Osage Cuties Daycare Location 2

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.

Two of sixteen children's file reviewed lack a health assessment. (Licensing survey — Annual Survey — 26-004020)

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.

First aid/CPR certification is not on file for one staff member. (Licensing survey — Annual Survey — 26-004020)

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).

Two staff members have not completed 16 hours of professional development training. (Licensing survey — Annual Survey — 26-004020)

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

Two steak knives were located in an unlocked cabinet. Corrected at visit. (Licensing survey — Annual Survey — 26-004020)

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.

One container of Febreeze and 4 bottles of essential oils are in unlocked cabinets. Corrected at visit. (Licensing survey — Annual Survey — 26-004020)

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.

One of sixteen children's files reviewed lack a current immunization record. (Licensing survey — Annual Survey — 26-004020)

K.A.R. 28-4-428 Staff requirements. (a) (2) The minimum staff-child ratio and the maximum number of children per unit shall be the following, at all times: Ages of children Minimum staff-child ratio Maximum number of children per unit Infants* A. 1 to 3 A. 9 or or B. 1 to 4 B. 8 Infants and other children under the age of 6 1 to 6 (including not more than 3 infants) 12 (including not more than 6 infants) Toddlers 1 to 6 12 Children at least 2 years of age but under the age of 3 1 to 7 14 Children at least 2.5 years of age but under school-age 1 to 12 24 School-age 1 to 16 32 * Only one staff-child ratio may be used at any one time for each infant unit.

Per collateral contacts, the classroom was out of staff to child ratio when more than 12 children ages 2.5 years up to school age were present with only one staff member for one hour or less. (Complaint survey — To investigate a complaint — 26-002161)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (1) License capacity shall be determined by age of children, available space and number of self-contained units per facility.

Facility is outside the terms of the license by having two children present who are 2 years 5 months old when the facility is licensed for children 2 years 6 months and older. (Complaint survey — To investigate a complaint — 26-002161)

K.A.R. 28-4-125 Background checks. (b) (6) each employee in a preschool or child care center;

Facility did not ensure that fingerprint-based background checks are completed as required for one individual. (Licensing survey — Annual Survey — 25-001199)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Annual Survey — 25-001199)

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

An emergency medical release is not on file for two of thirteen children's files reviewed. (Licensing survey — Annual Survey — 25-001199)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (3) No change to the terms of the license, including a change in the license capacity, age of children enrolled, or the number of units, shall be made unless written approval is granted by the secretary.

Upon specialists arrival, six children under the age of 2.5 years were present, including 4 infants. Facility is not licensed for children under the age of 2.5 years. (Licensing survey — Annual Survey — 25-001199)

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.

One of thirteen children's files reviewed lack a complete immunization record. (Licensing survey — Annual Survey — 25-001199)

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.

One cabinet within the classroom contains multiple bags of opened cereal and crackers that have not been labeled or placed in a sealed container. (Licensing survey — Annual Survey — 25-001199)

K.A.R. 28-4-439 Child care centers: food service. (n) Children's food shall not be placed on a bare table.

Lunch consisting of turkey slices, cheese, crackers, apples, and tomatoes was served to 2 preschool age children on a napkin on top of a bare table. (Complaint survey — To investigate a complaint — 24-010363)

K.A.R. 28-4-429 Staff qualifications. (e) (1) At least 18 years of age;

Per collateral contacts, the lead staff member in the unit leaves a staff member under the age of 18 years alone in the unit for longer than 20 minutes at a time, leaving the unit without a qualified staff. (Complaint survey — To investigate a complaint — 24-010363)