All 4 Kids

There is no record of an infant specific KDHE approved source on file for one staff member's training.

One out of the eight child files reviewed do not have written permission for emergency medical treatment on file.

There is no annual mechanical safety check for the van.

Two drivers do not have a valid driver's license. One corrected at visit.

✓ Corrected at visit

Documentation is not on file to verify the education requirements of staff.

Pediatric CPR and first aid is not complete within thirty days of hire for one staff member.

The two teachers in the infant classroom do not have four hours of professional development training in an infant-specific subject within 30 calendar days of their employment date.

Four staff members do not have a copy of negative tb test results in their files.

Tornado drills are not recorded for October, November, and December 2024.

A East: Diaper changing pad is torn in multiple areas. Corrected at visit.

✓ Corrected at visit

There are four prescription medications not stored in their original containers labeled by a pharmacist.

There are multiple nonprescription medications that are not labeled for any specific children.

KDHE diaper changing procedures are not posted in rooms A West and C.

A West: A child did not wash hands after being diapered.

There is no hot water available in rooms A West, A East, and B West.

A West and A East: There are holes in the wall.

D: There is food waste in an uncovered garbage container.

B West: There is chipping paint on the East wall. Big playground: There is peeling paint on a wooden play structure.

A East: There is a low cabinet unlocked with multiple diapering supplies inside. There are multiple packs of wipes stored on the changing table. B West: There is Lysol toilet cleaner stored in the restroom not in locked storage. D: There is a cabinet unlocked that contains cleaning supplies inside. All corrected at visit.

✓ Corrected at visit

A West: There are two nonprescription medications stored in the refrigerator and it is not locked. Partial correction at visit.

Medical records are incomplete for three children out of eight records reviewed.

Sleeping equipment is not labeled and designated for use by a single child in rooms A East, B West, C, and D.

Big playground: There are two wasp nests in the wooden play structures.

Kitchen: Packages of mandarin oranges are stored directly on the ground.

Kitchen: Graham crackers are not stored in their original container and not labeled with the date or contents.

Kitchen: There is not a thermometer in the refrigerator and the thermometer in the freezer is not working properly.

Kitchen: Frozen chicken patties, mini corn dogs, meatballs, and sausage patties are not labeled with the date or contents in the freezer. Partial correction at visit.

Current immunizations are not on file for three children out of eight records reviewed.

Current insurance coverage is not on file for review.

Work references are not on file for three staff members.

A West does not have a lead teacher who meets the requirements in the unit where children are present.

One staff member lacks negative TB test results on file.

Room A West: There are ten infants with three staff members in this unit. The unit is licensed for nine infants.

Room C: A toilet is covered with a plastic bag and is not in use; not in good repair.

West preschool playground: There is a wooden board that is splintering on the play structure; not in good repair. Toddler playground: There are splintering wood planks with a metal spike exposed; not in good repair.

Accident and liability insurance is expired.

Facility did not submit identifying information for three individuals as required to complete background checks.

One individual on-site and background check results remain pending.

Emergency medical release form is incomplete for one child.

The first aid kit in the transport vehicle lacks a roll of gauze, scissors, a package of 4 x 4 gauze squares, a cleansing agent and an elastic bandage.

A East: A staff member left this unit and walked to the door to get more oatmeal, then she was instructed to go back to the unit and another staff member helped her. Corrected at visit.

✓ Corrected at visit

One staff member lacks training in (b)(1)(D-I) of this regulation.

Current immunizations not on file for one child and no immunizations on file for two children. Medical record not on file for two children.

Health assessment and negative TB test not on file for three staff members.

A East: There are eleven children and two staff in this unit. The unit is being used for toddlers. Corrected at visit - one child moved to B West.

✓ Corrected at visit

Room D: A latch is broken on the cabinet door exposing numerous cleaning chemicals. A West: Plastic gloves stored on a low shelf by the diaper changing table. Room C: Plastic gloves stored on a counter by the diaper changing table. Partial correction at visit.

Room E: There is a cracked blue plastic drawer with sharp edges to a 3- drawer container; not in good repair.

B West: The bathroom that children use is also used as a storage room.

Health assessment not on file for two children.

East playground: There are several weeds with thorns. There are two small scooters with broken plastic parts and sharp edges. West preschool playground: There is a wooden board on the climbing structure that is splintering and there are wooden boards from the structure lying loose on the sidewalk; not in good repair.

Toothbrushes are not available for children's use.

Kitchen: Cooked green beans and macaroni and cheese are not dated/labeled in the refrigerator. Corrected at visit.

✓ Corrected at visit

A West: There is one prepared bottle without the contents labeled on the bottle and the nipple is not covered. Corrected at visit.

✓ Corrected at visit

A West and C: The diapering procedures are not posted.

Work references not on file for three staff members.

Record of education and experience not on file for one staff member.

Accident and liability insurance coverage is expired.

The facility did not submit identifying information on four staff persons to complete the background checks. Corrected at visit.

✓ Corrected at visit

One staff person was missing documentation of D, E, F, G, H and I training on file.

Seven staff were missing certification in pediatric first aid and CPR on file.

Four children were missing updated immunizations on file.

Three health assessments were not on a KDHE form and on file. Two staff were missing health assessments on file. One of the two staff was missing the results of TB test on file.

The Little Tikes kitchen set in Room A East is soiled. The seats and straps on the highchairs in Room A East are soiled with a dried substance. The step stools in Room C are soiled with ground in dirt. The tables in Rooms D and E have areas with sticky residue. The rim of the washing machine is soiled with loose debris. The trash can in Room E is dirty. The floor in Room E has a sticky residue.

The following items are out of locked storage; Room A East: diaper creams Room B West: diaper creams Room C: diaper creams Room D: disinfectant wipes, toilet bowl cleaner

Children in Room C filled cups and drank water from the handwashing sinks.

There is not hot water available in Rooms A West, A East and B West. The water temperature in these rooms ranges from 71 to 72 degree.

There are electrical outlets in Room A East that are not covered.

The is a crack in the floor tile in Room C.

There is a toy tractor in Room B West that has a broken plastic with sharp edges.

In Room A East, a child's hands were not washed before eating.

One child was missing a health assessment on file.

There are hard surfaces under the swings on the west playground.

The wooden easel has protruding nails and areas where the wood is broken and splintering. There is a wasp nest on the ceiling of west wooden gazebo. There are several loose wooden boards that create gaps on the south fence. There are several dead vines on the toddler playground.

The following outdoor play equipment is not in good repair; tricycle handles missing covers, several broken scooters with sharp plastic edges, and yellow dump trucks with rust.

One playpen in Room A West has torn mesh.

The diaper changing table in Room C is not adjacent to the handwashing sink.