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Evaluation Form Revised 3/20 ALABAMA DEPARTMENT OF HUMAN RESOURCES CHILD CARE CENTER LICENSING EVALUATION RENEWAL (Health and Safety Guidelines items marked with an asterisk* Name of Center: Date(s) of Evaluation: Address: Date(s) of Follow-up: Purpose of Visit: Telephone #: (;�3� o (� Director: ku 3 3� boic oO�GLicensee. County: ®4 l Day Night �X Subsidy 0 Licensed Capacity: Day Night Days of Operation: Day Im- /�- ENightDAge Range: Dy Night � Hours of Operation: Day � Code: License umber: O - Observed by DHR Licensing Representative S - Certified by Licensee/Staff in charge D - Discussed with Licensee/Staff in charge Effective Dates of License:l_, � . 1 1) X -Not Applicable-Not reviewed with j From: ''a�► To: l Licensee/Staff in charge it DH Licensin Re re ent tive: Deficiencies Noted: ❑ Yes' �.No g P Sections to be completed at the discretion of the DHR Licensing Representative. i a) a) REGULATIONS m REGULATIONS tests m I,I . Q a v CL a v E E a a- E E a O 0 Q O U Q 11 U o O U o o Z Z Z Z Facilities (II. C.,pages 16-23) *e. Space for ill or injured child n 1. Indoor area(II.,C.,4.,pages 16-19) *f. Items used,by ill child disinfected a *a. Exclusive use of activity areas *g. Storage space for teacher's supplies *b. Designated space for each grouping of children *h. Office space provided *c. Bathrooms located on same level/under same roof i. Ventilation,lighting,heating(pages 17-18) ti (1) one flush toilet for each 15 children V * (1) Heatinglair conditioning provided i (2) one handwashing sink for each 15 children 01 * (2) Temperature 68-82 at child level (3) One tub(portable plastic acceptable) * (3) Thermometer in each area used by children * (4) Fixtures child size or adjusted for easy use * (4) Thermometer out of reach of children *d. One handwashing sink with.warm running water, * (5) Outside windows that are opened are soap,paper towels in each room where children are ® screened diapered ; I 1 U U O U U Z N N � REGULATIONS m v REGULATIONS m Q a _ Q a E E a E E a O U Q O U Q U o 0 U o 0 Z Z 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 children to be seen in use *j. Operational telephone for center business only * (2) Lifeguard Training Certificate,First Aid Certificate,CPR Certification on file *k. DHR 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% ' years of age * (2) Hazardous substances under lock and key or * (b) one staff for every 4 children ages 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 except law enforcement a years and older. * (5) 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 * (10) Consumption of alcohol or use of non- accessibility by children prescription narcotic or illegal substances prohibited * (11) Smoking or use of tobacco prohibited on b. Wading structures less than 2 feet in depth: premises (page 21) * (12) Bio Contaminants shall be stored and disposed of properly m. Center kept clean/Cleaning done daily(pages 18- * (1) At least one staff with CPR&first aid atKIM 19) 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 J 2. Outdoor area(II.,C.,5.,pages 19-20) * (5) Wading structure emptied when not in use See Checklist *a. Off-street loading/unloading provided 4. Away from center activities page 21) *b. Separate areas for children younger than 2'/2(may /'1 NOTE: The Department of Human Resources be achieved by scheduling) I does not inspect activities away from the center, including swimming and wading activities. The *c. Outdoor 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 0 2 i U U a) a) N V V N t0 U N U REGULATIONS — _ E E n REGULATIONS E E Q a Q U �, U Z Z Z Z II 5. Furnishings and equipment (II.,C.,8., *j. Staff with infant-child CPR and first aid 1 //'�� resent Burin all hours of operation a es 21-23 See Checklists V p g p pages ) Child Care Program (II., D.' pages *k. Second staff available when 7 or more 24-37) children present/required ratios met I� i *1. Required ratios maintained at all times *I. No staff on duty more than 8 continuous hours on a regular basis * a. 0 up to 18 months 1 to 5 *m. Staff free from other duties while working with the children I� * b. 18 months up to 2%years 1 to 7 5. Infant/Toddler Program(II.,D., 2.,pages 26-29) * d. 24 months up to 36 months I to 8 a. Learning/growth activities:(page26) * e. 2'/z years up to 4 years 1 to 11 ` (1) Encouraged to play with a variety of toys I� * f. 4 years up to school age 1 to 18 (2) Time outdoors daily,when weather permits li * g. School age up to 8 years 1 to 21 I * (3) Freedom of movement outside cribs daily * h. 8 years and older 1 to 22 ' * (4) Placed on tummy part of time while awake 1� and observed Lf ii *2. Children younger than 2%:grouped separately (5) Staff talks to each child and encourages from older children response * a: Exception foi•group 24-36 months '/� * (6) Cries/signs of distress investigated !, J immediately * b. Exception for individual children's needs b. Diapering/toileting:(pages 26-27) *3. Staff counted in ratio only when giving full '> * (1) Clean,dry diapers/clothing provided attention to the children F� 4. Staff coverage (page 25) * (2) Wet/soiled diapers/clothing changed D promptly ' i * a. All children supervised at all times 0 * (3) Changing area cleaned and disinfected * b. Staff assigned responsibility for same * (4) No child left unattended while being it infants/toddlers each day diapered * c. Substitute staff available * (5) No child diapered on the floor 1 * d. Director authorized to conduct center business * (6) Each child's hands washed after diapering * e. Staff person in charge when director is absent, * (7) Staff use universal precautions when 1 authorized to conduct center business diapering 1 * f. Staff in each room during napping/resting * (8) Staff use clean disposable gloves.for diapering each child/for each diaper change * g. Staff able to see all the children * (9) Wet/soiled diapers placed in covered, plastic-lined container and disposed of daily * h. Ratio during napping/resting(page 25) * (10) Individual,disposable wipes used at each I� diaper change,disposed of properly - *. (1) 0 up to 18 months 1 to 5 ^ * (11) Potty chairs emptied,rinsed,disinfected `J after each use 2 18 months u to 2/a ears 1 to 14* O p ' y I� * (12)Diapering area separate from food service area * (3) 2%:years and older 1 to 36 c. Napping/resting(page 27) 3 i 1 REGULATIONS _ !I m to REGULATIONS ca co E. CL E o c- 0 0 . Q 0 0 Q o O o O j Z Z Z Z it . * (1) Infants allowed to form own sleep patterns I * (12) Toddlers seated while eating * (2) Infants placed on back to sleep unless physician's * (13) Child encouraged to experiment with statement indicates otherwise self-feeding,utensils provided * (3) Infants who can easily turn placed on back but 1� * (14) Disposable utensils used only with close allowed to adopt preferred position supervision D II * (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 I to follow their own sleep patterns , I d. Cribs,cots,and bedding(pages 27-28) * (17) Drinking water offered to toddlers I, * (1) Two feet between occupied cribs * (18) Child not forced to eat j * (2) Cots positioned to allow space for access or * (19) Food not used as reward or punishment I� i emergency exit * (3) Cribs/cots cleaned and disinfected and sheets and * (20) Child's hands washed before and after I� covers washed before used by another child snacks,after diapering,toileting * (4) For infants,clean bottom sheets daily or more * (2 1) Staffs hands washed before food often if needed,.sheets fit snugly preparation and service,after assisting with toileting,after diapering * (5) Soft material prohibited in infant's sleeping * (22) Individual paper towels for each washing I� environment,no pillows,quilts,comforters,etc. and drying d * (6) No infant put to sleep on sofa,soft mattress � 6. Preschool/School-age Program ; (II.,D.,3.,pages 29-32) * (7) For toddlers,clean bottom sheets and top a. Leaining/growth activities(pages 29-30) coverings weekly,more often if needed e. Feeding(page 28-29) (1) Schedule posted * (1) Formula,food for infants if provided by center, �''y (2) Variety of indoor/outdoor activities. planned with parent or physician �J * (2) If formula provided by center,ready to feed, I� (3) Time.outdoors daily when weather permits properly stored and handled * (3) Meals and snacks comply with requirements (4) Staff permit/encourage conversation among I�children * (4) If formula provided by parent,labeled, (5) Staff give individual attention to each child refrigerated daily I * (5) Bottles sent home or contents discarded at end of (6) Radio,TV,videos used only to I day 1� supplement/enhance daily plan * (6) Small hard candies,nuts not served to children * (7) No child required to watch TV or videos i under four I * (7) Foods that may cause choking prepared * (8) Videos previewed by staff for i1 appropriately for the child appropriateness * (8) Feeding schedule according to child's needs * (9) Sexually explicit,violent,frightening materials prohibited0 * (9) Infants held for bottle feeding I b. Napping/resting(page 30) (10) No bottles propped I * (1) Staff recognize differing needs of children I (11) When able,infants allowed to sit in feeding chair (2) Rest period for children in attendance more than 5 hours 4 i U V V U N N N fti tII N REGULATIONS Q- ° U a RE GULATIONS CL E 0 a E 0 n Q a U o o U o 0 Z Z Z Z (3) Rest period at least 45 minutes,not more than * (15) Children seated while eating 2%hours h-� * (4) If a child who does not sleep after 45 minutes, * (16) No child forced to eat quiet activities permitted * (5) Cots cleaned and clean bottom sheets and top I� * (17) Children not allowed in kitchen n sheets/covers provided before used by another child N * (6) Clean sheets/covers provided weekly,more often * (18) Children's hands washed before meals if needed and snack and after toileting I * (7) Cots positioned to allow space for access or * (19) Staff hands washed before food. emergency exit I� preparation and service,and after assisting with toileting or contact with bodily fluid * (8) At least one staff present in each room * (20) Disposable gloves used for diapering *. (9) Staff able to see all children * (21) Individual paper towels for each washing and drying c. Toileting(page 30) * (22) Catered meals and snacks meet 1/ requirements �( * (1) According to each child's needs,each child's e. Disciplinary Practices(page 32) hands washed * (2) Staff use Universal Precautions when diapering t� * (1) Discipline appropriate to age and or handling bodily fluids N developmental level of the children d. Feeding(pages 30-32) * (2) No corporal/physical punishment i * (1) Children in attendance served breakfast or a.m. 1'� * (3) No verbal abuse D snack,lunch,p.m.snack J * (2) Meals and snacks comply with USDA guidelines (4) No discipline associated with food,naps, on pages 29-30 or bathroom procedures * (3) Fluid milk served,no powdered milk for drinking (5) No physical restraint as punishment * (4) No child deprived of meal or snack l' (6) No punishment administered by another 1 child 1 13 * (5) Special dietary needs in accordance with written 1 f. Staff-Parent Communication(page 33) instructions * (6) Meals and snacks provided by the center (1) Discipline,behavior problems discussed with parent * (7) Vending machines prohibited in areas used by (2) Center open to visits from parents at any I� children time * (8) Small hard candies,nuts not served to children (� (3) Parents informed of right to visit under four (9) Foods that may cause choking prepared (4) Staff available for communication/ appropriately for the child conferences I * (10) Portions of food suited to child's needs,second (5).Parents notified of complaint procedures portions available j * (11) Unbreakable or single-use dinnerware used (6) Parents provided with information on I� influenza YV * (12)Single-use cups or glasses or a drinking fountain g. Health information(pages 33-36) provided fok water * (13) Drinking water offered during the day * (1) No ill child admitted 1 * (14) Food served on individual dishes or napkins, * (2) If a child becomes ill or is injured,he/she not directly on table . is separated from group,but continuously supervised, 5 . i I� U U (D U U N fB t0 U f� N V REGULATIONS E E Q REGULATIONS E E Q i! O V Q O V Q o U o U z o O o Z Z Z I * (3) Children not transported in front seat of vehicle 2. Records on staff(pages 42-44) with passenger side air bag D (See Staff Checklist) * (4) Driver and all passengers secured when vehicle *a.Records on staff kept confidential I� 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, c. Records on staff maintained at least two years maintained in good condition after person has left D 11 * (b) Each child under 5 years or weighing less than *d. Records filed alphabetically 40 pounds secured in forward facing child restraint, installed according to manufacturer's instructions, J e. Inactive files maintained separately maintained in good condition. y * (c) Each child under 6 years secured in a booster 3. Health (page 45) seat installed according to manufacturer's instructions, y maintained in good condition. *a. Medical exam and TB test on file at time of employment * (d) Each child 6 and older,the driver,and each *b. Staff with symptoms of contagious adult passenger secured in an individual seat belt, disease/condition not in center properly anchored to the vehicle. *h. Vehicle safety check done annually,signed by mechanic and dated,filed in center Character and Suitability(11., ® G., pages 47-51) 5. Transportation provided by *1. Character and suitability review conducted n parent/guardian(page 40) on required persons(every 5 years) F� a *a. Each child accompanied into and out of center *a. Persons with determination of unsuitable character terminated 1 *b. Licensee informs DHR of any criminal Each child signed in and signed out *b. E convictions or current charges *c. Any child who arrives by walking or bus,signed in Administration (11., H., by staff pages 52-56 *d. Photo ID required when releasing child to 1. Applicant/licensee(page 52) unfamiliar,designated person Staff(11., F., pages 41-46) a. Licensee assumes full authority and responsibility for meeting and maintaining n. Minimum Standards �f 1. Qualifications(pages 41-42) b.Licensee provides operating funds a. Center 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 have 12 hours of training within 30 days of employment i * Child care workers/teachers meet requirements for d. Written operating policies established ® ii 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 I! *d. Service staff not counted in ratio unless they meet (2) Copy of operating policies submitted to ® I' qualifications and are giving full attention to children DHR i *e. Driver at least 19,valid driver's license (3) Operating policies do not contradict Minimum Standards n I *f. Substitute staff meet qualifications of staff for (4) Changes in operating policies provided to whom substituting parents and to DHR 7 I i U a) U N c c = U — U REGULATIONS Q- Q REGULATIONS E o n E o a 0 0 0 Q V Q O 0 O Z Z Z Z 2. Reports to the Department(pa;52- b. Age range of children in care conforms to53) ages specifiedc. Requirements for drop-in care met a. The following reported to DHR riff to o 4. Children's Records(pages 54-55) ! (See Children's Checklist) j * (1) Change in ownership *a. Children's records and information about �I children and their families kept confidential �J * (2) Change in location *b. Individual records on each child on file on first day of attendance I (3) Change in Director of center (1) Children's records maintained 2 years I� I , 4� after child has left the center (4) Change in chief executive officer of corporation * (2) Records filed alphabetically or members of board ! ! I * (5) Alterations to center or grounds * (3)Inactive files maintained separately (� I! * (6) Major change or extension of hours or program 5. Center Records(page 55) l * The following records kept on file for the current ij (7) Change in address or telephone number year plus two additional years: b. The following reported to DHR within 24 hours,. *a. Daily attendance records on all staff and written report within 5 days:. children 1 * (1) Any illness/injury of child or staff requiring *b. Transportation checklists i professional medical treatment D l I, * (2) Any illness/injury of child or staff requiring (� *c. Vehicle safety check I emergency medical treatment 'J * (3) Any death occurring in the center or during Q *d. Sign in/sign out sheets away from center activities. I * (4) Major damage to facility j 6. Documents to be posted(pages 55- * (5) Interruption of the center's electrical,telephone 50) orgas service * (6) Any litigation involving the center I a. Most recent license,permit,or approval * (7) Any traffic accident involving day care children b. Public notice form using transportation provided by the center * (8)Any arrest of licensee,staff,employee,volunteer *c. Most recent licensing evaluation * 9 Final disposition of an child abuse/neglect lect *d. Most recent deficient report O P Y g Yi investigation involving licensee,staff,employee, I I D volunteer i * (10) Any incident in which the health,welfare,or *e. Corrective/adverse action notices l t safety of a child is at risk I * (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 0 *d. Licensee and all staff,employees,volunteers *h. Menu for meals and snacks/dated 0 cooperate with DHR on any child abuse or neglect investigation ' i. Name and telephone number for:(page 56) I 3. Admission Procedures(pages 53-54) * (1) Fire department I a. -Total number of children in care including O children 2 Law enforcement on the premises,children in transit children on field trips conforms to number specified. * (3) Medical assistance(ambulance or rescue) 8 . U U 0 U V 0 C r_ N C C cu REGULATIONS ca L i E E Q REGULATIONS E Q U Q cu O U Q o 0 U o 0 I, Z Z Z Z * (4) Poison control center * (2) Required ratios for day time maintained while children are awake(see page 23) * (5) Substitute help * (3) At least one staff,at least 19,meeting child care worker qualifications,with CPR and 1st aid in *j. Emergency 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 Nighttime Centers (II., I., children nightly g Y pages57-58 . � (6) At least one staff in each room of sleeping children 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 .m. shall meet the .following P ) g regulations or modifications * (8) All staff awake and alert to needs of children Does the center provide care after 7:00 p.m.? * (9) At least two staff in center whenever Yes ❑ No 0 children are present/required ratios met Does the center provide card'after midnight? P g Yes ❑ No * (10) Lighting maintained so children are visible while sleeping P g 1. Equipment 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 and grooming *b. In centers operating past midnight,there shall be at c. Food(page 58) least one bathing facility for every 15 children i 2. Child Care Program(pages 57, * (1) Breakfast served to children going directly to school a. Staffing(pages 57-58) * (2) Evening meal served to children in attendance (1) Staff-child ratio for sleeping children: d. Bathing(page 58) If any child is bathed: * (a) 0 up to 18 months 1 to 5 * (1) Clean water provided for each child I * (b) 18 months up to 2% 1 to 14 * (2) Each child bathed separately * (c) 2%-up to 4 years 1 to 18 * (3) Each child supervised while bathing * (d) 4 years and older 1 to 25 * (4) Individual soap,towel and washcloth provided for each child The deficiencies noted have.been discussed with me. Failure to correct the deficiencies can be t e basis for adverse action. None of these requirements are to be interpreted to allow anyone to operate in-violation of the Minimum Standards. A facility licensed/approved by the Department must meet Minimum Standards at all times. It is the responsibility of the licensee to operate in compliance with the Minimum Standards. Signature of licensee or designated staff Date 1 9 Emmency Preparedness and Response Plans Checklist ( O)indicates.compliance observed by DHR Licensing Representative ( )indicates not in compliance � (S ) indicates certified by staff in charge(use only for#plan updated yearly,written documentation must be on file) Documentation The plan shall include procedures that will be used to prepare for The plan should also be inclusive of and respond to the following types of emergency/disaster situations: *Weather emergencies/natural disasters; *Current emergency plans and procedures * Severe Thunderstorms * Tornadoes I * Flash flooding * Major snowfall * Blizzards * Ice storms * Earthquakes 'I *Lockdown or evacuation due to threats of violence Location and use of fire extinguishers *Evacuations due to; *#Documentation of the following quarterly drills; Q * Hazardous materials * Fire * Spills * Tornado * Gas leaks * Lockdown * Bomb threats * Relocation * Fire V *Infectious disease emergencies *Telephones for on-site and off-site use *Loss of power,water,or heat *Location of the first aid and emergency supply kits *Other threatening situations I c Details The disaster plan shall include details for: The Emergency Preparedness and Response Plans should be: *Shelter in place or evacuation ® *Available to all staff and employees U *Assisting infants and children with special needs and/or / *Posted in a Conspicuous place health conditions v *Reunification with parents O *Submitted to the Department j *Supplies needed for shelter in place procedures *Copies provided to all parents/guardians *Transportation disaster procedures ji *Staff training/reassignment as appropriate 6 *#Plan updated yearly *Contact with local emergency management officials. i i I r I I' 10 Checklist for Infants I' (0)indicates compliance observed by DHR Licensing Representative (,tr)indicates not in compliance (X)indicates not applicable Chi I .6i IU& *Name of teacher/room# PLAIC *Age of children G • f`�/h S *Number of children *Number of staff Minimum E ui ment Required for Each Groui of Children Required1 Washable soft crib toys-2 per child I Push and pull toys-1 A device that plays a variety of age appropriate music Age appropriate books-2 per child Large balls 8+inches)-I j Nesting and stacking toys-2 sets Washable baby doll-1 Musical toy-1 . Colorful pictures and posters Activity boxes,such as busy boxes-3 Additional *Dia erin area i *Sink,warm water,soap,paper towels *Plastic-lined,covered container Cj Tub(portable plastic type acceptable) *Feeding chairs *Cribs/2 feet of space between occupied cribs *Waterproof 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 i *Cribs in accordance with US Consumer Product Safety Act of 2008 Facilities *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked *Containers labeled *Medication locked *Screens on windows which are opened .*Lighting adequate EEL i it �I '� 11 i i Checklist for Toddlers (age 18 months-2% years) (O)indicates compliance observed by DHR Licensing Representative (-1 indicates not in compliance (X)indicates not applicable *Name of teacher/room# *Age of children • �' *Number of children 1 *Number of staff Minimum E ui ment Required for Each Grou of Children Required Equipment (Ill.,I., p. 66-67) Laze non-toxic crayons/markers Paper(variety) Non-toxic Pla dou h Colorful pictures and posters A device that plays a variety of age appropriate music Musical to s—2 i Active Play Push and pull toys-2 Laze cars,trucks,boats,etc.-2 Sit-on riding toy-2 Lar a soft balls-2 Quiet Play Books-2 er child j A e a ro riatepuzzles-2(complete with allpieces) Nestin and stacking toys-2 sets Non-wooden building blocks(a roximatel 20 non-interlockin Homeliving/Dramatic Play Bab dolls-2(complete with all pacts Doll clothes and blankets Doll bed-1 Toy telephones—2 Pots,pans,buckets,large plastic spoons Child-size stove i Press-tip clothes Additional Furnishings and Equipment "Dia em area *Sink,warm water,soap,paper towels . *Plastic-lined covered container enp Tub(portable plastic type acceptable) Votty chairs cleaned/disinfected/emptied *Feeding chairs or table and chairs *Cribs/cots *Wate roof mattress es,sheets,coverings i *Indoor thermometer/Out of reach of children *Shelving forequipment and supplies/anchored *Furniture child size,clean,good condition *Individual,labeled storage space for each child .I Facilities *Electrical outlets covered, *Barriers around heaters,fans *Hazardous substances locked *Containers labeled *Medication locked *Screens on windows which are opened *Lighting adequate 12 i Checklist for 24 months up to 36 months (O)indicates compliance observed by DHR Licensing Representative (%r)indicates not in compliance X indicates not applicable *Name of teacher/room# *Age of children *Number of children *Number of staff Minimum E ui meet Re wired for Each Grou of Childr (pageRequired Equipment 67) Art Non-toxic playdough Large non-toxic crayons/markers III Paper Non-toxic finger-paints in primary colors Scissors(blunt-tipped) Books-2 per child A device that plays a variety of age appropriate music Rhythm instruments-one for each child in the group Homeliving/Dramatic 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 Educational/Creative Building blocks—approximately 50 non-interlocking Cars,trucks,boats,etc.—3 Age appropriate puzzles-4(complete with all pieces) i Interlocking manipulative play sets of different types—3 sets Additional Furnishings and Equipment *Diapering area *Sink,warm water,soap,paper towels *Plastic-lined covered containers *Tables ace and chair for each child *Cots/sheets and covers *Indoor thermometer/Out of reach of children Written daily plan or schedule posted *Labeled storage space at child level *Shelving forequipment and supplies/anchored Designated activity areas Facilities *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked *Containers labeled *Medication locked *Screens on windows which are opened *Lighting adequate 13 i Checklist for Preschool (age 2% years to school age) (O)indicates compliance observed by DHR licensing representative ( d)indicates not in compliance X indicates not applicable r)"'.J u` `t *Name of teacher/room# lq A, ,y *Age of children VA *Number of children *Number of staff Required Equipment(Ill., I., p.67-68) MMinium EquipmeW Requiredfor Each Group Art Easel Non-toxic playdough or clay Large non-toxic crayons/watercolor markers Large sheets of paper 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 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 ganies-6(no more than 2 electronic) Puppets-2 Homeliving Area Child-size stove/sink(or combo) Small table and chairs/benches Cooking utensils/dishes(unbreakable) Doll bed or ciadle 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 A device that plays a variety of age appropriate music Rhythm instruments—1 per child in group Magnifying glass C5 Magnets Nature collections Measuring and pouring equipment Additional Furnishings and Equipment *Tables ace and chair for each child *Cots.Sheets,covers for each child *Indoor thermometer/out of reach C' Written daily plan or schedule posted *Labeled storage space at child level *Shelving forequipment and supplies/anchored Designated activiLy areas *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked/ *Containers labeled *Medication locked *Screens on windows which are opened *Lighting adequate IT 14 i i �I Checklist for School-Age (0)indicates compliance observed by DHR Licensing Representative indicates not in compliance (X)indicates not applicable *Name of teacher/room# *Age of children *Number of children *Number of staff Minimum E ui ment Re uired or Each Grou9 9f Children Required Equipment(Ill., I., p. 68- 69 Jig-sawpuzzle-1 per 5 children Games:choose indoor or table games Suited to age of children-1 per 5 children I, 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-toxic playdough 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 Interlo king manipulative play sets—1 per 5 children Additional Furnishings and Eq"ipment I *Tables ace and chair for each child *Cots/sheets/covers for each child who nap *Indoor thermometer/out of reach Written daily Ian or schedule posted *Labeled storage space at child level *Shelving forequipment and supplies/anchored Desi nated activity areas i *Electrical outlets covered *Barriers around heaters,fans *Hazardous substances locked *Containers labeled *Medication locked *Screens on windows which are opened *Li htin ade uate it 15 i Playmund Checklist (O)indicates compliance observed by DHR Licensing Representative indicates not in compliance (X)indicates not applicable I, Required Equipment(III.,I., p. 69) Minimum Equipment Required for groups of twenty-five children or fewer on the playground Location or age group 'I I Wheel vehicles to sit on and maneuver-2 Wheel vehicles to pull or push-2 Balls-3 4 Climbing apparatus. Crawl-through equipment .I Digging or sand area Toys for digging Facilities *Outdoor play area enclosed by a fence or wall at least 4 feet in height *Fence or wall free of sharp edges *Gates secured *Shade and sun areas provided *Outdoor play area free of apparent hazardous conditions * Concrete/asphalt not used under equipment * Area well-drained * Equipment not designed to be portable,securely anchored *Stairs/steps have hand rails in child's reach ,1 ! i I{ I l I 16