25-12 · Meals and Snacks

LS observed the facility did not maintain required written documentation of known food allergies and/or a specialized diet in a child's file. TA If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with child care personnel posted in an easily seen location that is not readily visible by parents or non-child care personnel and followed

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

39-03 · Accident/ Incident Notification and Documentation

LS observed child care personnel failed to document an accident or incident on the day that it occurred. TA All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-22 · Medication

LS observed additional documentation describing the symptoms that would require the prescription and/or non-prescription medication used on an as needed basis to be administered was not on file. TA Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child. . Each child with an allergy should have a written emergency care plan that includes: 1. Instructions regarding the allergen to which the child is allergic and steps to be taken to avoid that allergen; 2. A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. 3. Specific symptoms that would indicate the need to administer one or more medications. Based on the childs emergency care plan, provided by the parent/legal guardian or physician, and prior to caring for the child, child care personnel should implement measures for preventing exposure to specific allergen(s) to which the child is allergic and recognizing the symptoms of an allergic reaction

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.