Metzuyan Care

Adequate sinks-handwashing-diapering/other use-food prep [19a-79-10(d)(1)(A-C)]

Regulation: In child care centers there shall be a sink with hot and cold running water designated for diaper changing and hand washing of program staff and children. This sink shall be located in the program space. Child care centers which have three program staff for a group of 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 cent

Ratios- 1:4 (6wks-24mths), 1:5 (24-36mths) [19a-79-10(c)(2)]

Regulation: There shall be at least one program staff qualified under section 19a79-4a(e) of the Regulations of Connecticut State Agencies for every four children or fraction thereof who are under the age of two years in attendance and for every five children or fraction thereof who are two years old in attendance, indoors and outdoors.

Postings [19a-79-3a(d)6)(C), (e)(1-6), 7a(e)(17), 10(g)(8)]

Regulation: The operator shall post the following items in a conspicuous place, accessible to the public: the license, the OEC complaint procedure, menus, No Smoking signs, the plan for administrative oversight, the radon test, the OEC Inspection report (posted or available), the safe sleep policy and the OEC Developmental Milestones document.

Diapering [19a-79-10(e)(1-10)]

Regulation: 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 availab

Consultants [19a-79-4a(i)(1-2)(H), (F)]

Regulation: 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 super

Ensuring the safety & health of children [19a-79-3a(a)]

Regulation: 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.

Fire marshal codes/certificate [19a-79-7a(a)(2)]

Regulation: The operator shall comply with all local codes and ordinances, including the State of Connecticut Fire Safey Code. These codes include but are not limited to: inspections by the fire marshal, ensuring fire marshal inspection certificates are on file, smoke detectors, fire extinguishers and documentation of fire drills.

Manufacture guidelines followed-furniture, equipment and toys- CPSC unsafe/recalls [19a-79-7a(g)(5)]

Regulation: All manufacturer guidelines shall be followed for furniture, equipment and any toy that is used by, or around, children. Any furniture, equipment and toy that has been identified by the United States Consumer Product Safety Commission as unsafe or subject to recall shall be removed or repaired as indicated.

Individual care plan- signed by parents/staff [19a-79-5a(a)(2)(E)]

Regulation: 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.

Designated Director [19a-79-4a(e)(1)]

Regulation: The child care center or group child care home shall maintain documentation on site that there is a designated director who is twenty years of age or older. Any director hired or newly designated shall have not later than one year of being hired/ designated, at least three credits in the administration of early childhood education programs or educational administration from a regionally accredited higher education institution.

Parent Permissions [19a-79-5a(a)(1)(D)(i-iv)]

Regulation: 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 specific written permission forms signed by the parent(s) authorizing the operator to use the programs emergency policies which shall accompany the child on trips away fro

Walls/ceilings/floors/rugs-clean, good repair [19a-79-7a(e)(5)]

Regulation: 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.

Immunization records [19a-79-5a(2)(C)

Regulation: 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.

Regulation cited

Feeding [19a-79-10(j)-(k)(1-5)]

Regulation: 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. When food and liquids are served a written statement spec

Ratios- 1:4 (6wks-24mths), 1:5 (24-36mths) [19a-79-10(c)(2)]

Regulation: There shall be at least one program staff qualified under section 19a79-4a(e) of the Regulations of Connecticut State Agencies for every four children or fraction thereof who are under the age of two years in attendance and for every five children or fraction thereof who are two years old in attendance, indoors and outdoors.

Group size- max 8 (6wks-24mths), max 10 (24-36mths) [19a-79-10(c)(3)]

Regulation: The group size shall not exceed eight for children that are under the age of two years and shall not exceed ten for children that are two years old, indoors and outdoors.

Ratios- 1:4 (6wks-24mths), 1:5 (24-36mths) [19a-79-10(c)(2)]

Regulation: There shall be at least one program staff qualified under section 19a79-4a(e) of the Regulations of Connecticut State Agencies for every four children or fraction thereof who are under the age of two years in attendance and for every five children or fraction thereof who are two years old in attendance, indoors and outdoors.

Authorized prescriber/parent permission [19a-79-9a(b)(3)(A-B)]

Regulation: 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.

Consultants [19a-79-4a(i)(1-2)(H), (F)]

Regulation: 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 super

First aid supplies [19a-79-6a(c)]

Regulation: The first aid kit shall contain at least the following items assorted sizes of non medicated adhesive strips; sterile, individually wrapped, three or four inch gauze squares; two inch gauze roller bandage; one roll of adhesive tape (hypoallergenic); scissors; tweezers; two instant cold packs; a non-glass thermometer to measure a child�s temperature; disposable, nonporous gloves; and a cardiopulmonary resuscitation mouth barrier.

Potentially hazardous substances, materials � labeled, inaccessible to children [19a-79-7a(e)(10)]

Regulation: Potentially hazardous substances and materials in the child care centers and group child care homes shall be stored in a labeled container identifying the exact contents and dilutions, used according to the manufacturer�s instructions and for the intended purpose, handled in a safe manner and inaccessible to children.

Outdoor space [19a-79-7a(h)(1-9)]

Regulation: There shall be access to a minimum of seventy-five (75) square feet per child of outdoor space for the number of children using the space at any one time. The outdoor area shall be fenced or protected for safety. Outdoor play equipment shall have a shock absorbing surface, under and around, that shall effectively cushion the fall of a child, except where the child is sitting or standing at ground level. The shock absorbing surface shall be maintained at a depth of at least eight inches, be free

Licensed premises-clean, good repair, hazard free-maintenance program [19a-79-7a(c)(2)]

Regulation: 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.

Hot water/steam pipes protected [19a-79-7a(e)(6)]

Regulation: Hot water or steam pipes located in areas accessible to children shall have adequate protective covering which is maintained safely and in good repair.

Written medication policies/procedures [19a-79-9a]

Regulation: Group child care homes and child care centers that administer medications of any kind shall comply with all requirements of this section and shall have written policies and procedures at the facility governing the administration of medications which shall include, but not be limited to, the types of medication that shall be administered, parental responsibilities, program staff responsibilities, proper storage of medication and record keeping. Such policies and procedures shall be available for

Educational requirements [19a-79-8a-(a)(1-11)-(b)]

Regulation: The written plan shall include the use of a variety of indoor and outdoor environments based on the children�s interest, individual needs and the learning to be addressed; a flexible schedule that allows time for children to make choices, continue projects over time, and transition from one activity to another; learning experiences that are relevant to the children�s lives and cultural context; a balance of child-initiated and teacher-initiated experiences; exploration and discovery; the use o

Authorized prescriber/parent permission [19a-79-9a(b)(3)(A-B)]

Regulation: 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.

Labeling and storage [19a-79-9a(b)(5)(A-B)]

Regulation: 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.

Diapering [19a-79-10(e)(1-10)]

Regulation: 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 availab

Feeding [19a-79-10(j)-(k)(1-5)]

Regulation: 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. When food and liquids are served a written statement spec

Outdoor equip. dev. appropriate [19a-79-10(l)(2)]

Regulation: The equipment available to the infants and toddlers shall be developmentally appropriate for the ages of the children.

Policies- complete, implemented [19a-79-3a(d)(2)-(7)]

Regulation: 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.

Ratios [19a-79-4a(d)(4)(A-B) and (d)(6)]

Regulation: Proper staff child ratios shall be maintained at all times, indoors and outdoors. There shall be at least one program staff for every ten 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. At no time shall a group of children be left unsupervised.

Safe Sleep [19a-79-10(g)(1-8)]

Regulation: 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

Individual care plan- signed by parents/staff [19a-79-5a(a)(2)(E)]

Regulation: 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.

Documentation of Behavioral Management Techniques Discussed with Parents [19a-79-3a(b)(7)(B)]

Regulation: 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.

Children's Enrollment information [19a-79-5a(a)(1)(A)-(C)]

Regulation: 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, th

Electrical safety- outlets inaccessible/covered [19a-79-7a(d)(9)]

Regulation: The use and maintenance of electrical cords, appliances and adaptors shall be in full compliance with state codes. For programs serving children less than school age, electrical outlets shall be made inaccessible by use of a safety device or covering that prevents access to the receptacle opening.

Radon test [19a-79-7a(e)(17)]

Regulation: If the child care center or group child care home uses the basement level or the first floor of a building, a minimum of one radon test shall be conducted using a device or service listed by one of the national radon proficiency programs. This test shall be completed during the months of November through April and the results posted with the license. Radon testing shall occur in the lowest level of the facility where child care services are provided. The Office and Department of Public Health sh

Carbon monoxide detector- each level [19a-79-7a(e)(18)]

Regulation: Child care centers and group child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the licensed premises.

Medication Trainings [19a-79-9a(b)(1)(A-F)-(2)(A-C)]

Regulation: 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 pharmacist, 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 as requi