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Home › CT › Middletown › Town And Country Early Learning Centers
195 S MAIN ST, Middletown CT 06457 · License #DCCC.16365 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
Ages served
Ages not published.
[19a-79-5a(a)(4)] · The operator shall maintain any video recordings created at such child care center or group child care home for a period of not less than thirty days and make such recordings immediately available upon the request of the Office but no later than the next business day.
Corrected Corrected by Jun 8, 2026
Category: recordkeeping. Marked corrected in the state record.
[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.
Inspection & Findings
Disposition: Corrective Action Plan 06/08/2026
Inspection & Findings
Disposition: Corrective Action Plan 02/20/2025
Inspection & Findings
Disposition: Corrective Action Plan 07/16/2024
Follow-Up Visit for 01/18/2024
Disposition: Consent Order 04/12/2024
Follow-Up Visit for 01/18/2024
Disposition: Consent Order 04/12/2024
Inspection & Findings
Disposition: Consent Order 04/12/2024
Inspection & Findings
Disposition: Corrective Action Plan 01/30/2024
Follow-Up Visit for 05/30/2023
Disposition: Corrective Action Plan 07/05/2023
Inspection & Findings
Disposition: Corrective Action Plan 07/05/2023
Generated from this facility's specific inspection record
Data synced from Connecticut Office of Early Childhood on Jul 10, 2026 · Source records · Report an error
Corrected Corrected by Jul 15, 2025
Category: supervision. Marked corrected in the state record.
[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 Jul 15, 2025
Category: recordkeeping. Marked corrected in the state record.
[19a-79-3a(b)(6)] · The operator shall assure annual training for all current program staff on the child care center or group child care home policies, plans and procedures.
Corrected Corrected by Jul 15, 2025
Category: recordkeeping. Marked corrected in the state record.
[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 Jul 15, 2025
Category: ratio. Marked corrected in the state record.
[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 Jul 15, 2025
Category: ratio. Marked corrected in the state record.
[19a-79-7a(e)(10)] · Potentially hazardous substances and materials in the child care centers and group child care homes shall be stored in a labeled container identifying the exact contents and dilutions, used according to the manufacturer’s instructions and for the intended purpose, handled in a safe manner and inaccessible to children.
Corrected Corrected by Jul 15, 2025
Category: other. Marked corrected in the state record.
[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 Jul 15, 2025
Category: physical safety. Marked corrected in the state record.
[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 Jul 15, 2025
Category: physical safety. Marked corrected in the state record.
[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 Jul 15, 2025
Category: ratio. Marked corrected in the state record.
[19a-79-9a(b)(5)(A-B)] · 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. Only personnel authorized to administer medication may be provided with the means to access such medication. Controlled drugs shall be stored in accordance with state law.
Corrected Corrected by Jul 15, 2025
Category: health medication. Marked corrected in the state record.
[19a-79-9a(b)(5)(D)] · All unused or expired medication, except for controlled substances, shall be returned to the parent(s) or disposed of if it is not picked up within one week following the termination of the order, in the presence of at least one witness. The facility shall keep a written record of the medications destroyed for three years which shall be signed by both parties.
Corrected Corrected by Jul 15, 2025
Category: health medication. Marked corrected in the state record.
[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 Feb 20, 2025
Category: health medication. Marked corrected in the state record.
[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 Sep 11, 2024
Category: ratio. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[19a-79-7a(d)(11)] · Requirements regarding toilet and washing facilities shall be satisfied. Programs shall provide changing and sanitary facilities appropriate to meet the individual needs of children. Programs serving under age 6 shall have at least 1 toilet and sink with hot and cold running water for every 16 children. Programs serving only school age children shall have at least 1 toilet and sink with running water for every 25 children. Toilet tissue, soap, single use disposable towels and a waste receptacle shall be accessible.
Corrected Corrected by Sep 11, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: ratio. Marked corrected in the state record.
[19a-79-9a(b)(5)(D) and/or 19a-79-9a(b)(5)(E)] · All unused or expired medication shall be returned to the parent(s) or disposed of if it is not picked up within one (1) week following the termination of the order, in the presence of at least one witness. The facility shall keep a written record of the medications destroyed which shall be signed by both parties. The facility shall require the parent(s) of a child who has a prescription for an automatic prefilled cartridge injector, or similar automatic injectable equipment used to treat an allergic reaction or injectable equipment used to administer glucagon or inhalant medication to treat asthma, to provide the injector or equipment labeled with the information from the prescriber upon enrollment and attendance of such child at the facility, and replace such medication and equipment prior to its expiration date.
Corrected Corrected by Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[-] · A Negotiated Corrective Action Plan or Consent Order is a voluntary agreement in which a provider/program agrees to take certain steps or make changes above and beyond the regulations in order to retain their license.
Corrected Corrected by Nov 14, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: ratio. Marked corrected in the state record.
[19a-79-10(j)] · 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.
Corrected Corrected by Sep 11, 2024
Category: other. Marked corrected in the state record.
[19a-79-10(k)(1)] · A written statement specifying the formula, breast milk or other liquids and the feeding schedule for infants shall be obtained from the parent(s).
Corrected Corrected by Sep 11, 2024
Category: other. Marked corrected in the state record.
[19a-79-3a(d)(1)] · The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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 Sep 11, 2024
Category: recordkeeping. Marked corrected in the state record.
[19a-79-3a(e)(5) and/or 19a-79-6a(a)(4)] · When a child care center or group child care home provides either meals or snacks, menus shall be prepared at least one (1) week in advance, dated and copies posted in a conspicuous place, accessible to the public. Changes shall be documented by the end of the program day. A copy of what was served shall be kept on file for three (3) months.
Corrected Corrected by Sep 11, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[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 Sep 11, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: other. Marked corrected in the state record.
[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 Sep 11, 2024
Category: physical safety. Marked corrected in the state record.
[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 Sep 11, 2024
Category: ratio. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[19a-79-9a(b)(5)(D) and/or 19a-79-9a(b)(5)(E)] · All unused or expired medication shall be returned to the parent(s) or disposed of if it is not picked up within one (1) week following the termination of the order, in the presence of at least one witness. The facility shall keep a written record of the medications destroyed which shall be signed by both parties. The facility shall require the parent(s) of a child who has a prescription for an automatic prefilled cartridge injector, or similar automatic injectable equipment used to treat an allergic reaction or injectable equipment used to administer glucagon or inhalant medication to treat asthma, to provide the injector or equipment labeled with the information from the prescriber upon enrollment and attendance of such child at the facility, and replace such medication and equipment prior to its expiration date.
Corrected Corrected by Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[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 Sep 11, 2024
Category: health medication. Marked corrected in the state record.
[19a-79-3a] · 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 Jul 16, 2024
Category: ratio. Marked corrected in the state record.
19a-79-4a(c)(4)(D) · 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 Jul 16, 2024
Category: supervision. Marked corrected in the state record.
Violation
Corrected Corrected by Apr 12, 2024
Category: other. Marked corrected in the state record.
[19a-79-3a(b)(8)(C)] · The operator and staff shall not engage in, nor allow, abusive, neglectful, physical, corporal, humiliating or frightening treatment or punishment, and shall not tie nor bind children and shall not physically restrain children except for the protection and safety of the child or others, using least restrictive methods, as appropriate.
Corrected Corrected by Apr 12, 2024
Category: other. Marked corrected in the state record.
[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 Apr 12, 2024
Category: supervision. Marked corrected in the state record.
[19a-79-4a(c)(3)(A) thru (C) · All staff shall have the personal qualities necessary to care for and work with children, relate to adults, and relate to the parent(s).
Corrected Corrected by Apr 12, 2024
Category: other. Marked corrected in the state record.
[19a-79-3a(b)(8)(C)(D)] · While children are in attendance at the program the operator and staff shall not engage in, nor allow, abusive, neglectful, physical, corporal, humiliating or frightening treatment or punishment, and shall not tie nor bind children and shall not physically restrain children except for the protection and safety of the child or others, using least restrictive methods, as appropriate.
Corrected Corrected by Apr 12, 2024
Category: other. Marked corrected in the state record.
[19a-79-4a(b)] · 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 evidence that the necessary information and documentation specified by the Office of Early Childhood in order to conduct background checks has been submitted. The operator shall provide to the Office of Early Childhood any information obtained concerning substantiated child abuse or neglect records or criminal convictions upon request.
Corrected Corrected by Apr 12, 2024
Category: background checks. Marked corrected in the state record.
[DCF Finding] · DCF defines persons who have been substantiated as individuals responsible for an act or acts of child abuse or neglect and for whom the DCF commissioner has made a determination, based upon a standard of reasonable cause, that the individual poses a risk to the health, safety or well-being of children.
Corrected Corrected by Apr 12, 2024
Category: health medication. Marked corrected in the state record.
[DCF Finding] · DCF defines persons who have been substantiated as individuals responsible for an act or acts of child abuse or neglect and for whom the DCF commissioner has made a determination, based upon a standard of reasonable cause, that the individual poses a risk to the health, safety or well-being of children.
Corrected Corrected by Apr 12, 2024
Category: health medication. Marked corrected in the state record.
[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 Jan 30, 2024
Category: supervision. Marked corrected in the state record.
Violation
Corrected Corrected by Jul 5, 2023
Category: other. Marked corrected in the state record.
[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 Jul 26, 2023
Category: ratio. Marked corrected in the state record.
[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 Jul 26, 2023
Category: other. Marked corrected in the state record.
[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 Jul 26, 2023
Category: other. Marked corrected in the state record.
[19a-79-3a(c)] · The operator shall notify the Office of Early Childhood, the parent(s) and staff of any changes in programs or services. Notification of personnel changes shall be made within five (5) business days after the change. If the change is for a head teacher, a plan for interim head teacher coverage shall be submitted to the Office of Early Childhood. A qualified head teacher or a plan approved by the commissioner shall be in place within thirty (30) days of change of a qualified head teacher. Notification of changes related to the licensed capacity, fees, services or voluntary closing shall be made at least thirty (30) days prior to the effective date of the proposed change. A change of location, change of operator or a change of ownership requires a new initial application.
Corrected Corrected by Jul 26, 2023
Category: other. Marked corrected in the state record.
[19a-79-4a(a)(1) and/or 19a-79-4a(a)(2)] · 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 and a written report of a negative tuberculin test.
Corrected Corrected by Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[19a-79-4a(b)] · 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 evidence that the necessary information and documentation specified by the Office of Early Childhood in order to conduct background checks has been submitted. The operator shall provide to the Office of Early Childhood any information obtained concerning substantiated child abuse or neglect records or criminal convictions upon request.
Corrected Corrected by Jul 26, 2023
Category: background checks. Marked corrected in the state record.
[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 Jul 26, 2023
Category: other. Marked corrected in the state record.
[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 Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[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 Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[19a-79-7a(a) and/or 19a-79-7a(c)(3)] · Water supply, food service and sewage disposal facilities shall be in compliance with all applicable sections of the Public Health Code. All water supplies shall be tested every two (2) years for lead content and the results submitted to the local and state health departments. Whenever water is obtained from other than a Department of Public Health-approved public water supply, it shall be of a safe and sanitary quality and tested every two (2) years for bacterial and chemical quality and the results submitted to the local and state health departments.
Corrected Corrected by Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[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 Jul 26, 2023
Category: other. Marked corrected in the state record.
[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 Jul 26, 2023
Category: ratio. Marked corrected in the state record.
[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 Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[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 Jul 26, 2023
Category: health medication. Marked corrected in the state record.
[19a-79-5a(a)] · 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, permission forms signed and dated by the parent(s), a health record, a written record of all injuries or accidents, and information regarding disabilities or special health care needs.
Corrected Corrected by Jul 5, 2023
Category: recordkeeping. Marked corrected in the state record.
[19a-79-7a(e)(5)] · Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
Corrected Corrected by Jun 6, 2022
Category: other. Marked corrected in the state record.
[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 Jun 6, 2022
Category: physical safety. Marked corrected in the state record.
[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 Jun 6, 2022
Category: health medication. Marked corrected in the state record.
[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 Jun 6, 2022
Category: other. Marked corrected in the state record.
[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 Jun 6, 2022
Category: recordkeeping. Marked corrected in the state record.
[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 Jun 6, 2022
Category: health medication. Marked corrected in the state record.
[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 Jun 6, 2022
Category: health medication. Marked corrected in the state record.
[19a-79-7a(d)(11)] · Requirements regarding toilet and washing facilities shall be satisfied. Programs shall provide changing and sanitary facilities appropriate to meet the individual needs of children. Programs serving under age 6 shall have at least 1 toilet and sink with hot and cold running water for every 16 children. Programs serving only school age children shall have at least 1 toilet and sink with running water for every 25 children. Toilet tissue, soap, single use disposable towels and a waste receptacle shall be accessible.
Corrected Corrected by Jun 6, 2022
Category: other. Marked corrected in the state record.
[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 Jun 6, 2022
Category: ratio. Marked corrected in the state record.
[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 Jun 6, 2022
Category: health medication. Marked corrected in the state record.
[19a-79-9a(b)] · Upon completion of the required medication administration training program, the training approval and an outline of the curriculum content shall be on file at the facility.
Corrected Corrected by Jun 6, 2022
Category: ratio. Marked corrected in the state record.
[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 May 24, 2022
Category: ratio. Marked corrected in the state record.
Inspection & Findings
Disposition: Corrective Action Plan 05/24/2022