Sara Ann Ortiz Day Care Home

K.A.R. 28-4-129 Swimming and wading activities. (b) (3) Each aboveground pool shall have non-climbable sidewalls that are at least four feet high, or shall be enclosed by a fence at least five feet high to prevent chance access by children. The fence and the gate shall meet the requirements in paragraphs (b)(1) and (b)(2). Steps and ladders shall be removed and stored away from the pool when the pool is not in use. Each aboveground pool with a deck or berm that provides a ground-level entry on any side shall be treated as an inground pool.

Aboveground pool has a climbable side with a fence that is not at least five feet high to prevent chance access by children. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

Current vaccinations for 2 dogs and 1 cat are not on file. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-132 Child care practices. (d) (2) (D) before and after eating each snack and each meal; and

At the time of survey, two children were given a snack and were not observed getting their hand's washed or be assisted in washing their hands. (Licensing survey — Annual Survey — 26-000106)

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 the licensure year ending in 2026. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-115 Facility. (c) (17) has interior and exterior surfaces of the facility that are free from peeling, chipping, cracking, scaling, and loose paint.

There is chipping paint on the walls from the playroom accessible to children in care. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

In a napping room are two bottles of eye drops with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

There is a small broken wooden fence in the designated outdoor area accessible to children in care. In the designated outdoor area is a wheelbarrow standing against the fence making it a hazard for the children in care. (Licensing survey — Annual Survey — 26-000106)

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.

One out of five child files reviewed medical history is not on current form. Three out five child files reviewed with an incomplete medical history on file. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (c) Immunizations for each child, including each child of the provider under 16 years of age 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.

Two out of five child files reviewed without current immunization record on file. (Licensing survey — Annual Survey — 26-000106)

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 provider without a health status form on file. (Licensing survey — Annual Survey — 26-000106)

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

One out of five child files reviewed with an incomplete emergency medical release form on file. (Licensing survey — Annual Survey — 26-000106)

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 to the fence to the aboveground pool is not locked. (Licensing survey — Annual Survey — 26-000106)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Provider did not complete 16 clock-hours of professional development training for the 2024 licensure year. (Licensing survey — Compliance Check — 25-001630)

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 — 24-008383)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

Provider's pediatric cpr and first aid certification is expired. Expiration day 01/2025 (Licensing survey — Annual Survey — 24-008383)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Provider did not complete 16 clock-hours of professional development training for the 2024 licensure year. (Licensing survey — Annual Survey — 24-008383)

K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

There is a broken wooden gate between the swings and the playhouse accessible to children in care. (Licensing survey — Annual Survey — 24-008383)

K.A.R. 28-4-115 Facility. (i) ( 5) (D) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

Surfacing under the swing set is bare. (Licensing survey — Annual Survey — 24-008383)

K.A.R. 28-4-125 Background checks. (b) (5) each individual at least 18 years of age who resides in a day care home or group day care home;

Facility did not ensure that fingerprint-based background checks are completed as required for 1 individual. (Licensing survey — Annual Survey — 24-008383)

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 plan needs to be further developed to include missing child. (Licensing survey — Annual Survey — 24-008383)

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 is recorded for December 2024. (Licensing survey — Annual Survey — 24-008383)

K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

Vehicle's insurance does not reflect the required coverage amounts. (Licensing survey — Annual Survey — 24-008383)