Raintree Montessori School

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 child's file, of twelve reviewed, was not on the most recent KDHE medical history form. One child's file did not have the medical history form reviewed within one year. (Licensing survey — Annual Survey — 26-000015)

K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

Two classrooms did not have all outlets covered/inaccessible. Both classrooms had an uncovered outlet in the bathroom and one classroom had an extension cord with uncovered outlets. (Licensing survey — Annual Survey — 26-000015)

K.A.R. 28-4-423 Physical plant. (a) (17) Each room occupied by children shall be illuminated sufficiently in all parts of the room for any activity in which each child is engaged. When children are napping and during rest periods, each room shall be illuminated to allow freedom of movement and to ensure staff members are able to observe the breathing of each child.

The Upper East classroom had one side of the nap room that was too dark. It was hard to observe the breathing of children and did not allow for freedom of movement. (Licensing survey — Annual Survey — 26-000015)

K.A.R. 28-4-132 Child care practices. (i) (3) (B) keep each medication in the original container labeled by a pharmacist, with the following information:

An Epi Pen in the South Classroom did not have a prescription label, and an inhaler in the Upper Midwest Classroom did not have a label. (Licensing survey — Annual Survey — 24-008280)

K.A.R. 28-4-132 Child care practices. (i) (3) (B) (iv) the expiration date of the medication; and

An Epi Pen in the Lower Midwest classroom was expired. (Licensing survey — Annual Survey — 24-008280)

K.A.R. 28-4-132 Child care practices. (i) (4) Documentation of each medication administered shall be kept on a form provided by the department and maintained in each child's file.

There was no documentation available in the Upper Far West classroom that hydrocortisone cream was administered. (Licensing survey — Annual Survey — 24-008280)

K.A.R. 28-4-132 Child care practices. (i) (3) (A) Obtain written permission from each child's parent or legal guardian before administering medication to that child;

Written permission was not available from a child's parent to administer hydrocortisone cream in the Upper Far West classroom. (Licensing survey — Annual Survey — 24-008280)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a cot or pad. Pads shall be used only over carpet.

There was a child in the Lower West classroom that was sleeping on the carpet. (Complaint survey — To investigate a complaint — 24-008855)

K.A.R. 28-4-423 Physical plant. (a) (17) Each room occupied by children shall be illuminated sufficiently in all parts of the room for any activity in which each child is engaged. When children are napping and during rest periods, each room shall be illuminated to allow freedom of movement and to ensure staff members are able to observe the breathing of each child.

The following classrooms did not have sufficient lighting to allow freedom of movement and to ensure staff members were able to observe the breathing of each child: South, Upper Far West, Toddler Far East and Toddler East. (Complaint survey — To investigate a complaint — 24-008855)

K.A.R. 28-4-132 Child care practices. (h) (4) (A) Each toilet training device shall be used and stored in the bathroom.

In the Toddler Middle East room, there were two potty chairs in the classroom, close to children who were napping. Staff reported that they were there for children to use if they woke up from nap and had to go to the bathroom. (Complaint survey — To investigate a complaint — 24-008855)