• Low

  - · -

  Corrected Corrected by Mar 16, 2026

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(c)(3)] · The group size shall not exceed eight for children that are under the age of two years and shall not exceed ten for children that are two years old, indoors and outdoors.

  Corrected Corrected by Mar 16, 2026

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-4a(d)(4)(D)] · Children shall be supervised at all times while at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Mar 16, 2026

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-4a(i)(1-2)(H), (F)] · An education consultant shall be available to the operator and program staff for advice and support regarding the educational content and practice of the program. A person needs to apply for approval to be an education consultant. Program staff shall not serve as education consultants for programs in which they provide direct care or direct program supervision in a non-consultative role; or in a program with the same operator as a program in which they provide direct care or direct program supervision in a non-consultative role. Specific duties of the education consultant shall include, but not be limited to making, at a minimum, annual site visits to the facility, reviewing daily plans, curriculum documents, and educational policies for the developmental and age appropriate practices, observing program staff interactions, use of materials and equipment, implementation of plans and approaches to classroom management; and providing feedback on documentation review and classroom observations to the director and head teacher. A health consultant shall be available to the operator and program staff for advice regarding the health of the children and the health program. Specific duties of the health consultant shall include, but not be limited to making, at a minimum, quarterly site visits to facilities that serve children three years of age and older; or for group child care homes, facilities that operate no more than three hours per day, or facilities that enroll only school age children, semi-annual site visits. Facilities that are closed during the summer months may omit the summer quarterly visit. Site visits shall be made by the health consultant during customary business hours when the children are present at the facility. Specific duties include, but are not limited to reviewing health and immunization records of children and program staff, reviewing the contents, storage and plan for maintenance of first aid kits, observing the indoor and outdoor environments for health and safety, observing children’s general health and development, observing diaper changing and toileting areas and diaper changing, toileting and hand washing procedures, reviewing the policies, procedures and required documentation for the administration of medications, including petitions for special medication authorizations needed for programs that administer medication, assisting in the review of individual care plans for children with special health care needs or children with disabilities, as needed; and quarterly review of all injury, illness, incident and accident reports. A social service consultant shall be available to the operator and program staff for advice regarding the emotional needs, program staff support and the social service program. A registered dietitian consultant shall be available to the operator and program staff for advice regarding nutrition and food service for those programs that prepare or plan meals. A written plan for consultation services shall be developed, signed annually by the consultant and implemented. Consultative service shall include, but not be limited to an annual review of written policies, plans and procedures that relate to the services provided by the consultant, availability by telecommunication for advice regarding problems, availability, in person, of the consultant to the program, consulting with administration and program staff about specific problems, acting as a resource person to program staff and the parent(s) to include coordinating services and assisting families and program staff in identifying necessary resources, and seeking and supporting the collaboration of multiple consultants serving the program. The activities and observations required by each consultant shall be documented in a consultation log that is kept on file at the facility for two years.

  Corrected Corrected by May 19, 2026

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-10(c)(3)] · The group size shall not exceed eight for children that are under the age of two years and shall not exceed ten for children that are two years old, indoors and outdoors.

  Corrected Corrected by May 19, 2026

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(c)(4)] · There shall be a physical barrier separating each group of children under the age of three, indoors and outdoors.

  Corrected Corrected by May 19, 2026

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · An individual plan of care for any child with special health care needs or disabilities when it is necessary that special care be taken or provided while a child is in attendance shall be developed and implemented with the child's parent(s) and health care provider and updated, as necessary. The plan shall include appropriate care of the child to prevent and respond to a medical or other emergency and shall be signed by the parent and program staff responsible for the care of the child.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-10(d)(1)(A-C)] · In child care centers there shall be a sink with hot and cold running water designated for diaper changing and hand washing of program staff and children. This sink shall be located in the program space. Child care centers which have three program staff for a group of infants or toddlers may use an accessible diaper changing facility if it is immediately adjoining the program area. Separate sinks shall be available for purposes other than hand washing after diaper changing within child care centers. Group child care homes shall have a sink accessible for hand washing other than the sink used for food preparation.

  Corrected Corrected by May 19, 2026

  Category: nutrition. Marked corrected in the state record.

• Low

  [19a-79-10(i)(1)(2A-C)] · The health consultant shall visit the facility according to the following schedule: once a week for children up to twenty-four months of age; once a week if children two to three years of age, attend five hours or more per day; and once a month if children two to three years of age attend less than five hours per day.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-10(j)-(k)(1-5)] · Infants shall be removed from their cribs and held for all bottle feedings. They may be placed in chairs for all other feedings. Infants and toddlers shall be removed from their cribs or playpens at other intervals during the day for individual cuddlings and for verbal communication. They shall be allowed to crawl and toddle as age and development permit. Each infant shall be placed in a prone (front) position part of the time when awake. When food and liquids are served a written statement specifying the formula, breast milk or other liquids and the feeding schedule for infants shall be obtained from the parent(s), updated as necessary and followed by program staff. Unused portions of formula, breast milk or other liquids shall be discarded after each feeding. Clean bottles shall be provided by the parent(s) unless the facility uses disposable bottles or has a dishwasher or dishwashing system approved by the local director of health to wash bottles. Baby food shall be served from a dish unless the whole contents of the jar will be served. Each child's bottle shall be individually identified with the child's name.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-2a(c)(8)] · At least every two (2) years, the local health director shall make unannounced visits, inspections or investigations of the licensed child care center or group child care home.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-3a(a)] · The operator of the child care center or group child care home shall be responsible for compliance with the requirements of the Regulations of Connecticut State Agencies and applicable endorsements in such a manner as to ensure the safety, health and development of the children while in the operator's care.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-4a(a)(1)] · A file shall be kept on the licensed premises for each employee of the child care center or group child care home which shall include an acceptable medical statement, completed within 12 months before the date of employment for new program staff, and every 36 months for current program staff. Such statement shall document the presence of any known medical or emotional illness or disorder that would currently pose a risk to children.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-4a(a)(2), (h)(1-2)] · Documentation of professional development for each program staff who cares for the children, including new employee orientation and annual training for current program staff on the child care center or group child care home policies, plans and procedures. Program staff, including the director, shall complete health and safety training no later than three months after the date of hire. Written verification of ongoing training that is at least one percent of the total annual hours worked. As of April 1, 2025, such annual training shall include content as defined in 45 CFR § 98.41(a)(1)(i) to (a)(1)(xi). Such education may include, but is not limited to, early education and child development, licensing and regulations, emergency preparedness, prevention and control of infectious diseases, prevention of sudden infant death syndrome and use of safe sleep practices, administration of medication, prevention and response to emergencies due to food and allergic reactions, building and physical premises safety, protection from hazards, bodies of water, and vehicular traffic; handling and storage of hazardous materials and the appropriate disposal of bio contaminants; child maltreatment, prevention of shaken baby syndrome and abusive head trauma, precautions in transporting children, pediatric first aid and cardiopulmonary resuscitation, nutrition and programming for children with disabilities or special health care needs.

  Corrected Corrected by May 19, 2026

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-7a(c)(5)(A-C)] · Water supply, food service and sewage disposal facilities shall be adequate, safe and in compliance with all applicable sections of the Regulations of Connecticut State Agencies. Water from at least one drinking fountain or drinking, beverage and food preparation sink, and from two such sources if the facility has more than one, shall be tested every two years for lead content. The water sample shall have been standing in plumbing pipes at least six hours and the results shall be submitted to the local director of health and kept on file at the facility. New child care facilities shall submit lead test results from each drinking, beverage and food preparation sink to the Office with the facility’s initial application. Whenever water is obtained from other than a public water system that is regulated by the Connecticut Department of Public Health, it shall be of a safe and sanitary quality and tested every two years for bacterial and chemical quality and the results submitted to the local director of health. The water analysis shall include tests for bacteria, physical parameters (color, odor, turbidity, pH), and sanitary chemicals (nitrogen series, chloride, hardness, iron, manganese and sodium). Additional tests may be required as deemed necessary by the Office. Drinking water shall be available and accessible to children at all times including at all meals and snacks.

  Corrected Corrected by May 19, 2026

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-7a(c)(6)(A-D)] · If the child care center or group child care home is housed in any portion of a building that was constructed prior to 1978, the operator shall submit to the Office and maintain documentation on file at the child care center or group child care home of the following. Prior to use, all space used by staff, program staff, and children shall have undergone a comprehensive lead inspection by a lead consultant licensed by the Department of Public Health. Such lead inspection shall include testing of representative components of each type of painted surface throughout the facility, dust wipes sampling of a window well, window sill and floor in each room, hallway and entry/egress areas, and testing of bare soil areas in the child play areas. Identified toxic level(s) of lead on defective surface(s) as those terms are defined in section 19a-111-1 of the Regulations of Connecticut State Agencies shall be remediated by an EPA Certified Firm using lead-safe work practice standards. All intact surfaces, including areas that have undergone remediation, for paint and soil shall be documented on a lead management plan that has been approved by the local director of health and shall be monitored in accordance with the approved plan by the operator. A letter issued by the local director of health confirming that appropriate action to remediate identified lead hazards has been completed, that clearance dust wipes have passed and that an approved lead management plan is on file.

  Corrected Corrected by May 19, 2026

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-7a(g)(1)] · All equipment shall be of such design and material as to be readily cleaned and safe for children. Equipment shall not be colored or covered by any poisonous material. Equipment shall be sturdy, safely constructed and free from protruding nails, rust, toxic material and other hazards.

  Corrected Corrected by May 19, 2026

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-8a-(a)(1-11)-(b)] · The written plan shall include the use of a variety of indoor and outdoor environments based on the children’s interest, individual needs and the learning to be addressed; a flexible schedule that allows time for children to make choices, continue projects over time, and transition from one activity to another; learning experiences that are relevant to the children’s lives and cultural context; a balance of child-initiated and teacher-initiated experiences; exploration and discovery; the use of a variety of materials that support active engagement and promote skills across areas of learning and development; rest, sleep or quiet activities; nutritious meals and snacks; toileting and clean up; individual and small group activities; and moderate and vigorous physical activity for children three years of age and older unless a child has a disability or is experiencing a developmental delay, which prevents such child from engaging in such physical activity. Such activity shall take place outdoors. No child care center or group child care home shall provide access to mobile cellular telephones, laptops and desktop computers or equipment that is capable of playing a video game or digital video disk to children under two years of age. Each child care center and group child care home shall restrict access to mobile cellular telephones, laptop and desktop computers or equipment that is capable of playing a video game or digital video disk by children two years of age and older except for educational or physical activity purposes. This subsection shall not apply to a child in the care of such child care center or group child care home that has a disability or is experiencing a developmental delay, and requires the use of such devices as a result of such disability or delay.

  Corrected Corrected by May 19, 2026

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(3)(A)] · A written report shall be produced and maintained on the licensed premises, and for a period of not less than 2 years, documenting any injuries or accidents that result in an injury to a child, or illness of a child enrolled at the facility, an incident that is required to be reported to DCF. This report shall be available to the OEC upon request and a copy shall be provided to the parent no later than the next business day.

  Corrected Corrected by Jan 2, 2026

  Category: health medication. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Oct 28, 2025

  Category: other. Marked corrected in the state record.

• Low

  - · -

  Corrected Corrected by Aug 4, 2025

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-4a(d)(4)(D)] · Children shall be supervised at all times while at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Aug 4, 2025

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · An individual plan of care for any child with special health care needs or disabilities when it is necessary that special care be taken or provided while a child is in attendance shall be developed and implemented with the child's parent(s) and health care provider and updated, as necessary. The plan shall include appropriate care of the child to prevent and respond to a medical or other emergency and shall be signed by the parent and program staff responsible for the care of the child.

  Corrected Corrected by Aug 4, 2025

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-4a(d)(4)(D)] · Children shall be supervised at all times while at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Aug 4, 2025

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-10(d)(1)(A-C)] · In child care centers there shall be a sink with hot and cold running water designated for diaper changing and hand washing of program staff and children. This sink shall be located in the program space. Child care centers which have three program staff for a group of infants or toddlers may use an accessible diaper changing facility if it is immediately adjoining the program area. Separate sinks shall be available for purposes other than hand washing after diaper changing within child care centers. Group child care homes shall have a sink accessible for hand washing other than the sink used for food preparation.

  Corrected Corrected by Dec 20, 2024

  Category: nutrition. Marked corrected in the state record.

• Low

  [19a-79-10(e)(1-10)] · The diapering area shall be an elevated sturdy table or counter equipped with a safety rail. Infants and toddlers shall be diapered at a diapering area used only for this purpose and located in the program area. Each diapering area shall have a non-porous surface and be kept in good repair. Diapering areas shall be washed and disinfected after each use. Disposable paper sheets shall be used and discarded immediately after each diapering. A covered washable lined waste receptacle shall be available and located in a convenient place for soiled waste material. These materials shall be removed to an exterior waste storage area at least daily. Disposable diapers shall be discarded in a covered receptacle immediately after diapering. The hands of the program staff and the children shall be washed after each diaper change. Diapering and hand washing policies and procedures shall be posted in each diapering area and followed. When cloth diapers or training pants are used, a written plan for their use and care shall be developed and implemented. This plan shall include, but not be limited to, these procedures: placing soiled clothing and diapers in a sealed air tight container; removing soiled clothing and diapers from the child care center or group child care home daily; and cleaning and sanitizing the container daily.

  Corrected Corrected by Dec 20, 2024

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-10(j)-(k)(1-5)] · Infants shall be removed from their cribs and held for all bottle feedings. They may be placed in chairs for all other feedings. Infants and toddlers shall be removed from their cribs or playpens at other intervals during the day for individual cuddlings and for verbal communication. They shall be allowed to crawl and toddle as age and development permit. Each infant shall be placed in a prone (front) position part of the time when awake. When food and liquids are served a written statement specifying the formula, breast milk or other liquids and the feeding schedule for infants shall be obtained from the parent(s), updated as necessary and followed by program staff. Unused portions of formula, breast milk or other liquids shall be discarded after each feeding. Clean bottles shall be provided by the parent(s) unless the facility uses disposable bottles or has a dishwasher or dishwashing system approved by the local director of health to wash bottles. Baby food shall be served from a dish unless the whole contents of the jar will be served. Each child's bottle shall be individually identified with the child's name.

  Corrected Corrected by Dec 20, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(A)-(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a signed physical examination form including the child's date of birth, a statement about the child's general health and the presence of any known medical or emotional illness or disorder that would currently pose a risk to other children or which would currently affect this child’s functional ability to participate safely in a child care setting.

  Corrected Corrected by Dec 20, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · An individual plan of care for any child with special health care needs or disabilities when it is necessary that special care be taken or provided while a child is in attendance shall be developed and implemented with the child's parent(s) and health care provider and updated, as necessary. The plan shall include appropriate care of the child to prevent and respond to a medical or other emergency and shall be signed by the parent and program staff responsible for the care of the child.

  Corrected Corrected by Dec 20, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-7a(a)(2)] · The operator shall comply with all local codes and ordinances, including the State of Connecticut Fire Safey Code. These codes include but are not limited to: inspections by the fire marshal, ensuring fire marshal inspection certificates are on file, smoke detectors, fire extinguishers and documentation of fire drills.

  Corrected Corrected by Dec 20, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-7a(c)(2)] · For programs serving children younger than school age, the building, equipment and furnishings shall be maintained in a good state of repair. A maintenance program shall be established that ensures that the interior, exterior and grounds of the building are maintained, kept clean and orderly, free from accumulations of refuse, dampness, stagnant water, dilapidated structures and other health and safety hazards.

  Corrected Corrected by Dec 20, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-7a(e)(13)] · Toxic plants and materials are prohibited in areas accessible to children.

  Corrected Corrected by Dec 20, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(g)(5)] · All manufacturer guidelines shall be followed for furniture, equipment and any toy that is used by, or around, children. Any furniture, equipment and toy that has been identified by the United States Consumer Product Safety Commission as unsafe or subject to recall shall be removed or repaired as indicated.

  Corrected Corrected by Dec 20, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-7a(h)(1-9)] · There shall be access to a minimum of seventy-five (75) square feet per child of outdoor space for the number of children using the space at any one time. The outdoor area shall be fenced or protected for safety. Outdoor play equipment shall have a shock absorbing surface, under and around, that shall effectively cushion the fall of a child, except where the child is sitting or standing at ground level. The shock absorbing surface shall be maintained at a depth of at least eight inches, be free of water and not allowed to become compacted. Acceptable shock absorbing surfaces may include mulch, sand, and wood chips. Synthetic material that is less than eight inches in depth, including but not limited to, rubber mats or tiles may be acceptable surfaces provided the operator maintains documentation on the licensed premises that the synthetic material is manufactured for this purpose, installed in accordance with the manufacturer’s specifications and sufficient to cushion the fall of a child. Concrete, asphalt, grass and dirt shall not be considered a shock absorbing surface. The playground shall be free of glass, debris, holes and other hazards. Nuts, bolts and screws shall be tight; and those that protrude shall be covered or protected. Outside equipment shall be anchored for stability when recommended by the manufacturer. Anchors shall be buried below ground level. The operator shall provide documentation to the Office, upon request, by a certified playground safety inspector that newly constructed playgrounds and all newly installed playground equipment that are set in position and anchored in such a way to last indefinitely are designed and installed in accordance with U.S. Consumer Product Safety Commission and the American Society for Testing and Materials Standards. Drinking water shall be available and accessible to children. Outdoor equipment shall be arranged in such a way as to avoid accidents. All play equipment, fences, and structures shall not pose a hazard.

  Corrected Corrected by Dec 20, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(3)(A-B)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least three years after the child is no longer attending the program.

  Corrected Corrected by Dec 20, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, emergencies, supervision of children, general operating policies, and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures. Where toilets and sinks are shared by children and adults, a written policy shall be developed and implemented that requires supervision of children when using the shared toilet room.

  Corrected Corrected by Jul 30, 2024

  Category: supervision. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Aug 8, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(c)(4)] · For children under three years of age, there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Aug 8, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(c)(3)] · For children under three years of age, the group size shall not exceed eight (8) children.

  Corrected Corrected by Aug 8, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(8)(A)] · The operator shall be responsible for managing child behavior using techniques based on developmentally appropriate practice and communicate acceptable techniques to all staff. These techniques shall include positive guidance, redirection and setting clear limits that encourage children to develop self-control, self-discipline and positive self-esteem.

  Corrected Corrected by Feb 26, 2024

  Category: other. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-6a(c) and/or 19a-6a(d)] · The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-10(c)(2) and/or 19a-79-4a(c)(6)] · For children under three years of age, there shall be at least one (1) program staff for every four (4) children or fraction thereof in attendance. During nap time, when all of the children in the group are sleeping, the overall staff child ratios shall be maintained on the licensed premises. At no time shall a group of children be left unsupervised.

  Corrected Corrected by Jan 9, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(c)(3)] · For children under three years of age, the group size shall not exceed eight (8) children.

  Corrected Corrected by Jan 9, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(c)(4)] · For children under three years of age, there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(d)(1)] · In child care centers that serve children under three years of age, there shall be a sink with hot and cold running water designated for diaper changing and hand washing of staff and children in the program space. Visual contact with all other children shall be maintained while changing diapers or using the sink. Child care centers which staff three (3) adults to a group size of eight (8) infants or toddlers may use an accessible diaper changing facility if it is immediately adjoining the program area. Separate sinks shall be available for purposes other than hand washing after diaper changing within child care centers. Group child care homes shall have a sink accessible for hand washing other than the sink used for food preparation.

  Corrected Corrected by Jan 9, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(d)(2)(C)] · Each child care center and group child care home that serves children under three years of age shall have equipment and furniture to meet the developmental needs of the children served. Furniture shall include chairs for feeding, each of which has a stable base, safety straps on all high chairs attached to the chair and a tray which locks securely.

  Corrected Corrected by Jan 9, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-10(e)(1)(2)(3)] · The diapering area shall be an elevated sturdy table or counter equipped with a safety rail. Infants and toddlers shall be diapered at a diapering area used only for this purpose and located in the program area. Each diapering area shall have a non-porous surface and be kept in good repair.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(h)(2)] · Plastic bags, balloons and Styrofoam objects shall not be accessible to children under three (3) years of age.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(i)] · A health consultant shall visit the program on the days and times children under the age of three (3) are present. The health consultant shall prepare and maintain signed documentation of visits which shall be kept on the licensed premises. The health consultant shall visit the program according to the following schedule: (A) once a week for children up to twenty-four (24) months of age, (B) once a week for children two (2) to three (3) years of age attending a full day, and (C) once a month for children two (2) to three (3) years of age attending part day programs.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-4a(h)(2)(G)] · A written plan for consultation services shall be developed, signed annually by the consultant and implemented. Consultative services shall include documenting the activities and observations in a consultation log that is kept on file at the facility for two years.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a physical examination form, an immunization record, and information regarding disabilities or special health care needs.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include an individual plan of care for any child with special health care needs or disabilities, developed with the child's parent(s) and health care provider and updated, as necessary.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-6a and/or 19a-79-7a] · The building, equipment and services shall be maintained in a good state of repair. A maintenance program shall be established that ensures that the interior, exterior and grounds of the building are maintained, kept clean and orderly, free from accumulations of refuse, dampness, stagnant water, dilapidated structures and other health and safety hazards.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-6a(a)(9)] · The kitchen in child care centers or group child care homes shall not be used as a playroom, but may be used for a specific program activity room under supervision. It shall be separated by a door or a gate from the rooms used by the children in the child care center or group child care home to prevent them from entering the kitchen except under supervision.

  Corrected Corrected by Jan 9, 2024

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-7a(d)(10)] · Electrical outlets shall be provided with safety covers or approved safety outlets. The use and maintenance of electrical cords, appliances and adaptors shall be in full compliance with state codes.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(e)(1) &/or 19a-79-12(b)(8)] · Every area used by children shall be adequately ventilated and have a thermometer affixed to the wall. The ambient air temperature shall be at least sixty-five (65) degrees Fahrenheit.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(e)(10)] · Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.

  Corrected Corrected by Jan 9, 2024

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(h)(2)] · Where swings, seesaws or climbing apparatus are used, the surface in the space shall be protected with a minimum of eight (8) inches of impact absorbing materials.

  Corrected Corrected by Jan 9, 2024

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-9a(a)(2)] · The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication and a medication administration record shall be written in ink and kept on file at the facility for each child administered a nonprescription topical medication.

  Corrected Corrected by Jan 9, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-9a(a)(3)] · Nonprescription Topical Medications shall be stored in the original container and shall be appropriately labeled and shall be stored away from food and inaccessible to children. Any unused portion of the medication shall be returned to the parent(s).

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least two (2) years after the child is no longer attending the program.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(5)] · Medication shall be stored in the original child-resistant safety container and appropriately labeled. Medication shall be stored in a locked area or a locked container in a refrigerator in keeping with the label directions away from food and inaccessible to children. Controlled drugs shall be stored in accordance with state law. Equipment and medications prescribed to treat asthma, administer glucagons, or as an emergent first line of defense medication against an allergic response shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

  Corrected Corrected by Jan 9, 2024

  Category: health medication. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Nov 9, 2023

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(g)(2)] · Adequate equipment for rest shall be provided. When cots are shared, they shall be washed and disinfected and linens changed between children.

  Corrected Corrected by Jul 11, 2023

  Category: physical safety. Marked corrected in the state record.

• Low

  Violation

  Corrected Corrected by Jun 8, 2023

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-4a(c)] · The operator shall be responsible for assuring the supervision of the children at all times while the children are at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Jun 8, 2023

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-3a(d)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, emergencies, supervision of children, general operating policies, and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

  Corrected Corrected by Jun 8, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  Violation

  Corrected Corrected by Mar 22, 2023

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-4a(c)] · The operator shall be responsible for assuring the supervision of the children at all times while the children are at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Mar 22, 2023

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-3a(b)] · The operator shall be responsible for the overall management and operation of the child day care center or group day care home in accordance with applicable state and local laws and regulations. The operator shall develop and implement a written organizational chart and require orientation/training of new and current staff. The operator shall document that the techniques used to manage child behaviors in the facility have been discussed with the child's parent(s) prior to enrollment and reviewed as needed during the period of the child's enrollment.

  Corrected Corrected by Mar 7, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-3a(d)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, emergencies, supervision of children, general operating policies, and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

  Corrected Corrected by Mar 7, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(8)(A)] · The operator and staff shall manage child behavior using techniques based on developmentally appropriate practice, including positive guidance, redirection and setting clear limits that encourage children to develop self-control, self-discipline and positive self-esteem.

  Corrected Corrected by Jan 17, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(e)(7) and/or 19a-79-10(e)(8)] · The hands of the staff and the children shall be washed before and after each diaper change. Diapering and hand washing policies and procedures shall be posted in each diapering area.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(e)(8) and/or 19a-79-10(e)(10)] · Diapering and hand washing policies and procedures shall be posted in each diapering area. When cloth diapers or training pants are used, a plan for their use and care shall be submitted to and approved by the Office of Early Childhood prior to implementation of the plan.

  Corrected Corrected by Nov 28, 2022

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-10(g)(3) and/or 19a-79-7a(g)(1)] · Soft surfaces and gas-trapping objects such as pillows, quilts, sheepskins, soft bumpers or stuffed toys shall not be placed under or with an infant for sleeping and shall be kept out of the infant's crib or bed.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(k)(4)] · Baby food shall be served from a dish unless the whole contents of the jar will be served.

  Corrected Corrected by Nov 28, 2022

  Category: nutrition. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(1)(A)-(C)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. The record shall include enrollment information and permission forms signed and dated by the parent(s).

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include an individual plan of care for any child with special health care needs or disabilities, developed with the child's parent(s) and health care provider and updated, as necessary.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-6a(a)(3) and/or 19a-79-6a(a)6)] · There shall be proper refrigeration of no more than forty-five (45) degrees Fahrenheit for perishable foods in all child care centers and group child care homes and on field trips. The kitchen in child care centers or group child care homes that is used for the preparation and serving of food to children shall be clean, well lighted and ventilated, protected by window screening and provided with hot and cold running water, adequate and safe storage for food and supplies and refrigeration.

  Corrected Corrected by Nov 28, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-7a(d)(10)] · Electrical outlets shall be provided with safety covers or approved safety outlets. The use and maintenance of electrical cords, appliances and adaptors shall be in full compliance with state codes.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(g)(4) and/or 19a-79-7a(h)] · Hardware such as air conditioners, water heaters or fuse boxes shall be inaccessible to children. The playground shall be free of glass, debris, holes and other hazards.

  Corrected Corrected by Nov 28, 2022

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least two (2) years after the child is no longer attending the program.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(5)] · Medication shall be stored in the original child-resistant safety container and appropriately labeled. Medication shall be stored in a locked area or a locked container in a refrigerator in keeping with the label directions away from food and inaccessible to children. Controlled drugs shall be stored in accordance with state law. Equipment and medications prescribed to treat asthma, administer glucagons, or as an emergent first line of defense medication against an allergic response shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(1)(A)-(C)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. The record shall include enrollment information and permission forms signed and dated by the parent(s).

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-10(e)(7) and/or 19a-79-10(e)(8)] · The hands of the staff and the children shall be washed before and after each diaper change. Diapering and hand washing policies and procedures shall be posted in each diapering area.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(e)(8) and/or 19a-79-10(e)(10)] · Diapering and hand washing policies and procedures shall be posted in each diapering area. When cloth diapers or training pants are used, a plan for their use and care shall be submitted to and approved by the Office of Early Childhood prior to implementation of the plan.

  Corrected Corrected by Nov 28, 2022

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-10(g)(3) and/or 19a-79-7a(g)(1)] · Soft surfaces and gas-trapping objects such as pillows, quilts, sheepskins, soft bumpers or stuffed toys shall not be placed under or with an infant for sleeping and shall be kept out of the infant's crib or bed.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(k)(4)] · Baby food shall be served from a dish unless the whole contents of the jar will be served.

  Corrected Corrected by Nov 28, 2022

  Category: nutrition. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include an individual plan of care for any child with special health care needs or disabilities, developed with the child's parent(s) and health care provider and updated, as necessary.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-6a(a)(3) and/or 19a-79-6a(a)6)] · There shall be proper refrigeration of no more than forty-five (45) degrees Fahrenheit for perishable foods in all child care centers and group child care homes and on field trips. The kitchen in child care centers or group child care homes that is used for the preparation and serving of food to children shall be clean, well lighted and ventilated, protected by window screening and provided with hot and cold running water, adequate and safe storage for food and supplies and refrigeration.

  Corrected Corrected by Nov 28, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-7a(d)(10)] · Electrical outlets shall be provided with safety covers or approved safety outlets. The use and maintenance of electrical cords, appliances and adaptors shall be in full compliance with state codes.

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-7a(g)(4) and/or 19a-79-7a(h)] · Hardware such as air conditioners, water heaters or fuse boxes shall be inaccessible to children. The playground shall be free of glass, debris, holes and other hazards.

  Corrected Corrected by Nov 28, 2022

  Category: physical safety. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least two (2) years after the child is no longer attending the program.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(5)] · Medication shall be stored in the original child-resistant safety container and appropriately labeled. Medication shall be stored in a locked area or a locked container in a refrigerator in keeping with the label directions away from food and inaccessible to children. Controlled drugs shall be stored in accordance with state law. Equipment and medications prescribed to treat asthma, administer glucagons, or as an emergent first line of defense medication against an allergic response shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

  Corrected Corrected by Nov 28, 2022

  Category: health medication. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Nov 28, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-4a(h)(2)(G)] · A written plan for consultation services shall be developed, signed annually by the consultant and implemented. Consultative services shall include documenting the activities and observations in a consultation log that is kept on file at the facility for two years.

  Corrected Corrected by Dec 15, 2021

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a physical examination form, an immunization record, and information regarding disabilities or special health care needs.

  Corrected Corrected by Dec 15, 2021

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(2)(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include an individual plan of care for any child with special health care needs or disabilities, developed with the child's parent(s) and health care provider and updated, as necessary.

  Corrected Corrected by Dec 15, 2021

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-7a(e)(10)] · Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.

  Corrected Corrected by Dec 15, 2021

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least two (2) years after the child is no longer attending the program.

  Corrected Corrected by Dec 15, 2021

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(5)] · Medication shall be stored in the original child-resistant safety container and appropriately labeled. Medication shall be stored in a locked area or a locked container in a refrigerator in keeping with the label directions away from food and inaccessible to children. Controlled drugs shall be stored in accordance with state law. Equipment and medications prescribed to treat asthma, administer glucagons, or as an emergent first line of defense medication against an allergic response shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

  Corrected Corrected by Dec 15, 2021

  Category: health medication. Marked corrected in the state record.

• Low

  [19a-79-4a(c)] · The operator shall be responsible for assuring the supervision of the children at all times while the children are at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

  Corrected Corrected by Sep 21, 2021

  Category: supervision. Marked corrected in the state record.

Inspection & Findings

Disposition: Corrective Action Plan 06/08/2023

Inspection & Findings

Disposition: Corrective Action Plan 06/08/2023

Follow-Up Visit for 03/02/2023

Disposition: Corrective Action Plan 03/22/2023

Inspection & Findings

Disposition: Corrective Action Plan 03/22/2023

Inspection & Findings

Disposition: Corrective Action Plan 03/07/2023

Inspection & Findings

Disposition: Corrective Action Plan 01/17/2023

Inspection & Findings

Disposition: Corrective Action Plan 09/21/2021