Saint Luke's Hospital of Kansas City

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for B.C., D.G., N.I., J.M., H.M., J.P., J.R., B.S., M.F. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: J.M. and B.S.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 20, 2026

The walls located in the bunnies room was/were not in good condition as evidenced by there was a big chip of wall and paint in the back left corner of the classroom by the window.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due February 20, 2026

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by mattress/pad was not firm in that fitted sheets on approximately 6 cribs in the younger infant classrooms were too small for the mattress pad, causing the mattress pad to fold up and not maintain it's shape. Seen in the farthest three infant rooms. Sheets need to be sized correctly and the mattress needs to lie flat.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in the bunnies room was/were not in good condition as evidenced by there was a big chip of wall and paint in the back left corner of the classroom by the window.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by mattress/pad was not firm in that fitted sheets on approximately 6 cribs in the younger infant classrooms were too small for the mattress pad, causing the mattress pad to fold up and not maintain it's shape. Seen in the farthest three infant rooms. Sheets need to be sized correctly and the mattress needs to lie flat.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.192 (5) (A) · Health Care · Correction due November 17, 2025

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when an 11 month old child fell into the corner of the shelf.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 7, 2025

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4-5 inches at the bottom of the gate on the preschool playground near the gate and the wall of the building.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due July 7, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: T.B., C.B., K.C., D.J., K.L., and M.N.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4-5 inches at the bottom of the gate on the preschool playground near the gate and the wall of the building.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: T.B., C.B., K.C., D.J., K.L., and M.N.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 15, 2024

The walls located in the Critter and Bunny rooms was/were not in good condition as evidenced by in the critter room there was chipping paint that revealed green paint along the left wall. In the Bunny room, there was the same chipping paint along the right wall and chipping paint in the back left corner.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 15, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: M.D. needs 1.75 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 15, 2024

Safe sleep training was not completed within the past 3 years for the following staff D.L., R.M. and L.P.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in the Critter and Bunny rooms was/were not in good condition as evidenced by in the critter room there was chipping paint that revealed green paint along the left wall. In the Bunny room, there was the same chipping paint along the right wall and chipping paint in the back left corner.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: M.D. needs 1.75 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff D.L., R.M. and L.P.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 17, 2024

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 19, 2024

The walls located in the critter room and dinosaur room was/were not in good condition as evidenced by chipping paint on the walls.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 19, 2024

Furniture/equipment, wooden shelf by the entrance door, in Butterfly room was unsafe as evidenced by splintering wood with sharp edges.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 13, 2023

The premises were not safe and suitable as evidenced by two rooms being under construction and having construction tools out and available. Corrected by locking the door.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in the critter room and dinosaur room was/were not in good condition as evidenced by chipping paint on the walls.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, wooden shelf by the entrance door, in Butterfly room was unsafe as evidenced by splintering wood with sharp edges.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due August 12, 2023

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due August 12, 2023

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due August 12, 2023

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due August 12, 2023

The annual sanitation inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 12, 2023

The Family Care Safety Registry check was not conducted for M.B., J.H., L.J., S.J., R.R., and R.S. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 12, 2023

Furniture/equipment, 2 cubbies, in the school age room and the sunshine room was not in good condition as evidenced by chipping contact paper and wood.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, wooden shelf by the entrance door, in Butterfly room was unsafe as evidenced by splintering wood with sharp edges.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 12, 2023

Furniture/equipment, red shelving unit, in the butterfly room was not in good condition as evidenced by chipping contact paper that can be easily peeled.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 12, 2023

Medical examination report(s) was/were not on file for D.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due August 12, 2023

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: D.R.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due August 12, 2023

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.