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Facility Name: Small Wonders Daycare

License Number: 0065587-

Survey Reason: Initial Survey

Date of Survey: 03/08/2017


K.S.A. 65-516 Restrictions on persons maintaining or residing, working or volunteering at child care facility; criminal history check by secretary of health and environment; information to be provided sponsoring child placement agency.
Description: 3 people over the age of 10 in the facility have not been submitted on the KBI/DCF criminal history check.

K.S.A. 65-512 Inspections.
Description: During the initial survey process provider was not forthcoming with enrollment information which ultimately impacted the facility licensed capacity. Provider stated that an infant in care was a drop-in child when in fact per parent interview the child has been enrolled since the age of six weeks. Provider also claimed an additional child in care was a drop-in; this child was verified as a regularly enrolled child every Tuesday and Thursday. Provider also stated the child was 5 when the child is actually 4.

K.S.A. 65-508 Equipment, supplies, accommodations; competent supervision and care of children; rules and regulations; immunizations. (a) (3) be operated with strict regard to the health, safety and welfare of any woman or child.
Description: Facility is not maintained with strict regard to the health, comfort, safety and welfare of children in care. Per collateral contacts the facility has not been connected to gas since May 2016. Temporary permit was issued to the facility on September 14, 2016. Children have been in care. Two electric heaters onsite for the whole facility. Electric heaters were located in areas not recommended per manufactures statement. Facility not following child care practices for the safety of children in care. Children are not being napped per regulation and facility not following safe sleep plan. Welfare of children not being met with strict regard; facility did not have required children's paperwork and staff did not know the ages of all children in care. Per collateral interviews children are being shuffled between a licensed and non-licensed facility. Children were being dropped off for care at the provider's residence which is not licensed.

K.A.R. 28-4-132 Child care practices. (c) (4) Children shall be diapered in their own cribs or playpens, on a clean pad on the floor or on a changing table. Each unit in a child care center as defined by K.A.R. 28-4-420 shall have a changing table.
Description: Per providers helper statement, child was changed on a blanket on the floor.

K.A.R. 28-4-132 Child care practices. (c) (5) Changing tables and pads shall have a waterproof, undamaged surface. Tables shall be sturdy, and shall be equipped with railing or safety straps. Children shall not be left unattended on the changing table.
Description: Provider was unable to locate her waterproof changing pads.

K.A.R. 28-4-132 Child care practices. (b) (1) There shall be a written discipline policy indicating methods of guidance appropriate to the age of the children enrolled. Parents shall be informed of the policy.
Description: Surveyor was unable to determine compliance with facility disciple policy. Per providers statement discipline policy was unavailable at current facility.

K.A.R. 28-4-126 Health of persons 16 years or older in child care facilities. (c) (1) Each person living, working or regularly volunteering in the facility shall have a record of a negative tuberculin test or x-ray obtained not more than two years before the employment or initial application, for a license or certificate of registration or not later than 30 days after the date of employment or initial application.
Description: Four persons over the age of 16 at facility without record NEG. TB's on file.

K.A.R. 28-4-126 Health of persons 16 years or older in child care facilities. (b) (1) Each person regularly caring for children shall have a health assessment conducted by a licensed physician or by a nurse trained to perform health assessments. The health assessment shall be conducted no earlier than one year before the date of employment or initial application for a license or certificate of registration, or not later than 30 days after the date of employment or initial application.
Description: Provider does not have a health assessment on file.

K.A.R. 28-4-126 Health of persons 16 years or older in child care facilities. (a) (1) Each person caring for children shall be free from physical, mental or emotional handicaps as necessary to protect the health, safety and welfare of the children, and shall be qualified by temperament, emotional maturity, sound judgment, and an understanding of children.
Description: Provider stated that she had a breakdown and had to call her mother from another state to come and help her get her daycare facility put together and her house she lives in put together. Provider's mother has been with provider for at least two weeks per provider statement.

K.A.R. 28-4-117 Health care requirements for children under 16 years of age. (c) Immunizations for each child, including each child of the provider under 16 years of age shall be current as medically appropriate and shall be maintained current for protection from the diseases specified in K.A.R. 28-1-20(d). A record of each child's immunizations shall be maintained on the child's medical record.
Description: 9 out of 9 children without immunizations on file.

K.A.R. 28-4-117 Health care requirements for children under 16 years of age. (a) (3) Each medical record shall include a medical history obtained from the parent.
Description: 9 out of 9 children without the medical history obtained form the parent and recorded on the KDHE form.

K.A.R. 28-4-117 Health care requirements for children under 16 years of age. (a) (1) A completed medical record on the form supplied by the department shall be on file for each child under 11 years of age enrolled for care and for each child under 16 living in the child care facility.
Description: 8 out of 9 children without Health Assessments on file. 9 out of 9 children without Medical records on file.

K.A.R. 28-4-116a Napping and sleeping. (c) (7) Each pad used for napping or sleeping shall be at least 1/2 inch thick, washable or enclosed in a washable cover, and long enough so that the child's head and feet rest on the pad. Clean, individual bedding, including a bottom and a top cover, shall be provided for each child.
Description: Standard 2x3 ft rugs being used for sleep mats are not 1/2 inch thick.

K.A.R. 28-4-116a Napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a bed, a cot, the lower bunk of a bunk bed, or a pad over a carpet or area rug on the floor.
Description: Provider stated children sleeping on standard 2x3 ft. rugs on hard wood floor.

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (A)
Description: One child under 12 months of age sleeping on 2x3 rug on hard wood floor. No records to verify the age of the child, provider stated child was under 12 months old.

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (G) If a lightweight blanket is used, the blanket shall be tucked along the sides and foot of the mattress. The blanket shall not be placed higher than the child's chest. The head of the child shall remain uncovered. The child may nap or sleep in sleep clothing, including sleepers and sleep sacks, in place of a lightweight blanket.
Description: A second light weight infant blanket was laying in a pile beside the sleeping 3 month old infant. Blanket was not tucked along the sides and the foot of the mattress.

K.A.R. 28-4-116a Napping and sleeping. (c) (4) Each crib and each playpen shall have a firm, tightfitting mattress and a fitted sheet. The mattress shall be set at its lowest point when any child using the crib or playpen becomes able either to sit up or to pull up to a standing position inside the crib or playpen, whichever occurs first, to ensure that the child cannot climb out of the crib or playpen.
Description: Three month old infant was asleep in play pen without a tight fitting sheet. Infant was laying on a folded adult size throw fluffy fleece blanket that was being used as the tight fitting sheet.

K.A.R. 28-4-116 Daily care of children. (f) ( 1) The full name, home and business addresses, and telephone numbers of the child's parent or parents or legal guardian and the name, address, and telephone number of the individual to notify in case of emergency;
Description: 9 out of 9 children do not have individual files, children do not have any paperwork at current facility including all the information on the Medical Record.

K.A.R. 28-4-116 Daily care of children. (e) ( 4) A sufficient quantity of food shall be prepared for each meal to allow each child to have a second portion of bread, milk, and either vegetables or fruits.
Description: Gallon of chocolate milk in the refrigerator with approximately an inch of milk in the jug. Not sufficient to serve 7 children that would be able to drink milk.

K.A.R. 28-4-116 Daily care of children. (e) ( 1) (D) If a child does not finish a bottle, the contents of the bottle shall be discarded.
Description: Bottle with remaining contents not discarded.

K.A.R. 28-4-116 Daily care of children. (f) ( 4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127 (b)(1)(A).
Description: 9 out of 9 children without Emergency Medical release forms on file at facility.

K.A.R. 28-4-115a Supervision. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop a supervision plan for children in care that includes all age ranges of children for whom care will be provided. A copy of the plan shall be available for review by the parents or legal guardians of children in care and by the department. The plan shall include the following:
Description: Per providers statement she did not have any of her paperwork at current facility. Surveyor unable to see if supervision plan has been developed.

K.A.R. 28-4-115 Facility. (c) General environmental requirements. Each facility shall have 25 square feet of available play space per child and shall be constructed, arranged, and maintained to provide for the health and safety of children in care. Each applicant, each applicant with a temporary permit, and each licensee shall ensure that the facility meets the following requirements:
Description: Facility not maintained for the health and safety of the children due to and electric space heater with a warning label that states, Risk of fire - keep combustible material such as furniture, papers, clothes, and curtains at least 3 ft from front of heater, sitting on table and against a wood paneling wall on 03/08/2017. On 03/09/2017 a second heater was noted onsite placed on top of a wooden ledge (approximately 3 feet high) wedged between two wooden pillars in living area accessible to children.

K.A.R. 28-4-115 Facility. (c) (10) has each stairway with more than two stairs railed;
Description: Stairway leading to tornado shelter does not have a rail.

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;
Description: One electric outlet uncovered. # Provider corrected on site.

K.A.R. 28-4-115 Facility. (g) (2) Dangerous chemicals, household supplies with warning labels to keep out of reach of children, and all medications shall be in locked storage or stored out of the reach of children under 10 years of age.
Description: Paint can sitting outside of back door which is used for the 2nd exit.

K.A.R. 28-4-115 Facility. (c) ( 7) (A) Has a protective barrier for each freestanding heating appliance to protect from burns; and
Description: Heating appliance, sitting on table used by children, without a protective barrier to prevent children from touching it.

K.A.R. 28-4-114a Initial and ongoing professional development. (f) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.
Description: Provider does not have individual files for staff and family members in the facility. This includes all health and safety training documentation for primary provider.

K.A.R. 28-4-114a Initial and ongoing professional development. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall provide orientation to each individual who will be caring for children about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children. Each provider shall complete the orientation before the provider is given sole responsibility for the care and supervision of children. The orientation shall include the following:
Description: Provider does not have documentation of providing orientation to second helper or providers family members that help her at her daycare.

K.A.R. 28-4-114a Initial and ongoing professional development. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.
Description: Provider does not have documentation that she has maintained current certifications in pediatric first aid and pediatric CPR.

K.A.R. 28-4-114 Applicant; licensee. (h) License capacity not exceeded. Each applicant with a temporary permit and each licensee shall ensure that the total number of children on the premises, including children under 11 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the license capacity, except for additional children permitted in subsection (j).
Description: Facility was over capacity on 03/08/2017 with 9 children in care. There were 3 children in care, 2 weeks to 18 months; 5 children in care 18 months to 5 years and 1 child in care 5 years and older. Facility is over by 2 children 18 months to 5 years. Facility over capacity on 03/09/2017 with 10 children in care. There were 3 children in care, 2 weeks to 18 months; 6 children in care 18 months to 5 years and 1 child in care 5 years and older. Facility is over by 3 children 18 months to 5 years. Facility is over by 3 children 18 months to 5 years.