Find a program / Connecticut / Madison / TEMPLE BETH TIKVAH PRESCHOOL
Childcare center · Madison, CT
TEMPLE BETH TIKVAH PRESCHOOL
A licensed child care center in Madison, Connecticut, with its state inspection history from the Connecticut Office of Early Childhood (OEC).
Program details
Program type: Licensed child care center
Address: 196 DURHAM ROAD, Madison, CT 06443
Phone: (203) 245-8039
OEC license number: DCCC.12371
View the official record on Connecticut's eLicense lookup (search license number DCCC.12371).
Inspection history
Last 3 years: November 12, 2023 to November 12, 2026, when the state's files were last updated
- 3 inspections
- 0 violations cited on these visits
A violation means an inspector found a licensing rule wasn't met at the time of the visit. Programs are expected to fix what was cited, and the state often asks for a written corrective action plan. Read the official record for details.
Below are all 17 visits in the state's files from October 25, 2012 to February 6, 2026, newest first, with 125 violations in all. A follow-up visit checks on violations cited earlier. Each violation shows OEC's short title for it and the regulation cited. The rule text shows which regulation was cited, not what the inspector saw; ask the program or OEC for details. A case result of "Corrective Action Plan" means the state asked the program for a written plan to fix what was cited, and "Closed" means the state lists the case as closed. Case results and status are shown as the state published them.
February 6, 2026 · Unannounced inspection (full) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2026-522
December 3, 2024 · Unannounced inspection (full) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2024-4721
December 19, 2023 · Unannounced inspection (full) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2023-5208
January 31, 2023 · Unannounced inspection (full) · 1 violation
Case result (as published): Corrective Action Plan · Case status: Closed · Inspection number X2023-388
009-Current Fire Marshal Certificate
Regulation: 19a-79-3a(e)(2)
Rule cited (text as published)
The operator shall post the current fire marshal certificate in a conspicuous place, accessible to the public.
February 28, 2022 · Unannounced inspection (full) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2022-519
May 24, 2021 · Unannounced inspection (full) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2021-562
September 22, 2020 · Unannounced inspection (partial) · No violations listed
Case result (as published): Closed No Violations · Case status: Closed · Inspection number X2020-2943
September 23, 2019 · Follow-up visit · No violations listed
Case result (as published): Corrective Action Plan · Case status: Closed · Inspection number X2019-1555
March 29, 2019 · Unannounced inspection (full) · 17 violations
Case result (as published): Corrective Action Plan · Case status: Closed · Inspection number X2019-1555
006-Policies
Regulation: 19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)
Rule cited (text as published)
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.
007-Daily Attendance Records: Children/Staff
Regulation: 19a-79-3a(d)(1)
Rule cited (text as published)
The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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.
010-OEC Complaint Procedure
Regulation: 19a-79-3a(e)(3)
Rule cited (text as published)
The operator shall post the Office of Early Childhood complaint procedure in a conspicuous place, accessible to the public.
012-Menus
Regulation: 19a-79-3a(e)(5) and/or 19a-79-6a(a)(4)
Rule cited (text as published)
When a child care center or group child care home provides either meals or snacks, menus shall be prepared at least one (1) week in advance, dated and copies posted in a conspicuous place, accessible to the public. Changes shall be documented by the end of the program day. A copy of what was served shall be kept on file for three (3) months.
026-Consultant Agreements/Contracts
Regulation: 19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)
Rule cited (text as published)
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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
040-Nutritious Snacks/Meals
Regulation: 19a-79-6a(a)(2)
Rule cited (text as published)
A nutritionally adequate meal shall be provided by the child care center or group child care home, or the parent(s) whenever a child remains on the premises for five (5) hours or more. Children who stay on the premises less than five (5) hours shall have a nutritious snack. Children who stay on the premises longer than five (5) but less than eight (8) hours shall have one (1) meal and one (1) nutritious snack. Children who stay on the premises eight (8) hours or more shall have one (1) meal plus two (2) nutritious snacks, or two (2) meals plus one (1) nutritious snack.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
083-Cots Stored/Maintained/Adequate Number
Regulation: 19a-79-7a(g)(2)
Rule cited (text as published)
Adequate equipment for rest shall be provided. When cots are shared, they shall be washed and disinfected and linens changed between children.
088-Impact Absorbing Material under Equipment
Regulation: 19a-79-7a(h)(2)
Rule cited (text as published)
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.
089-Playground Free From Hazards
Regulation: 19a-79-7a(g)(4) and/or 19a-79-7a(h)
Rule cited (text as published)
Hardware such as air conditioners, water heaters or fuse boxes shall be inaccessible to children. The playground shall be free of glass, debris, holes and other hazards.
101-Med Trained Staff/Certificates
Regulation: 19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)
Rule cited (text as published)
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 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. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.
103-Oral/Topical/Inhalant/Injectable Medications: Labeling/Storage
Regulation: 19a-79-9a(b)(5)
Rule cited (text as published)
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.
104-Oral/Topical/Inhalant/Injectable Medications: Unused/Expired Meds Returned/Disposed
Regulation: 19a-79-9a(b)(5)(D) and/or 19a-79-9a(b)(5)(E)
Rule cited (text as published)
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.
015c-Staffing
Regulation: 19a-79-4a
Rule cited (text as published)
The operator shall maintain a file on the licensed premises for each employee of the child care center or group child care home and maintain staff adequate for the number, ages and developmental needs of the children to be accommodated.
March 26, 2018 · Unannounced inspection (full) · 15 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed June 5, 2018 · Inspection number X2018-1377
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
006-Policies
Regulation: 19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)
Rule cited (text as published)
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.
007-Daily Attendance Records: Children/Staff
Regulation: 19a-79-3a(d)(1)
Rule cited (text as published)
The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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.
013-Emergency Plans
Regulation: 19a-79-3a(e)(6)
Rule cited (text as published)
The operator shall post emergency plans in a conspicuous place, accessible to the public.
017-Professional Development
Regulation: 19a-79-4a(a)(3) and/or 19a-79-4a(g)
Rule cited (text as published)
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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on program’s policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
040-Nutritious Snacks/Meals
Regulation: 19a-79-6a(a)(2)
Rule cited (text as published)
A nutritionally adequate meal shall be provided by the child care center or group child care home, or the parent(s) whenever a child remains on the premises for five (5) hours or more. Children who stay on the premises less than five (5) hours shall have a nutritious snack. Children who stay on the premises longer than five (5) but less than eight (8) hours shall have one (1) meal and one (1) nutritious snack. Children who stay on the premises eight (8) hours or more shall have one (1) meal plus two (2) nutritious snacks, or two (2) meals plus one (1) nutritious snack.
041-Proper Refrigeration 45 degrees
Regulation: 19a-79-6a(a)(3) and/or 19a-79-6a(a)6)
Rule cited (text as published)
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.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
069-Walls/Ceilings/Floors/Rugs: Clean/Good Repair
Regulation: 19a-79-7a(e)(5)
Rule cited (text as published)
Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
095-Written Plan for Daily Program Available to Parents/Staff
Regulation: 19a-79-8a
Rule cited (text as published)
Each child care center and group child care home shall make available to the parent(s) and staff a written plan for the daily program that includes a flexible schedule and shall be available to the parent(s) and staff.
097-Administration of Medications: Written Policies/Procedures
Regulation: 19a-79-9a
Rule cited (text as published)
Group child care homes and child care centers that administer medications of any kind shall have written policies and procedures at the facility governing the administration of medications.
102-Oral/Topical/Inhalant/Injectable Medications: Authorized Prescriber/Parent Permission/MAR
Regulation: 19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)
Rule cited (text as published)
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.
May 30, 2017 · Unannounced inspection (full) · 6 violations
Case status: Closed, closed July 3, 2017 · Inspection number X2017-2713
003-Annual Staff Training
Regulation: 19a-79-3a(b)(7) &/or 19a-79-4a(3)
Rule cited (text as published)
The operator shall be responsible for the overall management and operation of the child care center or group child care home in accordance with applicable state and local laws and regulations and shall assure annual training for all current staff on the child care center or group child care home policies, plans and procedures. 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 documentation of professional development for each program staff person who cares for the children, including documentation of annual training for current staff on the child care center or group child care home policies, plans and procedures.
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
089-Playground Free From Hazards
Regulation: 19a-79-7a(g)(4) and/or 19a-79-7a(h)
Rule cited (text as published)
Hardware such as air conditioners, water heaters or fuse boxes shall be inaccessible to children. The playground shall be free of glass, debris, holes and other hazards.
102-Oral/Topical/Inhalant/Injectable Medications: Authorized Prescriber/Parent Permission/MAR
Regulation: 19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)
Rule cited (text as published)
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.
September 9, 2016 · Unannounced inspection (full) · 13 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed January 10, 2017 · Inspection number X2016-4311
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
006-Policies
Regulation: 19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)
Rule cited (text as published)
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.
017-Professional Development
Regulation: 19a-79-4a(a)(3) and/or 19a-79-4a(g)
Rule cited (text as published)
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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on program’s policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.
026-Consultant Agreements/Contracts
Regulation: 19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)
Rule cited (text as published)
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.
033-Emergency Medical Permission
Regulation: 19a-79-5a(a)(1)(D)(i)
Rule cited (text as published)
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 program’s emergency policies which shall accompany the child on trips away from the premises.
034-Authorized Released Permission
Regulation: 19a-79-5a(a)(1)(D)(ii)
Rule cited (text as published)
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 one responsible person other than the parent(s) who can remove the child from the child care center or group child care home.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
041-Proper Refrigeration 45 degrees
Regulation: 19a-79-6a(a)(3) and/or 19a-79-6a(a)6)
Rule cited (text as published)
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.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
097-Administration of Medications: Written Policies/Procedures
Regulation: 19a-79-9a
Rule cited (text as published)
Group child care homes and child care centers that administer medications of any kind shall have written policies and procedures at the facility governing the administration of medications.
101-Med Trained Staff/Certificates
Regulation: 19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)
Rule cited (text as published)
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 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. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.
102-Oral/Topical/Inhalant/Injectable Medications: Authorized Prescriber/Parent Permission/MAR
Regulation: 19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)
Rule cited (text as published)
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.
March 4, 2016 · Unannounced inspection (full) · 17 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed April 19, 2016 · Inspection number X2016-947
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
007-Daily Attendance Records: Children/Staff
Regulation: 19a-79-3a(d)(1)
Rule cited (text as published)
The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
040-Nutritious Snacks/Meals
Regulation: 19a-79-6a(a)(2)
Rule cited (text as published)
A nutritionally adequate meal shall be provided by the child care center or group child care home, or the parent(s) whenever a child remains on the premises for five (5) hours or more. Children who stay on the premises less than five (5) hours shall have a nutritious snack. Children who stay on the premises longer than five (5) but less than eight (8) hours shall have one (1) meal and one (1) nutritious snack. Children who stay on the premises eight (8) hours or more shall have one (1) meal plus two (2) nutritious snacks, or two (2) meals plus one (1) nutritious snack.
041-Proper Refrigeration 45 degrees
Regulation: 19a-79-6a(a)(3) and/or 19a-79-6a(a)6)
Rule cited (text as published)
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.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
045-License Premise Clean/Good Repair/Safe
Regulation: 19a-79-6a and/or 19a-79-7a
Rule cited (text as published)
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.
049-Lead Water Test/Bottled Water
Regulation: 19a-79-7a(a) and/or 19a-79-7a(c)(3)
Rule cited (text as published)
Water supply, food service and sewage disposal facilities shall be in compliance with all applicable sections of the Public Health Code. All water supplies shall be tested every two (2) years for lead content and the results submitted to the local and state health departments. Whenever water is obtained from other than a Department of Public Health-approved public water supply, it shall be of a safe and sanitary quality and tested every two (2) years for bacterial and chemical quality and the results submitted to the local and state health departments.
069-Walls/Ceilings/Floors/Rugs: Clean/Good Repair
Regulation: 19a-79-7a(e)(5)
Rule cited (text as published)
Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
076-Potentially Hazardous Substances Locked
Regulation: 19a-79-7a(e)(10)
Rule cited (text as published)
Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.
082-Equipment Clean/Good Repair/Safe/Non-toxic
Regulation: 19a-79-7a(g)
Rule cited (text as published)
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.
089-Playground Free From Hazards
Regulation: 19a-79-7a(g)(4) and/or 19a-79-7a(h)
Rule cited (text as published)
Hardware such as air conditioners, water heaters or fuse boxes shall be inaccessible to children. The playground shall be free of glass, debris, holes and other hazards.
097-Administration of Medications: Written Policies/Procedures
Regulation: 19a-79-9a
Rule cited (text as published)
Group child care homes and child care centers that administer medications of any kind shall have written policies and procedures at the facility governing the administration of medications.
102-Oral/Topical/Inhalant/Injectable Medications: Authorized Prescriber/Parent Permission/MAR
Regulation: 19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)
Rule cited (text as published)
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.
103-Oral/Topical/Inhalant/Injectable Medications: Labeling/Storage
Regulation: 19a-79-9a(b)(5)
Rule cited (text as published)
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.
May 7, 2015 · Unannounced inspection (full) · 13 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed July 7, 2015 · Inspection number X2015-1462
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
006-Policies
Regulation: 19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)
Rule cited (text as published)
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.
007-Daily Attendance Records: Children/Staff
Regulation: 19a-79-3a(d)(1)
Rule cited (text as published)
The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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.
016-Staff Health Records
Regulation: 19a-79-4a(a)(1) and/or 19a-79-4a(a)(2)
Rule cited (text as published)
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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
039-Injury/Illness/Accident Reports
Regulation: 19a-79-5a(a)(3)
Rule cited (text as published)
The facility shall produce and maintain on the premises, for a period of not less than two years, a written record of all injuries or accidents that result in an injury to a child or illness of a child enrolled at the facility that occur on or off site as part of the child care program. The written report for an individual child shall be available to the Office of Early Childhood and a copy shall be provided to the child's parent(s) no later than the next business day.
040-Nutritious Snacks/Meals
Regulation: 19a-79-6a(a)(2)
Rule cited (text as published)
A nutritionally adequate meal shall be provided by the child care center or group child care home, or the parent(s) whenever a child remains on the premises for five (5) hours or more. Children who stay on the premises less than five (5) hours shall have a nutritious snack. Children who stay on the premises longer than five (5) but less than eight (8) hours shall have one (1) meal and one (1) nutritious snack. Children who stay on the premises eight (8) hours or more shall have one (1) meal plus two (2) nutritious snacks, or two (2) meals plus one (1) nutritious snack.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
069-Walls/Ceilings/Floors/Rugs: Clean/Good Repair
Regulation: 19a-79-7a(e)(5)
Rule cited (text as published)
Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
076-Potentially Hazardous Substances Locked
Regulation: 19a-79-7a(e)(10)
Rule cited (text as published)
Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.
097-Administration of Medications: Written Policies/Procedures
Regulation: 19a-79-9a
Rule cited (text as published)
Group child care homes and child care centers that administer medications of any kind shall have written policies and procedures at the facility governing the administration of medications.
098-Administration of Medications: Training Outline/Med Training
Regulation: 19a-79-9a(b)
Rule cited (text as published)
Upon completion of the required medication administration training program, the training approval and an outline of the curriculum content shall be on file at the facility.
101-Med Trained Staff/Certificates
Regulation: 19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)
Rule cited (text as published)
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 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. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.
February 21, 2014 · Unannounced inspection (full) · 35 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed May 9, 2014 · Inspection number X2014-411
001-Local Health Inspection
Regulation: 19a-79-2a(c)(7)
Rule cited (text as published)
At least every two (2) years, the local health director shall make unannounced visits, inspections or investigations of the licensed child care center or group child care home.
003-Annual Staff Training
Regulation: 19a-79-3a(b)(7) &/or 19a-79-4a(3)
Rule cited (text as published)
The operator shall be responsible for the overall management and operation of the child care center or group child care home in accordance with applicable state and local laws and regulations and shall assure annual training for all current staff on the child care center or group child care home policies, plans and procedures. 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 documentation of professional development for each program staff person who cares for the children, including documentation of annual training for current staff on the child care center or group child care home policies, plans and procedures.
004-Documentation of Behavioral Management Techniques Discussed with Parents
Regulation: 19a-79-3a(b)(8)(B)
Rule cited (text as published)
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.
006-Policies
Regulation: 19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)
Rule cited (text as published)
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.
007-Daily Attendance Records: Children/Staff
Regulation: 19a-79-3a(d)(1)
Rule cited (text as published)
The operator shall implement and annually review specific written policies, plans and procedures that include daily attendance records for both children and staff showing the specific times of arrival and departure. 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.
010-OEC Complaint Procedure
Regulation: 19a-79-3a(e)(3)
Rule cited (text as published)
The operator shall post the Office of Early Childhood complaint procedure in a conspicuous place, accessible to the public.
013-Emergency Plans
Regulation: 19a-79-3a(e)(6)
Rule cited (text as published)
The operator shall post emergency plans in a conspicuous place, accessible to the public.
016-Staff Health Records
Regulation: 19a-79-4a(a)(1) and/or 19a-79-4a(a)(2)
Rule cited (text as published)
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.
017-Professional Development
Regulation: 19a-79-4a(a)(3) and/or 19a-79-4a(g)
Rule cited (text as published)
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 documentation of professional development for each program staff person who cares for the children, including new employee orientation and annual training for current staff on program’s policies, plans and procedures. Professional development for program staff shall be required for one (1) per cent of the total annual hours worked. The operator of the child care center or group child care home shall develop, implement and maintain a written plan for professional development in child care. The operator shall have documentation of a professional development plan for each program staff member which shall be maintained on site at the facility and made available for review.
018-Disciplinary Actions
Regulation: 19a-79-4a(a)(4)
Rule cited (text as published)
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 disciplinary actions.
019-Designated Head Teacher/60%
Regulation: 19a-79-4a(c)(1), 19a-79-11(f)&/or19a-79-12(b)(1)
Rule cited (text as published)
A designated head teacher shall be on site for sixty percent (60%) of the time the child care center or group child care home is in operation on a weekly basis. A program providing care for one (1) or more hours between the hours of ten (10) P.M. and five (5) A.M. shall have a person on the licensed premises designated as the person in charge who shall meet the head teacher qualifications.
024-CPR Certified Staff
Regulation: 19a-79-4a(e)(1) and/or 19a-79-4a(f)
Rule cited (text as published)
At all times the child care center is in operation there shall be present at least one (1) staff member who has current certification in CPR appropriate for all of the children served at the child care center. The child care center shall keep on file written verification of compliance with this requirement for each staff member who the child care center or group child care home designates to meet the CPR requirement.
025-First Aid Trained Staff
Regulation: 19a-79-4a(e)(2) and/or 19a-79-4a(f)
Rule cited (text as published)
At all times the child care center or group child care home is in operation, there shall be present at least one (1) staff member who has successfully completed within the past three years an Office of Early Childhood approved first aid course. The child care center or group child care home shall keep on file written verification of compliance with this requirement for each staff member who the child care center or group child care home designates to meet the first aid requirement.
026-Consultant Agreements/Contracts
Regulation: 19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)
Rule cited (text as published)
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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
069-Walls/Ceilings/Floors/Rugs: Clean/Good Repair
Regulation: 19a-79-7a(e)(5)
Rule cited (text as published)
Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
076-Potentially Hazardous Substances Locked
Regulation: 19a-79-7a(e)(10)
Rule cited (text as published)
Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.
082-Equipment Clean/Good Repair/Safe/Non-toxic
Regulation: 19a-79-7a(g)
Rule cited (text as published)
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.
083-Cots Stored/Maintained/Adequate Number
Regulation: 19a-79-7a(g)(2)
Rule cited (text as published)
Adequate equipment for rest shall be provided. When cots are shared, they shall be washed and disinfected and linens changed between children.
097-Administration of Medications: Written Policies/Procedures
Regulation: 19a-79-9a
Rule cited (text as published)
Group child care homes and child care centers that administer medications of any kind shall have written policies and procedures at the facility governing the administration of medications.
098-Administration of Medications: Training Outline/Med Training
Regulation: 19a-79-9a(b)
Rule cited (text as published)
Upon completion of the required medication administration training program, the training approval and an outline of the curriculum content shall be on file at the facility.
101-Med Trained Staff/Certificates
Regulation: 19a-79-9a(b)(1) &/or 19a-79-9a(b)(2)
Rule cited (text as published)
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 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. A director(s), head teacher(s), program staff or group child care home provider(s) trained and approved to administer medication shall be present whenever a child who has orders to receive medication is present at the facility. The training in the administration of medications shall be documented. A copy of the approval shall be on file at the facility where the director, head teacher, program staff or group child care home provider is employed and shall be available to Office of Early Childhood staff upon request.
102-Oral/Topical/Inhalant/Injectable Medications: Authorized Prescriber/Parent Permission/MAR
Regulation: 19a-79-9a(b)(3) and/or 19a-79-9a(b)(4)
Rule cited (text as published)
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.
103-Oral/Topical/Inhalant/Injectable Medications: Labeling/Storage
Regulation: 19a-79-9a(b)(5)
Rule cited (text as published)
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.
104-Oral/Topical/Inhalant/Injectable Medications: Unused/Expired Meds Returned/Disposed
Regulation: 19a-79-9a(b)(5)(D) and/or 19a-79-9a(b)(5)(E)
Rule cited (text as published)
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.
154-Monitoring of Diabetes: Written Policies/Procedures
Regulation: 19a-79-13(a)
Rule cited (text as published)
All child care centers and group child care homes at which designated staff members will be administering finger stick blood glucose tests shall have written policies and procedures governing the administration of finger stick blood glucose tests to children diagnosed with diabetes mellitus. Said policies and procedures shall be available for review by the Office of Early Childhood during facility inspections or upon demand.
155-On Site Staff Trained in First Aid/Glucose Testing
Regulation: 19a-79-13(c)(1) and/or 19a-79-13(c)(2)
Rule cited (text as published)
Only staff members trained may administer the finger stick blood glucose test in a child care center or group child care home. Whenever a child diagnosed with diabetes mellitus who has orders to receive finger stick blood glucose monitoring is enrolled and present at the facility, a staff member designated and trained to administer finger stick blood glucose tests shall be present at the facility.
156-Monitoring of Diabetes: Training Current/Documented
Regulation: 19a-79-13(b) and/or 19a-79-13(c)(1)
Rule cited (text as published)
Prior to the administration of finger stick blood glucose tests, the director, head teacher, program staff or group child care home provider shall have completed an approved course in first aid, and additional training given by a physician, physician assistant, advanced practice registered nurse, registered nurse, certified emergency medical technician or the child's parent(s) according to written guidelines provided by the child's physician, physician assistant or advanced practice registered nurse. Documentation that staff have been trained shall be maintained at the facility. Only trained staff members may administer the finger stick blood glucose test in a child care center or group child care home.
159-Monitoring of Diabetes: Signed Agreement w/Parent Regarding Equipment
Regulation: 19a-79-13(d)(3)
Rule cited (text as published)
The operator shall obtain a signed agreement from the child's parent(s) that the parent(s) agrees to check and maintain the child's glucose monitoring equipment in accordance with manufacturer's instructions, restocks supplies and removes material to be discarded from the facility on a daily basis.
160-Monitoring of Diabetes: Materials to be Discarded: Locked/Given to Parent
Regulation: 19a-79-13(d)(3)
Rule cited (text as published)
All glucose monitoring materials to be discarded shall be kept locked until it is given to the child's parent(s) for disposal.
161-Monitoring of Diabetes: Authorized Prescriber/Parent Permission
Regulation: 19a-79-13(e)(1) and/or 19a-79-13(e)(2)
Rule cited (text as published)
The operator shall keep current diabetes monitoring records at the facility as part of the child's medical record which shall include a current, written order signed and dated by the child's physician, physician assistant or advanced practice registered nurse and an authorization form signed by the child's parent(s).
066-Air Temp 65 degrees, Thermometer Affixed
Regulation: 19a-79-7a(e)(1) &/or 19a-79-12(b)(8)
Rule cited (text as published)
Every area used by children shall be adequately ventilated and have a thermometer affixed to the wall. The ambient air temperature shall be at least sixty-five (65) degrees Fahrenheit.
October 25, 2012 · Unannounced inspection (full) · 8 violations
Case result (as published): Corrective Action Plan · Case status: Closed, closed January 22, 2013 · Inspection number X2012-569092
014-No Smoking Signs
Regulation: 19a-79-3a(e)(7)
Rule cited (text as published)
The operator shall post no smoking signs at entrances in a conspicuous place, accessible to the public.
026-Consultant Agreements/Contracts
Regulation: 19a-79-4a(h)(1) and/or 19a-79-4a(h)(2)
Rule cited (text as published)
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.
027-Logs/Visits Documented
Regulation: 19a-79-4a(h)(2)(G)
Rule cited (text as published)
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.
037-Child Health Records/Immunizations/TB
Regulation: 19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)
Rule cited (text as published)
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.
038-Individual Care Plan (Signed by Parent/Staff)
Regulation: 19a-79-5a(a)(2)(E)
Rule cited (text as published)
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.
044-First Aid Kit(s):Indoor/Outdoor/Field Trip
Regulation: 19a-6a(c) and/or 19a-6a(d)
Rule cited (text as published)
The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.
049-Lead Water Test/Bottled Water
Regulation: 19a-79-7a(a) and/or 19a-79-7a(c)(3)
Rule cited (text as published)
Water supply, food service and sewage disposal facilities shall be in compliance with all applicable sections of the Public Health Code. All water supplies shall be tested every two (2) years for lead content and the results submitted to the local and state health departments. Whenever water is obtained from other than a Department of Public Health-approved public water supply, it shall be of a safe and sanitary quality and tested every two (2) years for bacterial and chemical quality and the results submitted to the local and state health departments.
076-Potentially Hazardous Substances Locked
Regulation: 19a-79-7a(e)(10)
Rule cited (text as published)
Potentially hazardous substances in the child care centers and group child care homes shall be stored in a separate locked area.
October 25, 2012 · Unannounced inspection (full) · No violations listed
Case result (as published): Corrective Action Plan · Case status: Closed, closed January 22, 2013 · Inspection number X2012-569092
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More programs in Madison · Connecticut child care rules
Sources
- Child Care & Youth Camp Licensing Program Data: program details.
- Child Care & Youth Camp Licensing Inspections: visit dates, types and case results.
- Child Care & Youth Camp Licensing Violations: violations and regulation text.
All three are published by the Connecticut Office of Early Childhood on data.ct.gov as Public Domain. State files updated November 12, 2026. We show the state's text as published; a few visit dates in the files fall far in the future, and we list those as not published. Program details last checked November 12, 2026.