. Supervision in center vehicles(page 39) availadl"""e to parents on request (9) Hygienic practices(page 35) * (1) Staff-child ratio met for children younger ! than lawful school-age,driver not counted * (a� Toilet articles labeled and stored separately * (2) Children of lawful school age and older, fewer than 15 transported with only the driver * ( Used paper towels,wipes,tissues are disposed * (3) For 15 or more children of lawful school of immediately following use age,one staff in addition to driver ( Toilet paper provided for use by children and (4) For 30 or more children of lawful school * * staff 11 age,two staff in addition to driver * ( ) Extra children's clothing available * (5) No child left in a vehicle without adult supervision (10)�Animals on the premises(pages 35-36) * (6) Staff accompany each child under 2%from vehicle to care of designated person 4 Aggressive animals not kept in center or on * (7) Staff visually supervise each child 2'/z and fi/ ground's older from vehicle to care of designated person J, (b� Animals that could pose a threat to health and * (8) Driver checks each seat at each location to safety kept away from children verify no child is left on the vehicle. i (c,? Certificate of rabies vaccination on file for g. Safety precautions in vehicles(pages 39-40) animals * 1 Stationary seating for child,each child ( Animals confined,cages kept clean,food and O rY g water qvailable seated while vehicle is moving * (2) Doors locked when vehicle is moving 6 i U U U U f Z C Z REGULATIONS C L Q REGULATIONS C U U Q U U CL Q o O o O z Z z Z * (3) Children not transported in front seat of vehicle 2. Records on staff(pages 42-44) AN with passenger side air bag (See Staff Checklist) * (4) Driver and all passengers secured when vehicle *a.Records on staff kept confidential is moving * (a) Each child under 1 year or weighing less than *b. Records on file at time of employment 20 pounds secured in rear facing child restraint,installed according to manufacturers instructions,maintained in c. Records on staff maintained at least two years good cl ndition after person has left * (bI) Each child under 5 years or weighing less than *d. Records filed alphabetically O 40 pounds secured in forward facing child restraint, installed according to manufacturer's instructions, maintained in good condition. *e. Inactive files maintained separately * (c� Each child under 6 years secured in a booster I Health (page 45) seat installed according to manufacturer's instructions, maintained in good condition. *a. Medical exam and TB test on file at time of employment * (c�) Each child 6 and older,the driver,and each `/ *b. Staff with symptoms of contagious adult passenger secured in an individual seat belt, ji, disease/condition not in center properly anchored to the vehicle. *h. Vihicle safety check done annually,signed by j Character and Suitability (II., mech7ic and dated,filed in center G., pages 47-51) II 5. Transportation provided by *1. Character and suitability review conducted on + pare i t/guardian(page 40) required persons(every 5 years) *a. Eal h`child accompanied into and out of center *a. Persons with determination of unsuitable character terminated *b. Each child signed in and signed out (� *b. Licensee informs DHR of any criminal �J � convictions or current charges *c. Ariy child who arrives by walking or bus,signed in Administration (11., H., by sta pages 52-56 *d. Photo ID required when releasing child to 1. Applicant/licensee(page 52) unfamiiliar,designated person Staff(II., F., pages 41-46) a. Licensee assumes full authority and responsibility for meeting and maintaining Minimum Standards 1. Qualifications(pages 41-42) b.Licensee provides operating funds a. Cen ter director meets qualifications ® c. Licensee designates director and delegates authority and responsibility for operation and b. Child care workers/teachers meet qualifications and management of center to director �S have l2 hours of training within 30 days of employment * Child care workers/teachers meet requirements for d. Written operating policies established CCDF training within 90 days(if applicable) c. Aides/assistant teachers not counted in ratio (1) Copy of operating policies provided to parent at time of child's enrollment *d. Service staff not counted in ratio unless they meet (2) Copy of operating policies submitted to qualifications and are giving full attention to children ti DHR i *e. Driver at least 19,valid driver's license (3) Operating policies do not contradict iMinimum Standards *f. Sul stitute staff meet qualifications of staff for (4) Changes in operating policies provided to whom�ubstituting parents and to DHR 7 U U U U U cQ U REGULATIONS Q REGULATIONS Q LL Q E 0 CL �. 0 a U < U Q 0 0 0 0 z Z z Z 2. Reports to the Department(pages 52- b. Age range of children in care conforms to ages 53) specified I c. Requirements for drop-in care met a. Th I following reported to DHR prior to occurrence: 4. Children's Records(pages 54-55) Q� (See Children's Checklist) * (1) Change in ownership *a. Children's records and information about children and their families kept confidential * (2)�Change in location *b. Individual records on each child on file on first day of attendance 'Change6 L (3) in Director of center (1) Children's records maintained 2 years after 1 child has left the center (4) I Change in chief executive officer of corporation * (2) Records filed alphabetically or members of board 3 * (5).1Alterations to center or grounds * (3)Inactive files maintained separately * (6) Major change or extension of hours or program 5. Center Records(page 55) * (7)(Change in address or telephone number The following records kept on file for the current `` year plus two additional years: b. Thi following reported to DHR within 24 hours, *a. Daily attendance records on all staff and written report within 5 days: children * (1) Any illness/injury of child or staff requiring *b. Transportation checklists profes Tonal medical treatment * (2)IAny illness/injury of child or staff requiring *c. Vehicle safety check emergency medical treatment * (3)IAny death occurring in the center or during away *d. Sign in/sign out sheets from center activities * (4) Major damage to facility 6. Documents to be posted(pages 55- * (5)1 Interruption of the center's electrical,telephone 56) or gas Service * (6)IAny litigation involving the center a. Most recent license,permit,or approval * (7) Any traffic accident involving day care children b. Public notice form using t ansportation provided by the center ID * (8)Any arrest of licensee,staff,employee,volunteer *c. Most recent licensing evaluation * (9) Final disposition of any child abuse/neglect *d. Most recent deficiency report investi ation involving licensee,staff,employee, HIV) volunteer * (10 Any incident in which the health,welfare,or *e. Corrective/adverse action notices safety f a child is at risk * (11 Any disastrous events *f. Most recent fire inspection report *c. Child abuse/neglect reported as required by law *g. Most recent health department inspection report and food permit or written permission for catering food *d. Licensee and all staff,employees,volunteers *h. Menu for meals and snacks/dated cooperate with DHR on any child abuse or neglect investihation i. Name and telephone number for:(page 56) 3. A�mission Procedures(pages 53-54) * (1) Fire department *a. Total number of children in care,including children * (2) Law enforcement `D on the bremises,children intransit,children on field trips c informs to number specified ecified * (3) Medical assistance(ambulance or rescue) 8 P U U a) (1)Z Q tU M tII M REGULATIONS Q a v M Q v Q REGULATIONS Q O ° Q O U Q U c o U o 0 Z o z Z Z * (4) Poison control center * (2) Required ratios for day time maintained while children are awake(see page 23) * (5)1 Substitute help * (3) At least one staff,at least 19,meeting child ^ care worker qualifications,with CPR and 1st aid in �[ *j. E ergency Preparedness and Response Plans center during hours of operation *k. Name of director/staff person in charge * (4) All children supervised at all times * (5) Each staff assigned responsibility for same Nig ttime Centers (IL, L, children nightly pages 57-58) * (6) At least one staff in each room of sleeping Ichildren In addition to the regulations set forth for day * (7) Staff able to see all the children at all times care centers, centers providing nighttime care (after 7 p.m.) shall meet the following regulations or modifications * (8) All staff awake and alert to needs of children Does the center provide ar After 7:00 p.m.? * (9) At least two staff in center whenever Yes El No children are present/required ratios met Does he center provide c re fter midnight? Yes ElNo * (10) Lighting maintained so children are visible while sleeping 1. Eq ipment and furnishings b. Nightly activity schedule posted (page 58) *a. In centers operating past midnight,cribs or cots, (1) Outdoor time available during daylight hours fitted with a waterproof mattress shall be provided for each child * (2) Staff assist each child as needed,in dressing K I and grooming *b. In centers operating past midnight,there shall be at c. Food (page 58) least o e bathing facility for every 15 children 2. Child Care Program (pages 57-58) * (1) Breakfast served to children going directly ! to school a. Stl ffing(pages 57-58) * (2) Evening meal served to children in attendance (1) iStaff-child ratio for sleeping children: d. Bathing(page 58)If any child is bathed: * (�) 0 up to 18 months I to 5 * (1) Clean water provided for each child * ( ) 18 months up to 2% 1 to 14 * (2) Each child bathed separately * (�) 2'/z-up to 4 years I to 18 * (3) Each child supervised while bathing 4 years and older 1 to 25 * (4) Individual soap,towel and washcloth II provided for each child The deficiencies noted have been discussed with me. Failure to correct the deficiencies can be the basis for adverse action. None of these requirements are to be interpreted to allow anyone to ope>�ate in violation of the Minimum Standards. A facility licensed/approved by the Department must meet Minimum Standards at all times. It is t r onsibili of h ensee to operate in com Hance with the Minimum Standards. 'n / lJ ature of licensee or designated staff Date 9 Emergency Preparedness and Response Plans Checklist (0)indicates compliance observed by DHR Licensing Representative (f)indicates not in compliance (S)indicates certified by staff in charge (D)indicates discussed with provider(for pre-licensing only) Regulations Current and complete emergency plans and procedures submitted to the p� Department lJ Documentation of the following quarterly drills; Fire Tornado Lockdown Relocation EQ The emer ncy preparedness and response plan should be; Available to all staff and employees Posted in a conspicuous place Copies provided to all parents/guardians 10 Checklist for Infants (O) indicates compliance observed by DHR Licensing Representative (I indicates not in compliance (X)indicates not applicable I *Name of teacher/room# Q *Age of children (J *Numlber of children *Numlber of staff Minimum E ui ment Re uired for Each Groun of Children Required Washable soft crib toys-2 per child Push and pull toys-1 451 A devise that plays a variety of age appropriate music Age a 'ro riate books-2 per child Large balls 8+inches-1 Nesting and stacking to s-2 sets Washable baby doll-I Musical toy-1 O Colorful pictures and posters 0 Activit§ boxes,such as busy boxes-3 O Additionali Equipment *Dig chn area *Sink,{varm water,soap,paper towels *Plash -lined,covered container Tub( drtable plastic type acceptable) b *Feedi6 chairs *Cribs/�feet of space between occupied cribs *Water'roof mattress,sheets *Indoor thermometer/Out of reach of children *Shelving forequipment and supplies/anchored *Individual,labeled storage space for each child *Furniture child size,clean,good condition *Cribs in accordance with US Consumer Product ID Safety Act of 2008 Facilities *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked b *Contaibers labeled fl *Medic tion locked *Screens on windows which are opened *Lightijg adequate i 11 Checklist for Toddlers (age 18 months-21/2 years) (0) indicates compliance observed by DHR Licensing Representative (d) indicates not in compliance (X)in dicates not applicable *Namle of teacher/room# *A a of children *Nun'ber of children *Nun7 ber of staff Minimum E ui ment Required for Each Grou of Children Required1 1 Large non-toxic crayons/markers Paper virie Non-toxib Pla dou h Colorful'ictures and posters A devicelthat plays a variety of age appropriate music Musical io s—2 Active Play Push and pull toys-2 'C;4 Large cars,trucks,boats,etc.-2 Sit-on riding toy-2 (� _Large so,'ft balls-2 ,Quiet Play Books-2 ber child Age apprppriatepuzzles-2(complete with all pieces Nesting and stacking toys-2 sets Non-wooden building blocks(ap roximately 20 non-interlockin Homeliving/Dramatic Play Baby dol s-2(complete with all arts ;ry Doll clotlSes and blankets Doll bed-H Toy tele'hones—2 Pots,pand,buckets,large plastic spoons p Child-size stove Dress-u lclothes Additionalfurnishings and Equipment *Diapering area *Sink,warm water,soap,paper towels *Plastic=lined,covered container Tub(portable plastic type acceptable) *Potty chairs cleaned/disinfected/emptied *Feeding chair(s)or table and chairs *Cribs/cbts *Watcrptoof mattress es,sheets,coverings *Indoor thermometer/Out of reach of children *Sheivi4g forequipment and supplies/anchored *Furnitute child size,clean,good condition a *Individ al,labeled storage space for each child Facilities *Electribal outlets covered *Barriert,s around heaters,fans *Hazar4ous substances locked *Contaipers labeled (� *Medic tion locked a *Screens on windows which are opened *Lightidg ade uate 12 Checklist for 24 months up to 36 months (O)it compliance observed by DHR Licensing Representative (f)indicates not in compliance X indicates not applicable *Name of teacher/room# *Age of children *Number of children *Numlber of staff Minimum E ui ment Re wired or Each Grou o Children Required Equipment(page 67) Art Non-tokic playdough Large don-toxic crayons/markers Paper Non-tokic finger-paints in primary colors i Scissor's(blunt-tipped) Books!2 per child A device that plays a variety of age appropriate music I Rhythm instruments-one for each child in the group Homeliving/Dramatic Play Baby d t, Its-2(complete with all parts) Child-sfize stove and sink or combination Cooking utensils and dishes Doll bed Doll cl•thes and blankets I Dress u clothes Toy tel tphones—2 Building blocks—approximately 50 non-interlocking Cars,trucks,boats,etc.—3 I Age appropriate puzzles-4(complete with all pieces) b Interlocking manipulative play sets of different types—3 sets Q Additional _ s and Equipment *Dia erjn area 'D *Sink,rearm water,soap,paper towels *Plastic lined covered containers >J *Tables ace and chair for each child *Cots/sheets and covers D *Indoorlthermometer/Out of reach of children 10 Written Idaily lan or schedule posted f7 *Labeled storage space at child level V *Shelvibg forequipment and supplies/anchored Designated activity areas Facilities *Electridal outlets covered *Barriers around heaters,fans *Hazardous substances locked 9 *Containers labeled *Medication locked *Screens on windows which are opened *Lightink adequate 13 Checklist for Preschool (age 21/2 years to school age) (0)indicates compliance observed by DHR licensing representative ( d)indicates not in compliance X indicates not applicable *Nam?e of teacher/room# *Age of children *Numlber of children b *Num;ber of staff Art Minimum Equip' Ment Requiredfor Each Group of Children Easel rj Non-toxic playdough or clay Large non-toxic crayons/watercolor markers Large sheets of paper Non-tonic finger/cold water paints-primary colors O Scissors(blunt tip)-2 pr.Per 5 children (� Non-tonic glue or paste;tape -b I E:4 Paint brushes four 1/2 and 1 inch in width Educational and Creative Toys Large/medium building_blocks-app. 15 non-interlocking Small building blocks-app. 100 non-interlocking Small cars,trucks,boats,etc.-6 Age appropriate puzzles-8(complete with all pieces) Interlocking manipulative play sets,different types-6 Matching games-6(no more than 2 electronic) Puppets-2 Homeliving Area Child-slze stove/sink(or combo) 19 Small tsble and chairs/benches Cooking utensils/dishes(unbreakable) Doll*or cradle Dolls(complete with all parts)-2 Q Doll clothes and blankets Dress-up clothes for boys and girls Storage`for dress-up clothes Unbreakable mirror-full length Toy telephones-2 p Literature and Music Age Appropriate children's books-2 per child A device that plays a variety of age appropriate music a Rhythrr�instruments—1 per child in group Nature Study and Science Magni ing glass 0 Magnets Nature collections Measuring and pouring equipment Additional Furnishings i Equipment *Table's ace and chair for each child *Cots.Sheets,covers for each child *Indoo thermometer/out of reach Writtenj daily lan or schedule posted *Labeled storage space at child level *ShelvibE for equipment and supplies/anchored . Desi nated activit areas Facilities *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked/ *Contaipers labeled *Medication locked *Screen's on windows which are opened *Li htirjg adequate 14 Checklist for School-Age (O)indicates compliance observed by DHR Licensing Representative (1)indicates not in compliance (X)indicates not applicable *Name of teacher/room# *Age of children *Nu4er of children *Nu4er of staff Minimum E ui ment Re wired for Each Grou o Children Required Jig-saw puzzle-1 per 5 children Games:Ichoose indoor or table games ID Suited to age of children-1 per 5 children Games:!choose outdoor or active games Suited to age of children-1 per 5 children Books suited to age of children-2 per child Non-tonic playdough or modeling clay Non-topic tempera paint Brushed Non-to>is crayons Paper(Variety) Non-tonic glue or paste,tape Scissor A devic6 that plays a variety of age appropriate music Interlocking manipulative play sets—1 per 5 children Additional *TabFeTpace and chair for each child *Cots/sheets/covers for each child who nap *In doorlthermometer/out of reach Written Idaily lan or schedule posted *Labele'd storage space at child level *Shelvi6g forequipment and supplies/anchored a Designated activity areas Facilities *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked *Containers labeled *Medic4tion locked *Screens on windows which are opened *LightiL adequate I 15 Playground Checklist (O) indicates compliance observed by DHR Licensing Representative indicates not in compliance (X)indicates not applicable I Required I i 6' Minim um Equipment Required for groups of twenty-five children or fewer on the playground Location or age group Wheel vehicles to sit on and maneuver-2 Wheel vehicles to pull or push-2 Balls-3 1 Climbing apparatus Crawl4rough equipment (' Digging or sand area Toys for digging (rjj Facilities *OutcI4 play area enclosed by a fence or wall at least 4 feet in height *Fence ar wall free of sharp edges o *Gates jecured b *Shade d sun areas provided *Outdogir play area free of apparent hazardous conditions a b * Concrete/asphalt not used under equipment 0 D * Area well-drained * Eq+ment not designed to be portable,securely anchored *Stairs/stteps have hand rails in child's reach 0 (� 16