My Small Angels Daycare 1

416.11(a)(6) Any child who is missing one or more of the required immunizations may be admitted if a physician licensed to practice medicine in New York State furnishes the program with a signed, completed medical exemption form issued by the New York State Department of Health or New York City Department of Education. The medical exemption must be reissued annually.

416.11(a)(3) The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

416.8(j)(2) Two caregivers must be present when more than six children, none of whom are school age, are in care.

416.8(j)(1) One caregiver may care for a maximum of six children younger than school age, or eight children when at least two of the eight children are school aged.

416.8(a) Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a caregiver's range of vision except as provided in section 416.8(b) of this Part and that the caregiver be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age, emotional, physical and cognitive development.

416.5(v) Operating carbon monoxide detectors must be used in all group family day care homes when required, and located in areas of the home in accordance with applicable laws.

416.4(c) There must be an operational smoke detector on each floor of the home.

416.4(a) Suitable precautions must be taken to eliminate all conditions which may contribute to or create a fire hazard.

416.3(h) Peeling or damaged paint or plaster must be repaired.

416.15(c)(6) The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

416.12(n) The program must obtain a written statement, from the parent of each infant in care, setting forth the breast milk, formula and feeding schedule instructions for the infant and must be updated as changes are made.

416.7(n) Cribs, bassinets and other sleeping areas for infants through 12 months of age must include an appropriately sized fitted sheet, and must not have bumper pads, toys, stuffed animals, blankets, pillows, wedges or infant positioners. Wedges or infant positioners will be permitted with medical documentation from the child's health care provider.

Corrected during the visit

416.7(l) Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

416.4(f) Multi-purpose fire extinguishers of a type approved for use in residences must be maintained in good working condition and placed in the kitchen and outside the furnace room. A group family day care program located in a multiple family dwelling is not required to place or maintain a fire extinguisher outside the furnace room of such dwelling. The caregivers must know how to use the fire extinguishers placed in such home. Fire extinguishers with gauges must show a full charge. Fire extinguishers with seals must have unbroken seals.

Corrected during the visit

416.11(i)(27) Garbage receptacles must be covered, and cleaned as needed after emptying.

Corrected during the visit