Navy Child _ Youth Program Inspection by cuiliqing

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									                                    Navy Child & Youth Program Inspection
                                          Child Development Homes
Program Name:                                         Installation:

Inspection Dates:                                     Completed By:


                                           INSPECTION SUMMARY

                                                                       Number of       Not
                                                                                 Met           NA
                                                                        Criteria       Met

CDH OFFICE
A. ADMINISTRATION
1. Certification, Accreditation & Affiliation                                1
2. General Management                                                       12
3. Inspections                                                               2
4. Parent Involvement                                                        1
5. Record Keeping                                                            3
6. Training                                                                  4
7. Quality Review Board                                                      2
TOTAL FOR ADMINISTRATION                                                    25

CDH HOME VISITS
B. FACILITY, HEALTH, AND SAFETY
1. Child Abuse Prevention                                                    5
2. Health                                                                    7
3. Safety                                                                    4
4. Sanitation                                                                5
5. Indoor Environment                                                        1
6. Outdoor Environment                                                       1
7. General Management                                                        3
TOTAL FOR FACILITY, HEALTH, AND SAFETY                                      26

C. PROGRAMMING
1. Curriculum                                                                4
2. Equipment & Supplies                                                      4
3. Interactions & Relationships                                              3
4. Meals & Snacks                                                            6
5. Parent Communication                                                      4
6. Sleeping Provisions                                                       2
7. Staffing, Ratios & Group Sizes                                            1
TOTAL FOR PROGRAMMING                                                       24
TOTALS                                                                      75

CNICCYP 1700/33 (REV 7-10)                                                              Page 1 of 30
CNICCYP 1700/33 (REV 7-10)   Page 2 of 30
                                  Navy Child & Youth Program Inspection
                                        Child Development Homes

                The following criteria are in accordance with required DoD and Navy policies.

   ID    CRITERIA                                                                               STATUS
CDH OFFICE
A. ADMINISTRATION
 1. Certification, Accreditation & Affiliation
 A.1.a The current DoD Certificate to Operate is posted in a visible location.                  Met
                                                                                                Not Met
         Reference: OPNAV 21.2
         Guidance: Observe the DoD Certificate to Operate and ensure it is current. If it is
         not current, ask if they have been issued an extension from CNIC.
Findings:
Actions Taken:
  2. General Management
 A.2.a Standard operating procedures (SOPs) are available at each CYP.                          Met
                                                                                                Not Met
         Reference: OPNAV 9.1
         Guidance: Observe the availability of the SOPs at the program. (The content will be
         reviewed at the CYP level).
Findings:
Actions Taken:
 A.2.b The Navy CYP philosophy and goals are posted in all CYP facilities and CD homes.         Met
                                                                                                Not Met
         Reference: OPNAV 1.1, CYP Goals and Philosophy
         Guidance: Observe that the CYP philosophy and goals statement is posted in a
         visible location.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                       Page 3 of 30
 A.2.c The Inclusion Action Team (IAT) referral process as outlined in the OPNAV is                    Met
         followed. The IAT reviews the cases of all children with identified disabilities that         Not Met
         result in limitations to major life activities. Written documentation and justification       NA
         must be kept in the child's file if it is decided that disabilities do not warrant referral
         to the IAT. (NA allowed if no children with special needs.)
         Reference: OPNAV 4, CYP Inclusion Guidebook
         Guidance: Identify children with special needs by talking to the director or
         reviewing the posted allergy/condition list and check with inspector responsible for
         file review to see if any disabilities have been noted. Review up to five of these files
         to determine if an IAT support plan is documented in the child's file. If there is no
         IAT support plan, there should be documentation and justification for why the child
         was not referred for IAT support and/or a signed referral form to KIT with their
         recommendations. Verify that referrals are made to KIT prior to the referrals going
         to the IAT. Referrals may be made directly to the IAT if a child is enrolled with a
         life-threatening condition. Review IAT meeting minutes to verify that each child-
         specific case brought before the IAT resulted in an IAT Support Plan. If significant
         behavior issues are observed, ask if there is a behavior support plan. Note: Not all
         support plans are required to be reviewed by the IAT.
Findings:
Actions Taken:
 A.2.d Parent fees for CDC, SAC and subsidized CDH care are established according to the               Met
         CNIC Navy-wide uniform fee structure, are calculated correctly based on total                 Not Met
         family income, and are published in a singular CYP fee policy letter. The DD Form
         2652 or any documentation of the parent's income is kept in a locked container and
         is kept confidential.
         Reference: OPNAV 1.5, OPNAV 9.3, CNIC Fee Letter
         Guidance: Review the local CYP fee letter and compare it to the CNIC guidelines
         for the current year to ensure the fee structure is accurate. Review 10% of child files
         but no less than 5 or more than 25 to ensure that fees are calculated correctly.
         Observe that the parents' income information is kept in a locked container and kept
         confidential.
Findings:
Actions Taken:
 A.2.e The four required CDH subsidies (Full-time Care Subsidy, Infant/Pretoddler Home                 Met
         Subsidy, Extend Hours Subsidy, and Special Needs Care Subsidy) are offered. The               Not Met
         Full-time Care Subsidy is used in areas where center-based programs are full to
         capacity and have a waiting list for specific age groups to equalize parent fees
         between military CYP and local market rates.
         Reference: OPNAV 1.5, CYP Management Standards - Ch. 5
         Guidance: Review the subsidy policy information to ensure all required subsidies
         are offered. If subsidies are offered, ask for which ages the subsidies are offered to
         ensure that subsidies are provided for the specific age groups that have a wait list.
         Review documentation showing subsidies payment information. Link to Table 5-1 of
         Management Standards.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                              Page 4 of 30
 A.2.f   The three required CDH incentives (Annual Retention Incentive, NAFCC                  Met
         Accreditation Incentive, and Relocation Incentive) are offered.                       Not Met
         Reference: OPNAV 1.5, CYP Management Standards - Ch. 5
         Guidance: Review the incentive policy information to ensure all required incentives
         are offered. Link to Table 5-1 of Management Standards.
Findings:
Actions Taken:
 A.2.g Local market rates are reviewed annually and a subsidy cap based on market rates is     Met
         established in writing.                                                               Not Met
         Reference: OPNAV 1.5, OPNAV 6.3
         Guidance: Review documentation that a market rate analysis occurs yearly and
         documentation that the subsidy cap is based on the market rate.
Findings:
Actions Taken:
 A.2.h Staffing at the CDH is appropriate given the number of certified and in-process         Met
         providers.                                                                            Not Met
         Reference: OPNAV 6.3, CYP Management Standards - Chapter 3
         Guidance: Review the current list of certified and in-process providers to ensure
         that that number of CDH staff is appropriate. Maximum caseload is 30 providers
         with caseload of CDH director reduced by 5 for each additional CDH monitor under
         her responsibility.
Findings:
Actions Taken:
  A.2.i CDH Monitor/Director monitors vacancies in each provider home and informs R&R          Met
         as soon as vacancies become available.                                                Not Met
         Reference: OPNAV 3.3
         Guidance: Ask if there are vacancies in the home or if provider has had difficulty
         filling vacancies in the past. If filling vacancies has been an issue, ask
         Director/Monitor to who evidence that vacancies were reported to R&R and there
         have been efforts to fill vacancies.
Findings:
Actions Taken:
 A.2.j The CDH program provides information to CDH providers about the United States           Met
         Department of Agricultural (USDA) Child and Adult Care Food Program (CACFP)           Not Met
         reimbursement program and encourages CDH providers to participate.
         Reference: OPNAV 18.1
         Guidance: Review documentation that the CDH office has provided information to
         the CDH providers about the USDA program.
Findings:
Actions Taken:
 A.2.k A CDH lending library is maintained to provide toys and equipment that can be           Met
         borrowed by CDH providers and rotated throughout the program.                         Not Met
         Reference: CYP Management Standards - Lending Library
         Guidance: Observe the materials in the lending library and/or an inventory list to
         ensure the sufficiency and appropriateness of the available toys and equipment.
         Review the control system that is in place to ensure that the items are properly
         accounted for and maintained.
Findings:
Actions Taken:

CNICCYP 1700/33 (REV 7-10)                                                                      Page 5 of 30
 A.2.l   In addition to the priorities for placement defined by the OPNAV 1700.9 series, all       Met
         Navy-operated and subsidized child care programs shall give the highest priority to       Not Met
         Wounded Warriors, Fallen Warriors, Individual Augmentees, and Ombudsmen                 
         (performing official duties). This includes full-time, part-time and hourly care.
         Hourly child care is provided for free for Ombudsmen conducting official duties.
         During their treatment period, wounded warriors are charged category I parent fees
         regardless of TFI.
         Reference: OPNAV 3.2, NAVY CHILD CARE PRIORITIES FOR PLACEMENT
         POLICY
         Guidance: Review the priority for placement to ensure it includes these priorities in
         addition to the OPNAV requirements.
Findings:
Actions Taken:
3. Inspections
  A.3.a The CDH Director, CYP Director, or management designee conducts 10 percent of              Met
         monthly home visits for each CDH Monitor/Director's caseload for quality                  Not Met
         assurance, documented on the Navy CDH Home Visit Record CNICCYP 1700/01.
         Reference: OPNAV 6.3
         Guidance: Review the Home Visit Records completed by the CDH or CYP Director
         or designee for the last year to ensure that quality assurance visits were conducted on
         10% of active certified homes.
Findings:
Actions Taken:
 A.3.b CYP Professionals conduct a thorough and accurate inspection of each CDH home               Met
         at least monthly which is documented on the Navy CDH Home Visit Record                    Not Met
         CNICCYP 1700/01. The Home Visit Records reflects the environment and
         developmental program offered in the home. The Home Visit Record is completed in
         full and deficiencies and a timeline for corrective action are recorded.
         Reference: OPNAV 6.3
         Guidance: Review the Navy CDH Home Visit Records CNICCYP 1700/01 for the
         past year for the providers selected for home visits. Confirm the following: a) visits
         were conducted monthly for each provider, b) forms were filled out completely
         including the observation section of the form, information on deficiencies/areas for
         improvement, and timelines for corrective actions, c) notation was made when
         correction was taken and health and safety violations were corrected within 30 days
         and other corrections made within 90 days.
Findings:
Actions Taken:
  4. Parent Involvement
  A.4.a Each CYP has a Parent Involvement Board (PIB) that meets at least quarterly, and           Met
         keeps minutes that are signed by the responsible commander or designee. Minutes           Not Met
         are made available to parents for their review.
         Reference: OPNAV 10.1
         Guidance: Review PIB minutes for the past year to ensure they are meeting at least
         quarterly. Minutes may be made available by posting, placing minutes in a labeled
         binder, or emailing minutes to parents, among other methods. The PIB may be a
         CYP combined board or a separate board for each program.
Findings:
Actions Taken:

CNICCYP 1700/33 (REV 7-10)                                                                        Page 6 of 30
  5. Record Keeping
 A.5.a A current copy of the CYP Child Registration Form, CNICCYP 1700/04 is                       Met
         maintained in the CDH office.                                                             Not Met
         Reference: OPNAV 9.3
         Guidance: Review a sample of child registration forms in the CDH office to ensure
         that copies are maintained and the office copy has been updated within the last year.
         Prior to reviewing the files, identify the names of children enrolled in the homes that
         will be visited during the inspection.
Findings:
Actions Taken:
 A.5.b A separate file is maintained for each CYP professional at the employee's work site.        Met
         The program has an established system to ensure that information is organized,            Not Met
         available, and current in each employee's file. The following information is required
         to be documented and up to date in each employee file.
         • Annual Statement of Admission Form.
         • Annual Health Screening.
         • Personal and Education Reference Checks.
         • Education Requirement Documentation.
         • Current CPR Certificate.
         • Current First Aid Certificate.
         • The following background check documentation
           • Base Security or Local Police Check.
           • Substance Abuse Rehabilitation Program (SARP) Check.
           • Central Registry Check.
           • National Agency Check (NACI).
           • State Criminal History Repository (SCHR) Check.
           • 5 Year Record Re-verification.
         Reference: OPNAV 9.3
         Guidance: Review the following employee files as applicable: 1 administrative staff
         and 1 management staff. Ask what system is in place to ensure files are updated as
         needed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                          Page 7 of 30
 A.5.c A separate file is maintained for each CDH provider at the CDH office. The               Met
         program has an established system in place to ensure that information is available     Not Met
         and current in each employee's file. The following information is required to be
         documented and up to date in each provider’s file.
         • Annual Statement of Admission Form.
         • Annual Health Screening.
         • Family Interview.
         • Education Requirement Documentation.
         • Current Insurance Coverage.
         • English Reading Comprehension Form.
         • Application for Navy CDH Certification.
         • Health & Sanitation Checklist.
         • Fire & Safety Checklist.
         • Provider Home Assessment Form.
         • Developmental Program Checklist.
         • Pet Immunizations (if applicable).
         • Monthly Home Visit Form.
         • The following background check documentation
           • Base Security or Local Police Check.
           • Substance Abuse Rehabilitation Program (SARP) Check.
           • Central Registry Check.
           • National Agency Check (NACI) or Special Agreement Check (SAC).
           • Annual Records Re-verification.
         Reference: OPNAV 6.3, OPNAV 9.3
         Guidance: Review provider files for each home that will be visited (10% of
         providers for each monitor's caseload, but no less than 3 for the CDH program) for
         the required information. Ask what system is in place to ensure files are updated as
         needed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                       Page 8 of 30
  6. Training
 A.6.a Training for CDH providers is complete and documented on the Navy CDH                     Met
         Individual Development Plan and Training Record CNICCYP 1700/12 or in the               Not Met
         training module of the Child and Youth Management System (CYMS). A system is
         in place to ensure that required information is accessible, organized and current for
         each provider. The following information is required to be documented and up to
         date in each provider’s file.
         • Infant, Child, and Adult CPR
         • First Aid Refresher
         • Child Abuse, Neglect, and Prevention
         • Guidance
         • Fire Prevention
         • Blood Borne Pathogens and HIV
         • Food Sanitation, Nutrition, and Meal Service
         • Safety Requirements, including Back Injury Prevention
         • At least two (2) hours of training monthly
         • Complete training modules (within 24 months of certification)
         Reference: OPNAV 14.1, OPNAV 14.2
         Guidance: Review CNICCYP 1700/10 or CYMS for 10% or 3 direct care files,
         whichever is greater, for documentation of the required training. Ask what system is
         in place to ensure files are updated as needed. At least two hours of approved
         training must be completed each month. If standardized module training has not
         been completed, 2 hours/month of training may be used toward module completion.
Findings:
Actions Taken:
 A.6.b Training for CYP administrative professionals is complete and documented on the           Met
         Navy CYP Individual Development Plan and Training Record CNICCYP 1700/10                Not Met
         or in the training module of the Child and Youth Management System (CYMS). A            NA
         system is in place to ensure that required information is accessible, organized and
         current for each employee. (NA allowed if no administrative professionals.) The
         following information is required to be documented and up to date in each
         administrative staff file.
         • Cash Handling
         • Child Abuse, Neglect, and Prevention
         • Back Injury Prevention
         • Blood Borne Pathogens
         • First Aid Refresher
         • Fire Safety per Local Regulations
         • Customer Service and Family Relations
         Reference: OPNAV 14.1, OPNAV 14.5
         Guidance: Review CNICCYP 1700/10 or CYMS for 1 administrative personnel file
         for the required training. Ask what system is in place to ensure files are updated as
         needed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                        Page 9 of 30
 A.6.c Training for CYP management professionals is complete and documented on the             Met
         Navy CYP Individual Development Plan and Training Record CNICCYP 1700/10              Not Met
         or in the training module of the Child and Youth Management System (CYMS). See
         checklist "File Review-Employee-CDH." A system is in place to ensure that required
         information is accessible, organized and current for each employee. The following
         information is required to be documented and up to date in each management file.
         • Research in Child and Youth Development
         • Curriculum Development
         • CYP Administration and Management
         • Leadership Skills
         • Budget and Finance
         • Child Abuse, Neglect and Prevention
         • Back Injury Prevention
         • Blood Borne Pathogens
         • Fire Safety per Local Regulations
         • Customer Service, Family and Public Relations
         • First Aid Refresher
         Reference: OPNAV 14.1, OPNAV 14.4
         Guidance: Review CNICCYP 1700/10 or CYMS for 1 management personnel file
         (e.g., CDH Director/ CDH Monitor) for the required training. Ask what system is in
         place to ensure files are updated as needed.
Findings:
Actions Taken:
 A.6.d The CDH Provider has received initial and annual training by a health professional      Met
         on the five right practices of medication administration.                             Not Met
         Reference: OPNAV 19.14
         Guidance: Review the training record of providers whose homes are visited to
         ensure they are properly trained on medication administration if there are any
         children requiring medication.
Findings:
Actions Taken:
  7. Quality Review Board
 A.7.a A Quality Review Board (QRB) has been established to recommend approval or              Met
         denial of initial certification, annual recertification, or revocation of certified   Not Met
         providers. QRB minutes signed by the responsible commander are kept on file in
         the CDH office.
         Reference: OPNAV 13.5
         Guidance: Review QRB minutes from the prior year to ensure that the QRB is
         established and minutes are taken and signed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                      Page 10 of 30
 A.7.b All Quality Review Board (QRB) decisions are given to the applicant/CDH provider       Met
         in writing. Written notification of suspension is also given to the CDH provider,    Not Met
         including information on appeal procedures and their right to attend the QRB.
         Reference: OPNAV 13.5
         Guidance: Review QRB minutes from the prior year to determine if the QRB met to
         address suspensions or other issues. If so, review documentation that demonstrates
         providers were notified in writing about any QRB decisions. If the QRB did not
         meet in the past year, ask what processes are followed if a provider needs to be
         suspended and what happens if there are ongoing problems with a provider.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                     Page 11 of 30
                                                              Individual Home Visits

                  The home visit portion of the inspection is conducted to ensure that CDH staff follow procedures required to
                  ensure quality care in Child Development Homes. The following reflects the compliance level of the homes visited.


                                                                                              HOMES VISITED

                      CRITERION                               #01   #02   #03   #04    #05   #06   #07   #08       #09   #10   #11   #12   #13   #14
B.1.a: DoD Child Abuse and Safety Hotline posted

B.1.b: Parents sign in and out

B.1.c: Visitors sign in and out

B.1.d: Supervision provided

B.1.e: Child abuse/neglect procedures articulated

B.2.a: No smoking

B.2.b: Medication administered and stored properly

B.2.c: Drinking water available

B.2.d: Pet procedures written and followed

B.2.e: Food, other allergies, and medical conditions posted

B.2.f: Tooth brushing occurs

B.2.g: Bottles dated and discarded properly

B.3.a: First aid kit maintained

B.3.b: Safety equipment available


CNICCYP 1700/33 (REV 7-10)                                                                         Page 12 of 30
                                                                                             HOMES VISITED

                        CRITERION                             #01   #02   #03   #04   #05   #06   #07   #08       #09   #10   #11   #12   #13   #14
B.3.c: Fire evacuation plan posted

B.3.d: Hazards inaccessible

B.4.a: Food preparation/service procedures followed

B.4.b: Tissues, liquid soap and disposable towels available

B.4.c: Hand washing procedures posted and followed

B.4.d: Equipment and surfaces cleaned properly

B.4.e: Diapering procedures posted and followed

B.5.b: Restraining devices not used

B.6.a: Outdoor play equipment safe

B.7.a: Navy CYP philosophy and goals posted

B.7.b: CDH flag displayed

B.7.c: Child file maintained

C.1.a: Daily schedule is appropriate

C.1.b: Activities are developmentally appropriate

C.1.c: TV use is appropriate

C.1.d: Computer use is appropriate

C.2.a: Indoor materials are varied and age appropriate


CNICCYP 1700/33 (REV 7-10)                                                                        Page 13 of 30
                                                                                              HOMES VISITED

                        CRITERION                              #01   #02   #03   #04   #05   #06   #07   #08       #09   #10   #11   #12   #13   #14
C.2.b: Indoor materials are multicultural and gender diverse

C.2.c: Sufficient materials available

C.2.d: Materials are accessible and stored on low, labeled
shelves
C.3.a: Providers actively, positively involved with children

C.3.b: Self-control facilitated

C.3.c: Supportive environment

C.4.a: Meals and snacks meet USDA requirements

C.4.b: Food preparation/service surfaces cleaned properly

C.4.c: Hands washed before and after meals

C.4.d: Meal and snack schedule is appropriate

C.4.e: Meals and snacks served family style

C.4.f: Infants fed and highchairs used appropriately

C.5.a: Parent information board available

C.5.b: Parent conferences offered

C.5.c: Information shared with parents (children under 3)

C.5.d: Providers encourage parents to visit

C.6.a: Sleeping supplies are provided and appropriate


CNICCYP 1700/33 (REV 7-10)                                                                         Page 14 of 30
                                                                                                   HOMES VISITED

                          CRITERION                                 #01   #02   #03   #04   #05   #06   #07   #08       #09   #10   #11   #12   #13   #14
C.6.b: Infants put to sleep correctly and not left in cribs while
awake
C.7.a: Group sizes are appropriate


                                                         M = Met, N = Not Met, NA = Not Applicable




CNICCYP 1700/33 (REV 7-10)                                                                              Page 15 of 30
   ID CRITERIA                                                                                    STATUS
CDH HOME VISITS
B. FACILITY, HEALTH, AND SAFETY
  1. Child Abuse Prevention
 B.1.a The DoD child abuse and safety hotline telephone number is posted in all CYP facility      Met
         lobbies and on parent information boards.                                                Not Met
         Reference: OPNAV 15.2
         Guidance: Observe the lobby area or parent information boards in CD homes to
         ensure the DoD child abuse hotline number is posted. If not posted, recommend the
         DoD Hotline poster, available online, is posted.
Findings:
Actions Taken:
 B.1.b Parents sign their children in and out daily.                                              Met
                                                                                                  Not Met
        Reference: OPNAV 15.1
        Guidance: Observe children and parents as they sign in and out when possible.
        Review the sign-in sheet and count the number of children to make sure the numbers
        match.
Findings:
Actions Taken:
 B.1.c Visitors sign in and out of the CYP.                                                       Met
                                                                                                  Not Met
        Reference: OPNAV 15.1
        Guidance: Observe that the CDH provider asks you to sign in. Review the sign-in log
        to ensure that the monitor has signed in monthly.
Findings:
Actions Taken:
 B.1.d CYP Professionals provide sufficient supervision to protect children's safety.             Met
                                                                                                  Not Met
        Reference: NAFCC 4.1
        Guidance: Observe that CYP Professional positions herself in the home and on the
        playground to allow adequate supervision of children. CYP Professionals maintain an
        awareness of the entire classroom/activity area to ensure children's health and safety.
Findings:
Actions Taken:
 B.1.e CYP Professionals can articulate the correct local child abuse or neglect reporting        Met
        procedures.                                                                               Not Met
        Reference: OPNAV 15.1
        Guidance: Ask 3 CYP professionals (2 direct care and 1 non-direct) or CDH provider
        what they would do if they suspected abuse or neglect. If staff cannot remember the
        exact name of FAR or CPS, you may need to ask additional questions to see if they
        understand the reporting process. They should know where to find the information
        (posted on every parent information board). Ask employees if they understand the
        requirements of being a "mandated reporter." NOTE: in OCONUS, reporting adheres
        to applicable treaties or Status of Forces Agreements (which is often the FAR).
Findings:
Actions Taken:



CNICCYP 1700/33 (REV 7-10)                                                                        Page 16 of 30
  2. Health
 B.2.a Smoking and use of tobacco is prohibited in or near the CYP facility, playground, or         Met
        in the CDH during child care hours.                                                         Not Met
        Reference: OPNAV 19.2
        Guidance: Observe for evidence that tobacco is not used in the home and outside
        when children are served.
Findings:
Actions Taken:
 B.2.b Medication is administered and properly stored per OPNAV guidance. The Navy CYP              Met
        Medical Authorization Form CNICCYP 1700/08 is completed and maintained in the               Not Met
        child's file. (NA allowed if no children currently receive medication.) The following       NA
        safety precautions are followed for proper medication administration.
        • Stored in the original container with a child proof cap.
        • Labeled with the child’s first and last name.
        • Labeled with the date prescription was filled and medication expiration date.
        • Labeled with the name of the health care provider.
        • Labeled with instructions for administration and storage.
        • Labeled with the name and strength of medication.
        • Stored out of sight, inaccessible to children.
        • Stored away from food.
        • Stored at proper temperature.
        • There are at least two CYP Professionals (provider and back-up provider) designated
        to administer medication.
        Reference: OPNAV 19.14
        Guidance: Review and complete the Medication checklist. Review the medication
        policy in the parent handbook. Ask about the medication administration policy to
        ensure parents are not being asked to leave work to administer medication during the
        day. Observe the location where medication is stored. Compare the Medication Log
        Form CNICCYP 1700/21 entries for up to 5 child files to ensure children who have
        had medicine administered have a corresponding Medical Authorization Form
        CNICCYP 1700/08 on file. Check the list of children with allergies/medical
        conditions to ensure that any medications (e.g., EpiPens, Benadryl, etc.) that are listed
        as needed for emergency response to a reaction are listed on a Medication
        Authorization Form. Ensure children receiving topical and non prescription
        medications have a permission form on file.
Findings:
Actions Taken:
 B.2.c Drinking water is available throughout the day, including on the playground and on           Met
        field trips.                                                                                Not Met
        Reference: OPNAV 18.2
        Guidance: Observe that children have access to water throughout the day. Observe
        children outside and on field trips if possible. Ensure water fountains work properly.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                          Page 17 of 30
 B.2.d When pets are kept as part of the CDH program, procedures for their care are written            Met
        and followed (Not required for the provider's own pets that are not around the                 Not Met
        children). Animal cages have removable bottoms and are kept clean. CYP                         NA
        Professionals are present when children are exposed to animals. Litter boxes are not
        accessible to children and are not located in food areas. (NA allowed if no pets.)
        Reference: OPNAV 19.7
        Guidance: Observe that CYP professionals supervise all interactions between children
        and animals. Review written procedures to ensure that the care of pets has been
        documented (pet procedures are required for all animals, including fish). Observe that
        there are no prohibited pets (e.g., ferrets, turtles, iguanas, lizards, or other reptiles,
        birds of the parrot family, rats, or any wild or dangerous animals).
Findings:
Actions Taken:
 B.2.e A list of children with food allergies and/or other potentially life threatening                Met
        conditions is posted in the kitchen with the child's name and medical condition and/or         Not Met
        allergy. Children who have potentially life-threatening conditions shall have a written        NA
        action plan clearly defining the signs and symptoms for which an ambulance is
        necessary, readily available. (NA allowed if no food allergies or life threatening
        conditions.)
        Reference: OPNAV 4.1, OPNAV 4.10
        Guidance: Review the food and allergy/condition list. Ensure it is posted in the
        kitchen and the confidentiality of the information is protected (e.g., the list is covered
        by a sheet that can be lifted). If there is not a food allergy/condition list posted, ask if
        any children have food allergies/ medical conditions. Note: The inspector assigned to
        this criterion should communicate with the inspector responsible for the file review so
        both individuals are aware of notations related to allergies or serious medical
        conditions.
Findings:
Actions Taken:
 B.2.f Pretoddlers and toddlers (13 months - 3 yrs) are provided an opportunity to brush their         Met
        own teeth with a toothbrush and water. Preschoolers (3 yrs - 5 yrs) are provided an            Not Met
        opportunity to brush their own teeth with a toothbrush and pea size amount of                  NA
        toothpaste. Each child has a labeled toothbrush and a designated spot on the
        toothbrush holder which allows toothbrushes to air dry. (NA allowed if only infants
        served.)
        Reference: OPNAV 19.9
        Guidance: Observe tooth brushing or evidence that tooth brushing takes place.
        Observe that toothpaste is provided, toothbrushes are labeled, toothbrush holders are
        available, tooth brushes do not touch, are allowed to air dry, and are stored upright. A
        toothbrush cap with air holes and a storage tray that stores brushes horizontally are not
        acceptable. If tooth brushing is not observed, ask about the process. Toothpaste shall
        not be administered directly from a communal tube onto individual toothbrushes.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                             Page 18 of 30
 B.2.g Infant bottles and breast milk containers are dated and labeled with the child's name.     Met
         Formula and breast milk that is served but not completely consumed after one hour is     Not Met
         discarded. Leftover breast milk that is not served is taken home by parents or           NA
         discarded at the end of the day. (NA allowed if no infants.)
         Reference: OPNAV 18.3
         Guidance: Observe that bottles and breast milk containers are labeled with the child's
         name and the current date. When possible, observe that bottles are sent home with the
         children when they leave.
Findings:
Actions Taken:
  3. Safety
 B.3.a Each CYP facility, CYP vehicle and CDH has a first aid kit with the items listed in the    Met
         OPNAV. The following items must be maintained in the first aid kit:                      Not Met
         • Disposable Gloves
         • Scissors
         • Tweezers
         • Non-glass Thermometer
         • Bandage Tape
         • Sterile Gauze Pads
         • Flexible Roller Gauze
         • Triangular Bandage
         • Safety Pins
         • Pen/Pencil and note pad
         • Cold Pack
         • Current American Academy of Pediatrics Standard First Aid Chart or Equivalent
         Guide
         • Splints
         • Liquid Soap
         • Adhesive Strip Bandages
         • Plastic Bags for Cloths, Gauze, and Other Materials
         Reference: OPNAV 19.10
         Guidance: Observe that there is at least one complete first aid kit with all required
         items (and no unauthorized medications) in each CYP facility, CYP vehicle (portable
         kits are acceptable), and CDH. Advise that this kit should be available at a central
         location. Ask what procedure is in place to ensure kits are checked and replenished
         monthly.
Findings:
Actions Taken:
 B.3.b CYP Professionals have the following safety equipment available: Operable flashlight,      Met
         fire extinguisher, smoke alarm.                                                          Not Met
         Reference: OPNAV 20.9
         Guidance: Observe that the light is on for all smoke alarms (do not test the fire
         alarm), check the testing date on the fire extinguisher, and test the flashlight.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                        Page 19 of 30
 B.3.c The fire evacuation plan, with primary and secondary exists identified, is posted at the        Met
         front entrance.                                                                               Not Met
         Reference: OPNAV 20.9
         Guidance: Review the evacuation plan to ensure that primary and secondary exits are
         identified and the plan is posted at the entrance to the home.
Findings:
Actions Taken:
 B.3.d Children are not exposed to health or safety hazards. The CD home is clean and well             Met
         maintained.                                                                                   Not Met
         Reference: OPNAV 5.4, OPNAV 19.5, OPNAV 20.8
         Guidance: Observe the environment. Firearms and ammunition must be stored in
         locked cabinets. Cleaning products, medicine, poisonous plans, matches, lighters,
         alcohol/tobacco, and knives/sharp objects should not be accessible by children.
         Electrical outlets are covered. Only one power strip is used per outlet. Safety gates
         are on stairs if there are children in care under the age of 3. Equipment is free from
         protrusions, pinch points, and sharp edges. Indoor equipment, including furniture, toys
         and materials are safe, well maintained, and properly stored. Broken items are
         removed from areas utilized by children.
Findings:
Actions Taken:
  4. Sanitation
 B.4.a Food preparation, handling, serving, and dishwashing are in accordance with                     Met
         NAVMED P-5010-1.                                                                              Not Met
         Reference: OPNAV 18.1
         Guidance: Observe the kitchen/ food service area and the meal preparation and clean-
         up process to ensure that only food items are stored in food storage areas, open bulk
         packages of flour, sugar, and similar items are stored in containers with tight fitting
         lids, any food served during family style meal service is discarded (e.g., ketchup milk,
         etc.), kitchen is kept clean and sanitary, and there is not built up grease and dirt on the
         equipment, floors and walls.
Findings:
Actions Taken:
 B.4.b Liquid soap, disposable towels, and tissues are available at the child's level.                 Met
                                                                                                       Not Met
        Reference: OPNAV 19.2, OPNAV 19.4
        Guidance: Observe that these items are available. Note: for children under age 3,
        these items may be out of reach but are provided as needed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                             Page 20 of 30
 B.4.c CYP Professionals and children follow proper hand washing procedures at the times            Met
        outlined in the OPNAV. Hand washing procedures are posted at adult and children's           Not Met
        sinks and diapering areas. CYP Professionals provide children with supervision and
        guidance during the hand washing process.
        Reference: OPNAV 19.4
        Guidance: Observe that CYP Professionals ask children to wash their hands based on
        the frequency outlined in the OPNAV. Hand washing steps: 1) wet hands with clean
        warm running water and apply soap, 2) rub hands together for 20 seconds, 3) rinse
        hands well under running water, 4) dry hands using paper towel or air dryer, 5) use
        paper towel to turn off the faucet. Wash hands: 1) upon arrival in the morning 2)
        before preparing or eating food, 3) after going to the bathroom, 4) after changing
        diapers or cleaning up a child who has gone to the bathroom, 5) before and after
        tending to someone who is sick, 6) after blowing your nose (or a child's nose),
        coughing or sneezing, 7) after handling an animal or animal waste, 8) after handling
        garbage, 9) before and after treating a cut or wound. An additional resource for this
        criterion is the Managing Infectious Diseases book.
Findings:
Actions Taken:
 B.4.d Toys, equipment (e.g., shelves), and surfaces (e.g., tables, countertops) are cleaned        Met
        with soap and water mixture, then sanitized with a fresh bleach solution and air dried      Not Met
        according to the custodial frequency table.
        Reference: OPNAV 19.4, OPNAV 19.5
        Guidance: Observe the cleaning process or ask what procedures are used for cleaning
        toys, equipment, and surfaces and compare it to the custodial frequency table. Any toy
        mouthed by a child should be removed from use, cleaned, and sanitized when the child
        is finished playing with it. Bleach solution should be made fresh daily
Findings:
Actions Taken:
 B.4.e Diapering procedures, as outlined in Managing Infections Diseases, are posted and            Met
        followed. Gloves are required to be worn during the diaper changing process. (NA            Not Met
        allowed if no children in diapers.)
        Reference: OPNAV 19.3
        Guidance: Observe that baby powder containing talc is not used. Observe if diapering
        is noted on the daily log. Diapering steps: 1) gather needed supplies and put on
        disposable gloves, 2) place child on a disposable covering on smooth, nonabsorbent
        surface, 3) clean the child's diaper area and dispose of soiled diaper, 4) remove gloves
        and clean CYP professional's and child's hands with disposable wipes, 5) put on a
        clean diaper an redress the child. An additional reference for this criteria can be found
        in the Managing Infectious Diseases book.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                          Page 21 of 30
  5. Indoor Environment
 B.5.b Restraining devices such as play pens, mechanical swings, walkers, exersaucers, and        Met
         infant jump-ups are not used. Infant seats should not be used for more than 20 minutes   Not Met
         at a time and are not placed in cribs. (NA allowed if no infants served.)                NA
         Reference: OPNAV 5.4
         Guidance: Observe that these and other restraining devices/methods are not used.
         Observe the actions and mood of a child if they are sitting in a chair with straps
         provided for support. If the child is not fussy and seems to be engaged with an
         activity, the chair with support straps is not considered a "restraining device."
Findings:
Actions Taken:
  6. Outdoor Environment
 B.6.a Outdoor play environment is safe including play equipment. Surfaces under family           Met
         and installation playground equipment are free from stones, debris, and obstructions.    Not Met
         Trampolines, wading pools, and pools are enclosed in a locked fence and are not used.
         Reference: OPNAV 20.9, NAFCC 2.8, NAFCC 2.15, NAFCC 2.19
         Guidance: Observe that play area is free of hazardous items such as lawnmowers,
         gasoline, sharp edges and pinch hazards and is free of liter and animal feces.
Findings:
Actions Taken:
  7. General Management
 B.7.a The Navy CYP philosophy and goals are posted in all CD Homes.                              Met
                                                                                                  Not Met
        Reference: OPNAV 1.1, CYP Goals and Philosophy
        Guidance: Observe that the CYP philosophy and goals statement posted in a visible
        location.
Findings:
Actions Taken:
 B.7.b CDH flag is displayed outside the home.                                                    Met
                                                                                                  Not Met
        Reference: OPNAV 6.6
        Guidance: Observe that the flag is displayed. The CDH sticker is not an appropriate
        substitute for the CDH flag unless the housing area does not permit flags. In this
        instance, ask to see the letter documenting the prohibition.
Findings:
Actions Taken:
 B.7.c A separate file is maintained on each child at the CDH provider's home. The CDH            Met
        Monitor reviews the files on an on-going basis and discrepancies are documented on        Not Met
        the home visit form. The following information is present and up to date in the file.
        • Navy CYP Registration Form, which includes contact information for at least two
        emergency contacts and is updated annually.
        • Current Child’s Immunization Information.
        • Navy CYP Child and Family Profile.
        • Approved Family Care Plan (as applicable).
        • Current Navy CYP Parent Fee Agreement (if receiving subsidies).
        • Field Trip Permission Form.
        • Photo Permission Form.
        • Topical Non-prescription Application Form.
        • Parent Provider Contract.
        • Power of Attorney.
CNICCYP 1700/33 (REV 7-10)                                                                        Page 22 of 30
        Reference: OPNAV 9.3
        Guidance: Review two child files per home for the required documents. If items are
        missing, review the previous home visit forms to verify if the Monitor has documented
        the missing information.
Findings:
Actions Taken:
C. PROGRAMMING
  1. Curriculum
 C.1.a The daily schedule includes routines, story time, outdoor play, opportunities for        Met
        creativity, music, and cooking and/or similar daily living experiences.                 Not Met
        Reference: OPNAV 5.1, OPNAV 19.8
        Guidance: Review the daily schedule to ensure it includes opportunities for different
        experiences.
Findings:
Actions Taken:
 C.1.b Developmentally appropriate hands-on activities encourage children to think, reason,     Met
        question and experiment.                                                                Not Met
        Reference: OPNAV 6.7, NAFCC 3.81
        Guidance: Observe that activities are developmentally appropriate and encourage
        children to think, reason, question, and experiment such as puzzles, building blocks,
        problem solving, manipulatives, weights and measures, and sink and float activities.
        Children can freely use materials when exploring in order to discover properties and
        how things work, including taking items apart and putting them back together. CYP
        professionals are involved with the children in order to guide children's learning.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                      Page 23 of 30
 C.1.c Television, if used, is listed on the activity plan. TV is limited to 30 minutes per day.    Met
        TV is turned off when not being watched. Other activities are available during TV           Not Met
        viewing time. CYP professionals discuss what is viewed with children to develop             NA
        critical thinking skills. (NA allowed if television not used.)
        Reference: OPNAV 6.7, NAFCC 3.80
        Guidance: Observe TV use and/or ask CYP professionals if TV is used with the
        children. Ask how often TV is used, for what length of time, and how programs are
        selected. Ask what happens if a child does not want to watch TV and how TV is
        incorporated into the daily lesson plan.
Findings:
Actions Taken:
 C.1.d Computer use is limited to 30 minutes per day, per child. Computer use is not                Met
        required and optional activities must be provided. The computer software used is            Not Met
        developmentally appropriate. Parental control software is installed on all computers        NA
        connected to the internet and utilized by children. (NA allowed if computers not used).
        Reference: OPNAV 6.7
        Guidance: Observe computer use and/or ask CYP professionals if computers are used
        with the children. Review computer programs used by the children. If observation
        does not provide sufficient information, ask the following questions of CYP
        professionals who use computers. How often are computers used and for what length
        of time? What happens if a child is not interested in using the computer? What type of
        software is available for the children?
Findings:
Actions Taken:
  2. Equipment & Supplies
 C.2.a Materials are age appropriate and vary in complexity to meet the needs of the range of       Met
        development represented.                                                                    Not Met
        Reference: OPNAV 6.7, NAFCC 2.31
        Guidance: Observe that materials vary in complexity. For example, infant materials
        may include grasping and mouthing toys, soft items to cuddle and squeeze, items that
        can be set in motion, soft or board books, art materials like fabric scraps and non-toxic
        papers. Pretoddler materials include push and pull toys, soft items, transportation
        toys, blocks, puzzles, balls simple sand and water props. Toddler materials include
        animal figurines and other simple props, puzzles and matching games, prop boxes,
        dress-up clothes, baby dolls and accessories, and simple house-corner furniture.
        Preschool materials may include wooden puzzles with and without pegs, cardboard
        puzzles with different pieces (e.g., 5-, 10- and 12-piece puzzles), and floor puzzles
        with large pieces. This criterion refers to the types of toys available. Note quantity
        toys under a different criterion.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                          Page 24 of 30
 C.2.b Indoor equipment, toys, and supplies used to implement the curriculum are                    Met
        multicultural and gender diverse.                                                           Not Met
        Reference: OPNAV 6.7
        Guidance: Observe that toys and materials reflect a variety of cultures. For example,
        musical instruments may include gourds as well as drums, play food such as sushi as
        well as spaghetti, and dolls from different cultures and races. If the group of children
        served is multicultural (vs. homogenous), a good way to reflect multiculturalism is
        through pictures of the enrolled children and families and family involvement. Gender
        diverse. Toys are available for both genders and available to all children, including
        dolls, dress up clothes for boys and girls (hats and boots in addition to dresses), cars,
        trucks, etc. Mark "Met" if there is some evidence for BOTH multi-cultural and gender
        diverse.
Findings:
Actions Taken:
 C.2.c There are a sufficient number and variety of equipment/toys and materials to prevent         Met
        children from waiting long periods of time or competing for use.                            Not Met
        Reference: OPNAV 6.7
        Guidance: Observe that there are multiples of some toys and enough toys so all
        children can play simultaneously and not wait long for use of toys. This criterion
        refers to the quantity/sufficiency of toys available. Note types and age-appropriateness
        of materials under a different criterion.
Findings:
Actions Taken:
 C.2.d Materials are accessible to children and stored on low, open shelves. Toy boxes are          Met
        not used. All shelves, interest areas, and containers should be labeled with pictures or    Not Met
        symbols. Preschool activity areas should also have word labels. Children are able to
        choose materials and learning centers.
        Reference: OPNAV 6.7
        Guidance: Observe accessibility of materials. Accessibility means that children can
        reach and use materials, furnishings and equipment by themselves without assistance
        from the CYP professional. To determine accessibility, consider whether each
        learning center is open or closed by observing what happens when a child tries to get a
        toy. The following are examples of inaccessibility: The CYP professional prevents a
        child from obtaining a toy, the CYP professional tells the children which areas are
        open or closed, or the items are stored out of reach of children. Children should be
        allowed to make material choices and not forced to play with only certain items.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                          Page 25 of 30
  3. Interactions & Relationships
 C.3.a Interaction between CYP professionals and children is frequent and promotes the                Met
         child's self-esteem, self-confidence, and positive feelings toward learning. CYP             Not Met
         professionals are responsive to infants and pre-toddlers during routines (e.g., talking to
         infants and interacting non-verbally during diapering, feeding, etc.) and accommodate
         feeding and sleeping schedules. CYP professionals join infants and young toddlers on
         the floor and toddlers and preschoolers in learning centers to extend children's
         learning, listen attentively, respond respectfully, and show appreciation for children's
         needs and efforts. CYP professionals engage in frequent conversations with children
         to expand children's language development, make frequent eye contact and talk in a
         pleasant voice. Telephone calls, errands and personal demands are kept to a
         minimum.
         Reference: OPNAV 6.7, NAFCC 5.1
         Guidance: Observe that CYP Professionals are actively engaged with children and
         their play. CYP Professionals are interactive and responsive to the cues of infants and
         pretoddlers during routines. They engage in frequent face-to-face social interactions
         each day. CYP Professionals respond to children's questions and requests, use
         strategies to communicate effectively, and build relationships with every child. CYP
         Professionals should use a tone of voice that reflects caring, concern, affection and
         interest in each child. They connect with children at their level and extend learning
         through play, conversation, and the use of open-ended questions. They encourage
         children's engagement in activities by playing games with them, reading with them,
         and making suggestions that encourage discovery.
Findings:
Actions Taken:
 C.3.b CYP Professionals facilitate the development of self-control in children by using              Met
         positive guidance techniques such as redirection. Teaching staff never use physical          Not Met
         punishment such as shaking or hitting and do not engage in psychological abuse or
         coercion.
         Reference: OPNAV 6.7, OPNAV 15.3
         Guidance: Observe that CYP Professionals focus on redirection and providing
         children with ideas of what they CAN do rather than listing rules of what they can
         NOT do. For example "use your walking feet when you are inside; you can run when
         we go outside" rather than "do not run inside." CYP Professionals discuss behaviors
         with children helping them to develop their own solutions to problems.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                            Page 26 of 30
 C.3.c Infants are provided an environment that allows them to move freely and achieve           Met
        mastery of their bodies through self-initiated movement. Infants are placed in           Not Met
        positions that are physically supportive. (NA allowed if no infants served.)             NA
        Reference: OPNAV 5.3, OPNAV 5.4
        Guidance: Observe that children are allowed to be on the floor and have freedom of
        movement. "Boppy" cushions and other equipment can be used with infants once they
        have head and back control. Body support is not achieved by improper use of
        equipment (e.g., infants without head and back control are not propped.) Observe the
        actions and mood of the child and the actions of the CYP professional if an infant is
        awake in a crib during an inspection. Children can be awake in their cribs if they are
        going to sleep or waking up. Non-mobile infants playing happily can be left in the
        crib for no more than 20 minutes while the staff is actively engaged with another
        child.
Findings:
Actions Taken:
  4. Meals & Snacks
 C.4.a Meals and snacks meet United States Department of Agricultural (USDA) Child and           Met
        Adult Care Food Program (CACFP) guidelines and meal patters. Substitutions are in        Not Met
        line with USDA guidelines and are documented on the posted menu prior to meal            NA
        service. Foods indicative of various cultures are served. Enough food is provided to
        allow for seconds. (NA allowed if no meals or snacks served.)
        Reference: OPNAV 18.1, USDA
        Guidance: Review posted menu to ensure it meets CACFP guidelines and include
        food options representing various cultures. When possible, observe mealtime to
        ensure meal served matches the menu and substitutions are noted. There should be
        approximately 1 1/2 times the servings required for the number of children in the
        center that eat table food.
Findings:
Actions Taken:
 C.4.b All food preparation and food service surfaces are cleaned with a paper towel and soap    Met
        and water solution to remove debris and surface dirt and then sanitized with bleach      Not Met
        and water solution applied and wiped with a paper towel or allowed to air dry before
        and after serving food.
        Reference: OPNAV 18.1
        Guidance: Observe food preparation to ensure food surfaces are properly cleaned
        before serving food. This includes outdoor tables as well, if used. If you cannot
        observe meals, ask how cleanup is conducted.
Findings:
Actions Taken:
 C.4.c Children and CYP Professionals wash their hands before and after meals and snacks or      Met
        food preparation. CYP professionals supervise children to ensure they do not touch       Not Met
        serving utensils after sneezing, coughing, putting their hands in their mouths, etc.
        Reference: OPNAV 18.1
        Guidance: Observe hand washing. If children wash their hands before meals and
        snacks but re-contaminate their hands prior to sitting down to eat (e.g., playing with
        toys, touching the ground, sneezing, coughing) or during the meal (e.g., sneezing,
        coughing), the CYP professional should instruct the child to wash his/her hands again.
Findings:
Actions Taken:

CNICCYP 1700/33 (REV 7-10)                                                                       Page 27 of 30
 C.4.d Programs serving children 1-5 years old schedule meals and snacks every 2-3 hours           Met
        and allow ample time to eat. Providers deliver food ready to serve at the scheduled        Not Met
        time. (NA allowed if only infants served.)                                                 NA
        Reference: OPNAV 18.1, USDA
        Guidance: Review menus to ensure they meet the needs of each age group and meals
        are served every 2-3 hours. Observe snack or meal time to determine if children are
        provided adequate time to eat and that meals are delivered at the scheduled time and
        are ready to serve (e.g., food does not have to be cut up).
Findings:
Actions Taken:
 C.4.e Meals and snacks for children ages 1-5 are served family style to facilitate the            Met
        development of self-help skills and CYP professionals sit and eat with children and        Not Met
        engage them in conversation in order to assist children with the development of            NA
        language skills. Children over the age of 12 months are encouraged to serve
        themselves based on their abilities. Children over the age of three assist with table
        setting and clean up. (NA allowed if no children 1-5 years old.)
        Reference: OPNAV 18.1
        Guidance: Observe that children are provided the opportunities to use age-appropriate
        utensils, set the table, pour liquids, pass dishes, and serve themselves. Children under
        the age of 3 are assisted with these tasks but are still provided opportunities to
        accomplish these tasks independently. Observe that CYP professionals sit at the table,
        eat, talk with children, and encourage conversation during meals.
Findings:
Actions Taken:
 C.4.f CYP Professionals hold infants and young toddlers for bottle feedings. Bottles are not      Met
        propped. Baby food, formula and breast milk are warmed in a bottle warmer or held          Not Met
        under warm running water. Microwave ovens or crock pots are not used. CYP                  NA
        Professionals feed no more than two children in high chairs at a time. (NA allowed if
        no infants or young toddlers.)
        Reference: OPNAV 18.3
        Guidance: If meal time and infant feeding cannot be observed, ask how bottles are
        warmed and older infants are fed.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                         Page 28 of 30
  5. Parent Communication
 C.5.a A parent information board is available in each CDH and contains the required            Met
         information.                                                                           Not Met
         • Local child abuse reporting procedure
         • Child guidance and touch policy
         • Daily schedule
         • Weekly activity plan
         • Menus
         • DoD child abuse hotline number
         • CPR Certificate
         • First Aid Certificate
         • Back-up provider information
         • Fire drill log with monthly evacuation drills
         • Proof of liability insurance
         • CDH Certificate
         Reference: OPNAV 10.4
         Guidance: Observe that there is a parent information board in each CDH. Review
         each parent information board for the required items.
Findings:
Actions Taken:
 C.5.b Parent conferences are offered once a year and documentation is available.               Met
                                                                                                Not Met
        Reference: OPNAV 10.4
        Guidance: Ask how often parent conferences are held. Review documentation that a
        parent conference was offered and/or held once a year.
Findings:
Actions Taken:
 C.5.c Parents of children under 3 years are provided with written information daily on the     Met
        child(ren)'s sleeping and eating habits as well as other pertinent information. (NA     Not Met
        allowed if no children under 3 years old.)                                              NA
        Reference: OPNAV 10.4
        Guidance: Ask how parents are kept up-to-date on their child's eating and sleeping
        habits. Review written parent communication log or daily information sheets that are
        given to parents. Observe staff completing the form throughout the day, and when
        possible, sharing this information with parents.
Findings:
Actions Taken:
 C.5.d The provider encourages parents to visit any time their children are present. The        Met
        provider is available for conferences by appointment.                                   Not Met
        Reference: OPNAV 10.3, OPNAV 10.4
        Guidance: Review documents (e.g., provider contract, parent handbook, etc.) to
        ensure that the provider has communicated an “open door” policy to parents. If the
        documents do not indicate that parents can visit any time, ask the provider what
        his/her requirements are for when parents want to visit or contact him/her during the
        day. Mark "Not Met" if the provider does not encourage parent involvement in the
        program.
Findings:
Actions Taken:


CNICCYP 1700/33 (REV 7-10)                                                                      Page 29 of 30
  6. Sleeping Provisions
 C.6.a Each child has a place to sleep that is at least 4 inches above the floor. Children who        Met
         are present overnight must be provided a bed. For children under 12 months, a                Not Met
         separate crib is provided. Clean sheets and blankets are provided. Pillows are not
         used for children under 3 years old. Mattresses, sofas, and beds have waterproof
         covers and clean linens prior to use by children in care. If cots are used, a separate cot
         is assigned and labeled for each child over 12 months in regular attendance. Cots are
         placed at least 3ft apart or at head-to-foot interval.
         Reference: OPNAV 19.8
         Guidance: Observe nap time to ensure that each child has a place to sleep. If cots are
         used, ensure they are labeled and placed correctly to protect children's health. If there
         is a concern about the cleanliness, ask how frequently the sheets are washed. If nap
         time is not observed, where each child sleeps. If there is overnight care, verify that
         beds are provided. Playpens can not be used for sleeping. If they are, record the
         finding under the criteria related to restraining devices. SIDS concerns should be
         documented in a different criterion.
Findings:
Actions Taken:
 C.6.b Infants are placed on their backs to sleep and precautions are taken to lower the risk of      Met
         Sudden Infant Death Syndrome (SIDS) in accordance with American Academy of                   Not Met
         Pediatrics guidance. (NA allowed if no infants.)                                             NA
         Reference: OPNAV 19.8
         Guidance: Observe sleeping infants. Swaddling may be practiced for infants 6 weeks
         to 3 months old. If swaddling is practiced, the blanket should be wrapped snuggly
         around the infant. The infant should be placed on their back without an additional
         blanket covering them. Swaddling for children over 3 months requires parental
         consent. Placing a child on their stomach to sleep requires physician's permission.
         Soft surfaces such as pillows, quilts, and soft bumpers are not placed with an infant for
         sleeping. The child's head is uncovered during sleep. Blankets, if used, should be
         light weight and tucked around the crib mattress and reach only as far as the infant's
         chest.
Findings:
Actions Taken:
  7. Staffing, Ratios & Group Sizes
 C.7.a Minimum staff:child ratios and group size requirements as outlined in the OPNAV are            Met
         adhered to at all times.                                                                     Not Met
         Reference: OPNAV 6.4, OPNAV 12.4
         Guidance: Observe the number of children at each home visited and ask the age of the
         enrolled children to ensure each home is within ratio. Review the Home Visit Records
         for each home visited to ensure that the number and ages of children recorded on the
         Home Visit record comply with group size requirements.
Findings:
Actions Taken:




CNICCYP 1700/33 (REV 7-10)                                                                            Page 30 of 30

								
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