Irma Veronica Hefner Day Care Home

2025

1. Medium risk12/16/2025

   K.A.R. 28-4-129 Swimming and wading activities. (b) (2) Each gate in the fence shall be at least five feet high, self-closing, self-locking, and kept closed and locked.

   Gate in the fence to the inground pool is unlocked. (Licensing survey — Annual Survey — 25-008659)

   Not corrected
2. Medium-High risk12/16/2025

   K.A.R. 28-4-115 Facility. (g) (1) All household supplies, cleaning supplies, dangerous chemicals, and all bodily care products containing alcohol or bearing warning labels to keep out of reach of children shall be in locked storage or stored out of reach of children under six years of age. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a sink.

   On the bathroom sink is a container of disinfecting wipes with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-008659)

   Not corrected
3. Medium-High risk12/16/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

   There is no statement on file signed by the parents of one infant stating they have been informed of an unimmunized child attending the facility. (Licensing survey — Annual Survey — 25-008659)

   Not corrected
4. Medium-High risk1/23/2025

   K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

   There is no diapering procedures posted in the diaper-changing area. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
5. Medium-High risk1/23/2025

   K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

   Last tornado drill was recorded in September 2024. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
6. Medium-High risk1/23/2025

   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

   Seven out of nine child files reviewed have an incomplete/missing emergency medical form on file. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
7. Medium-High risk1/23/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (2) 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.

   Six out of nine child files reviewed have an incomplete medical story on file. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
8. Medium risk1/23/2025

   K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

   Breast milk label is missing the time it was expresses. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
9. High risk1/23/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

   There is no documentation on file for the provider of completed training for 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, safe sleeps and SIDS, and prevention of and response to emergencies due to food and allergic reactions. (Licensing survey — Annual Survey — 24-007430)

   Not corrected
10. High risk1/23/2025

    K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

    There is no documentation on file for the provider of completed training for recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment. (Licensing survey — Annual Survey — 24-007430)

    Not corrected