Cloud County Community College Children

K.A.R. 28-4-428a Education and training requirements. (b) (2) (A) Recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome, and abusive head trauma, and the reporting of suspected child abuse or neglect;

One out of nine staff files reviewed without Health and safety training on file. (Licensing survey — Annual Survey — 25-006899)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plans do not include missing child, utility failure, chemical release, allergic reaction, unscheduled closing and serious injury adult or child. (Licensing survey — Annual Survey — 25-006899)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

One out of nine staff files reviewed not on current form. (Licensing survey — Annual Survey — 25-006899)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care shall be current as medically appropriate and shall be maintained current for protection from the diseases specified in K.A.R. 28-1-20(d). A record of each child's immunizations shall be obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and shall be maintained on the child's medical record form.

Three out of 15 child files reviewed without current immunizations on file. (Licensing survey — Annual Survey — 25-006899)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

Adult scissors left out on counter in Toddler 2 and Infant room. Corrected at time of visit. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-423 Physical plant. (e) (2) All medications and products containing alcohol shall be in locked storage.

Cough drops in desk drawer accessible to children in the preschool unit. Corrected at visit. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-423 Physical plant. (b) (6) Cold water and hot water shall be supplied to lavatory fixtures accessible to children. Hot water shall maintain a minimum temperature of 90 degrees Fahrenheit and shall not exceed 120 degrees Fahrenheit.

Hot water in preschool bathroom 125 degrees. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-426 Administration. (c) (1) Accident insurance shall be carried on children.

Facility without proof of accident insurance. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-428a Education and training requirements. (b) (2)

One out of eight staff files reviewed without required health and safety training on file. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (2) Each medical record shall include a medical history obtained from the parent or legal guardian. Each applicant with a temporary permit and each licensee shall review with each child's parent or legal guardian that child's medical history at least once every 12 months.

One out 15 child files reviewed with incomplete medical record on file. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-439 Child care centers: food service. (p) (2) All perishables and potentially hazardous foods shall be continuously maintained at 40 degrees Fahrenheit or lower in the refrigerator, or 10 degrees Fahrenheit or lower in the freezer, with 0 degrees Fahrenheit recommended. Each refrigerator and each freezer shall contain a clearly visible, accurate thermometer.

Freezers in the Infant unit, Toddler 1 unit, Toddler 2 unit and Preschool unit without thermometers. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-439 Child care centers: food service. (u) Home-canned food, food from dented, rusted, bulging, or leaking cans, or food from cans without labels shall not be used.

Home-canned pickles being consumed in facility at mealtimes. (Licensing survey — Annual Survey — 24-006503)

K.A.R. 28-4-132 Child care practices. (c) (1) (E) withholding or forcing foods, toilet use, or rest; and

Per collateral contacts, a staff member was observed placing their hands on the top of a child's head and under their chin forcing them to chew their food. Per collateral contacts, children are forced to drink their water during water breaks. If they don't comply, they are made to sit for extended periods of time. (Complaint survey — To investigate a complaint — 24-008076)

K.A.R. 28-4-132 Child care practices. (c) (1) (A) Corporal punishment, including hitting with the hand or any implement, slapping, swatting, shaking, pulling hair, yanking the arm, excessive exercise, exposure to extreme temperatures, and any other measure that produces physical pain or threatens the child's health or safety;

Per collateral contacts, when children climb on the gate instead of carefully helping them down, staff will push the children's feet off the gate. Per collateral contacts, staff were observed yanking on children's arms to make them sit down and to redirect them when they were not listening. (Complaint survey — To investigate a complaint — 24-008076)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (a) (1) Each individual caring for children shall be free from any physical, mental, or emotional conditions that prevent the individual's ability to protect the health, safety, and welfare of the children, shall be qualified by temperament and emotional maturity, demonstrate an understanding of children, and shall act with sound judgment.

Per collateral contacts, staff members were not qualified by temperament and emotional maturity as evidenced by them having verbal altercations in front of the children. (Complaint survey — To investigate a complaint — 24-008076)