A Step Above Academy South

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (B) The bottle shall be labeled with the child's name, the contents, and the date and time prepared, and shall be used within 24 hours of the time of preparation on the label.

One formula bottle in Ones (Room 3) was not labeled with contents, and the date and time prepared. Corrected at visit. (Licensing survey — Compliance Check — 26-002387)

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (B) The bottle shall be labeled with the child's name, the contents, and the date and time prepared, and shall be used within 24 hours of the time of preparation on the label.

One formula bottle in Infants (Room 4) was not labeled with name, contents, and the date and time prepared. (Complaint survey — To investigate a complaint — 26-000768)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (C) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

One eleven-month-old child was asleep in an infant swing, not in a crib or playpen. Corrected at visit. (Complaint survey — To investigate a complaint — 26-000768)

K.A.R. 28-4-428a Education and training requirements. (b) (1) Each staff member who is counted in the staff-child ratio, each volunteer who is counted in the staff-child ratio, and each program director shall complete health and safety training either before employment or volunteering or not later than 30 calendar days after the date of employment or volunteering. Each staff member shall complete the training before being given sole responsiblity for the care and supervision of children.

One staff member lacks health and safety training within 30 days after their date of employment. (Licensing survey — Compliance Check — 25-007804)

K.A.R. 28-4-439 Child care centers: food service. (i) (7) Solid foods shall be offered when the program director and the parent or legal guardian of a child determine that the child is ready for solid foods. Opened containers of solid foods shall be labeled with the child's name, the contents, and the date opened. Containers shall be covered and refrigerated. The food shall be used within three calendar days of the date opened. Food in previously opened containers shall be reheated only once and shall not be served to another child.

Room 4: There is an open container of fruit that is dated 9/17 in the refrigerator. Corrected at visit. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-439 Child care centers: food service. (a) (3) practices sanitary methods of food handling and storage; and

Kitchen: There are open packages of turkey luncheon meat that are not dated in the refrigerator. There is a Ziploc bag with cooked rice and beans dated 9/12 in the refrigerator. There is a bag of cut watermelon dated 9/6. All corrected at visit. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-439 Child care centers: food service. (p) (2) All perishables and potentially hazardous foods shall be continuously maintained at 40 degrees Fahrenheit or lower in the refrigerator, or 10 degrees Fahrenheit or lower in the freezer, with 0 degrees Fahrenheit recommended. Each refrigerator and each freezer shall contain a clearly visible, accurate thermometer.

Room 3: The freezer/refrigerator combination is missing a thermometer. Room 4: The second refrigerator has a thermometer that is not accurate. (Licensing survey — Annual Survey — 25-005601)

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;

One individual is working in the facility and background check remains pending. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-439 Child care centers: food service. (a) (3) practices sanitary methods of food handling and storage; and

Kitchen refrigerator: There is a Ziploc bag with oatmeal not labeled and the date is 9/30. There is another Ziploc bag with cream cheese dated 9/23. All corrected at visit. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-123 Parental access. (b) (1) The parent or legal guardian of each child in care shall be informed in writing that cameras are used in the facility.

The facility has video cameras on premise for the purpose of monitoring and there is not documentation on file notifying the parents in writing. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (C) procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions;

Emergency plan does not include procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-128 Safety and emergency procedures. (b) (3) Each contaminated surface or area on which a spill occurs shall be cleaned by removing any visible spill from the surface or area with a water-saturated disposable paper towel or wipe. After the surface or area has been cleaned, the surface or area shall be sanitized by wetting the entire surface or area with a disinfectant solution of chlorine bleach mixed according to the directions on the label, or an appropriate commercial disinfectant used according to the directions on the label.

Room 3: A staff member sprayed a disinfectant on the diaper changing pad and then wiped it off with a paper towel. The use directions for the disinfectant state that the surface must remain wet for 10 minutes. Corrected at visit. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

Emergency plan does not include a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site. (Licensing survey — Annual Survey — 25-005601)

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.

The children's hand washing sinks have the hot water at the following temperatures: Room 4: 126 degrees F Room 2: 122.4 and 124.4 degrees F Room 5: 123.3 degrees F Room 1: 128 degrees F (Licensing survey — Annual Survey — 25-005601)

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.

Room 4: There is hand sanitizer on the counter. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-423 Physical plant. (a) (14) Walls shall be clean and free of cracks.

Room 4: The wall behind the rocking chair is chipped and the drywall is exposed. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

Room 5: There is dried feces in one of the children's toilet bowls; not clean. The outdoor preschool play equipment is covered in debris; not clean. Room 4: There is visible dirt/debris under the diaper changing pad. Room 3: There is a hole in the bathroom wall exposing plumbing pipes that is covered by a movable piece of plywood; not in good repair. There is evidence of rodent droppings in the laundry room and bathroom in Room 3. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-423 Physical plant. (c) (3) Plumbing shall be installed and maintained according to local and state plumbing codes.

Room 3: The hand washing sink is not draining properly. Room 5: One of the hand washing sinks is not functioning. Partial correction at visit. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-426 Administration. (e) (2) (C) name and telephone number of physician, hospital, and person to notify in case of emergency; and

Emergency contacts are not on file for one child. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-439 Child care centers: food service. (i) (4) (A) All breast milk shall be labeled with the child's name and the date and time expressed.

Room 4: There is a bottle of breast milk that is not labeled with the date and time expressed. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (c) (6) Each crib and each playpen shall have a firm, tightfitting mattress and a fitted sheet. The mattress shall be set at its lowest point when any child using the crib or playpen becomes able to either sit up or to pull up to a standing position inside the crib or playpen, whichever occurs first, to ensure that the child cannot climb out of the crib or playpen.

Infant Room 4: The crib sheets are not tight fitting. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (c) (11) Each piece of sleeping equipment shall be labeled and designated for use by a single child.

Throughout the building the cribs and cots are not labeled for use by a single child. (Licensing survey — Annual Survey — 25-005601)

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.

There is not a sleep policy for toddlers and preschool children that is available for review. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (2) Each medical record shall include 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.

Medical History is not on the form approved by the department for two children, out of twelve files reviewed. (Licensing survey — Annual Survey — 25-005601)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment 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. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

Health Assessment is not on file for one child, out of twelve files reviewed. (Licensing survey — Annual Survey — 25-005601)