Celestes Daycare

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 resident without a negative TB test on file. (Licensing survey — Annual Survey — 26-002518)

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.

Two out of eleven child files reviewed with an incomplete off-premises form on file. (Licensing survey — Annual Survey — 26-002518)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

There is no statement on file signed by the parents of one infant stating they have been informed of an unimmunized child attending the facility. (Licensing survey — Annual Survey — 26-002518)

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.

Five out of eleven child files reviewed without current immunizations on file. (Licensing survey — Annual Survey — 26-002518)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (2) 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.

Seven out of eleven child files reviewed with an incomplete/missing medical history on file. One was corrected at the time of survey. One out of eleven child files reviewed medical history is not on current form. (Licensing survey — Annual Survey — 26-002518)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

At the time of survey, one formula bottle was prepared. The bottle was not label with the child's name, the contents, and the time and date prepared. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-002518)

K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

One provider present with 8 children. One child under 12 months of age, and 7 children 12 months to 5 years of age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by one child. (Licensing survey — Annual Survey — 26-002518)

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.

On the bathroom sink is a tube of toothpaste and in an unlocked cabinet are several bodily care products not in a locked storage and accessible to children in care. All items with bearing warning labels to keep out of reach of children. All items were correct at the time of survey. (Licensing survey — Annual Survey — 26-002518)

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.

There is no record of vaccinations on file for one cat. (Licensing survey — Annual Survey — 26-002518)

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.

On the bathroom counter is a spray bottle of Febreeze with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Compliance Check — 26-000677)

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 is a bottle of hand sanitizer on the dining table, a bottle of disinfecting spray and a bottle of Febreze air fresher in a shelf all items with warning labels accessible to children in care. (Complaint survey — To investigate a complaint — 25-008492)

K.A.R. 28-4-115 Facility. (i) (3) The use of a trampoline shall be prohibited during the hours of operation of the facility. If a trampoline is on the premises, the trampoline shall be made inaccessible to children during the facility's hours of operation.

There is trampoline in the designated outdoor play area accessible to children in care. (Complaint survey — To investigate a complaint — 25-008492)

K.A.R. 28-4-115a Supervision. (b) (3) No provider shall engage in business, social, or personal activities that interfere with the care and supervision of children.

Upon arrival, the provider was engaged in a personal activity, painting the bathroom cabinets while children in care were napping. (Complaint survey — To investigate a complaint — 25-008492)

K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

Upon arrival, there were children napping on cots not separated by at least 24 inches next to each other. (Complaint survey — To investigate a complaint — 25-008492)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (2) 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 child files reviewed does not have a medical history available. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-010189)

K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

During survey, provider was observe doing diaper changing and did not disinfect in between changes. (Licensing survey — Annual Survey — 24-010189)

K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

Theer is no diapering procedures posted in the diaper-changing area. (Licensing survey — Annual Survey — 24-010189)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Child's hands were not washed after diaper changing. (Licensing survey — Annual Survey — 24-010189)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

Last tornado drill is recorded for September 2024. (Licensing survey — Annual Survey — 24-010189)

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.

In the kitchen in an unlocked cabinet are cleaning supplies with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-010189)

K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

In the kitchen in an unlocked drawer are screw drivers accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-010189)

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 out of ten child files reviewed does not have a health assessment available. (Licensing survey — Annual Survey — 24-010189)

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 child files reviewed have an incomplete emergency medical form on file. (Licensing survey — Annual Survey — 24-010189)

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 out of ten child files reviewed does not have current immunizations record available. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-010189)

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.

Two out of ten child files reviewed do not have a signed off-premises form available. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-010189)