Garden Academy Early Learning Center on Thompson

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

At the time of survey in Room 5 (127) there are 10 children signed in and 6 in attendance. (Licensing survey — Compliance Check — 25-009421)

K.A.R. 28-4-423 Physical plant. (a) (22) All heating elements, including hot water pipes, shall be insulated or installed in such a way that children cannot come in contact with them. Asbestos insulation shall not be used. Fireplaces shall not be used when children are present.

In Room 5 there is a floor heater in place that is hot to touch and placed between 2 cribs. (Licensing survey — Compliance Check — 25-009421)

K.A.R. 28-4-428a Education and training requirements. (f) Documentation. Each licensee shall ensure that documentation of all orientation, training, certifications, and education requirements is kept in each individual's file in the preschool or child care center.

There is no documentation on file for 2 staff who have completed pediatric first aid/pediatric CPR training. (Licensing survey — Compliance Check — 25-009421)

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.

One staff member has not obtained certification in pediatric first aid and pediatric CPR not later than 30 calendar days after the date of employment. (Licensing survey — Compliance Check — 25-009021)

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 has not completed health and safety training 30 calendar days after the date of employment. (Licensing survey — Compliance Check — 25-009021)

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

In Room 4 (124) attendance records are not maintained. There are 7 children in attendance 0 signed in. (Licensing survey — Compliance Check — 25-009021)

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.

In Room 5 (127) on the counter sink is a container of disinfecting wipes with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Compliance Check — 25-009021)

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.

Two individuals on-site working, volunteering and background checks remain pending. (Licensing survey — Compliance Check — 25-009021)

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.

Water temperature from sinks in Room 4 is under minimum temperature. Temperature measure 88.3- and 89.6-degrees Fahrenheit. Water temperature from sink in Room 1 is at 87.8 degrees Fahrenheit and another sink in Room 1 is at 83. degrees Farenheit. (Licensing survey — Annual Survey — 25-007195)

K.A.R. 28-4-132 Child care practices. (d) (1) (C) after toileting, diapering, assisting a child with toileting, or handling any bodily fluids;

Licensing specialist observed a diaper change in Room 5; staff was not observed washing hands after the diaper change. (Licensing survey — Annual Survey — 25-007195)

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.

In Room 2 (104) the following supplies with warning labels such as: Clorox spray, air freshener and clorox wipes were not in locked storage and accessible to children. (Licensing survey — Annual Survey — 25-007195)

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

Licensing specialist observed a diaper change in Room 5; child did not wash hands or was assisted in washing hands after the diaper change. (Licensing survey — Annual Survey — 25-007195)

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

During survey, two children arrived in Classroom 4, both children were not observed by licensing specialist washing their hands or being assisted. (Licensing survey — Annual Survey — 25-007195)

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:

First- aid kit is missing the following items: adhesive tape, a roll of sterile gauze, and an elastic bandage. (Licensing survey — Annual Survey — 25-007195)

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 sixteen child files reviewed with an expired emergency medical release form on file. (Licensing survey — Annual Survey — 25-007195)

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.

Five out of eleven staff files reviewed did not have the current health status on file. (Licensing survey — Annual Survey — 25-007195)

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.

Individual volunteering in facility and background check results remain pending. (Licensing survey — Annual Survey — 25-007195)

K.A.R. 28-4-428a Education and training requirements. (f) Documentation. Each licensee shall ensure that documentation of all orientation, training, certifications, and education requirements is kept in each individual's file in the preschool or child care center.

There is no documentation on file for 1 staff of the health and safety training certificate. (Licensing survey — Annual Survey — 25-007195)

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.

Water temperature from sinks in Room 4 is under minimum temperature. Temperature measure 64.6 and 64.9 degrees Fahrenheit. Water temperature from sinks in Room 1 is at 62.2, 65.2, 63.6 and 66.5 degrees Fahrenheit. (Licensing survey — Annual Survey — 25-007195)

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.

In Room 1 (101) there is an uncovered electrical outlet near a crib, lower wall accessible to children. (Licensing survey — Annual Survey — 25-007195)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

The kitchen area has an unlocked drawer that contains a pair of adult scissors and on the kitchen, counter is a small sharp knife accessible to children. (Licensing survey — Annual Survey — 25-007195)

K.A.R. 28-4-437 Child care centers: outside area. (d) The outdoor play space shall be well drained and free of hazards.

In the designated outdoor play area, there are strips of black lining exposed through the landscaped area which cause tripping hazards. (Licensing survey — Annual Survey — 25-007195)

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.

Two out of sixteen child files reviewed without current immunizations record on file. (Licensing survey — Annual Survey — 25-007195)

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.

Two out of sixteen child files reviewed with an incomplete medical history on file. (Licensing survey — Annual Survey — 25-007195)

K.A.R. 28-4-428a Education and training requirements. (a) (4)

One staff has not complete orientation. (Licensing survey — Annual Survey — 25-007195)