Stepping Stones Preschool

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.

One out of ten children records reviewed did not have a complete medical history on file. (Licensing survey — Annual Survey — 26-000217)

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's file did not have a health assessment on file. (Licensing survey — Annual Survey — 26-000217)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

One provider does not have a health status form on file. (Licensing survey — Annual Survey — 26-000217)

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 ten children files reviewed did not have complete emergency medical release on file. (Licensing survey — Annual Survey — 26-000217)

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:

The first aid kit does not include a pair of tweezers. (Licensing survey — Annual Survey — 26-000217)

K.A.R. 28-4-132 Child care practices. (i) (3) (A) Obtain written permission from each child's parent or legal guardian before administering medication to that child;

There is no written permission on file for one child who has prescription medication. (Licensing survey — Annual Survey — 26-000217)

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.

The boys and girl's bathroom trash cans are overflowing with paper towels. (Corrected on site) The trashcan that was used to throw away plates and food from snacks was uncovered. (Corrected on site) (Licensing survey — Annual Survey — 26-000217)

K.A.R. 28-4-423 Physical plant. (a) (25) The interior and exterior surfaces of the facility shall be free from peeling, chipping, cracking, scaling, and loose paint.

The lower wall near the entrance door and the lower wall in the classroom has evidence of chipped paint. (Licensing survey — Annual Survey — 26-000217)

K.A.R. 28-4-426 Administration. (e) (1) A daily attendance record shall be maintained and kept on file at the facility.

The daily attendance record is not maintained. There were eleven children present and seven children were signed in. (Corrected on site) (Licensing survey — Annual Survey — 26-000217)

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 out of ten children records reviewed did not have a health assessment on file. (Licensing survey — Annual Survey — 26-000217)

K.A.R. 28-4-435 Programs serving children with special health care needs and disabilities. (a) Each applicant with a temporary permit and each licensee shall maintain on file a copy of the most recent individual family service plan or individual education plan for each child with special health care needs and disabilities enrolled. The plan shall be reviewed by staff in the unit and in consultation with the child's parent or legal guardian upon enrollment and at least annually.

There is no copy of the individual education plan on file for one child with disabilities enrolled. (Licensing survey — Annual Survey — 26-000217)

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

During survey, children were observed by licensing specialist arriving at the facility and did not wash their hands or be assisted in washing their hands. Corrected at the time of survey. (Complaint survey — To investigate a complaint — 25-007731)

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 out of four children files reviewed did not have the current medical history completed. (Complaint survey — To investigate a complaint — 25-003342)

K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

There is no current insurance on file for the vehicle. (Complaint survey — To investigate a complaint — 25-003342)

K.A.R. 28-4-130 Transportation. (c) Each driver shall be informed of the requirements of this regulation.

There is no current yearly mechanical safety checklist on file. (Complaint survey — To investigate a complaint — 25-003342)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

Per collateral interviews, one child was transported by the PD without an off-premises permission form on file. (Complaint survey — To investigate a complaint — 25-003342)

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.

Three out of eleven children files reviewed had an incomplete medical history on file. (Licensing survey — Annual Survey — 24-008517)

K.A.R. 28-4-428a Education and training requirements. (e) (3) In each licensure year, each program director shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(2)(A), (b)(2)(C) through (J), or subsection (c) and six of the 16 clock-hours shall be in program dministration, management, or a related topic.

The director has completed 15 1/2 clock-hours of professional development training for calendar year 2024. (Licensing survey — Annual Survey — 24-008517)

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

In the girl's bathroom there is chipped paint on the bottom walls accessible to children. (Licensing survey — Annual Survey — 24-008517)

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 out of eleven children files reviewed had an incomplete emergency medical form on file. (Licensing survey — Annual Survey — 24-008517)