Ottumwa Y Discovery Lane

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.”

109.10(13)c

“Center shall develop procedures for annual staff and volunteer training on emergency plans.”

109.11(3)a

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.”

109.10(1)

“Medications: The center shall have written procedures for dispensing, storage, and authorization, and recording of all prescription and non-prescription medications. • Staff must be over 18 to administer medication. • All medications shall be stored in original containers with physician or pharmacist directions. Labels should be intact and stored so they are inaccessible to children and public. Nonprescription medications shall be labeled with the child’s name. • For every day an authorization for medication is in effect and child is in attendance, there shall be a notation of administration including the name of medicine, date, time, dosage, given or applied, and the initials of the person administering the medication or the reason the medication was not given. • For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription. • Staff shall not provide medications to a child if pre-service/orientation training for medication management has not been completed.”

109.10(7)

“First aid kit: The center shall ensure that a clearly labeled first aid kit that is sufficient to address minor injury or trauma is available and accessible to staff at all times when children are: • In the center. • In the outdoor play area. • On field trips (away from the center).”

109.11(8)c

“All centers: Annual inspection prior to heating season of all fuel-burning appliances to reduce risk of carbon monoxide poisoning and shall install one carbon monoxide detector on each floor that conforms to UL Standard 2034.”

109.8(2)c

“Every child-occupied program room has adult supervision in the room.”

109.12(5)e

“The provider shall follow safe sleep practices recommended by AAP for infants under one year of age: • Infants shall always be placed on their back for sleep. • Infants shall be placed on a firm mattress with a tight fitted sheet that meets Consumer Product Safety Commission federal standards. • Infants shall not be allowed to sleep on a bed, sofa, air mattress or other soft surface. No child will be allowed to sleep in any items not designed for sleeping but not limited to, an infant seat, car seat, swing, bouncy seat. • No toys, soft objects, stuffed animals, pillows, bumper pads, blankets, or loose bedding shall be allowed in the sleeping area with the infant. • No co-sleeping shall be allowed. • Sleeping infants shall be actively observed by sight and sound. • If an alternate sleeping position is needed, a signed physician or physician assistant authorization with statement of medical reason is required.”

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.”

109.9(2)g

“Any child with allergies, a written emergency plan. Copy shall accompany child if they leave the premises.”