Post Rock Pathways

K.A.R. 28-4-439 Child care centers: food service. (c) (3) Mid-morning and mid-afternoon snacks shall include at least two of the following:

Mid-morning snack is missing a second component on the weekly menu. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-439 Child care centers: food service. (p) (5) Dry, bulk foods which are not in their original, unopened containers shall be stored in metal, glass, food-grade sealable plastic bags, or food-grade plastic containers with tight-fitting covers and shall be labeled with the date and contents.

Kitchen: Tortillas are missing the contents on the label and graham crackers are missing the contents and date. All corrected at visit. (Licensing survey — Annual Survey — 26-002542)

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.

Health status form is not on the current form provided by the department for ten staff members. Six forms corrected at visit. (Licensing survey — Annual Survey — 26-002542)

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

Emergency medical release form is incomplete for one child out of the twelve files reviewed. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

The emergency plan is missing procedures for continuity of operations, including backing up or retrieving health and other required record. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (H) procedures designating the tasks to be followed by each staff member in an emergency, including the following:

The emergency plan is missing procedures designating the tasks to be followed by each staff member in an emergency. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

The emergency plan is missing an evacuation route to the off-premises location. Corrected at visit. (Licensing survey — Annual Survey — 26-002542)

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

Infant Room, Toddler Room, and Preschool Room the walls have several places that the paint is peeling. (Licensing survey — Annual Survey — 26-002542)

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.

Preschool Room: the temperature at the children's hand washing sink is 128.8 degrees Fahrenheit. Corrected at visit. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-428a Education and training requirements. (e) (4) In each licensure year, each staff member counted in the staff-child ratio and each volunteer counted in the staff-child ratio shall complete 16 clock-hours of professional development training based on the staff member's or volunteer's job responsibilities and the training needs identified by the program director. 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).

One staff member has four of the sixteen required annual professional development training hours. (Licensing survey — Annual Survey — 26-002542)

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.

Medical history is not on the current form provided by the department for ten children. (Licensing survey — Annual Survey — 26-002542)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (2) Each applicant with a temporary permit and each licensee shall ensure that the license capacity as stated on the temporary permit or license is not exceeded.

There are 14 children present in Toddler Room ranging in age from 1 year 9 months to 5 years. The Toddler Room is licensed for 9 children; 12 months old and walking to 2 1/2 years. Corrected at visit. (Licensing survey — Compliance Check — 25-002221)

K.A.R. 28-4-426 Administration. (c) (1) Accident insurance shall be carried on children.

Accident insurance coverage is not on file. (Licensing survey — Annual Survey — 24-010208)

K.A.R. 28-4-427 Program. (b) (4) Equipment, furnishings, materials, and toys shall be placed to avoid danger of accident or collision, and to permit freedom of movement.

In the Infant Room, the television cord is dangling, within reach of the children. In the Toddler room, the cots are stacked at a vertical angle against the wall. (Licensing survey — Annual Survey — 24-010208)

K.A.R. 28-4-426 Administration. (d) (1) A record of education and experience;

One staff does not have a record of education or experience on file. (Licensing survey — Annual Survey — 24-010208)

K.A.R. 28-4-426 Administration. (d) (2) date of employment;

One staff does not have record of date of employment on file. (Licensing survey — Annual Survey — 24-010208)

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

Two staff files do not include work references. (Licensing survey — Annual Survey — 24-010208)

K.A.R. 28-4-427 Program. (b) (3) Equipment, materials, and toys used by children shall be of sound construction, with no free from sharp, rough, loose, nor or pointed edges, and in good operating condition.

In the Toddler Room, a bookshelf has missing paint, exposing the wood and is splintering and there is a shelf on dramatic play kitchen that is not in good repair and has exposed bare wood. (Licensing survey — Annual Survey — 24-010208)

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

Teacher scissors are not in locked storage in the Infant Room and the Preschool Room. Corrected at visit. (Licensing survey — Annual Survey — 24-010208)

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 the Infant Room, the electric outlets in the power strip are not covered. (Licensing survey — Annual Survey — 24-010208)

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.

In the Toddler Room: there are loose particles under the diaper changing mat, there is a sticky residue on the dramatic play kitchen. In the Preschool Room, there are loose particles under the diaper changing mat. (Licensing survey — Annual Survey — 24-010208)

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.

The following items were not in locked storage or stored at least five feet above the floor throughout the facility; Infant Room: Lysol disinfectant spray, air freshener Toddler Room: diaper cream Preschool Room: air freshener, air sanitizer, multipurpose cleaner, diaper wipes with "keep out of reach of children" label Hallway cabinet: several containers of sunscreen, window cleaner, disinfectant spray, air freshener, plastic cleaner Children's Bathrooms: air freshener, clorax wipes Hallway: air freshener and hand sanitizer Corrected at visit. (Licensing survey — Annual Survey — 24-010208)

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.

Tornado drills were not conducted in February. (Licensing survey — Annual Survey — 24-010208)

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.

Two staff have worked longer than 30 days and do not have negative TB test results on file. (Licensing survey — Annual Survey — 24-010208)

K.A.R. 28-4-428 Staff requirements. (a) (3) No child shall be left unsupervised.

A child was unsupervised when they left the unit and walked to their cubby in the hallway without staff. (Licensing survey — Annual Survey — 24-010208)