Kim Sprague Child 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.

There is an above ground pool in the backyard (children play in the backyard area). The pool is not fully enclosed (on all sides) with a fence that is at least 5ft high. There are a few gaps in the existing fence that are over 3.5 inches. - An updated plan of action deadline has been submitted by the provider, as the new fence was placed on backorder. (Licensing survey — Compliance Check — 26-001385)

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.

One dog needs a rabies vaccination record on file. (Licensing survey — Annual Survey — 26-000161)

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.

The provider did not have the core health and safety training certificate on file at the time of visit- Corrected during the visit (Licensing survey — Annual Survey — 26-000161)

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.

There were bodily care products stored in the upstairs restroom that were accessible to children under six years of age (stored under the sink cabinet)- Corrected during the visit (Licensing survey — Annual Survey — 26-000161)

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;

There were uncovered electrical outlets in the kitchen (above the counter tops)- Corrected during the visit (Licensing survey — Annual Survey — 26-000161)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be 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 and;

One child (out of 9) needs a health assessment on file. (Licensing survey — Annual Survey — 26-000161)

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.

There is an above ground pool in the backyard (children play in the backyard area). The pool is not fully enclosed (on all sides) with a fence that is at least 5ft high. There are a few gaps in the existing fence that are over 3.5 inches. (Licensing survey — Annual Survey — 26-000161)

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.

The provider could not locate the core health and safety training certificate at the time of visit. (Licensing survey — Annual Survey — 26-000161)

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.

There are bodily care products stored in the upstairs restroom that are accessible to children under six years of age (stored under the sink cabinet). (Licensing survey — Annual Survey — 26-000161)

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;

There are electrical outlets in the kitchen (above counter tops) that need covered. (Licensing survey — Annual Survey — 26-000161)

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 (out of 9) needs updated immunization records on file. (Licensing survey — Annual Survey — 26-000161)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be 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 and;

Two children (out of 9) need health assessments on file. (Licensing survey — Annual Survey — 26-000161)

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 three individuals as required to complete background checks. (Licensing survey — Annual Survey — 26-000161)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

One resident needs a negative TB test or chest x-ray on file. (Licensing survey — Annual Survey — 26-000161)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1)

Three children (out of 9) need emergency medical release forms on file. (Licensing survey — Annual Survey — 26-000161)

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.

There is an aboveground pool in the backyard (children play in the backyard area). The pool is not fully enclosed (on all sides) with a fence that is at least 5ft high. There are few gaps in the existing fence that is over 3.5 inches. There is a padlock that is not locked. (Licensing survey — Annual Survey — 26-000161)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Provider does not have the required health and safety trainings on file. (Licensing survey — Annual Survey — 24-008444)

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/First Aid is expired. (Licensing survey — Annual Survey — 24-008444)

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;

The stairways on the main level are not guarded; the living room guard has been damaged and will be repaired. (Licensing survey — Annual Survey — 24-008444)

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 (out of 9) has an emergency medical release form that is not signed by the parent/guardian. (Licensing survey — Annual Survey — 24-008444)

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.

There were medications on the kitchen counter and in the master bedroom restroom that were not locked up or kept at least 5ft high. - corrected at visit (Licensing survey — Annual Survey — 24-008444)

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.

There were bodily care products in the master bedroom restroom that were not locked or kept at least 5ft high. - corrected at visit (Licensing survey — Annual Survey — 24-008444)

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;

There were a few electrical outlets that were not covered in the living room/dining room area. - corrected at visit (Licensing survey — Annual Survey — 24-008444)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be 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 and;

Two children (out of 9) need health assessments on file. (Licensing survey — Annual Survey — 24-008444)

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 children (out of 9) need full immunization records on file, and three children need updated immunization records on file. (Licensing survey — Annual Survey — 24-008444)