RCCG Victory House Day Care

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

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

Two of nine child files reviewed do not have completed emergency medical treatment forms on file.

Poison control are not listed with the emergency telephone numbers.

Out of five staff files reviewed, one volunteer counted in the staff-child ratio, does not have pediatric first aid/CPR.

Out of five staff files reviewed, two staff completed first aid and CPR online that was not demonstrated in front of an instructor.

Emergency plan does not include the procedures of designating tasks to be followed by staff members to assist the children to move to shelter in place or designated off premise location.

Procedures are not developed to meet the needs of individual children including those with special needs.

Emergency plans do not include procedures for responding to and preventing allergic reactions.

Emergency plans do not include notifying parents or adult responsible for a child of any off premise relocation.

Emergency plan does not include procedures for reuniting children with parent or adult responsible for the child.

Emergency plan does not include the procedure for continuity of operations and backing up or retrieving health or other required records.

Emergency plan does not include the procedures of designating tasks to be followed by staff members.

Emergency plan does not include the procedures of designating tasks to be followed by staff members as appropriate to call 911 or other emergency responders.

Emergency plans do not include shelter in place, designated off premises relocation site or evacuation routes for each site.

Emergency plan does not include the procedures of designating tasks to be followed by staff members to ensure emergency supplies are available.

The emergency plans have not been reviewed annually with staff.

The changing pad in Room D is damaged and cannot be easily cleaned.

Wastes were not disposed of in a flush toilet.

One toilet training device container was not cleaned and disinfected after use.

A copy of the diaper procedures, supplied by KDHE, are not posted in the diaper changing area in Room D.

Upon licensing specialists' arrival, terms of the license was not followed in Room D, operating for eight children infants to 6 years of age, when there were nine children present in the classroom. This was corrected when staff moved two children to Room B.

One of nine child files reviewed does not have the medical record on the form supplied by KDHE. Three of nine child files do not have completed medical record forms on file.

Safe sleep plan has not been developed for children over 12 months of age who nap or sleep at the facility.

Two freezers did not have a thermometer.

Out of five staff files reviewed, four did not include work references.

One child does not have documentation of current immunizations on file.

One child does not have a completed Authorization for Emergency Medical Care form on file.

Four children were unsupervised in the classroom when the staff left the unit to get the lunch cart and to answer the front door. (Corrected when staff returned to the classroom)

Room D did not have a lesson plan accessible to parents, staff and the secretary's designee.

Out of thirteen children's files reviewed, four children do not have documentation of current immunizations on file.

Upon licensing specialist's arrival, the terms of the license was not maintained Room A, licensed for 2 children, when there were three infants in the room. (Corrected by staff)

Disinfecting wipes in Room B, Lysol spray in Room C and Fabreze in Room A were all accessible to children.

The learning experiences were not age-appropriate to the developmental level of the infants when an infant was in a bumbo watching an electronic tablet.

A crib or playpen was not available for each infant in Room A when there were three infants and two playpens.

Upon licensing specialist's arrival, a nine month old infant was sleeping in a swing. (Corrected at the time of the survey.)

✓ Corrected at visit

Disinfecting wipes were accessible to children in Rooms B and D. Lysol Spray was accessible to children in Room B.

Upon licensing specialists arrival, there was one child alone in the classroom (Room B), three additional children came from the bathroom with the staff member. In Room B, there were four children unsupervised in the classroom when staff left the classroom to go to Room D before other staff arrived to cover Room B.

The minimum staff to child ratio was not maintained in Room D when there was one staff with three infants and three toddlers. (Corrected when another staff arrived into the room.)

One child does not have a completed KDHE Medical Record on file.

Proper diaper procedures were not followed when child's hands were not washed after the diaper change. This was corrected at the request of the licensing specialist.

✓ Corrected at visit

Outlets are uncovered and accessible to children in Room B and Room D.

Three children do not have an emergency medical release on file.

One staff does not have pediatric first aid training on file.

Three staff members have not completed the health and safety training within 30 days of hire or before being given responsibility for the care and supervision of children.

Two children do not have a KDHE medical record form on file.

Two children were taken off-premises and a signed permission form with each location was not on file.

A negative TB test is not on file for one person.

The proper diaper procedure was not followed when the staff did not remove the paper towel and gloves before putting on the clean diaper (Step 6 and 7) and did not wash the child's hands (Step 9). (Corrected during the survey at the request of the surveyor.)

Electrical outlets, within reach of children under 5 years of age and not in use, were not covered throughout the facility.

Room D does not have a current program plan posted.

Facility did not submit identifying information for one volunteer before allowing to work at the facility.

An emergency medical release form is not on file for nine of 12 children enrolled.

The minimum staff to child ratio was not maintained in Room D when there was one staff with nine children between 3 months to 4 years of age at the time of the surveyor's arrival. Ratio was not maintained at 11:28 am, when one staff was left with six children in Room D when another staff member took 3 children to use the restroom. Ratio was not maintained at 11:36 am, when on staff member was left with 8 children in Room D while another staff member took a child to look for something down the hall.

Nine children, 3 months to 4 years old, were left unsupervised, two separate times, in Room D when staff members left the unit to go down the hall.

Unit D does not have a staff member or volunteer with CPR and First Aid training.

One staff member's certification in CPR and First aid is not current.

Seven staff or volunteers, counted in the staff to child ratio, do not have Health and Safety training.

Seven staff and volunteers, counted in the staff/child ratio, do not have documentation of orientation to the facility.

Six staff or volunteers, counted in the staff-child ratio, do not have documentation of obtaining certification in CPR and First Aid training. One volunteer, counted in the ratio does not have documentation of first aid training on file

A current immunization record is not on file for three of 12 children enrolled. A completed KDHE medical record form is not on file for eight of 12 children enrolled.

Signed permission is not on file for two children that were taken on field trips this summer.

Five staff do not have health assessments on file.

Four staff do not have negative Tb test on file.

Changing pad in Room D is damaged with a tear in the pad.

Terms of the license were not followed when, upon licensing arrival, there were 9 children, between 3 months to 4 years old, in Room D licensed for 9 children, 2 weeks to 2 1/2 years old or 8 children 2 weeks to 6 years old.

Premises is not maintained in good and clean condition when there are mouse droppings in the kitchen cabinet and live roaches in the facility as seen in Room D in a potty chair and front foyer.

Electrical outlets are uncovered and accessible to children in Rooms A, B, C, D and the restroom used by the children.

Cleaning and disinfecting products with warning labels to keep out of reach of children were accessible to children in Room D and the restroom used by children. K A R 28 4 421 T h ll b d t ( ) (1) Li d b f li it f i

Room D does not have a written program plan posted.

A health assessment is not on file for four of 12 children enrolled.

Outdoor play area is not free of hazards when there is a reel mower with blades in the play area. This was corrected by staff at the time of the survey.

The kitchen trash can, with discarded food, is not covered.

Children did not serve themselves when staff member made all the trays and delivered the trays to the children.

A bread product was not offered at the noon meal.

A current line of authority is not available.

Work references are not on file for six staff.

A record of scheduled hours is not on file for each staff.

Four staff do not have a date of employment on file.

Six people, counted in the staff to child ratio, do not have a record of education and experience on file.

A file is not maintained for two staff members that are counted in the staff to child ratio.

Beginning date of enrollment is not on file for one of 12 child files reviewed.

Unit D does not have a staff member with documentation of the minimum requirements for the room.