• N/A

  [-] · -

  Corrected Corrected by Jul 8, 2025

  Category: other. 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 Aug 13, 2025

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

• N/A

  [-] · -

  Corrected Corrected by Apr 30, 2025

  Category: other. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Apr 3, 2025

  Category: other. 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 Apr 3, 2025

  Category: health medication. 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 signed and dated by the parent(s) that shall include, but not be limited to: the child’s name, address, date of birth and date enrolled, the residence, business address(es) and telephone number(s) of the parent(s) and the name and telephone number of the child’s physician or other primary health care provider.

  Corrected Corrected by Apr 3, 2025

  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 Apr 3, 2025

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

• Low

  [19a-79-10(g)(1-8)] · Infants under twelve months of age shall be placed in a supine (back) position for sleeping in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child. A well-constructed, free standing crib or other piece of equipment shall be used designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet. Infants under twelve months of age shall be placed in a supine (back) position for sleeping in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for an alternative sleep position or alternate piece of equipment. When infants can easily turn over from the supine to the prone position, they shall be put down to sleep on their back, but allowed to adopt whatever position they prefer for sleep. No items including, but not limited to, pillows, soft bumpers, toys and blankets, including weighted blankets, weighted sleepers, and weighted swaddles, shall be placed with an infant in a crib or hung over the side of a crib or other piece of equipment designed for sleeping except for a pacifier without attachments unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for its use. Bibs and garments with ties or hoods shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. No infant shall be put to sleep on a sofa, bed, couch, soft mattress, waterbed or other soft surface. No infant shall be put to sleep or allowed to remain asleep in a child restraint system intended for use in a vehicle, an infant carrier, a swing or any place that is not specifically designed to be an infant bed unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for their use. No infant shall be swaddled unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying instructions and a timeframe for swaddling the infant. Infants under twelve months of age shall be physically observed at least every fifteen minutes to assess the infants breathing, color, temperature and comfort. No child under three years of age shall have access to teething necklaces, teething bracelets or other jewelry that could present a choking or strangulation hazard. Written policies and procedures for sleep arrangements shall include the requirements of this subsection and shall be posted in a conspicuous place in the areas where infants under twelve months of age sleep. The operator shall document that the child’s parent(s) has been informed of the child care center or group child care home’s policies and procedures for sleep arrangements prior to enrollment and reviewed as needed during the period of the child’s enrollment.

• Low

  [19a-79-10(h)(2)] · Plastic bags, not in use, shall be stored out of reach and inaccessible to children under three years of age. Plastic bags, while in use, may be stored within reach of children under three years of age provided access to such bags is only under direct and immediate supervision.

  Corrected Corrected by Apr 3, 2025

  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.

• Low

  [19a-79-6a(a)(3)] · There shall be proper refrigeration of no more than forty-one (41) degrees Fahrenheit for perishable foods in all child care centers and group child care homes and on field trips.

  Corrected Corrected by Apr 3, 2025

  Category: ratio. 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 Apr 3, 2025

  Category: physical safety. 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 Apr 3, 2025

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

• Low

  [19a-79-7a(d)(10)(A-H)] · 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. Programs shall provide changing and sanitary facilities appropriate to meet the individual needs of children who are enrolled at the facility who need assistance with toileting or who are not independent with toileting. Facilities using potty chairs in addition to the required toilets shall ensure that they are of a nonporous, synthetic product, and emptied into the toilet, cleaned and disinfected after each individual use. For programs serving children under five years of age there shall be at least one toilet and one sink with hot and cold running water for every sixteen children, or fraction thereof. For programs serving only school age children, there shall be at least one toilet and one sink with running water for every twenty-five children, or fraction thereof. Toilet facilities shall be designed in such a manner to allow individual privacy. Sinks with running water shall be readily accessible to the toilet rooms if not located within them. Toilet tissue, soap, a mechanism for individual hand drying and a waste receptacle shall be accessible to the toilets and sinks. Staff, program staff, and children shall wash their hands with soap and water after toileting. Each toilet and sink shall be located at the facility or licensed premises, as applicable, of the child care center or group child care home. Each toilet room shall be well lighted and ventilated to the outside atmosphere. In child care centers constructed or renovated after January 1, 1994, all toilet facilities shall be mechanically ventilated to the outside atmosphere.

  Corrected Corrected by Apr 3, 2025

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-9a(a)(2-3)] · The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication shall be kept on file at the facility for each child administered a nonprescription topical medication. The parent(s) shall be immediately notified of any medication error, and notified of such error in writing not more than seventy two hours after the medication error occurred, and such medication error shall be documented in the child’s record. The medication shall be stored in the original container and shall contain the following information on the container or packaging indicating the individual child’s name; the name of the medication; and directions for the medication’s administration. The medication shall be stored away from food and inaccessible to children. Any unused portion of the medication shall be returned to the parent(s). Any expired medication shall be destroyed in a safe manner or returned to the parent.

  Corrected Corrected by Apr 3, 2025

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

• Low

  [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 Apr 3, 2025

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

• N/A

  [-] · -

  Corrected Corrected by Feb 7, 2025

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-5a(a)(3)(B)] · The operator shall immediately notify the parent of a child enrolled if such child exhibits or develops an illness or is injured while in the care of the child care center or group child care home.

  Corrected Corrected by Jan 30, 2025

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

• N/A

  [-] · -

  Corrected Corrected by Dec 18, 2024

  Category: other. Marked corrected in the state record.

• Low

  - · -

  Corrected Corrected by Oct 29, 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 Oct 29, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [19a-79-10(h)(2)] · Toys and other objects with a diameter of less than one and one-quarter (1 1/4) inches, objects with removable parts that have a diameter of less than one and one-quarter (1 1/4) inches shall not be accessible to children under three (3) years of age.

  Corrected Corrected by Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

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

• High

  [19a-79-3a(b)(8)(B)] · 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 Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [19a-79-3a(e)(4)] · The operator shall post a food service certificate as required by the local director of health in a conspicuous place, accessible to the public.

  Corrected Corrected by Sep 18, 2024

  Category: nutrition. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(a)(3) and/or 19a-79-4a(g)] · 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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on programs policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.

  Corrected Corrected by Sep 18, 2024

  Category: recordkeeping. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: background checks. Marked corrected in the state record.

• High

  [19a-79-4a(e)(2),(c)(1)-11(f) &/or19a-79-12(b)(1)] · The operator shall have on staff a designated head teacher, approved by the Office who is 20 years of age or older and has the personal qualifications needed to supervise people. A designated head teacher shall be on site for sixty percent (60%) of the time the child care center or group child care home is in operation on a weekly basis. A program providing care for one (1) or more hours between the hours of ten (10) P.M. and five (5) A.M. shall have a person on the licensed premises designated as the person in charge who shall meet the head teacher qualifications.

  Corrected Corrected by Sep 18, 2024

  Category: supervision. Marked corrected in the state record.

• High

  [19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)] · A written plan for consultation services shall be developed, signed annually by the consultant and implemented. These services shall include an early childhood educational consultant, a health consultant, a dentist or dental hygienist consultant, a social service consultant, and a registered dietitian consultant for those programs that serve meals. Consultative services shall include annual review of written policies, plans and procedures, annual review of education programs, availability by telecommunication for advice regarding problems, availability, in person of the consultant to the program, consulting with administration and staff about specific problems, and acting as a resource person to staff and the parents.

  Corrected Corrected by Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

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

• High

  [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 Sep 18, 2024

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

• High

  [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 18, 2024

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

• High

  [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 Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)] · Prior to the administration of any medication, the director(s), head teacher(s), program staff or group child care home provider(s) who are responsible for administering the medications shall first be trained by a physician, physician assistant, advanced practice registered nurse or registered nurse in the methods of administration of medications and shall receive written approval from the trainer which indicates that the trainee has successfully completed a training program. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.

  Corrected Corrected by Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 18, 2024

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

• High

  [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 18, 2024

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

• N/A

  [-] · -

  Corrected Corrected by Feb 7, 2024

  Category: other. Marked corrected in the state record.

• High

  - · -

  Corrected Corrected by Sep 18, 2024

  Category: other. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(c)(4)(A) thru (C) &/or 19a-79-4a(c)(6)] · There shall be at least one (1) program staff person for every ten (10) children, or fraction thereof in attendance at all times. When there is a mixed age group, the lower required ratio for the age of the youngest child shall prevail. 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 Sep 18, 2024

  Category: ratio. Marked corrected in the state record.

• High

  [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 Sep 18, 2024

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

• Low

  [-] · 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 Feb 7, 2024

  Category: other. Marked corrected in the state record.

• High

  [-] · A program shall comply with conditions of any Negotiated Corrective Action Plan or Consent Order.

  Corrected Corrected by Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(c)] · The group size shall not exceed twenty children. When there is a mixed age group, the smaller required group size shall prevail.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(c)] · There shall be at least one (1) program staff person for every ten (10) children, or fraction thereof in attendance. When there is a mixed age group, the lower required ratio for the age of the youngest child shall prevail. 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.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-3a(e)] · The operator shall post the license, current fire marshal certificate, the Office of Early Childhood complaint procedure, a food service certificate as required by the local director of health, emergency plans, no smoking signs at entrances, the most recent Office of Early Childhood inspection report and radon test results in a conspicuous place, accessible to the public. When a child care center or group child care home provides either meals or snacks, menus shall be posted in a conspicuous place, accessible to the public.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [-] · 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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [-] · -

  Corrected Corrected by Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [19a-79-3a(e)(9)] · The operator shall post radon test results in a conspicuous place, accessible to the public.

  Corrected Corrected by Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [19a-79-3a(e)(6)] · The operator shall post emergency plans in a conspicuous place, accessible to the public.

  Corrected Corrected by Aug 24, 2023

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

• High

  [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 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

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

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [19a-79-10(h)(2)] · Toys and other objects with a diameter of less than one and one-quarter (1 1/4) inches, objects with removable parts that have a diameter of less than one and one-quarter (1 1/4) inches shall not be accessible to children under three (3) years of age.

  Corrected Corrected by Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

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

• High

  [19a-79-10(k)(5)] · Each child's bottle shall be individually identified with the child's name.

  Corrected Corrected by Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: supervision. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(a)(3) and/or 19a-79-4a(g)] · 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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on programs policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.

  Corrected Corrected by Aug 24, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: background checks. Marked corrected in the state record.

• High

  [19a-79-4a(e)(2),(c)(1)-11(f) &/or19a-79-12(b)(1)] · The operator shall have on staff a designated head teacher, approved by the Office who is 20 years of age or older and has the personal qualifications needed to supervise people. A designated head teacher shall be on site for sixty percent (60%) of the time the child care center or group child care home is in operation on a weekly basis. A program providing care for one (1) or more hours between the hours of ten (10) P.M. and five (5) A.M. shall have a person on the licensed premises designated as the person in charge who shall meet the head teacher qualifications.

  Corrected Corrected by Aug 24, 2023

  Category: supervision. Marked corrected in the state record.

• High

  [19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)] · A written plan for consultation services shall be developed, signed annually by the consultant and implemented. These services shall include an early childhood educational consultant, a health consultant, a dentist or dental hygienist consultant, a social service consultant, and a registered dietitian consultant for those programs that serve meals. Consultative services shall include annual review of written policies, plans and procedures, annual review of education programs, availability by telecommunication for advice regarding problems, availability, in person of the consultant to the program, consulting with administration and staff about specific problems, and acting as a resource person to staff and the parents.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

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

• High

  [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 Aug 24, 2023

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

• High

  [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 Aug 24, 2023

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

• High

  [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 Aug 24, 2023

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

• High

  [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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Aug 24, 2023

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

• High

  [19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)] · Prior to the administration of any medication, the director(s), head teacher(s), program staff or group child care home provider(s) who are responsible for administering the medications shall first be trained by a physician, physician assistant, advanced practice registered nurse or registered nurse in the methods of administration of medications and shall receive written approval from the trainer which indicates that the trainee has successfully completed a training program. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.

  Corrected Corrected by Aug 24, 2023

  Category: ratio. Marked corrected in the state record.

• High

  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 Aug 24, 2023

  Category: supervision. 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 Feb 8, 2023

  Category: other. 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 Feb 8, 2023

  Category: ratio. Marked corrected in the state record.

• High

  Violation

  Corrected Corrected by Feb 22, 2023

  Category: other. Marked corrected in the state record.

• High

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Feb 22, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [19a-79-4a(a)] · 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, a written report of a negative tuberculin test, documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on programs policies, plans and procedures and disciplinary actions.

  Corrected Corrected by Feb 22, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [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 Feb 22, 2023

  Category: recordkeeping. Marked corrected in the state record.

• High

  [19a-79-4a(c)] · The operator shall maintain a staff adequate for the number, ages and developmental needs of the children to be accommodated. A designated head teacher shall be on site for sixty percent (60%) of the time the child care center or group child care home is in operation on a weekly basis. There shall be at least two (2) staff eighteen (18) years of age or older on the premises when one (1) or more children are in attendance. The staff shall be available to care for the children. All staff in the child care center and group child care home 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 Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• High

  [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 Feb 22, 2023

  Category: other. Marked corrected in the state record.

• High

  [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 Feb 22, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  Violation

  Corrected Corrected by Dec 7, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-11(d)] · A program providing care for school age children shall have at least one (1) qualified program staff person for each ten (10) children or fraction thereof.

  Corrected Corrected by Dec 7, 2022

  Category: ratio. 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 Dec 7, 2022

  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 Dec 7, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [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 Dec 7, 2022

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-6a(b)] · Staff members shall be knowledgeable about signs and symptoms of childhood illness and shall be responsible for the initial observation of each child upon arrival and continued observation throughout the day for such signs and symptoms. Any child showing suspicious signs or symptoms of short-term contagious illness shall be placed in a designated isolation area with continual visual supervision by staff. The parent(s) or other authorized adult shall be called immediately to remove the child from the child day care center or group day care home.

  Corrected Corrected by Dec 7, 2022

  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 Aug 1, 2022

  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 Aug 1, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-4a(d)(1)] · The child care center or group child care home shall maintain documentation on site that there is a qualified designated director.

  Corrected Corrected by Jun 30, 2022

  Category: other. Marked corrected in the state record.

• Low

  [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 30, 2022

  Category: ratio. 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 Jun 30, 2022

  Category: health medication. 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 Jun 30, 2022

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-2a(c)(7)] · 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 Jun 30, 2022

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

• Low

  [19a-79-3a(b)(8)(B)] · 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 Jun 30, 2022

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-3a(e)(2)] · The operator shall post the current fire marshal certificate in a conspicuous place, accessible to the public.

  Corrected Corrected by Jun 30, 2022

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

• Low

  [19a-79-3a(e)(6)] · The operator shall post emergency plans in a conspicuous place, accessible to the public.

  Corrected Corrected by Jun 30, 2022

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

• Low

  [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 Jun 30, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-4a(a)(3) and/or 19a-79-4a(g)] · 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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on programs policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.

  Corrected Corrected by Jun 30, 2022

  Category: recordkeeping. Marked corrected in the state record.

• Low

  [19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)] · A written plan for consultation services shall be developed, signed annually by the consultant and implemented. These services shall include an early childhood educational consultant, a health consultant, a dentist or dental hygienist consultant, a social service consultant, and a registered dietitian consultant for those programs that serve meals. Consultative services shall include annual review of written policies, plans and procedures, annual review of education programs, availability by telecommunication for advice regarding problems, availability, in person of the consultant to the program, consulting with administration and staff about specific problems, and acting as a resource person to staff and the parents.

  Corrected Corrected by Jun 30, 2022

  Category: ratio. 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 Jun 30, 2022

  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 Jun 30, 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 Jun 30, 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 Jun 30, 2022

  Category: ratio. 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 Jun 30, 2022

  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 Jun 30, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)] · Prior to the administration of any medication, the director(s), head teacher(s), program staff or group child care home provider(s) who are responsible for administering the medications shall first be trained by a physician, physician assistant, advanced practice registered nurse or registered nurse in the methods of administration of medications and shall receive written approval from the trainer which indicates that the trainee has successfully completed a training program. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.

  Corrected Corrected by Jun 30, 2022

  Category: ratio. Marked corrected in the state record.

• Low

  [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 Jun 30, 2022

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

• Low

  Violation

  Corrected Corrected by Dec 28, 2021

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-10(c)] · 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, the group size shall not exceed eight (8) children and there shall be a physical barrier separating each group of eight (8) children, indoors and outdoors.

  Corrected Corrected by Dec 28, 2021

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-4a(c)] · There shall be at least one (1) program staff person for every ten (10) children, or fraction thereof in attendance. When there is a mixed age group, the lower required ratio for the age of the youngest child shall prevail. 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.

  Corrected Corrected by Dec 28, 2021

  Category: ratio. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Sep 23, 2021

  Category: other. Marked corrected in the state record.

Inspection & Findings

Disposition: Consent Order 09/18/2024

Follow-Up Visit for 05/15/2023

Disposition: Consent Order 08/24/2023

Follow-Up Visit for 05/15/2023

Disposition: Consent Order 08/24/2023

Inspection & Findings

Disposition: Consent Order 08/24/2023

Inspection & Findings

Disposition: Consent Order 08/24/2023

Inspection & Findings

Disposition: Consent Order 08/24/2023

Follow-Up Visit for 10/24/2022

Disposition: Consent Order 02/22/2023

Follow-Up Visit for 10/24/2022

Disposition: Consent Order 02/22/2023

Follow-Up Visit for 10/24/2022

Disposition: Consent Order 02/22/2023

Inspection & Findings

Disposition: Consent Order 02/22/2023

Inspection & Findings

Disposition: Consent Order 02/22/2023

Follow-Up Visit for 08/16/2022

Disposition: Corrective Action Plan 12/07/2022

Inspection & Findings

Disposition: Corrective Action Plan 12/07/2022

Inspection & Findings

Disposition: Corrective Action Plan 08/01/2022

Follow-Up Visit for 11/19/2021

Disposition: Corrective Action Plan 12/28/2021