ASBURY METHODIST DAY CARE CENTER

77U — Infant and Toddler Care

Ensure styrofoam dishes are not being used for infants/toddlers. Toddler classrooms were using styrofoam bowls for breakfast.

75U — Activity Areas

Ensure activity areas are provided for all children, including school-age. None were present for school-age children.

72U — Feeding of Infants

Ensure the bottle warmer doesn't go above 120'. Reading 150'

63U — Administration of Medication

Ensure medication records are updated. Ensure MAR forms are completed in yellow room. Ensure MAR forms are updated and mediactions are not expired. 3 children in the office are expired.

58U — Sanitation

Ensure soap/water & disinfectant is available. olive room

57U — Equipment

Ensure appropriate equipment is provided. Yellow room needs language/literacy, manipulatives and science. Blue room needs language (books) and Dramatic play materials.

56U — Sleeping Accommodations and Safe Sleep Environments

Ensure appropriate sleeping accommodations. 2 cribs in infant room have soft mattresses - not cleanable.

53U — Outdoor Area

Ensure outdoor area is free of hazard. Fall zones need refreshed - both sides. Paper under mulch is torn and tripping hazard. Younger side has a broken climber and trash throughout.

51U — Toilet Facilities

Ensure bathrooms have paper towels - Yellow room.

49U — Indoor Space

Ensure indoor space is in a clean & safe condition. Red - Chair needs repaired, rug torn, vents along wall need to be repaired (hazard). Mint - red chair covers need clean, rug in DP is torn and dirty. Olive - rug is a tripping hazard. Yellow - bathroom needs to be cleaned, covered trash.

40U — Child Files

Ensure children's filds are complete. Child #6 need updated health appraisal. Child #6 & #7 need blood lead screening. Gave TA for DP and conferences.

30U — Personnel Files

Ensure staff files are complete. Annual review of safe sleep and abuse and neglect needed for Staff #1 & #4. Administration of medication needed for Staff #2, #3, #5, #6. Job description needed for Staff #7 & #8. Orientation needed for Staff #8. References needed for staff #7. Declaration and drug/alcohol statement needed for Staff #7. Orientation, release of employment, service letters and job description needed for Staff #8.

33U — Annual Training

Ensure staff complete annual training hours 30 days prior to license expiration. Staff # 4 needs (13), Staff #11 needs (8).

40U — Child Files

Ensure child's files are complete. Health appraisal for Child #1, 8, 13. Immunizations for Child #9. Lead results for Child #3, 10. Dev. plan for Child #2.

77U — Infant and Toddler Care

Ensure no Styrofoam is used for feeding infant/toddlers. Toddlers were observed eating from styrofoam bowls. One observed biting pieces of bowl.

71U — Meals and Snacks

Ensure food is cut to prevent choking; toddlers sandwiches were not bite sized.

63U — Administration of Medication

Ensure Medication Administration Record is completed for all medications, including over-the-counter creams.

61U — Diapering and Soiled Clothing

Ensure diaper procedure is posted; blue room.

58U — Sanitation

Ensure classrooms are supplied with labeled soap & water bottles for cleaning and diaper changing.

57U — Equipment

Ensure developmentally appropriate equipment and amount is provided in classrooms. Yellow room needs equipment added for language/literacy, science and music.

56U — Sleeping Accommodations and Safe Sleep Environments

Ensure rest equipment blankets/sheets are not touching. Cots were stacked with top/bottom covers touching.

53U — Outdoor Area

Ensure fence is in safe condition. Large playground fence needs repaired. Toddler playground needs mulch added to fall zones. Ensure large playground is free of hazards. The black tarp is exposed creating a tripping hazard.

51U — Toilet Facilities

Ensure soap, toilet paper, paper towels are accessible. Yellow room bathroom needs supplies for toileting.

50U — Kitchen and Food Preparation

Ensure food is labeled w/contents and expiration dates.

49U — Indoor Space

Indoor space. Ensure security procedures are followed when entering the building. Specialists walked in; doors not locked. CAV Ensure rooms are cleaned and in good repair. Yellow, blue room bathrooms not clean. Yellow room cubbies not labeled w/childrens belongings. Green and Olive room need covered trash cans being used for food.