NKESC Head Start Logan County

K.A.R. 28-4-439 Child care centers: food service. (s) (2) Food shall be transported in covered and temperature-controlled containers. Hot foods shall be maintained at not less than 140 degrees Fahrenheit, and cold foods shall be maintained at 40 degrees Fahrenheit or less.

Pulled pork temperature at the facility was documented at 74.7 degrees; Breakfast tacos were 131 degrees; pig in the blankets were 137 degrees; Mashed potatoes and corn were 66.9 degrees. (Licensing survey — Annual Survey — 25-005518)

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

Four out of fourteen children's emergency medical treatment forms are not complete or not on file. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (a) A working telephone shall be on the premises and available for use at all times. Emergency telephone numbers shall be readily accessible or be posted next to the telephone for the police, fire department, ambulance, hospital or hospitals, and poison control center.

Emergency telephone numbers are not posted by the telephone for police, fire department, ambulance, hospital, and poison control. (Licensing survey — Annual Survey — 25-005518)

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 does not contain heavy snow/blizzard, utility failure, allergic reaction, unscheduled closings, and serious injury. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (4) Each licensee shall review the emergency plan at least annually and update it as needed.

Emergency plan reviewed by each staff is not documented. (Licensing survey — Annual Survey — 25-005518)

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:

First aid kit did not contain tweezers, elastic bandage,4X4 gauze, and bottle of water. (Licensing survey — Annual Survey — 25-005518)

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

Children waking up from nap did not wash hands before they were fed snack. Children did not wash hands after eating snack. Children (Licensing survey — Annual Survey — 25-005518)

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 at the bathroom sinks used for hand washing were at 130 degrees. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

Adult scissors in reach of children on a low shelf. *Corrected at visit* (Licensing survey — Annual Survey — 25-005518)

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.

Dawn soap on the counter accessible to children. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-426 Administration. (a) There shall be a written delegation of administrative authority designating the person in charge in the facility for all hours of operation.

Written line of authority is not available for review. (Licensing survey — Annual Survey — 25-005518)

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.

One out of fourteen children's immunizations are not complete. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

Written safe sleep plan does not state how the sleeping items are stored. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (c) (5) When not in use, cribs, playpens, cots, pads, and bedding shall be stored in a clean and sanitary manner.

Two stored napping bedding is touching each other. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-437 Child care centers: outside area. (e) 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.

Little tyke slide landing has a crack in the plastic. Rake in the unlocked shed. (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-439 Child care centers: food service. (v) Garbage shall be placed in covered containers inaccessible to children, and shall be removed from the kitchen daily.

Trash that contained the plates and food pieces was not covered. *Corrected at visit* (Licensing survey — Annual Survey — 25-005518)

K.A.R. 28-4-426 Administration. (d) (6) work references.

One staff's work references were not on file. (Licensing survey — Annual Survey — 24-005656)

K.A.R. 28-4-426 Administration. (d) (3) a record of scheduled hours;

Three staff did not have documentation of the scheduled hours. (Licensing survey — Annual Survey — 24-005656)

K.A.R. 28-4-423 Physical plant. (a) (17) Each room occupied by children shall be illuminated sufficiently in all parts of the room for any activity in which each child is engaged. When children are napping and during rest periods, each room shall be illuminated to allow freedom of movement and to ensure staff members are able to observe the breathing of each child.

Children were napping in a dark room. The shades were pulled and there was not enough light to allow freedom of movement and to ensure staff members could observe the children. *Corrected at visit* (Licensing survey — Annual Survey — 24-005656)

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

Children's hands were not washed after eating snack. (Licensing survey — Annual Survey — 24-005656)