Rising Sun Learning Center Louisburg

K.A.R. 28-4-439 Child care centers: food service. (p) (3) All foods stored in the refrigerator shall be covered. Food which is not in its original, unopened container shall be stored in metal, glass, food-grade sealable plastic bags, or foodgrade plastic containers with tightfitting covers and shall be labeled with the date and contents.

Kitchen refrigerator: Containers of fruits and vegetables are not labeled with the contents. Cooked hamburger meat is not labeled or dated. All corrected at visit. (Licensing survey — Annual Survey — 25-005614)

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

Kitchen freezer: Packages of frozen vegetables are not labeled with contents. Corrected at visit. (Licensing survey — Annual Survey — 25-005614)

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.

Some bags of breast milk are not labeled with the time expressed in the refrigerator in room 108/109. Corrected at visit. (Licensing survey — Annual Survey — 25-005614)

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.

One child in care lacks a health assessment on file. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) A completed medical record on the form provided by the department shall be on file at the facility for each child.

Two children in care lack the KDHE medical record form on file. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-428a Education and training requirements. (d) Infant care training. In addition to the training specified in paragraphs (a) through (c) of this regulation, each lead teacher in an infant unit shall complete four hours of professional development training in an infant-specific subject either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Two staff members lack four hours of infant-specific training on file. One staff member lacks two hours of infant-specific training on file. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-428a Education and training requirements. (c) (3) Each individual who is required to obtain the certifications shall maintain current certifications.

Three staff members lack current certification in pediatric first aid/CPR training on file. Corrected at visit. (Licensing survey — Annual Survey — 25-005614)

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.

Two staff members lack health hand safety training within 30 days of employment on file. (Licensing survey — Annual Survey — 25-005614)

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 010/013: The interior of the refrigerator has dried on food soil; not clean. Room 111: There is a child's hand washing sink that is missing a handle; not in good repair. Partial correction at visit. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

Electrical outlet that is accessible to children is not covered in room 102/103. Corrected at visit. (Licensing survey — Annual Survey — 25-005614)

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 102/103: Multiple disinfecting sprays are stored out of locked storage. Wipes that say keep out of reach of children are store on a low shelf. The cabinet under the sink is unlocked containing multiple bottles of sunscreen and cleaning supplies. Toothpaste is stored out of locked storage. Room 108/109: Fragrance spray and multiple cleaning supplies are stored out of locked storage. Diaper creams are stored in a drawer unlocked and not five feet or higher. 111: Multiple disinfecting sprays are stored out of locked storage. All corrected at visit. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

The mechanical safety check is not on a KDHE form. (Licensing survey — Annual Survey — 25-005614)

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 staff member and one resource specialist supervised lack negative TB test results on file. Partial correction at visit. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (A) Each bottle that contains prepared formula shall be stored in the refrigerator with the nipple covered.

Multiple bottles of prepared formula do not have the nipples covered in the refrigerator in room 108/109. Corrected at visit. (Licensing survey — Annual Survey — 25-005614)

K.A.R. 28-4-132 Child care practices. (c) (1) (B) mental and emotional cruelty, including verbal abuse, threats, derogatory remarks about the child or the child's family, or statements which tend to shame, humiliate, or frighten the child;

Prohibited punishment is used in Room 010/013 when one staff member yells at children. Yelling and screaming 'knock it off' or 'sit down' at the children, telling them they are bad and threatening to take away their water day, field trips and recess. (Complaint survey — To investigate a complaint — 25-005305)

K.A.R. 28-4-125 Background checks. (e) ensure that no individual works, regularly volunteers, or resides in the facility 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.

An individual was working in the facility and background check results remained pending. (Complaint survey — To investigate a complaint — 25-003424)

K.A.R. 28-4-132 Child care practices. (e) (1) Each child's clothing, diaper, training pants, or bedding shall be changed without delay whenever wet or soiled. The diaper or training pants of each child shall be checked at least every two hours to determine if a change is needed.

Staff members did not consistently change diapers without delay when wet in Room 111. (Complaint survey — To investigate a complaint — 25-003424)

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.

Thermometer unavailable in two kitchen freezers, one refrigerator and one freezer in room 001. (Licensing survey — Annual Survey — 24-005766)

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.

Current immunizations not on file for one child out of fourteen records reviewed. (Licensing survey — Annual Survey — 24-005766)

K.A.R. 28-4-429 Staff qualifications. (e) Lead teacher. There shall be a lead teacher present with each unit of children in the facility. Each lead teacher shall have the following qualifications:

Room 115 did not have a staff person who meets the minimum qualifications of the capacity for the unit. (Licensing survey — Annual Survey — 24-005766)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Pediatric CPR and first-aid training incomplete for one staff within 30 days of employment. (Licensing survey — Annual Survey — 24-005766)

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.

Health and safety training incomplete within 30 days of employment for one staff. (Licensing survey — Annual Survey — 24-005766)

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

Professional work references not on file for one staff. (Licensing survey — Annual Survey — 24-005766)

K.A.R. 28-4-423 Physical plant. (b) (3) Sanitary drinking facilities shall be available to children while indoors or outdoors. One of the following methods shall be used:

Sanitary drinking water unavailable in room 010/013. (Licensing survey — Annual Survey — 24-005766)

K.A.R. 28-4-423 Physical plant. (a) (12) Floors shall be smooth and not slippery, free from cracks, clean and in good condition. A floor covering, paint, or sealant shall be required over concrete floors.

Flooring in the 001 room has glue on it and missing tiles. (Licensing survey — Annual Survey — 24-005766)