Cotton Candy Day Care Home

There are children under 2.5 years of age in care, stairway to the second floor is not guarded by a secured door or gates to prevent unsupervised access by the children.

Upon arrival there is a 5-month-old child napping with a bottle in the child's mouth. Corrected at the time of survey.

✓ Corrected at visit

Upon arrival there is a 5-month-old napping on a swing set. Corrected per surveyor request.

Two providers present with 13 children. One child under 12 months of age, eleven children 12 months to 5 years of age, and one child 5 to 10 years of age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by 2.

Two providers present with 13 children. One child under 12 months of age, eleven children 12 months to 5 years of age, and one child 5 to 10 years of age. Provider exceeded maximum group size for two providers by 1 child. Corrected at the time of survey.

✓ Corrected at visit

Two providers present with 13 children. 13 children twelve months to 5 years of age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by 3.

Two providers present with 13 children. 13 children twelve months to 5 years of age. Provider exceeded maximum group size for two providers by 1 child.

Two out of fifteen child files reviewed with an incomplete/missing emergency medical release form on file.

One bottle with formula not labeled with the child's name, the contents, and the time and date prepared.

There is no written statement on file stating parents have been informed that cameras are in used in the facility.

Four providers without a health status form on file. Corrected at the time of survey.

✓ Corrected at visit

During survey, two providers were observed arriving at the facility and did not wash hands.

Four out of fifteen child files reviewed without a current immunization record on file.

Two providers present with 15 children. One child under 12 months of age, 13 children twelve months to 5 years of age, and one child 5 to 10 years of age. Provider exceeded maximum group size for two providers by 3 children.

Two providers present with 15 children. One child under 12 months of age, 13 children twelve months to 5 years of age, and one child 5 to 10 years of age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by 4.

There is a satellite antenna in the designated outdoor area causing a tripping hazard. Corrected at the time of survey.

✓ Corrected at visit

There is no surfacing installed in the use zone and around the swing set in the designated outdoor area. Corrected at the time of survey.

✓ Corrected at visit

One bottle of hand sanitizer and Febreze spay with warning labels not in a locked storage and accessible to children in care. Corrected at the time of survey.

✓ Corrected at visit

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.

One out of fifteen child files reviewed with an incomplete medical history on file.

One out of fifteen child files reviewed without a health assessment on file.

Two out of fourteen children files do not have a emergency medical treatment on file.

One out of fourteen children files reviewed does not have a current immunization on file.

Three out of fourteen have missing/incomplete medical history on file.

Stairway to the upper floor has an unlatched gate allowing unsupervised access by the children.

There is no documentation of health and safety training certificate on file for one provider.

In the designated outdoor play area, there is a hummer and shovel accessible to children in care. Corrected at the time of survey.

✓ Corrected at visit

Two out of ten child files reviewed have an incomplete medical history on file.

In an unlocked cabinet there are cleaning supplies with warning labels accessible to children in care. Corrected at the time of survey. There is baby powder and diaper rash cream in the diaper-changing area unlocked and accessible to children in care.

✓ Corrected at visit

Stairway to the upper floor has an unlatched gate allowing unsupervised access by the children. Corrected at the time of survey.

✓ Corrected at visit

In the kitchen in an unlocked cabinet there is medication and vitamins accessible to children in care. Corrected at the time of survey.

✓ Corrected at visit

There are two individuals on-site and background check results remain pending.

There is a bottle with formula not labeled with the child's name, the contents, and the time and date prepared.

Per provider statement there is a 9-month-old infant that naps with a blanket.

There is no written plan for safe sleep practices available.

At time of survey, a 9 month old was observed to be sitting in a Fisher Price Baby Chair Sit Me Up Floor Seat on the dining table. Per providers' statement she places the child in this manner during mealtimes.

First-aid kit is missing the following: sharp scissors, sterile gauze 4x4 inches minimum, cleansing agent or liquid soap, and a bottle of water for washing/cleansing.

There is no diapering procedure posted in the diaper-changing area. Corrected at the time of survey.

✓ Corrected at visit

There is no documentation of health and safety training certificate on file for one provider.

Four providers have not completed orientation before the provider is given sole responsibility for the care and supervision of children.

Three providers do not have current certification of pediatric first aid and pediatric CPR.

In the designated outdoor area, around the children's play equipment is a dishwasher not in use being stored. Corrected at the time of survey.

✓ Corrected at visit

In the dining room there is an electrical outlet not in use accessible to children in care. Corrected at the time of survey.

✓ Corrected at visit

There is no written supervision plan available.

Two out of eleven child files reviewed have an incomplete medical history on file.

Two persons living in the home did not have results of TB test on file at time of visit.

Provider did not have documentation of fire drills conducted for months of Oct. and Nov. 2023.

Two child in care did not have current immunization as required by KDHE in file at time of visit.

Outdoor play area consist of flower bed edging sticking out of ground causing a tripping hazard,(corrected on site).

One electrical outlet over kitchen counter not covered accessible to children in care.

One electrical free standing heater, producing heat in living room area accessible to children in care.