Saint Ann Young Child Center

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

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

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.

The written emergency plan does not include an evacuation route for the designated off-premises relocation site.

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

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

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 for reuniting each child with each parent or adult responsible for the child.

There is not an available written plan for safe sleep practices available to review.

Thirteen staff members lack training in medication administration on file.

One staff member lacks training in 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.

The facility is not using the KDHE off-premises permission form.

One staff member lacks negative TB test results on file.

Tornado drills not recorded for October and November 2024.

Room 200: Children did not have their hands washed after eating morning snack. Corrected at visit.

✓ Corrected at visit

Room 101: Lotion stored on a shelf. Indoor basement playroom: Disinfecting wipes on a low shelf. Corrected at visit.

✓ Corrected at visit

Room 101: The tile behind the toilet base is torn and damaged; not in good repair.

Several refrigerators in the units have food debris inside; not clean. Room 300: The hand washing sink in the girls bathroom is very slow draining. Several toilet bases are not clean; there is visible urine/ debris.

Basement indoor playroom: There are hot water pipes that are not insulated and are very hot to the touch which are accessible to children.

Several units do not have adequate hot water temperatures at the children's hand washing sinks: Room 100: 78 degrees Room 101: 68-71 degrees Room 202: 69 degrees Room 301: 80 degrees

Room 100: Toothbrushes re stored in plastic bags; not in a sanitary manner.

Three children in care lack signed medical records on file.

The cots in the units are not labeled and designated for use by a single child.

There are four metal pegs that are protruding from the plastic barrier by a climbing structure; not in good repair.

Room 200: Children were served apple chips for morning snack; not provided a second food group.

Three of the monthly meals do not indicate a bread, bread product or cereal is provided.

Emergency medical release form incomplete for one child.

Handling and storage of hazardous materials training incomplete for four staff.

Emergency preparedness and response planning training incomplete for four staff

Buidling and premises safety training incomplete for four staff

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

Prevention and control of infectious diseases, including immunizations training incomplete for four staff

Orientation incomplete within seven days of hire for one staff.

Health assessment not on file for one staff.

Facility is using a room next to room 202 as a lunchroom daily and this room is not licensed.

No hot water in room 100.

Emergency medical release form not on file for two children out of twenty-five records reviewed.

Handling and storage of hazardous materials training incomplete for four staff.

Orientation incomplete within 7 days of hire for four staff.

Buidling and premises safety training incomplete for four staff.

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

Prevention and control of infectious diseases, including immunizations training incomplete for four staff.

Emergency preparedness and response planning training incomplete for four staff.

Current immunizations not on file for one child and a medical record not on file for one child out of twenty-five records reviewed.

Health assessment not on file for two staff.

All ages of children in care not written out on the discipline policy.

Facility is using a room next to room 202 as a lunchroom daily and this room is not licensed.

No hot water in room 100.

Health assessment not on file for one child out of twenty-five records reviewed.

Opened crackers not labeled in room 100. Corrected at visit.

✓ Corrected at visit

Thermometer unavailable in the kitchen freezer.

Diapering procedures not posted in room 202.

Work references not on file for one staff.