Ruth Angelica Soto Day Care Home

K.A.R. 28-4-132 Child care practices. (d) (2) (A) First arriving at the facility;

At the time of survey, licensing specialist observed a child arriving at the facility and his hands were not washed or he was not assisted in washing his hands. (Licensing survey — Annual Survey — 26-000151)

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 out of eight child files reviewed with an incomplete emergency medical release form on file. (Licensing survey — Annual Survey — 26-000151)

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 out of eight child files reviewed without current immunization record on file. (Licensing survey — Annual Survey — 26-000151)

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 out of eight child files reviewed medical history is not on current form. Two out of eight child files reviewed with an incomplete medical history on file. (Licensing survey — Annual Survey — 26-000151)

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 eight child files reviewed medical history is not on current form. (Licensing survey — Annual Survey — 26-000151)

K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

The diaper-changing surface was not disinfected after being used, during a diaper change during the survey. (Licensing survey — Annual Survey — 26-000151)

K.A.R. 28-4-116a 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 include practices for children over 12 months of age. (Licensing survey — Annual Survey — 24-008432)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

Upon arrival there is a one-month-old infant sleeping while being swaddled. Corrected by provider. (Licensing survey — Annual Survey — 24-008432)

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.

In the kitchen in an unlocked cabinet are the following cleaning chemicals: simply green, Windex and oven cleaner, all with warning labels accessible to children in care. (Licensing survey — Annual Survey — 24-008432)

K.A.R. 28-4-115a Supervision. (a) (1) (A) A description of the rooms, levels, or areas of the facility including indoor and outdoor areas in which the child will participate in activities, have snacks or meals, nap, or sleep;

Supervision plan needs to be further developed to include the description of the areas in which children participate for the different activities. (Licensing survey — Annual Survey — 24-008432)

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.

Breastmilk label is missing time it was expressed. (Licensing survey — Annual Survey — 24-008432)

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.

Three out of nine child files reviewed do not have current immunizations record available. (Licensing survey — Annual Survey — 24-008432)

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 — 24-008432)

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 is missing the following items: adhesive tape, roll of sterile gauze, sharp scissors, elastic bandage and bottle of water for washing and cleansing. (Licensing survey — Annual Survey — 24-008432)

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.

Record of last tornado drill is September 2024. (Licensing survey — Annual Survey — 24-008432)

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.

There is no vaccination record on file for one dog. (Licensing survey — Annual Survey — 24-008432)

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 — 24-008432)