Shining Stars Day Care Center

The facility did not submit identifying information for one individual as required to complete a background check.

Seven children, two years of age, were not adequately supervised when the only staff member present in Room 1 was sleeping between cots during naptime. The staff member did not stir when a Licensing Specialist attempted to verbally wake them. Corrected at visit.

✓ Corrected at visit

Facility did not submit identifying information for one individual as required to complete background checks.

Seven staff members lack a total of 16 clock-hours of professional development training on file.

Program Director lacks two hours of program administration training on file.

One staff member lacks two hours of professional development training in an infant-specific subject. Two staff members lack one hour of professional development training in an infant-specific subject. One staff member lacks four hours of professional development training in an infant-specific subject.

One staff member lacks current certification in pediatric first aid and CPR training on file.

One staff member lacks health and safety training on file.

One staff member lacks orientation training within seven days of employment.

Heatlh status form is not on file for one staff member.

Negative TB test results are not on file for one staff member.

In Room 1 a child's hands were not washed after having their diaper changed.

In Room 1 a teacher did not wash their hands after changing a diaper.

A staff member drove the school age children to school this morning in the company owned vehicle and he does not have the training for the transporting of children on file.

One staff member lacks training in prevention of and response to emergencies due to food and allergic reactions on file.

Two staff members lack training in safe sleep practices and sudden infant death syndrome on file.

One staff member lacks training in basic child development on file.

Three staff members lack health and safety training on file.

Two staff members lack training in precautions when transporting children on file.

Three staff members lack training in handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste on file.

Three staff members lack current certification in pediatric first aid/CPR training on file.

Three staff members lack infant care training on file.

Two staff members lack training in medication administration on file.

Three staff members lack training in 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 on file.

Two staff members lack training in emergency preparedness and response planning for emergencies resulting from a natural disaster or a human- caused event, including violence at a facility on file.

One staff member lacks orientation training within their first seven days of employment.

Three staff members lack negative TB test results on file.

Nine staff members lack the current KDHE health status form on file.

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

Emergency plan does not include a designated off-premises relocation site and evacuation route.

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

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

Room 6: The children did not have their hands washed after snack. Corrected at visit upon licensing specialist prompting.

✓ Corrected at visit

Room 1: Does not have the KDHE diapering procedure posted.

Room 1: A child did not have their hands washed after having a diaper change.

Room 1: A teacher did not wash their hands after changing a diaper. Corrected at visit upon licensing specialist prompting.

✓ Corrected at visit

Room 1, licensed for twelve 2 to 3 years olds, has a child in the room that is over 3 years and 1 month old.

Room 1: The toilet has feces in it; it was not flushed after use. Room 3: Several toys throughout the room are visibly dirty with debris.

Room 2: Staff stated that the drinking water is obtained from a handwashing sink.

Rooms 1 and 6: The have walls have paint that is chipped. t K A R 28 4 423 Ph i t ( ) (3) Pl h ll b i ll d bi di d d t i l i l

Rooms 1 and 2: The handwashing sinks have pooling water and are not draining.

Room 1: There is no toilet paper in the children's restroom.

Eight children in care do not have the current KDHE medical record form on file. Twelve records reviewed.

Two children in care lack health assessments on file. Twelve records reviewed.

The written safe sleep policy is appropriate for infant children but does not state methods of guidance for toddlers and preschool age children enrolled in the facility.

There is not impact-absorbing surface material at the end of the slides and stairs on the PS playground.

Kitchen refrigerator: There is a container of cooked corn is not dated in the refrigerator. A container of cooked mashed potatoes is labeled 8/8. Corrected at visit. Kitchen refrigerator: An open bag of turkey is not labeled with the date opened. Kitchen freezer: Open bags of sausage, tater tots, chicken breast, and a container of waffles are not labeled with the date opened.

✓ Corrected at visit

Kitchen: Several bags of cereal, cookies, and crackers are stored that are not labeled with the contents. Room 5: An open bag of puffs snack is not labeled with the date opened.

Room 6: Toaster pastries were served as snack; a second component was not offered to the children.

Room 4: The tables were not cleaned after eating breakfast.

One child in care lacks a current immunization record on file. Twelve records reviewed.

Supervision was not provided in Room 2 when at least one child left the room and played on the playground unsupervised for an unknown amount of time on multiple occasions.

Room 6 was out of ratio when one infant and five toddlers were present with one teacher.

Diapers were not changed without delay when soiled on multiple occasions for at least two children in Room 2 and Room 5.

Safe sleep practices were not met when one infant napped on a cot daily for two months in Room 6.

Four staff members lack current certification in pediatric first aid training. Five staff members lack current certification in pediatric CPR training.

Two staff members lack negative TB test results on file.

Not all children are not provided with toothbrushes.

Two children in care lack health assessments on file.

Orientation has not been completed by four staff members counted in staff-child ratio.

Orientation topics were not documented for two staff members.

Two staff members counted in the staff-child ratio have not completed pediatric first aid and pediatric CPR training.

Six individuals' certifications in pediatric first aid and pediatric CPR are not current.

Four staff members are not trained to observe symptoms of illness, neglect and child abuse.

Two children were missing updated immunizations on file.

The results of one staff person's Health Assessment is not signed by a physician.

Negative TB tests are not on file for two staff.

The hot water temperature was 115.5 degrees F and was checked later and it was 111 degrees F.

There was a television stand with accumlated dust in room 4. There was a counter by the sink that was not in good repair in room 2.

One child was missing a health assessment on file.

There were no thermometers in the refrigerator and freezer in room 5 (infant room).

References are not maintained for two staff.