Shannon M Conrow Day Care Home

K.A.R. 28-4-115 Facility. (c) (16) has at least one bathroom with at least one sink and one flush toilet. All fixtures shall be in working order at all times. An individual towel and washcloth or disposable products shall be provided for each child. The use of common towels shall be prohibited. Hand soap shall be readily accessible in each bathroom.; and

An individual towel or disposable products is not available in the bathroom for hand drying. Corrected at visit. (Licensing survey — Annual Survey — 26-002707)

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

Two child files out of seven child files reviewed do not have complete written permission of the parent or legal guardian for emergency medical treatment. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Stairway is not guarded by a gate to prevent unsupervised access. One child under 2.5 years of age are is in care. Corrected at visit. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

Knives located in a cup sitting in the kitchen sink are sticking up above the sink and are accessible to children. (Licensing survey — Annual Survey — 26-002707)

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.

A water table located in the outdoor play space contains discolored standing water. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-116 Daily care of children. (d) (11) Tableware shall be washed, rinsed, and air-dried or placed in a dishwasher after each meal.

Multiple pots, pants, silverware, cups, and other tableware from multiple other previous meals have not been washed, rinsed, and placed to dry. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

An 11-month-old infant was napping in a pack n play with a blanket and a bottle. (Licensing survey — Annual Survey — 26-002707)

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.

Five child files do not have a medical history form that has been reviewed in the past 12 months. (Licensing survey — Annual Survey — 26-002707)

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 child file does not have complete written permission from parent or legal guardian for emergency medical treatment. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-132 Child care practices. (g) (9) Disposable diapers and disposable training pants shall be placed in a covered container or plastic bag which shall be emptied daily, or more frequently as necessary for odor control. Each covered container used for disposable diapers and disposable training pants shall be cleaned and disinfected at the end of each day.

Soiled diaper is in a trash can which does not have a lid covering. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-125 Background checks. (e) ensure that no individual works, regularly volunteers, or resides in the facility until the results of the individual's background checks verify that the individual is not prohibited from working, regularly volunteering, or residing in a facility pursuant to K.S.A. 65-516, and amendments thereto.

Individual(s) working, volunteering, or residing in facility and background check results remain pending. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-125 Background checks. (b) (3) the licensee;

Facility did not ensure that fingerprint-based background checks are completed as required for one individual. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

Per provider statement, children are taken on off-premises trips to the park. Six out of seven child files do not have written permission from parent for off-premises trips. (Licensing survey — Annual Survey — 26-002707)

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.

Five child files out of seven child files reviewed do not have a medical history form that has been reviewed in the past 12 months. (Licensing survey — Annual Survey — 26-002707)

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.

One child file out of seven child files reviewed does not have current immunizations on file. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

An 11-month-old infant was napping in a pack n play with a blanket and a toy. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-116 Daily care of children. (d) (11) Tableware shall be washed, rinsed, and air-dried or placed in a dishwasher after each meal.

High chair tray, bowls, silverware, and other tableware has not been washed, rinsed, and placed to dry after the lunch meal. Lunch ended at 1:30pm. Licensing specialists arrived at 2:20 pm. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (c) (16) has at least one bathroom with at least one sink and one flush toilet. All fixtures shall be in working order at all times. An individual towel and washcloth or disposable products shall be provided for each child. The use of common towels shall be prohibited. Hand soap shall be readily accessible in each bathroom.; and

An individual towel or disposable products is not available in the bathroom for hand drying. (Licensing survey — Annual Survey — 26-002707)

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 one individual. (Licensing survey — Annual Survey — 26-002707)

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.

A plastic toy workbench in the outdoor play space is cracked with jagged, sharp pieces. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

One electrical outlet did not have an outlet cover. Corrected at visit. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Stairway is not guarded by a gate to prevent unsupervised access. Children under 2.5 years of age are in care. Corrected at visit. (Licensing survey — Annual Survey — 26-002707)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Stairway leading upstairs is not guarded. Children under 2.5 years are in care. Corrected at visit. (Licensing survey — Compliance Check — 25-002376)

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.

Paint on the exterior front door framework is scaling and cracking. (Licensing survey — Compliance Check — 25-002376)

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.

Current CPR/first aid training is not available for review. (Licensing survey — Compliance Check — 25-002376)