ALABAMA DEPARTMENT OF HUMAN RESOURCES CHILD CARE EVALUATION 7 Nursevy * tresciccl Sipe tk Address: Health & Safety Form [name of Facility: Coun minty Date(s) of Evaluation: Bass? — AASB thilerest Rd, Mobile, AL. 36695 [Telephone #: #005) ) | 308-8 2 & Date(s) of Follow-up: Purpose of Visit: (Moy, . Staff in Charge: i (Bay Care 2 [oy Days of Operation: |, _ Keuys Anderson ([aMighttime Care ewecmeiate'y Noted: ee oO No O- Observed by DHR Representative S - Certified by Staff in charge D- Discussed with StalTin charge Licensed DHR Representative: Ss Hours of Operation: Ce YY Code: Not Applicable-Not reviewed with Staff in charge empt Sections to be completed at the discretion of f the DHR Representative. g @ il VE REQUIREMENTS 2 ; 7 REQUIREMENTS 3 a 8 = 8 2 2/2 7 Facilities T 8. Heard previo dor ae ql 1. tadoor area (0) Paty eof opr hands {© shroen octet same lvebunde same nsf (2) Hazardous substances unde lek and hey oF ccmbitaion lock Containers labeed ures eid sive rasta or easy we {Nees eam ep aloe =| fey except aw efor (4) Stireays ve hand elinge eit teach (5) Clear glass doors marked at cid evel (6) Medicines and drugs kept under lok and key x cmbiaton le, separate hrm bara Facilttyll vrcasures for capacityall 6 j 1 however, Fire Inspection sta Aes capacity oF 109,nce, REQUIREMENTS ‘Compl ‘Non-compliance. REQUIREMENTS '] Not Applicable (2) Baris around ete adits fan arcesibe welder ‘Wading srurtures te b<| Not Applicable 2 fet depts | (8) Exposed cecal outs have prtective ovens 11) Al est one sa with CPR & fr aid ach wading suture () Consanption of seo or we of non _resiption natotc Wega substanes prohibited (2) Requied aia mat (10) Sikng or use of bacco prohibited on (8) Atleast te saat each wading rine rene 2. Outdoor area (4) Clean water provided each day? Wading ‘See Checklist str emptied when nat in se 3. Of-aret leading uteding provided 1 Separator den yoonger tn be schicved by scheduling appa a imap 4. Away from facility activities =. Outdoor ea alps oF Wey ace spplieble FOuadnor play aa ee oF appari Paardoar condiionsht applicable 3. Swimming and Wading at the Facility ‘Pools we fet or more la depth (1) Llfegvard at poolside at all ees pool isin we Child Care Program ba tildes —t ( Licd Taig Cone os a 1, Roque rates matted ata teat Co HT hte 21 Lied eon ke (0 Sea rate ee Geataesipee aT ee eer X| saeniomas as as © aailinamy tae \| meme wits free coerecrerresry i iewoekee ae ye X (dh ane stall for every 10 childeen ages 6 years andl % School age up to 8 years 12 Pa (1 Rain Sa ng ino Tc © fave emda adtoceeie © ene pop a ecletne Sie a X [dcisure 01S pre oper is pla Se wating x 1 my maaieaavbay Tao Avian a War conan (Rl cnc in tron Sy irs ones 4 Stl ble to elle heen2 ] ey 818 |2 ga] 2/2/83 REQUIREMENTS e/§ |B | Reoumemmnrs els 8 8 z i 3g 2 Rao dria prng 2 ha etc ngse te | O) scoped (1) Oupto 18 monhs. Tes Oo (A) Toddlers seated while cating Ss 2) Memwmtspe2isan 1 S 2, theta teats | (0) ages aor 1136 | Sh ae ‘& Stuff with infunt-child CPR and first aid present oO} toileting, ater diapering, Se hang tire epeton ‘Infant/Toddler Program : {avin proc cet atig | Cy sal 1 Leraloeprowh ates: 5. PreschooUSchoobage Program | ) Gress ode imenigeliomeiney | 1 Dlperinghig 1. Learsnggrowtheciviten z [cy tas itches wats ater dig | 8 Renpinoreniag : 2) Seiwa hans oterdapringench tt | ussenniaemess | 9 te heer pn sae 2) Sa cca paste ges ping one ‘ich cil reach diaper change oO (Direing we pea tom od seice ea | Fy © Cha basnens prntedecty | SP moron tered © Slee : O)caspirt watowamertrc | Cy [5B | x eneesey ext na pedo aps psc? |G Tate lng occa, | sateen ins acre tech ied vated Crit cosa bdiing a Festog a (1 Too ft of ps ce ei is ° () Ottmann meio | am mache pon €) Cas ponvoned allow space fr ces (2) Meal and aks campy wth pans emergency ext | spa oO (2) Fortin, can boom ss yo re (2) Smal hard canie,na tae tenn S| attend Ss 2 Sot mei probed ints seing (ods ny cae cating popu ocentante ise gts eee ° sobmey era 0 (5) Forde, dean boom sects an tp Ss (Cha et awed niches S sats wet moron eed . Feston {aa KS ‘55 | and ac and ae teiog (0) Mel and ads om wah SDA 0 Co eememaremera iG ‘Sting cone boay at (2 fart reve by pt. ble (®) ndvil pager wl reach wing sgt ning QoREQUIREMENTS Non-comp Not Applicable REQUIREMENTS Compliance} jiance Compliance Non-compliance 2 Discptinary Practices Supervision center vehicles ] Not Applicable (1) Staff tio me for cles younger than nfl schoo-age driver net counted Health taformation (2) Chit of awl schoo age and eee, {ene ha 1 ansporied with ly the diver (1) Not eh amined (2) For 15 or more chitrn of awful schoo! ‘55 one alin aditon a driver (2) Aa hid becomes to i injured ees Sepannted fom group. but contououely supervised (4) For 300r mor hides of eval schot pe two stall nation to diver P< Ps] be (3) Parent of hired child nite immedi sd requir come for child (2 taste tiae vier | C sapevision (4) parent cannot be ete or itestniry Severe. emegeney medical atenion i abaied lela (6) Staff accompany cock id under 25 fhm vehicle to ear of designated person (5) Medietto/Medeal Procedures the center's sifgve medication? ve Oxo (7) Sit visually supersize each child 2 and lero vhil to cre of designate person Safety precautions in vehicles (a) Medication administered only with writen Authorization rom patent, (©) No blanket authorization fe for medieton (1 Stationary seating fo ld, eah eile ie (2) Pros lcked when vce loving | (6) Medication in rig container, beled Mesuring device provided lao (2) Children not wansperted in ont seat of ‘chile wi passenger sie i bag 1 Emergency procedures {0 Bins aa gests | shies movi (1) Plan for evacaton posted (a) Esch child under 1 year or weighing es ‘than 20 pounds secured in er fing child ‘earn insted according to manufacturers instrctions, malted n good cndtin >< EX [>< Transportation |. Transportation provided by the Facility ‘Does th felt’ sta provide transportation? Yes Ono oo Sinaleeee ee sinters |G et = NOTE: The Departmont of Human Resources ‘does not inspect actvidas away rom the fcity, Includiog swimming and wading actives. The {acity shall assume ful authorty and responsiblity for away from the faclity activites, (cy Each child under 6 years secured in booster set nse according to manufatore's ‘nnrctons,maitsned in good eondiion. 1 Transporais cheklt used a equiv seh alot passenger secured in an advil eat (@) Fach child 6 and oe, he river, and s el, propel anchored tothe veil Designated sf smplete and sign checkin 2 1 Vehicle stay check done smal. signed by ‘mechani and ded, Med ia Gly ‘© Cheese kept on efor current year ‘S. Transportation provided by parentguardian 4_Fsciiy responsible picking up chika designed Iocaion and dtvering hld a deignte person al9 ‘Fach cid accompanied oto ad ot of fociREQUIREMENTS Compliance ‘Non-compliance: REQUIREMENTS Not Applicable: 1 ch eid signed and ined at a (8) Final disposition of any chad _buscneletinveigation inching license, staff. emploer volter Any shld who anives by waking or bus signed i bya XK | apie tic an wale or safety ofa childish “Photo ID quite when clesing child w falar desinatd person Child abuscneglet eporied as que tow Staff . Alsa employes, volunteer cooperate with DilRon any cid ebuse or nec investigation 2 Adelsion Procedures [ole ‘Number of chikren in care must conform to he _sspacy ofthe ailiy’'s measurements, Administration ‘3. Chllren’s Records See ehecis) | a Facey Record ‘Te alloing reas kept on He forthe erent ser 1. Reports to the Deparioent ‘Daily tenance records om al af and shildet The flloning repeted o DUR alae occurence Transporation chee (1 Change in owsertp| © Vehicle cack (2) Change in fsation @ Sign insign out shoes ols ) Alterations to center or pounds 3. Documents to be posted (4 Change in adtess or lege amber noo|ufel 1 Mos recent eration “= Most resent Child Care Susy Report Creve action notices PSPS 79): «Mot recent fi inspetion pot ‘The illowing reported wo DIR within 24 Boars, writen epot within da: Most cent heath depen aspect report an fod permit of wet permission fr | atrng food op (1 Any illneseinjryof eid or a requiring Mem for meals 0d nacksdaed 9 aS a 1. Name and telephone number for. Fine say fom fst sit oO sepanmeniLaw enforcement Medial asitance! oO son cool cent” Subautehlp (8) Major damage to fii 1 merneyproederes fe) ‘> lterrption ofthe felis else. telephone 1, Name of ta pen in charge cr gacserice| (5) Any Hagaton involving the ay (6) Any wri cident elving daycare lon ting wansporain prose bythe tty L_1)Any ares of staf, employe, volumer OoREQUIREMENTS ‘Non-compliance ‘| Not Applicable ‘Nighttime Facilities ‘Ie addlton tothe requtrements set orth for day lites, aelies providing nighitine care fer 7 pam.) sl meet the fllowingeequlrements ‘Does ie faeliy provide care afer 7200 pam? Ver Dro ‘Da the felly provide care afer wide? Ove No T Beuipment nd fishings alles operating pat midnight, cbs wr eau ued with a waterproof matwes shal be provide far cach child ‘by Ince operating past midnight, dere shall be at least one bathing faelty for every 15 eilren 2. Child Care Program 2 Stating (1) Stati rato for sleeping eid: (© OupwolSmonks 1s ©) Mmonksupio2h lel (2 wwdyeas Hoe (0) dyeasandelder 14035 (2) Require ais fr dy tine maintained while chien ae awake (@) Atte one sa at est 19, mestng child eae ‘worker guaifitions, with CPR and Ts in fcility daring hours of operation (4) Ail clon sepervoed times (6) Each staff asiged responsi for same chr sity (6 Atleast one stain each room of sleeping culden be the basis for adverse action. It Federal Health and Safety Requirements. ice issues noted have been discussed with me. F: the responsibilit ‘of Facility Representative