Peggy Chase

Regulation 5.10.2.2.4: When a dishwasher is not available, and single-service items are not used for food service, the FCCP shall ensure there shall be three (3) compartments with a drain board set-up for cleaning dishes. A four (4) step process shall include dishwashing, rinsing, sanitizing, and air drying all dishes and utensils. * Dishes shall be washed with soap in hot clean water. * Dishes shall be rinsed in hot clean water. * Dishes shall then be immersed for at least ten (10) seconds in a sanitizing rinse. The sanitizing rinse shall be EPA registered or a diluted bleach and water mixture. If using bleach, the FCCP shall follow the manufacturer's instructions when mixing for this purpose. * Dishes shall be air dried.

“During the visit, it was noted that the provider does not have a dishwasher. The provided stated that the dishes are washed in warm, soapy water, rinsed and air dried. The provider confirmed knowledge of the requirement to use a sanitizing process and that she does not currently include the sanitizing step in her dish washing practice. Corrective Action: Immediately plan to follow the four step dishwashing procedure to include a step for sanitizing the dishes used by the program. Develop a solid system with a three complartment dish washing area and a drain board set up and utilized each time the dishes for the program are washed. Choose a sanitizing product and ensure that the manufacturer's instructions for sanitization are followed consistently moving forward.”

Correction date in the state record: Dec 9, 2022

Regulation 5.4.2.5: Soft objects, toys or loose bedding shall not be used in infant sleep areas. Soft or loose bedding includes: bumper pads, pillows, quilts, comforters, sheepskins, blankets, flat sheets, cloth diapers, and bibs. Infants shall not be swaddled for sleep.

“During the visit, Child A, who was under the age of 12 months, was observed to be asleep in a pack in play with a loose blanket, sippy cup and a small soft object connected to a pacifier. Corrective Action: Immediately plan to review safe sleep practices for children under the age of 12 months as required by regulation, develop, implement, and adhere to a written safe sleep policy for the program in accordance with the safe sleep practices outlined in section 5.4.2 at all times moving forward.”

Correction date in the state record: Dec 9, 2022

Regulation 4.7: The FCCP shall establish written policies and procedures. Written information provided to parents of all children enrolled in the FCCH shall include, at minimum: * Assurance that parents have access to the FCCH and their child(ren) without prior notice and have access to their children's records as required in the rule 3.3.4.6 of these regulations; * A description of information needed from parents for child's enrollment file as required in rules in section 3.3.4.1 of these regulations; * A typical daily schedule of activities; * Information about fees and payment policies; * Information about hours of operation and closings; * Procedures for signing children in and out; * Procedures for emergencies as required in the rules in section 3.6 of these regulations; * Information about the nutrition, meals and meal preparation at the FCCH; * Safe sleep policies, as applicable; * No smoking policy; * Information about results from the test for lead in the drinking water and any plan for remediation; * FCCH policies on field trips, other off-site activity and transportation; * FCCH health policies including illness exclusions, administration of medication, and immunizations; * FCCH policies and practice regarding positive guidance and behavior management; * Assurance that confidentiality of child and family information is maintained; * Information about the requirement to report suspected child abuse and/or neglect as required in the rules in section 3.2 of these regulations; * Assurance that non-discrimination and respect for each child's family and culture is maintained; * FCCH approach to ensure wholesome growth and positive developmental experiences for children enrolled; * FCCH policies related to the inclusion of children with special needs and disabilities; * A description of religious activities, if any; * Information on how to access these FCCH regulations and other information about child development online; * Information concerning complaint procedures; * Information about the Child Care Consumer Line, including the telephone number (1-800-649-2642); and * FCCH policies and procedures related to the expulsion of children.

“As part of the compliance visit on 11/17/2021, the parent handbook for this program was collected and reviewed. A detailed list of items that needed to be edited or added was emailed to the provider on 11/18/2021. The email stated the requirement to bring the parent handbook into compliance. On 11/09/2022, the parent handbook was again collected for compliance assessment. The copy provided on 11/09/2022, was lacking many pieces of required information per rule 4.7. Upon request, the provider emailed a different copy of the parent handbook with a revision date of 01/2022. A review of this revised copy reflected a lack of complete and accurate information for at least 8 of the bullets listed in this rule. Corrective Action: Immediately plan to revise the parent handbook intended for the program to include complete and accurate information for all listed bullets in rule 4.7 and to provide the revised copy to all enrolled familes by 11/24/2022. Additionally, have all enrolled families sign a form confirming their receipt and understanding of the revisions by 11/28/2022 and place that statement in each child's enrollment file. Plan to remove all older and incomplete copies of the parent handbook in order to reduce the risk of handing out inaccurate copies moving forward. . Develop a system which will ensure that the parent handbook is reviewed and revised at least once every 365 days, compared against the requirements listed in this rule, and dispersed to enrolled families in a timely manner moving forward.”

Correction date in the state record: Dec 9, 2022

Regulation 5.4.1.4: Cots, mats, and mattresses shall be nonporous or have nonporous coverings. Each child shall be provided clean, individual bed linens either by the FCCP providing them or requiring parents to provide them. No child shall nap directly on nonporous coverings.

“During the visit, Child A, who was under the age of 12 months, was noted to be asleep in a pack and play. Child A was sleeping directly on the non-porous surface on the bottom of the pack and play. There did not appear to be a sheet or other tight fitting linens intended to cover the nonporous surface. The provider confirmed that there was no sheet or other tight fitting linens utilized to cover the nonporous surface. Corrective Action: Immediately plan to utilize a tight fitting crib sheet intended for the size and type of pack and play utilized by each child. Ensure that tight fitting sheets are placed over nonporous sleeping surfaces prior to children using the surfaces for sleep or rest moving forawrd.”

Correction date in the state record: Dec 9, 2022