Countryside Child Development Center

Emergency medical care form not on file for two children.

Health and safety training not on file for two staff.

Recognizing a sick child and prevention and control of infectious diseases, including immunizations training incomplete for one staff.

Prevention of and response to emergencies due to food and allergic reactions training incomplete for one staff.

Pediatric CPR and first aid training incomplete for two staff.

Orientation not on file for one staff member.

Negative TB test not on file for one staff.

Children three years of age were present in Room 103 with toddlers in the mornings at least once each week while the toddler category was in use.

Damaged wood was present under a sink in Room 102.

Peeling paint, exposed plaster, and exposed concrete were present under a three-compartment sink in the facility's kitchen.

Soiled paper was located under a refrigerator in the facility's kitchen.

Medical record form not on file for one child.

Current immunizations not on file for one child.

Work references not on file for one staff.

Application not on file for one staff.

The facility's Program Director did not meet qualifications as they had three years, and eleven months of experience providing direct care and supervision to children in licensed facilities.

One 8-year-old child left unsupervised in room 203.

Handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste training incomplete for one staff.

Building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic training incomplete for one staff.

Prevention of and response to emergencies due to food and allergic reactions training incomplete for two staff.

Pediatric CPR and first-aid training incomplete within 30 days of hire for one staff.

Health and safety training incomplete within 30 days of hire for two staff.

Orientation incomplete within seven days of hire for two staff.

Recognizing a sick child and prevention and control of infectious diseases, including immunizations training incomplete for one staff.

Damaged wood and a white substance that appears to be mold was present under the sink in Room 102. Damaged wood was present under the sink in a hall bathroom.

Soiled paper was located under a refrigerator in the facility's kitchen.

Peeling paint and a black substance that appears to be mold was present on a wall under a three-compartment sink in the facility's kitchen.

Current written lesson plans unavailable in room 100.

Application not on file for one staff.

Room 103 did not have a staff person who meets the minimum qualifications of the capacity for the room.

On 11/20/2025, a staff member did not demonstrate an understanding of children when they removed a 4-month-old crying infant from another staff members arms, who was attempting to comfort the child. The staff member then placed the infant on the floor and walked away while the infant continued to cry harder.

The drivers do not have valid driver's licenses on file to review.

The available accident and liability insurance available to review is expired.

Two staff members do not have record of recognizing a sick child and prevention and control of infectious diseases, including immunizations training on file.

One staff member does not have record of safe sleep practices and sudden infant death syndrome training on file.

Two staff members do not have record of prevention of and response to emergencies due to food and allergic reactions training on file.

Two staff members do not have record of building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic training on file.

One staff member does not have record of emergency preparedness and response planning for emergencies resulting from a natural disaster or a human- caused event, including violence at a facility training on file.

One staff member does not have record of handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste training on file.

One staff member does not have record of medication administration training on file.

Three staff members working and assigned to the infant room are missing four hours of infant-specific training on file.

One staff member does not have a record of health and safety training on file.

One staff member does not have record of recognizing the signs of child abuse or neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome, and abusive head trauma, and the reporting of suspected child abuse or neglect on file.

Four staff members have worked longer than seven days and completed orientation training is not on file.

In Room 102, there is debris under the diaper changing pad.

Negative TB test results are not on field for five staff members.

The written emergency plan does not include procedures for continuity of operations, including backing up or retrieving health and other required records.

The written emergency plan does not include procedures designating the tasks to be followed by each staff member in an emergency, including assisting the children, including children with special needs, to move to a designated shelter- in-place area and to a designated off-premises relocation site.

There is not a record of the date and time of each fire drill and a record of each evacuation time on file. of each evacuation time on file.

The written emergency plan does not include procedures for a chemical release, a utility failure, an act of terrorism, or unscheduled closing.

The written emergency plan does not include procedures designating the tasks to be followed by each staff member in an emergency, including ensuring that emergency supplies are readily available.

The written emergency plan does not include procedures for responding to and preventing allergic reactions of individual children.

There is not a record of the date and time of each tornado drill and a record of each evacuation time on file.

The written emergency plan does not include a designated off-premises relocation site or evacuation roues for each area or site.

The first aid kit is missing a bottle of water. Corrected at visit.

✓ Corrected at visit

The written emergency plan does not include procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions.

In Room 100, the teacher did not wash two baby's hands after changing their diapers.

In Room 100, the teacher did not wash her hands after changing two baby's diapers.

Diapering procedures are not posted in the diaper-changing area of the restroom used by Room 104. K A R 28-4-132 Child care practices (g) (7) (A) Have a moisture-proof nonabsorbent

In Room 102, the toilet training device has urine that has not been disposed of yet.

In Room 102, the toilet training device is not clean and has not been disinfected after use.

In Room 100, the diaper-changing surface was not cleaned and disinfected after changing the diapers of two different children in care.

In Rooms 102, 104, and 204, there are electrical outlets that are accessible to children.

In Room 100, there are multiple dirty wash cloths balled up next to the diaper changing station.

In Rooms 100, 101, 102, 103, and 204, there are a number of chemicals (Febreze, Lysol, Dawn dishsoap, Swiffer wetjet cleaner) in cabinets that are not locked. Partially corrected at visit. In Rooms 100, 101, and the restroom used by room 104, there are diapering supplies such as diaper wipes out of locked storage that are also not kept at least five feet up. Partially corrected at visit.

✓ Corrected at visit

The washer's gasket is not clean and has hair and other particles in it.

In Rooms 102, 103, and 204, there are sharp scissors in unlocked storage. Corrected at visit.

✓ Corrected at visit

In Room 100, there is not a daily schedule available to review.

In Rooms 100, 101, and 104, there are not written lesson plans available to review.

The facility is not providing information to parents of children in care about the benefits of annual, well-child health assessments using the form provided by the department.

Of the 10 files reviewed, one does not have a health assessment on file.

Of the 10 files reviewed, three do not have medical history forms of file. Of the 10 files reviewed, one medical history form is not complete.

In Room 101, the crib used by a baby has exposed wood and is not maintained in good repair.

There is not a written safe sleep plan for children in care.

In Room 101, the cribs are not labeled with children's names. Corrected at visit.

✓ Corrected at visit

In Rooms 102, 104, and 204, cots are not labeled and designated for use by a single child.

Room 101 is using the handwashing sink to wash non-disposable dishes. Dishes are also not sanitized.

In the silver fridge in the kitchen, there is an open bag of shredded cheese that does not have a date. There are also two open packages of hamburger meat thawing in the fridge that are not covered. There is also a bag of shredded ham that is out of its original box that is not labeled with the date or contents.

In Room 101, the thermometer reads 44 degrees. Corrected at visit. In the kitchen, the white freezer and the white refrigerator do not have thermometers.

✓ Corrected at visit

In Rooms 100 and 101, bottles with formula are not labeled with time prepared.

Rooms 101 and 104 do not have drinking water available to the children. Corrected at visit.

✓ Corrected at visit

The garbage containers in the kitchen are not covered.

Work references not on file for five staff members.

There is not documentation of insurance coverage on file to review Description : There is not documentation of insurance coverage on file to review.

In Room 100 and 101, there are no lead staff member that meets the minimum requirements for the room.

The program director has three years and seven months of experience in a licensed facility providing direct care and supervision to children.

Eight toddlers were present with two staff members in the Extra Room when inclement weather was not present.

A wall behind a stove and garbage container was spattered with a dried, brown substance.

An infant, three months of age, was napping in a crib while covered with a blanket. Corrected at visit. Two infants, four months of age, were napping in cribs while laying on top of sleepers that were not being worn.

✓ Corrected at visit

Garbage was present in two uncovered containers in the facility's kitchen.

Medical record not on file for one child.

Two staff members lack health and safety training on file and have been given the sole responsibility for the care and supervision of children.

One staff member lacks training in pediatric first aid and CPR within her first 30 days of employment and has been given the sole responsibility for the care and supervision of children.

One staff member lacks training in medication administration on file.

One staff member lacks orientation training on file within her first 7 days of employment.

Two staff members lack negative TB test results on file.

One staff member is not lead qualified by what is in her file and she is given the sole responsibility of care and supervision of children.

On April 29, 2025, a child (13 months of age) was unsupervised for approximately 5 minutes. The child left Room 102 and walked upstairs before they were noticed by another staff member.

On April 17, 2025, a child (3 years of age) was not supervised by a facility staff person when left alone with an adult that is not an employee of the facility.

According to collateral contacts, Room 100 did not maintain minimum staff-child ratio one (1) day the week of March 24 to 28, 2025, in the morning, for approximately forty-five (45) minutes.

Ten (10) children were present in the Extra Room with one (1) staff member on March 31, 2025. According to collateral contacts, children are frequently present in the Extra Room in the absence of inclement weather. According to collateral contacts, Room 100 exceeded licensed capacity by one (1) with ten (10) infants present. Room 100 is licensed for nine (9), two (2) weeks to twelve (12) months of age.

According to collateral contacts, no staff member was present in Room 101 for "a couple of minutes" on 2/10/2025 leaving four (4) infants unsupervised.

According to collateral contacts, minimum staff-child ratio was not maintained in Room 100 on 2/5/2025 for approximately fifteen (15) minutes as one (1) staff member was present with more than four (4) infants.

Two (2) bundles of electrical cords were within the reach of children on the floor of the Extra Room while children were present.

According to collateral contacts, an infant, who was nineteen (19) months of age and not yet walking independently, napped on a cot in Room 102.

Twelve children were present on the Gymnastics Express bus with no staff member present with them.

Room 101: One staff member lacks orientation training on file and since she has the sole responsibility for the care and supervision of the children in this unit.

Two staff members counted in the staff:child ratio do not have pediatric first aid and CPR training on file.

Three staff members lack medication administration training on file.

Room 101: One staff member lacks the health and safety training since she has been given the sole responsibility for the care and supervision of the children.

Three staff members lack negative TB test results on file.

Preschool playground: There are metal spikes exposed on two railroad ties next to the fence.

There is a gap approximately 6-8 inches between the gates on the preschool playground. The gates are easy to move to open them and they are held together by bungee cords. The boundary around the playground is not enclosed.

Health and safety training not completed within thirty days of hire for five staff. One staff lacks training in (D-F), (H), and (I).

Negative TB test results are not on file for two staff members.

Room 102: The faucet attached to the hand washing sink is loose and not in good repair.

Girls and boys bathrooms in the hallway: Hot water temperature is 71 degrees and 69 degrees, respectively.

There is a gap between approximately 6-8 inches between the gates on the preschool playground.

The geodome climber is not anchored.

Preschool playground: There are metal spikes exposed on two railroad ties.

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

Annual mechanical safety check is not available.

Health and safety training not completed within thirty days of employment for six staff members.

Negative TB test results are not on file for two staff members.

Room 101: The faucet attached to the hand washing sink is loose and not in good repair.

Girls and boys bathrooms in the hallway: Hot water temperature is 71 degrees and 69 degrees, respectively. The water pressure is extremely low, water slightly trickles out of faucet.

Kitchen dining room and hallway by kitchen: Interior of both refrigerators has dried on food soil; not clean. Room 103: Ceiling tile with visible water damage and appears to be a mold-like substance on it.

Rooms 204 and 207: Carpet is heavily soiled. Room 103: Baseboards loose from carpet by windows and under counter; not in good repair.

The geodome climber is not anchored.

Preschool playground: There are metal spikes exposed on two railroad ties.

There is a gap between approximately 6-8 inches between the gates on the preschool playground.

Room 101: Several prepared bottles do not have the date or contents indicated on the label.

Current immunizations not on file for one child out of fourteen records reviewed.

The facility did not submit identifying information for one (1) individual as required to complete background checks.

According to collateral contacts, minimum staff-child ratio was not maintained in Room 101 as six (6) children, between ten (10) and eighteen (18) months of age, were present with one (1) staff member.

A toilet training device was stored on a floor outside of and separated by two (2) doors from the second floor women's toilet room.

According to collateral contacts, a staff member covered toddler's heads with blankets, forcing rest.

According to collateral contacts, a staff member was asleep in Room 103 while children napped.

According to collateral contacts, a vape device was located out of locked storage between stacked cots in Room 203.

Fragranced room spray was located on a shelf, out of locked storage, in the second floor women's toilet room. Disinfectant wipes, a soap refill, and bathroom cleaner were located in an unlocked cabinet with a detached hinge approximately one (1) foot from the floor in the first floor men's restroom.

The hinge of a cabinet in the first floor men's restroom was detached. According to collateral contacts, second floor restrooms were not consistently in working order during the month of August 2024. According to collateral contacts, mice were present in Room 101.

An outlet was uncovered in the first floor men's restroom.

Hot water did not maintain a minimum a temperature of 90 degrees Fahrenheit in Room 103, the restroom between Rooms 201 and 203, the first floor women's and men's restrooms, or the second floor women's and family restrooms.

According to collateral contacts, a child, who was fourteen (14) months of age and walking independently, was sleeping in a crib in Room 101. Corrected at visit by placing the child on a cot to nap.

✓ Corrected at visit

A door was open to the second floor kitchen making it accessible to children.

There were one (1) staff member and thirteen (13) children, three (3) and four (4) years of age, in Room 203. Corrected at visit by moving one (1) child to Room 204. There were two (2) staff members and seven (7) infants in Room 101.

✓ Corrected at visit

There were thirteen (13) children, three (3) to four (4) years of age, in Room 203 with a maximum capacity of twelve (12).

Two staff members lack health assessments and negative Tb test results on file.

The following items are out of locked storage: Room 102: Plastic gloves, diaper creams on the diaper changing table. Room 100: Disinfectants, hand sanitizer on a shelf. Girls bathroom: Toilet bowl cleaner, bathroom cleaner stored on top of a towel dispenser. Boys bathroom: Toothpaste on the sink counter. Room 101: Hair detangler on the counter. Partial correction at visit.

Girls bathroom: There is a section of the wall that has drywall exposed; walls appear dirty due to the damage.

Room 107: The trashcan contains food waste and does not have a lid.

In several classrooms, the mid-afternoon snack is only goldfish crackers. Partial correction at visit - juice provided.

Girls bathroom: Children's toothbrushes stored co-mingled in a tray; not stored in a sanitary condition.

A staff member admitted to, and was reported by collateral contacts to, have held an infant tight keeping a bottle in his mouth while he cried for approximately ten minutes.

The facility did not submit identifying information for three staff members before allowing to work in the facility

One child in care lacks an emergency medical release form on file.

Emergency phone numbers does not include a hospital phone number.

The first aid kit lacks 4 inch x 4 inch gauze squares.

Four children in care lack current immunization records on file.

Three staff members lack health assessments and negative TB test results on file.

Disaster plans are not posted in a conspicuous place for review.

Room 100: There is an electrical outlet that is not covered.

Room 100: There is an electrical outlet with no plate cover. Room 101: There is debris and stains of an unknown substance under the diaper changing pad.

The following items were out of locked storage: Room 100: Diaper creams, plastic gloves on a low shelf. There is a container of Dawn dish soap on a shelf. Room 101: Plastic gloves, diaper creams, hand sanitizer wipes and hair detangler on shelves. Room 102: Hair detangler, plastic gloves, diaper creams on a low shelf. Room 104: Hand sanitizer and plastic gloves on a counter. Room 201: Hand sanitizer on a table. Room 203: Plastic gloves on a shelf. Bathroom hallway: There are cleaners, air freshener spray, toothpaste and plastic gloves on shelves and on the floor. Partial correction at visit.

Bathroom in hall: Hot water temperature is 70 degrees and the cold water temperature is at 65 degrees at the children's hand washing sink; not hot water available.

Room 204: The faucet is loose on the children's hand washing sink; not in good repair.

Room 201: The window was open for ventialtion and there was not a screen.

Written program plans not posted in rooms 102, 103 and 201. Partial correction at visit.

A child in care has an inhaler on premise and it is not in the original pharmacy container with the doctor's orders.

Toddler playground: There are several cut wires by an electrical box accessible to children. The trashcan with food waste is uncovered. There are two walking popper toys that have sharp cracked plastic covers; not in good repair.

Room 100: The refrigerator used for children's prepared bottles and food is at an ambient temperature of 55 degrees; not in good working condition.

Boys bathroom in hallway: Toothbrushes are not stored in a sanitary manner; they are co-mingled in a plastic container.

Rooms 101 and 103: The changing pads have cloth covers; not impervious. Partial correction at visit.

Room 100: There are four prepared baby bottles in the refrigerator and the labels are illegible. Corrected at visit.

✓ Corrected at visit

One staff member lacks work references on file. Corrected at visit.

✓ Corrected at visit

Staff-child ratio not followed in room 101 by having one staff present with 3 infants and one toddler.

Two staff members lack health assessments and negative TB test results on file.

Not meeting terms of license by having 2 children under 2.5 years of age in room 104. The room is licensed for 2.5 years of age to school age.

Three freezers in the kitchen lack thermometers. Corrected at visit.

✓ Corrected at visit

Room 101: Afternoon snack does not consist of two components. Animal crackers were the only item served. Corrected at visit per surveyors request.

✓ Corrected at visit