Heather Armell

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“The diaper changing procedure was observed and was incomplete. The 4 month old child's hands were not washed after diapering and the diaper changing surface was not cleaned after the child''s diaper was changed. Corrective Action: It is required that the diaper changing procedure include each required step as found contained within the rule. Send an email by 8/01/2019 to this licensor stating that a complete diaper changing procedure will occur beginning now and ongoing.”

Correction date in the state record: Jul 17, 2019

Regulation 3.6.1.1: The FCCP shall develop and maintain a written Emergency Response Plan to respond to a full range of emergencies both natural and man-made. A complete plan shall include how the FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises and lockdown situations; * Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; * Notifying the local authorities of the emergency; * A system for notifying the parents of the emergency; * Notifying the local emergency planning committee regarding the location of the FCCH and using the committee as a resource in emergency planning for the program; * A system of identifying the children and staff present at the time of the emergency and maintaining knowledge of their whereabouts; * A system for handling infants, toddlers, and children with special needs; * An established evacuation meeting location within walking distance of the FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“The Emergency Response Plan was reviewed and was incomplete as it did not contain all of the information as required by this rule. It was missing the following: Notifying the local authorities of the emergency, Notifying the local emergency planning committee regarding the location of the FCCH and using the committee as a resource in emergency planning for the program, A system for handling infants, toddlers, and children with special needs and A process for relocation if necessary including safe transportation. Corrective Action: It is required to edit the Emergency Response Plan to include information on all the required components contained within the rule. Send the completed plan by email attachment to this licensor by due date of 8/19/2019 for review.”

Correction date in the state record: Jul 24, 2019