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Evaluation Form (3) ALABAMA DEPARTMENT OF HUMAN RESOURCES Revised 9/19 CHILD CARE CENTER LICENSING EVALUATION RENEWAL Health and Safety Guidelines items shaded) r� Name of Center: Date(s) of Evaluation: JInck-eian Me Address: Date(s) of Follow-up: Purpose of Visit: Q CIP, C_fln115 Telephone #: *00 0.4_ Director: Licensee: G W erA 0 r4 UYLk County: L1 ' L1 Day ❑ Night ❑ Subsidy Licensed Capacity: Day Night Days of Operation: Day �, Night Age Mange: Day Night Hours of Operatio :o Day a Night Am � Boa License Number: Q 'ode: O - Observed by DHR Licensing Representative S - Certified by Licensee/Staff in charge D - Discussed with Licensee/Staff'in charge Effective a es Of License: X -Not Applicable-Not reviewed with From: (jj Z-o T®: �ij Z� Licensee/Staff in charge t Deficiencies Note Yes ❑ No Alicensing Representative: Z _ [Sections to be completed at the discretion of the DHR Licensin Representative. N U U N REGULATIONS � cc � c� REGULATIONS cis U O U Q O0 O f1 U �. U Q c o O z Co O Z z Z Facilities f11. C., Pages 16-23) e. Space for ill ormjured child h 1. Indoor area(II.,C.,4.,pages 16-18) J.,Items used by ill child disinfected x a Exclusive use of actrviry areas g Storage'space for:teacher s supplies a � ba h. Oftice space providedd s Desigate infhlg ren ' c Bathrooms located on'same IeveUunder same roof i. Ventilation,lighting,heating(pages 17-18) (1) one flush toilet for each 15 children (I) HeaUng/air condihomng providedfi a ` (2) one handwashing sink for each 15 children (2) Temperature,68 82 at child level z \..�' (3) One tub(portable plastic acceptable) (3) Thertiiometer in each area used by children . (4)tFixtures`child si_c`or ad3ustcd for easy use (4) Thermometer out of reach of children 1 d Orie handwashmg sink e7th warm runmrig water (5) Outside windows that are opened:are r soap paper towels m each room where children are screened diapered z 1 tD (v (u tv _ c REGULATIONS f° v REGULATIONS _ m to v CL Q Q LL o 0 Q o o a U }. C) Q Z Z 0 Z Z (6) Outside doors kept closed 3. Swimming and Wading at the Center(IL,r ' # ^ C.,6.,pages 20-21) iL r (7) Lighting adequate for activities �' a. Pools two feet or more in depth (8) Lighting adequate at nap/rest time to allow (]) l feguard at poolside at all times pool is-m children to be seen : use Operational telephone for center business only (2 Lifeguard Training Certificate First AidY� f k ;DHR notif ed if telephone rs out of order or tf I C� w (3),Lifeguard not counted m ratios number changes J ! <> 1. Hazard prevention(page 18)(indoor Area) (4) Staff-child ratios for children in the pool: - 1 Centerfrec of a arent hazards - r O PP a o Y �® =years fagen hch Uian � e staff for eac ild younger (2)'Hazardous substances under loci.and key or f ry (1i} one stafffor every 4 children ages 2Y, x h combmahon'lock years up,to 4 years,, (3) Containers labeled (c)one staff for every.6 chddren_ages 4 yars 71 up to 6 years t ; (4) No firearms or am humtton ke t or all in H center exec t law enforcement P fi (d) one staff for every 10 children ages 6 P years<an3older ' If r (5) Stairways have hand railings m oluld s reach ` (5) Ragos determined by youngest-child m the k (6) Clear glass doors'marked at child Icvel r (6) Persons counted m ratios meet;child warkerqualtficanons/mthe pool at all times /V (7j Medicines and'drugs kept under lock and key ar (7);Staff provided to supervise children m x g, combination lock,separate from harmful tterris r pool area,but not iti pool }' �. y -1> P (8}Bamers around heaters radiators fans accessible ` (8)If any part of a child s body is in the water to children ,- c , j �� ,;,,,t s child considered to pool` " x : (9) Eeposed electrical outlets'have protccdve covers , (9) Pool enclosed with fence or solid wall at " - s ;, least 4 feet to height,constructed to prevent (l il) Consuniption of.alcohol or use of non h accesstbiliry`by children prescription narcotic or illegal substances prohibited c (11) Smoking or use oftobacco prohibited on a b. Wading structures less than 2 feet in depth: premises � � (12) 6 Contaminants shall be stored and disposed , m. Center kept clean/Cleaning done daily. (1) At least one staffwtth CPR&first and ate .} *, 'x z x 1 each wading (i),Floors bathroom fixtures claned/dismfected (2)Required ratios met as stated on page 23' .: _ < xw { (2)'Carpets vacuumed daily � y > r ✓ J 6 F�a '' max. Y z--Y., ,,.,i ;C (3)s At least two staff at'each wad rig structue,.�;"`rt fl `�. 5$ 1^+ (3)°Cleaning does not interfere ivtth children s` r ' rY(4) Clean watet provrded each day E r # t° r: aCtivlhCS `_ , 2. Outdoor area(H.,C.,5.,pages 19-20) z�` e ' 3 5 (5) Wading structure emptied when nit m use` See Checklist a Off-street loadtng/unloadmg provided t> i r O` 4. Away from center activities (II.,C.,7., page21) �b $epatate areas for children younge Lthan 2%:(maybe u NOTE: The Department of Human Resources achieved by scheduling); W does not inspect activities away from the center, ` including swimming and wading activities. The c Outdoor area adioins or u safely'accessible Y licensee shall assume full authority and t " responsibility for away from the center activities. Outdoor play area free of apparent hazardous'VP ,t s O A zr r CopolhOnS r£t '`> rz.f +:4 ti - %t t z ' U U L) U Q C C .Q M 12 U U REGULATIONS E E Q REGULATIONS E CL a U a Q U Y Q o O o O Z Z Z Z 5. Furnishings and equipment (II.,C.,8., €yj Siaffµith mfar t child CPR and first aid pages 21-22) See Checklists to present dunng all hours ofoperarion ' O Child Care Program (II., D., pages 1, Second staffavailable�vhc'n 7 or more children 24-37 present/regmred ratios - 1 Regmred ratios maintained at all times l No staffon duty mare than 8 continuous hours° t on,a.reg6lar bans' j = q6 a 0 up to I8:months `lao 5 N, '', m S6fffree frorti other dories while working"' y with the:children' ' b 18 months up toe/years' Ito 7 5. Infant/Toddler Program(II.,D., 2.,pages 26-29) d 24 months up to 36 months. `` 1 to 8 a. Learning/growth activities:(page 26) A c 3%:years up to 4 years 1 to 11 (1) Encouraged to play with a variety of toys f 4°years up to school age 1 to 18 .� (2) Time outdoors daily,when weather permits ...... - a- ... .. 4: School Qe to 8 c J= g . q .up y,:ars i to 21 F; (3) Freedom of movcroent'outsidc cubs daily h 8 years and older 1 to 22 f (4) Placed on tummy part of rime while awake �( z 2 Children}ounr t ha ge n 2%grouped separately' (5).Staff talks to each child andencourages from"older children response a Exceprion for goup 24 36 months} (6) Cnes/signs of distress investigated 'r immediately r b Exceptron,for .....invidual clutdren s needs F b. Diapering/toileting:(pages 26-27) 3 Staff counted in ratio only when giving full, ' " f 4 (I) Clean'dry:diapers/clothmgpiovided { 4 attention to the children t A 4. Staff coverage (page 25) (2)'Wet/soiled;diapers/clothing changed r + kr promptly �r` � � a All�hildn=n supervised at alixrimes � r: ' (3) Changuig area cleaned and disinfected { b Staff assigned responsibility for same 0Y,No child left unattended while being : ' infants/toddlers'each day, dyaperod, h` c:Su istitutestaffavailable s r (5) No child diapered on the floor , d Director suthonzed to wnduct center b'usmess r (6) Each child's hands washed after diapenng - y_ =.n e Staff person m charge whrn director is absent, C (7) Staff use nnivcrsal precautions when x authorized to conduct center business c` a rl dia enri r Z i f Staff m each room dunn ria m restm € f g Pp g/ B k (8) Staff'use clean disposable gloves For F diaperrngeachchildlforeachdiaperchange `�' g StafFable to see all the children ? (9) Wert/soiled diapers placed in covered, ,_ plasric imed coatamer and disposed of h. Ratio during napping/resting: (10) Individual;disposable wtpeseused at each ';Lf £ �; 2 (1) 0 up to 18 months _ Ito 5 1 n j j(11)µPotty chaiis emptied,nnsed,'dismfectedxt , bt X r rt r a after each use ___.._. _._ ,��w .�___ �"., _E, - _ . z. tea,., ,_n,�� •�..x=w ���, :;r_..� ,t (2) 18 months up tot%:years 1 to 14 a (12)Diapenng'areaseparate from food i6mcery r (3)2%ayeais and:older tn36 ' c. Napping/resting(page 27) Z_ 3 a) a) a) a) Q REGULATIONS C C to REGULATIONS. C: C CL E Y E Q 0 E E 0 0 0 0 0 o Z Z 0 z z Infari&lillovired'tc46 own. p 1�j 6ddle6 idited while S �4 3) encouraged:to ichi�sieep unlcss h 'cian's Infants placed oii,b 0- *6din u6is , eYpenment with self slatcnicnH' ' indicatesp uotherwise':� J, idcd 7, ants.w o,can easd}-tum-p aixd on bacl.buts 14)-:,Di_sg.6sab1lc utensils used only"with close.' o_adopt,:preferred,' 'ii' supervision position i6h: S posit S- (4)'No: :device used uiild'- specifiedeaten from a dish - physician'., s . 6 -:(S Staff rec6gfiizdA 6ring nccds�pf Dishess unbreakable ol ow thdir.dwif!s ems; �tdildlers/all6W.; 6)", steep e patt .....J�� d. Cribs,cots,and bedding(pages 27-28) Q�"jD­fikj d n ng.water offered to toddlers im Ji T�wo 6et be en oqcuple'dbrk*b!s forced'to e ..... C&S'PoMtiond to allow space for access or ¢ (19),Food fiokised`as:re' 0!punishment FRGY cx1t:41'1,'11_,�'1`7 . ' , , nb"s/c6ts,q!,qone4.,#Pl-disifi�qctd-d and'sheets"and shards i Child )(20 washed before and�k after th d packs,;after gmtoileGng 0 �c 0 e�-_ an 14 or infarts clean'.bottom sh eets or more ' ( 1)aStdrs hifidswaskeetbef6r; _prep"!jqp.ap service after anj-��iiih. often if needed sheets t igl fter asisti "s"', n Itoi letin er .... ....... .(5)--Sdft fiatdral'pr, te 'ifi infant's*'epp IIndividual�. paper 1,1,6we for r each,washing `4 efivironment no f 6 il quts comforters, drying (6) No infant put to M"imit'r-c"i's sleep pn,p_ V. 6. Preschool/School-age Program I.,D.,3.,pages 29-32) a. Learning/growth activities(pages 29-30) coverings weeny more oaten if needed N✓ X e. Feeding(page 28-29) (1) Schedule posted(l) Torinula;=food forinfants if provided by center I (2) Variety of indoor/outdoor activities arm parent.or h ici 7, ycenter,'" td�(2)If formula "d'd b- d' "f,aj *": (3) Time outdoors daily when weather permits . y. properly rid.lidiridled sic Q)�.'Meals arid snacks -1 with (4) Staff permit/encourage conversation among ge children I j (4)Jf f6ghtila pfd;Vided by Oarerit;-iabeldd refrigerated X 41 (5) Staff give individual attention to each child daily (5) Bottles sent home or contents discarded at end of (6) Radio TV,videos used only to supplement/enhance daily plan ,,not serve' -No'ch.i d (6)Small hard A' 'd _qfi h Ypr,vi&�s -,-!X, Prepared(7)Foods that ma cause cholcrng ' 'Y" } (8) Videos previewed Y� ate pro n tv- --v Feeding schedule explicit,violent, materials--01�hib&( L_ ­7,4�A, ?),`Whnts'WdWbb6� ��t -,,c b. Napping/resting(page 30) J�' No blittl :7 -, f diffeStaff ring 'dfchildivn!',�' to sit in,fq Program m: (2) Rest period for children in attendance more than 5 hours r ' U U � N C C o C C Q REGULATIONS Q .Q Q `�-' Q REGULATIONS E a U CL Q U Q o O p 0 Z Z Z Z (3) Rest period at least 45 minutes,not more than (15) Children'seated white eating ° F 2%hours r. (4) If a child who dogs not sleep after 45 minutes, (16),No child.forced to eat µquiet activities permitted 1 (5) Cots cleaned and clean bottom sheets and top ( 7),Children iiot all `v m kitchen sheets/covers'provided before used by another child;" w (6) Clean sheets/covers provided weekly more often'J.I (18) Children,s hands washed before meals if needed i and snael.and after toileting { (n ed Cots posidon .to allow space for access or (19)Statf hands',washed before ibod _ emergcnc}calf prcparaiioi and service and after assisting with r toileUng or contact with bodily llwd £r (8) At least orie staff present in each room (20);Disposable glovesused for diapenng (oj Staff able to see all children (21j indindual paper towelsforeachwashing ' c ,Toilehng(page 29) �, (22):Catered meals and snacls meet "(I) According to each child s,needs each child s e. Disciplinary Practices(page 32) hands washed: (2) Staff use Universal Precautions when diapering �(1) Disciphne.appropnaLe to age and or handing bodily fluids developmental'leyel of the children a d. Feeding(pages 30-31) (2) No corporaUphysicalspumshment wr y t (f') Childreii in attendance served breakfast or a m C€ (3)No,verbal abuseµ iA snao6 lunch p m snack (2) bieals'and snacks comply with USDA guidelines, (4)No discipline associated with food naps or t on pages 29-30'f g 1 bathroom procedures t r § r(3) Fluid milk served no powdered milk for drinl.mg "+'°# (5) No physical restraint as punishment (4)No child deprived ofineal or snack (6) No punishment administered by another child Lt (� Special dietary,needs rn accordance with written X f. Staff-Parent Communication(page 33) inStIACtlOns (6)Meals and snacks provtded by the center K4 'k (1) Discipline,behavior problems discussed w .��. _.-�.•G�_f� .� r� with parent (7) Vending machines prohibried in-areas-use d by "4 = `'� (2) Center open to visits from parents at any children S time u (8) Snail hard candies nuts not served to children T -` r (3) Parents informed of right to visit (9) Foods Utat may cause choking prepared$ r a (4) Staff available for communication/ ro natel `for the child conferences 3' (10) Portions of food salted to child s needs second , F 1 (5) Parents notified of complaint procedures -11) Unbreakable or single use dumerware used ,' C) t i (6) Parents provided with information on influenza 45, (12)Single"use cupsprglasses or a drinking fountain Gj "` # = g. Health information(pages 33-35) providedfor water -s �' r ,J; �. r 'ya -i.5.. F: —•af"s (13) Dnn ing�r offered (1) No ill child admitted ` F a (14) Faod served on indrviduai dishes ornapkms '' , , yr: (2) If a child bewmes tit or is in3ured,he/stie is 4� r t not directly on:table �� r 1'' sepanited from`group but eonUnuouslY`{ ' Z r a �r f• �.i• r "� r 'sSUpelvlSCd � :_ i -�x� �. "{��� €� 5 U U U U C C To C C Z U a Q`-' Q%aoIEGULATIONS REGULATIONS E EUQ O Q OU Z Z Z Z (3) Parent,of tlUmdured ch}Id nottfied immediately (e) Children and staff wash hands after and regwred to come for child handling animals {4) Ifparent cannot be reached'or illness/m3ury` Y h. Emergency Preparedness and Response -severe',emergency medical attention is obtained Plans(page 36-37) See Checklist {5) Parents_noUfied,bf-ciposu a to contagious Transportation(II.,E., pages 38— d�sease/condition 40) (6) Parents urged to;noufy center tf a child►s r, 1.Transportation provided by the Center c�cposcd to a contagtous,disease outside center t ` ,' (pages 38-40) (7-) Centei reports contagious disease/condition ox M '` NOTE. The Department of Human Resources does health depanrricnt as"required ,. not Inspect activities: away from the center, including swimming and wading activities. The (8) Medication/Medical Procedures(pages 34-35) licensee shall assume full authority and responsibility for away from the center activities. Does the center's staff give medication/m is procedures? Yes ❑ No # (a) Medication admmisEered only With written' ' a `' Does the center's staff provide transportation? to P!?7zatton$om parent r X: Yes ❑ No ❑ W No blanket authorization forms f6r medication `.'a Transportation chccklists�ttsed as-equired i ,(e) Medication to original container labeled b Designated staff complete and sign eheclltstit { . y 07 (d) Measuring device provided ;c Driver signs checl.hst,$indicaUng checled each seat r (e) Medication administered by designated stall' 5 d`Chec>,hsts kept o f 2 n ile for current year (f) Locked storage provided for ntedicaUon additional}rears = (g) Medication retained to parent or disposed of a Centel responsible for picking up child of when no longer needed designated location and delivering child to `41 designated person � =(h) Ttme and date�medication�s given is = �"' � ' documented in writing,kept n child s file?,copies 7 f. Supervision in center vehicles(page 39) available to are on request (9) Hygienic practices(page 34) (1) Staff'hid ratio met for children}ganger ;than lawful school-age diner not counted / ':. (a) Toilet articles labeled and stored separately ' (2) Children of lawful school age and older ; n sy. fewer than 15 transported with only the driver /, (b) Used paper toKels wipes tissues are disposed s (3) For 15 or more children of lattifiil school J kof trrimedtately follo�nno use k age one statl to addition to driver b {c) Toilet paper provided for use by children and (4)For 30 or more children of lawful school gager hY0 STa�UI addlGOn t0 dnVCf f�� t €�- t: ''g (d) Extra children s ctothmg avazlable; (5) No child left m a vehicle without .31 adult a F =SUpervlSlon ¢ n ' _ r : (10) Animals on the premises(pages 35-36) (� Staffaccompanyeacti child tinder2'/?from ;vehicle to care of lestgnateil person •<s' (a) Aggressive animals not kept in center or on (7)`Staffvistia]ly supervise each cfiild 2%:and la grounds voider from vehicle'to care of designated person: z. i (b) Animals that could pose a threat to health and (8)fDnver checks each seat at eacfi location to t' safety kept away from children =ven no child is eft on the vehicle + ' ' '< � (c) Certificate of rabies vaccination on file for g. Safety precautions in vehicles(pages 39-40) ` animals ' 1 'Station seatm for chd `each child k's;t � ` (d) Animals confined,caves kept clean,food and () ary g d, r water available seated while ve" 1p'k,is jlloy,�ng , r $�„� 53 e r5 S u��, -`M w (2)Doorslocl.ed wien�vehtc�letts moving tj 6 \ � ' 7 ' . 8 / ` 9 Checklist for Infants 0 )indicates compliance observed by DHR Licensing Representative -1)indicates not in compliance X)indicates not applicable Name eac Number of childrenT "N' -A� 4:,5 Minimum Equipment Requiredfor Each Group 9f Children 'Re'q"uiriied E'qM-'*pjh6t(M.,L,Oa& Washable soft crib toys-2 per child Push and pull toys-I A device that plays a variety of age appropriaw music Age appropriate books-2 per child Large balls(8+inches)-1 Nestin-and stacking toys-2 sets Washable baby doll-1 Musical toy-I Colorful pictures and posters Activity boxes,such as busy boxes-3 WM46'n'aA'k6r`n'isIff figs" iindl 'uipm e-n't q 77,i7 Tub(portable plastic type acceptable) "CiitislTfcct of s*c Mii6en-66&0cd-cribs nt -jiid6di"ther'm"b-m'*6Iii I 06t.6f iii6hz*df:childieft.",-��'---�.,-,��; Mvin g bi�.d''S f, qwpmiht and's6pbfiWari6hored-4ndiViddal,"labeled IT6mififfe child size,clean; ood`conditiori �Cribs;in accde&�i'de4ifff US Consumer Product Safety Fdcilities.�,- I Ele&fieat oW& re Biuriers around Nek6i`fail i-ft- t14A "'Z 7. ..... C ontiii TT-T WMA66,1- 0 NN Scie"e,fis'. "enedM Q 10 Checklist for Toddlers (aye 18 months-21/2.years) (o)indicates compliance observed by DHR Licensing Representative ( 1)indicates not in compliance (X)indicates not applicable Name of teacher/room A e of children ; Nu"tuber ofx Id"" f ; Number ofs`taff Minimum Eq uji2ment Required for Each Grou o Children e r � t • t ti t USI Large non-toxic cravons/markers Paper(variety) Non-toxic Pla dou h Colorful pictures and posters A device that plays a vane of age appropriate music Musical toys—2 Push and pull toys-2 Large cars,trucks,boats,etc.-2 Sit-on riding toy-2 Lar a soft balls-2 777 1)Oetki Books-2 per child Age ap ro riatepuzzles-2(complete with allpieces) Nesting and stacking toys-2 sets Non-wooden building blocks(approximately 20 non-interlocking) tt ' i t . Baby dolls-2(complete with all arts) Doll clothes and blankets Doll bed-1 Toy telephones—2 Pots,pans,buckets,laze plastic spoons Child-size stove Dress-up clothes • � � r e t Dia"na area_ :. Suik`warm watei,sp totvels y. c ? z.m -Plastic=lmed.' 6ontairier. = €4, 15 h ., Tub(portable plastic type acceptable) Pott -chatrs'cleancd'disii fectede'ruptied �, 3 774° /7777 Feedin`cli s'or.table aitd"chairs / ? t w ..,.x IndoorthermometerCOaCofrcacfi'ofehildren ;$kelvin fore m ment'andsu �umttore_child stv_c,clean' and condihon _`�" � '� z�s >_.. .,.,� `�s. �,.�z.a �+.v t�,•��.,v 71ridividual,'1ab61e'd'st6ra a acc fc;f. ch child EleetneaI' Utlets6;kied BarriCiS"8i0Ulidhe81eI5 fans .., `• a, {.?_..� °' - ...x. x .+s. -' , HdzardoUS:sbbstatiCes.loClsed' F gip:: _ram'.17N ; Contaihi 1a6eled "Ok Screens od�iindoHs which are o'erred4 , ., r _ Lt -:tin ade h 1. 11 Checklist for 24 months up to 36 months- (O)indicates compliance observed by DHR Licensing Representative (if)indicates not in compliance X indicates not applicable t+fame of teacher/room A ` m A eof children `` NUmlier`,Of Clllldt'eIl Number..of staff , Minimum Equipment Required for Each Group of Children Non-toxic playdough Large non-toxic crayons/markers Paper Non-toxic finger-paints in primary colors ' Scissors(blupt-tipped) Books-2 per child. A device that plays a variety of age appropriate music Rhythm instruments-one for each child in the group 1 ' Baby dolls—2(complete with all parts) Child-size stove and sink or combination Cooking utensils and dishes Doll bed Doll clothes and blankets Dress up clothes Toy telephones—2 Building blocks—approximately 50 non-interlocking Cars,trucks,boats,etc.—3 Age appropriate puzzles-4(complete with all pieces) i 777 Interlocking manipulative play sets of different types—3 sets (idit rn +.Dta erm area- 1. .s x'v;3"- ...»,r.=,'x kE.. ..a..�.Y ta..." 1"`r,,rc°„�_�.f:;i .Yr?u.�...2��_ � ,'�x:. j3. •��m:` 's `Strik warm.water,soa;-: a erfowels �^ � � 'x COt`s.-M ects;and covC s�"%W <Indoor thermometer/:'Out ofreach of childen Written daily plan or schedule posted r .Tn ,labeled sto e s ace,at cht7dlevel"' ._ ;�.� ,... m_ h t r_ :r �".1: '�, : ,,..• s.,.. _ ... ,r._ Shelvm fore m ment'and' lies/anchored ;i v'z y + ra �=- Designated activity areas Electncal:ouUets cdvercd s .,r ti,.�+ 3, y sxr a.., Baiiiers mound heaters`fans Hazardous substances'l"k`d, x n i;-:: < '. _ o-h :�.; a M a Containeis:IBbeled y 4< r a+ J Medication locled Screens on wtndowsaehtch aie o"tined _ ` - f. '`tin Ii ade`irate_ r x L n 12 Checklist for Pre chool (a� 21/2 yeaK to school Age) (O)indicates compliance observed by MIR licensing representative ( -1 indicates not in compliance X)indicates not applicable Name Age of children r a s" Number'of children h Nber,;of staff t _x um " X: Easel Non-toxic playdough or clay Large non-toxic crayons/watercolor markers b Large sheets of paper 0 � Q Non-toxic finger/cold water paints-primary colors Scissors(blunt tip)-2 pr.Per 5 children Non-toxic glue or paste;tape Paint brushes four 1/2 and 1 inch in width n i Large/medium building blocks-app. 15 non-interlocking Small building blocks-app. 100 non-interlocking Small cars,trucks,boats,etc.-6 0 Age appropriate puzzles-8(complete with all pieces) Interlocking manipulative play sets,different types-6 [� Matching games-6(no more than 2 electronic) 0 Puppets-2 (� i4. Child-size stove/sink(or combo) ® l Small table and chairs/benches Cooking utensil's/dishes(unbreakable) Doll bed or cradle Dolls(complete with all parts)-2 Doll clothes and blankets Dress-up clothes for boys and girls (� Storage for dress-up clothes �} Unbreakable mirror-full length Toy telephones-2 Age Appropriate children's books-2 per child U A device that plays a variety of age appropriate music Rhythm instruments—1 per child in group Magnifying glass Magnets Nature collections 0 Measuring and pouring equipment i Tables ace!and chair for each 7 'Cots:'Sheets,-covers'for each child'.-;--:-' f7•'== liidooi•therimoiitetde/out ofreach' Written daily plan or schedule posted _ iUbeled korake,s ace'at-child.level r77777 't Shelvin'foi ui inert and'su lies/anchoied - Desi ate d activityareas Electrical bullets covered t` P `L Barbers around heaters:'fans" Hazardous sulistances'Idcked/' - contaifica labeled. Medi6ition.loiked' Screens on vidridoHs H•hich are-o-eried: - - ��'+ � _, ti ting'ade irate` > I? '1 1 13 d Checklist for School-Age 0 )indicates compliance observed by DHR Licensing Representative I)indicates not in compliance X) indicates not applicable Mg." Win Age , , �A chtldren Number,of ch re Minimum Equiement Required for Each Group of Children XeiquiFeid'Equipineniit(111,71.,�p.,68-" ' Y" 69 Jig-saNv puzzle-I per 5 children Games:choose indoor or table games Suited to age of children-1 per 5 children Games:choose outdoor or active games Suited to age of children-I per 5 children Books suited to age of children-2 per child Non-toxic la dough or modeling clay Non-toxic tempera paint Brushes Non-toxic crayons Paper(variety) Non-toxic glue or paste,tape Scissors A device that plays a variety of age appropriate music Interlocking manipulative play sets—I per 5 children I a ble'sp' --A 6h ildT'le aci�fihd*6hAfr,-&i'-Ca ch lv b 00 73, 6 I rZ r1h rmom h 6ts S�' Written d U`b�La beled,7 d 0 c c c Y!�;:,JP 71n Written n daily plan or schedule posted abe&gtd �sok&Af--61iild-liV-61 .......... 'S 'I V1 P X ving. or equip�SW ► Designated activity areas < Electiical -A A.- -S6 m-kr-s"a"Nou—nd heaters.faris�--,`-,- fl-,-- ,H Untai 6isA eled Medication locked + W,I-,Ligh tin iideqxfate-,' 14 Playground Checklist (®)indicates compliance observed by DHR Licensing Representative ( r indicates not in compliance (X) indicates not applicable tbiinin:rrm Equiprnent Required for groups of twenty-frve 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 Climbing apparatus Crawl-through equipment Digging or sand area Toys for digging (•� °Outdoor play'area enclosed by a fence or wall at least 4 feet to height ' b_ „ <. tFenKce or wall flee of sharp edges 4, Gates secured Shade and sun areas provided 5�r, 1 Outdoor play area free of apparenthazardous condttions n _4 .. .:. •..T ,.. �� . '.i ., i_f "fir._st ,:._'...... ., s .t t Cotvot used und ncretelasphal er equipment s AieaWell draincd s r Egwpment not desed to be portable securely anchored Stars/steps have hand rails m child s reach`. 15