5.4.2.5 · Soft objects, toys or loose bedding shall not be used in infant sleep areas. Soft or loose bedding includes: bumper pads, pillows, quilts, comforters, sheepskins, blankets, flat sheets, cloth diapers, and bibs. Infants shall not be swaddled for sleep.

Upon arrival to the program an infant under one (1) year of age was observed in a pack and play with a blanket. Staff confirmed that the child was in the crib to take their nap. Provider statements confirmed that the infant has slept with the blanket in the crib on other ocassions.

Open Not marked corrected in the state record

Open / not marked corrected.

5.4.2.8 · Infants shall not be placed in cribs or portacribs with bottles. Pacifiers are permitted in cribs and port-a-cribs with parental permission. Pacifiers may not have cords or clips that may pose a strangulation risk.

Upon arrival to the program and infant under the age of one (1) year was observed in a pack and play with a pacifier attached to a pacifier clip. Review of teh child's file revealed that parental permission for the child to utilize a pacifier in a crib had not been obtained.

Open Not marked corrected in the state record

Open / not marked corrected.

7.1.3 · Orientation of FCCP and New Staff The FCCP shall complete an orientation training session approved by the Division prior to beginning care for children. The FCCP shall ensure staff complete an orientation training session approved by the Division prior to being left alone with children. Trainees shall complete the orientation training within one (1) month of their first date of working with children. The orientation training session shall include: * Basic knowledge of child growth and development; * Routine and emergency health protection of children including health related exclusions; * Safety and sanitation requirements including handling and storage of hazardous materials and disposal of bio contaminants; * Positive behavior management; * Supervision of children; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Administration of medication requirements; * Emergency and evacuation requirements; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping; * Transportation and child passenger safety; * Release of children; * Respectful engagement of families; * Preventing, recognizing, and reporting child abuse and neglect, including information about the signs and symptoms of sexual abuse, sexual violence, grooming processes, recognizing the dangers of child sexual abuse, and other predatory behaviors of sex offenders; * Recognition of and response to the symptoms of common childhood illnesses; * Preventing the spread of infectious disease; * Providing developmentally appropriate activities and experiences for children; * Inclusion of children with special needs; * Guidelines for volunteers, trainees, and partner staff; * Responsibility to comply with current applicable licensing regulations; * Background check requirements to include changes in situations, restrictions, and exceptions for those prohibited by these regulations; * Staffing requirements to include opening and closing; and * Ensuring children have extra clothes and diapers available.