Little Island Child Care Center

109.9(1)b

“All files contain a pre-employment physical exam report completed within six months prior to hire and at least every three years. Physical exams shall be documented on form 470- 5152, Child Care Provider Physical Examination Report.”

109.9(2)d

“All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.”

109.9(2)i

“Preschool (for children five years and younger not enrolled in school): Physical exam report submitted within 30 days of admission, was obtained no more than 12 months prior to admission, is signed by a licensed MD, DO, Chiropractor, PA, or ARNP, and contains health history; present health status including allergies, medications, and acute/chronic conditions; and recommendations for continued care if necessary.”

109.11(2)

“• A safe and properly equipped area is provided for infants that does not allow for intrusion by children over two years of age. • Children over 18 months are only placed outside the infant area if appropriate to the developmental needs of the child. • Children over age two who remain in the infant area are placed at the recommendation of a physician or AEA due to a significant developmental delay. Children are placed for a limited time with DHS approval if doing so does not pose a threat to the infants.”

109.9(2)b

“All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.”

109.12(5)b

“• Infants diapered in a sanitary manner as needed in central diapering area. • One changing table for every 15 infants/toddlers needing diaper changes. • Diapering, sanitation, and handwashing procedures posted and implemented in central diapering area.”