Dandelions and Mud Puddles Child Development Center

Sixteen hours of professional development training is incomplete for one staff member.

Pediatric first aid and CPR is not on file for one staff member.

There is not a record of the date, time, or list of participants for practicing the procedures for assisting children to move to their designated off- premises relocation site.

There is not an evacuation route for the off-premises relocation site. Corrected at visit.

✓ Corrected at visit

In Room 116, a staff member did not wash her hands after diapering a child. Corrected at visit.

✓ Corrected at visit

In Room 102, there are wipes in a container under a crib, not in locked storage. Corrected at visit. Most classrooms do not keep their toothpaste in locked storage. The toothpaste reads "Keep Out of Reach of Children". Corrected at visit.

✓ Corrected at visit

Room 120 has a water temperature of 84.9. Room 125 has a water temperature of 79.2.

In Rooms 103, 104, 111, 112, and 115, several water bottles are not labeled with an individual child's name. Corrected at visit.

✓ Corrected at visit

Medical history is not on the updated form for five children out of fourteen records reviewed.

In Rooms 102 and 124, several sheets are not firm and tightfitting on the mattress. Corrected at visit.

✓ Corrected at visit

In Room 102 and 124, the breast milk bottles do not have the time expressed listed. Corrected at visit.

✓ Corrected at visit

In Room 102 and 124, the formula bottles do not have the time prepared listed. Corrected at visit.

✓ Corrected at visit

A Critical Incident Report was submitted to KDHE approximately eleven (11) days after a child, three (3) years of age, was left unsupervised on a playground.

A child, three (3) years of age, was left unsupervised on a playground for approximately thirty-five (35) minutes.

One staff has worked longer than 30 days and has not completed health and safety training.

One staff has worked longer than 7 days and has not completed orientation.

One child does not have current immunizations on file.

Six staff do not have negative TB test results on file.

Seven staff do not have health assessment on file.

In Room 116, diaper wipes are not in locked storage. In Room 125, toilet bowl cleaner is not in locked storage. All corrected at visit.

✓ Corrected at visit

Cereal, corn, oranges, mixed fruit and vegetable oil are stored directly on the floor. Corrected at visit.

✓ Corrected at visit

The refrigerator and freezer in Room 102 do not have thermometers. Partially corrected at visit. The freezer in Room 124 does not have a thermometer.

✓ Corrected at visit

Two staff do not have work references on file.

The insurance policy on file is expired.

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

One transport vehicle is lacking a first aid kit. A second transport vehicle is lacking an elastic bandage and a roll of sterile gauze.

Health assessments not in the vehicle when transporting children.

Health and safety training not complete within 30 days of hire for one staff.

Orientation not complete for one staff.

Current immunizations not on file for thirteen children out of thirty records reviewed.

Health assessment not on file for five staff and one staff's health assessment is not approved by the doctor. Negative TB test not on file for seven staff.

Tornado drills not recorded for August and September 2023.

Fire drills not recorded for August through October 2023.

Rooms 4 and 5: Toothpaste stored on a shelf. Room 11: Dusting powder stored on a shelf in the bathroom. Room 17: VapoRub inhaler stored on a shelf. All corrected at visit.

✓ Corrected at visit

Several classrooms do not have hot water available to the children's hand washing sinks. Rooms 4, 10 and 11: Hot water temperature is 58 degrees. Room 5: Hot water temperature is 59 degrees. Room 12: Hot water temperature is 69 degrees. Room 11: There is no cold water available to the children's hand washing sink.

Several classrooms with refrigerators and the kitchen refrigerator and freezer have dried on food soil/debris; not clean. Room 1: The drip tray in the refrigerator has water with a substance that appears to be mold growth on it. Partial correction at visit. Several classrooms have debris under the diaper changing pads; not clean.

Room 1: There is a power strip on a shelf and three outlets are uncovered. Corrected at visit.

✓ Corrected at visit

Room 7: Staff member had her cell phone and a thermometer stored on a diaper changing table. Corrected at visit.

✓ Corrected at visit

Room 17: Sensory table is damaged and a crack/hole is covered with duct tape. Room 11: There is a monkey chair that has a missing screw on the stand. Both items not in good condition.

Several classrooms have children's coats that are hanging from hooks on the walls and the coats are co-mingled with other children's coats.

Two children in care have inhalers that are not in the pharmacy container labeled with doctor's orders.

Preschool playground: The exterior door to the trash dumpster area is unlocked. One trike is missing a handle. There is a hose that is unraveled lying on the sidewalk.

Room 12: Children's toothbrushes are in a rack type of container stored on a low shelf accessible to children. Room 10: Toothbrush (brush end) is stored down in a rack. All stored in an unsanitary manner. Partial correction at visit.

Mid afternoon snack consists of one food item only.

Work references not on file for two staff.