YMCA Early Education Center

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

Health assessment not on file for 1 child out f 14 records reviewed. (Licensing survey — Compliance Check — 25-009079)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Current certification in pediatric first aid and pediatric CPRnot complete for 1 staff. (Licensing survey — Compliance Check — 25-009079)

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.

Health status form not on file for 1 staff. (Licensing survey — Compliance Check — 25-009079)

K.A.R. 28-4-437 Child care centers: outside area. (h) (4) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

Impact absorbing material not maintained in fall zones of climbing equipment. Corrected at time of survey. (Licensing survey — Compliance Check — 25-009079)

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.

Health status form not on file for 1 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (a) (4) (B) the policies and practices of the preschool or child care center, including emergency procedures, behavior management, and discipline;

Facility emergency procedure training not complete for 2 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (a) (4) (E) health and safety practices; and

Training not complete for 2 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (a) (4) (D) care and supervision of children in care, including any special needs and known allergies;

Training not complete for 2 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (a) (4) (A) Licensing regulations;

Licensing regulation training not on complete for 2 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for 1 individual as required to complete background checks. (Licensing survey — Annual Survey — 25-006916)

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.

Current record of health status form not on file for 5 staff. Record of negative TB skin test not on file for 2 staff. Two TB records and 4 health status forms corrected at time of survey. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1) (A) Written permission of the parent or legal guardian for emergency medical treatment on a form that meets the requirements of the hospital or clinic where emergency medical care will be given; and

Authorization for emergency medical care incomplete for 2 children out of 14 records reviewed. Corrected at time of survey. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

Plans do not include continuity of operation plans. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Plans do not include allergic reaction and prevention. (Licensing survey — Annual Survey — 25-006916)

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;

Plans do not include unscheduled closing. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (C) procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions;

Plans do not include care for children with special needs. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-439 Child care centers: food service. (p) (1) Poisonous or toxic materials shall not be stored with food. Medications requiring refrigeration shall be labeled and kept in locked storage in the refrigerator.

Sanitizer stored over and adjacent to food and food service items. Corrected at time of survey. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-437 Child care centers: outside area. (h) (4) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

Impact absorbing material not maintained in fall zones of climbing equipment. (Licensing survey — Annual Survey — 25-006916)

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.

Record of current immunizations not on file for 1 child out of 14 records reviewed. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

Health assessment not on file for 1 child out of 14 records reviewed. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (a) (3) Each licensee shall ensure that orientation is completed by each staff member and by each volunteer Each staff member and each volunteer shall complete the orientation within seven calendar days after the date of employment or volunteering. Each staff member shall complete the orientation before being given sole responsibility for the care and supervision of children.

Orientation not completed for 3 staff. One corrected at time of survey. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Current certification in pediatric first aid and pediatric CPR not complete for 1 staff. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-423 Physical plant. (e) (1) All household supplies, cleaning supplies, dangerous chemicals and all bodily care products bearing warning labels to keep out of reach of children shall be in locked storage, except that hand sanitizers, disinfectant solutions used daily to disinfect surfaces, and diapering supplies may be kept unlocked at least five feet above the floor and out of reach of children. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or sink.

Two household products bearing child warning labels accessible in 2 units. Corrected at time of survey. (Licensing survey — Annual Survey — 25-006916)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

Two kitchen ovens soiled with dried food debris. (Licensing survey — Annual Survey — 25-006916)

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 measured at 77 degrees at children's handwashing sinks. (Licensing survey — Annual Survey — 25-006916)