• Low

  [19a-79-7a(e)(3)] · The water heating equipment shall deliver water at the tap, the temperature of which shall be within a range of 60 degrees Fahrenheit to 120 degrees Fahrenheit. It shall have the capacity to deliver the required amounts at all times.

  Corrected Corrected by Jan 29, 2026

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

• Low

  [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. Rugs, if used, shall not present a tripping or slipping hazard.

  Corrected Corrected by Jan 29, 2026

  Category: other. 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 Jan 29, 2026

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

• Low

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

  Corrected Corrected by Jan 29, 2026

  Category: supervision. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Jan 29, 2026

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

• Low

  [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 week in advance, dated and copies posted in a conspicuous place. Changes shall be documented by the end of the program day. A copy of what was served shall be kept on file for three months.

  Corrected Corrected by Jan 29, 2026

  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 Jan 29, 2026

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

• Low

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

  Corrected Corrected by Jan 29, 2026

  Category: physical safety. 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 Jan 29, 2026

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

• Low

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

  Corrected Corrected by Mar 16, 2026

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(7)(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 Mar 16, 2026

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-3a(d)(2)-(7)] · 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, multi-hazard and medical emergencies, supervision of children, general operating policies, administrative oversight and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

  Corrected Corrected by Mar 16, 2026

  Category: supervision. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Feb 21, 2025

  Category: recordkeeping. 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.

  Corrected Corrected by Feb 21, 2025

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

• Low

  [19a-79-5a(2)(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. 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 Feb 21, 2025

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

• Low

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

  Corrected Corrected by Feb 21, 2025

  Category: health medication. 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 Feb 21, 2025

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

• Low

  [19a-79-7a(e)(3)] · The water heating equipment shall deliver water at the tap, the temperature of which shall be within a range of 60 degrees Fahrenheit to 120 degrees Fahrenheit. It shall have the capacity to deliver the required amounts at all times.

  Corrected Corrected by Feb 21, 2025

  Category: physical safety. 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 Feb 21, 2025

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

• Low

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

  Corrected Corrected by Feb 21, 2025

  Category: ratio. Marked corrected in the state record.

• Low

  - · -

  Corrected Corrected by Mar 13, 2025

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Mar 13, 2025

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(7)(A)] · The operator and program 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 and communicate acceptable techniques to all staff.

  Corrected Corrected by Feb 4, 2025

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(7)(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 Feb 4, 2025

  Category: other. Marked corrected in the state record.

• Low

  [19a-79-3a(d)(2)-(7)] · 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, multi-hazard and medical emergencies, supervision of children, general operating policies, administrative oversight 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 Feb 4, 2025

  Category: supervision. Marked corrected in the state record.

• Low

  Violation

  Corrected Corrected by Jan 7, 2025

  Category: other. Marked corrected in the state record.

• Low

  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 Jan 7, 2025

  Category: supervision. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Apr 9, 2024

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

• Low

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

  Corrected Corrected by Apr 9, 2024

  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 Apr 9, 2024

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(e)(4)] · Diapering areas shall be washed and disinfected after each use.

  Corrected Corrected by Apr 9, 2024

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Apr 9, 2024

  Category: supervision. Marked corrected in the state record.

• Low

  [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 9, 2024

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

• Low

  [19a-79-7a(g)] · 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 Apr 9, 2024

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

• Low

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

  Corrected Corrected by Apr 9, 2024

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

• Low

  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 Apr 9, 2024

  Category: supervision. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Dec 12, 2023

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Nov 28, 2023

  Category: other. Marked corrected in the state record.

• Low

  Violation

  Corrected Corrected by Sep 20, 2023

  Category: other. Marked corrected in the state record.

• Low

  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 Sep 20, 2023

  Category: supervision. Marked corrected in the state record.

• Low

  [-] · -

  Corrected Corrected by Apr 4, 2023

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Jun 13, 2023

  Category: ratio. 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 Apr 4, 2023

  Category: ratio. Marked corrected in the state record.

• Low

  [19a-79-10(g)(1) and/or 19a-79-10(d)(2)(A)] · Infants under twelve (12) months of age shall be placed for sleeping in a well constructed, free standing crib or bed designed for infant sleeping, with a snug fitting mattress. Furniture shall include well constructed free standing cribs, not stacked cribs, each of which has slats no more than two and three-eighths (2 3/8) inches apart and a fully waterproofed, firm, snug-fitting mattress for infants.

  Corrected Corrected by Apr 4, 2023

  Category: other. 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 Apr 4, 2023

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

• Low

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

  Corrected Corrected by Apr 4, 2023

  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 Apr 4, 2023

  Category: ratio. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Apr 4, 2023

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

• Low

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

  Corrected Corrected by Apr 4, 2023

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

• Low

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

  Corrected Corrected by Sep 22, 2022

  Category: ratio. 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 Mar 30, 2022

  Category: ratio. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Mar 30, 2022

  Category: ratio. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Mar 30, 2022

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

• Low

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

  Corrected Corrected by Mar 30, 2022

  Category: ratio. 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 Mar 30, 2022

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

• Low

  [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 Mar 30, 2022

  Category: health medication. 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 Mar 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 Mar 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 Mar 30, 2022

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

• Low

  [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 Mar 30, 2022

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Mar 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 Mar 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 Mar 30, 2022

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

• N/A

  [-] · -

  Corrected Corrected by Mar 2, 2022

  Category: other. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Feb 16, 2022

  Category: other. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Jan 20, 2022

  Category: supervision. Marked corrected in the state record.

• Low

  [19a-79-3a(b)(8)(C)] · 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 Jan 5, 2022

  Category: ratio. Marked corrected in the state record.

• Low

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

  Corrected Corrected by Jan 5, 2022

  Category: supervision. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Sep 8, 2021

  Category: other. Marked corrected in the state record.

• N/A

  [-] · -

  Corrected Corrected by Sep 8, 2021

  Category: other. Marked corrected in the state record.

Inspection & Findings

Disposition: Corrective Action Plan 11/28/2023

Follow-Up Visit for 08/17/2023

Disposition: Corrective Action Plan 09/20/2023

Inspection & Findings

Disposition: Corrective Action Plan 09/20/2023

Follow-Up Visit for 03/16/2023

Disposition: Corrective Action Plan 06/13/2023

Inspection & Findings

Disposition: Corrective Action Plan 06/13/2023

Inspection & Findings

Disposition: Corrective Action Plan 09/22/2022

Follow-Up Visit for 11/12/2021

Disposition: Corrective Action Plan 01/20/2022

Inspection & Findings

Disposition: Corrective Action Plan 01/20/2022

Follow-Up Visit for 09/13/2021

Disposition: Corrective Action Plan 01/05/2022

Follow-Up Visit for 09/13/2021

Disposition: Corrective Action Plan 01/05/2022

Inspection & Findings

Disposition: Corrective Action Plan 01/05/2022