Mulvane Recreation Center

K.A.R. 28-4-584 Background checks. (a) (3) before allowing any individual to work or regularly volunteer in the program and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the program;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Compliance Check — 26-002362)

K.A.R. 28-4-583 Access to the premises; safety of off-premises activities. (b) (2) Each operator shall inform each parent or other adult responsible for a child or youth of the policy specified in paragraph (b)(1) and shall ensure that each staff member complies with the policy.

The facility did not ensure that a staff member complied with safe arrival and departure practices when on 12/4/25, the staff member allowed two children, ages 6 and 10, to leave the facility with an unauthorized individual which is not consistent with the programs procedures for supervision and release of children. (Complaint survey — To investigate a complaint — 25-009170)

K.A.R. 28-4-592 Safety and emergency procedures; reporting requirements. (g) (2) Each operator shall report each critical incident specified in paragraph (g)(1)to the secretary's designee by the next working day, on a form provided by the department. A copy of each critical incident report shall be kept on file for not less than one year on the premises or at a designated central office location.

The program director did not submit a written critical incident report to KDHE by the next working day when, on 12/4/2025, two children, ages 6 and 10, were permitted to leave the facility with an unauthorized individual. The critical incident report was completed and submitted to KDHE on 12/11/2025. (Complaint survey — To investigate a complaint — 25-009170)

K.A.R. 28-4-584 Background checks. (b) (5) each staff member;

Facility did not ensure that fingerprint-based background checks are completed as required for two individuals. (Licensing survey — Compliance Check — 25-007786)

K.A.R. 28-4-584 Background checks. (e) ensure that no individual works or regularly volunteers in the program 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.

Individuals working, volunteering, or residing in facility and background check results remain pending. (Licensing survey — Compliance Check — 25-007786)

K.A.R. 28-4-587 Staff member qualifications; professional development training; staffing requirements. (h) In addition to meeting the staff record requirements in K.A.R. 28-4-582, each operator shall have on file an application form completed by each staff member, including documentation of the staff member's qualifications. The documentation shall be on file on the premises or at a designated central office location that is accessible for review by the secretary's designee.

An application form is not on file for four of seven staff members. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-592 Safety and emergency procedures; reporting requirements. (b) (6) Each operator shall ensure that each staff member practices, at least annually, the procedures for assisting the children and youth to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

The annual staff member practices of shelter-in-place and off-premises relocation drills are not recorded and on file. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-582 Administration; training; recordkeeping. (e) (5) Each health history and parental or other adult permission, as specified in this subsection, shall be recorded on forms provided by the department or approved by the secretary.

The health history and parental or other adult permission is not recorded on a form provided by the department or approved by the secretary. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-582 Administration; training; recordkeeping. (f) (1) If applicable, documentation of the required health information as specified in K.A.R. 28-4-590, and the date of participation in program orientation for each staff member as specified in K.A.R. 28-4-587;

Date of participation in program orientation is not documented for one of seven staff. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-582 Administration; training; recordkeeping. (e) (1) (C) the anticipated schedule of hours and days of attendance or a notation that attendance is on a drop-in basis; and

Anticipated schedule of hours and days of attendance is not on file for one of seven children. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-590 Health-related requirements. (b) (4) Each operator and each staff member who has regular, ongoing contact with children or youth shall attest to that individual's health status on a form supplied by the department or approved by the secretary. The health status form shall indicate if the individual has been exposed to an active case of tuberculosis or has been diagnosed with suspect or confirmed active tuberculosis. Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

Of seven staff files, two individuals have not completed a health status form and five individuals have not updated the health status form annually for the current school year. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-584 Background checks. (a) (3) before allowing any individual to work or regularly volunteer in the program and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the program;

Facility did not submit identifying information for two individuals as required to complete background checks. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-582 Administration; training; recordkeeping. (e) (1) (D) the name, address, and telephone number of each parent or other adult responsible for the child or youth, the names of any other persons authorized to pick up the child or youth, and emergency contact information.

The name, address, and telephone number of each parent or other adult responsible for the child or youth, names of any other persons authorized to pick up the child/youthis not on file. (Licensing survey — Annual Survey — 25-004612)

K.A.R. 28-4-592 Safety and emergency procedures; reporting requirements. (b) (6) Each operator shall ensure that each staff member practices, at least annually, the procedures for assisting the children and youth to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

The annual staff member practice of designated shelter-in-place and designated off-premises relocation procedures is not on file for the August 1,2023 through August 1, 2024. (Licensing survey — Annual Survey — 24-004741)

K.A.R. 28-4-590 Health-related requirements. (e) (3) (A) If nonprescription or prescription medication is administered, each operator shall designate staff members to administer the medication. Before administering medication, each designated staff member shall receive training in medication administration approved by the secretary.

A designated staff member administered medications and does not have training in medication administration on file. (Licensing survey — Annual Survey — 24-004741)

K.A.R. 28-4-584 Background checks. (a) (3) before allowing any individual to work or regularly volunteer in the program and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the program;

Facility did not submit identifying information for two individuals as required to complete background checks. (Licensing survey — Annual Survey — 24-004741)

K.A.R. 28-4-584 Background checks. (e) ensure that no individual works or regularly volunteers in the program 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.

Individuals on-site and background check results remain pending. (Licensing survey — Annual Survey — 24-004741)

K.A.R. 28-4-592 Safety and emergency procedures; reporting requirements. (c) (2) (G) sterile gauze squares at least four inches by four inches in size;

First-aid supplies do not include sterile gauze squares at least four inches by four inches in size. (Licensing survey — Annual Survey — 24-004741)