Trinity Lutheran Church Preschool

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.

One out of eleven children files reviewed did not have a health assessment. (Licensing survey — Annual Survey — 26-000040)

K.A.R. 28-4-428a Education and training requirements. (c) (3) Each individual who is required to obtain the certifications shall maintain current certifications.

Two staff do not have current certification in pediatric first aid and pediatric CPR. (Licensing survey — Annual Survey — 26-000040)

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.

In the classroom under the handwashing sink - unlocked there was a bottle of Toilet Cleaner with warning labels. (Corrected on site) (Licensing survey — Annual Survey — 26-000040)

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.

Six out of eleven children files did not have a current medical history and 1 file was incomplete. (Licensing survey — Annual Survey — 26-000040)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

Director has not completed handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids of water; (Licensing survey — Compliance Check — 25-000887)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (E) prevention of and response to emergencies due to food and allergic reactions;

Program director has not completed prevention of and response to emergencies due to food and allergic reactions; (Licensing survey — Compliance Check — 25-000887)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic;

Program director has not completed building and premises safety, including identification of and projection from hazards that could cause bodily injury, including electrical hazards, bodies of water; (Licensing survey — Compliance Check — 25-000887)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic;

Program director has not completed building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water; (Licensing survey — Annual Survey — 24-008310)

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 one individual as required to complete background checks. (Licensing survey — Annual Survey — 24-008310)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

Facility does not have a complete first-aid kit. (Licensing survey — Annual Survey — 24-008310)

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.

There is a container of Ice Melt with warning labels on a shelf in the hallway accessible to children. (Corrected on site) (Licensing survey — Annual Survey — 24-008310)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (E) prevention of and response to emergencies due to food and allergic reactions;

Program director has not completed prevention of and response to emergencies due to food and allergic reactions; (Licensing survey — Annual Survey — 24-008310)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

Program director has not completed handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste; (Licensing survey — Annual Survey — 24-008310)

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.

Three out of eleven children files reviewed did not have a complete medical record on file. (Licensing survey — Annual Survey — 24-008310)

K.A.R. 28-4-435 Programs serving children with special health care needs and disabilities. (a) Each applicant with a temporary permit and each licensee shall maintain on file a copy of the most recent individual family service plan or individual education plan for each child with special health care needs and disabilities enrolled. The plan shall be reviewed by staff in the unit and in consultation with the child's parent or legal guardian upon enrollment and at least annually.

There is no copy of the most recent individual family service plan or individual education plan for one child with a special health care need on file. (Licensing survey — Annual Survey — 24-008310)