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 : Discipline policy needs to reflect the different ages and stages of children and methods of guidance used.
K.A.R. 28-4-127 Emergencies. (b) (1) (A) written permission of the parent, guardian, or legal custodian for emergency medical treatment on a form that meets the requirements of the hospital or clinic where emergency medical care will be given; and
Description : Thirteen out of 19 children's files reviewed with incomplete Emergency Medical Release forms for each individual child; siblings sharing forms.
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 : A provider and temporary substitute onsite without documentation of a negative TB skin 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 : One provider onsite without a health assessment on file.
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 : Five out of 19 children's files reviewed without current immunizations.
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 : Seven out of 19 children's files reviewed without a complete Medical Record.
Two out of 19 children's files reviewed without a Health Assessment.
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 : Five pack and plays without tight fitted sheets.
K.A.R. 28-4-116 Daily care of children. (e) (13) A washable or disposable individual cup, towel, and washcloth shall be provided for each child.
Description : Children are using the same hand towel after hand washing.
K.A.R. 28-4-115a Supervision. (a) (1) (A) A description of the rooms, levels, or areas of the facility including indoor and outdoor areas in which the child will participate in activities, have snacks or meals, nap, or sleep;
Description : Supervision Plan not available for review.
K.A.R. 28-4-115a Supervision. (c) (1) For each child who is under 2 1/2 years of age and who is awake, the provider shall be within sight of and in proximity to the child, watching and overseeing the activities of the child. When the provider is attending to personal hygiene needs or engaging in other child care duties and is temporarily unable to remain within sight of the child, the provider shall meet all of the following conditions:
Description : Ten month old napping downstairs, not within sight or proximity.
K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.
Description : Three children, twins age 13 months and a 14 month old napping in rooms with doors that were not open.
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 : Medication stored in unlocked cabinet accessible to children in the kitchen.
K.A.R. 28-4-115 Facility. (g) (1) All household cleaning supplies and all bodily care products bearing warning labels to keep out of reach of children or containing alcohol shall be in locked storage or stored out of reach of children under six years of age. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or kitchen sink.
Description : Cleaning supplies stored in a hallway closet that is not locked.
Laundry soap stored on top of washer & dryer accessible to children.
Disinfecting spray and lysol wipes stored in an unlocked cabinet in the kitchen.
K.A.R. 28-4-115 Facility. (g) (3) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.
Description : Butcher block of knives on the kitchen counter accessible to children in care.
K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.
Description : No ground cover under swing set and play set in the outdoor play area.
K.A.R. 28-4-115 Facility. (c) (11) (A) Has each stairway equipped with balusters not more than four inches apart or guarded to prevent a child's head or body from falling through;
Description : Balusters more than 4 inches apart in the living room and on the outside deck are not guarded.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (G) emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility;
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (F) 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;
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (E) prevention of and response to emergencies due to food and allergic reactions;
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (D) prevention and control of infectious diseases, including immunizations;
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (C) safe sleep practices and sudden infant death syndrome;
Description : One provider and one temporary substitute onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (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 : Two providers (temporary substitute and provider) without documentation of Orientation on file.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (H) handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste; and
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (3) Each individual required to obtain the certifications shall maintain current certifications.
Description : One provider onsite without completion of CPR/First Aid Certification.
K.A.R. 28-4-114a Initial and ongoing professional development training. (f) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.
Description : Health and safety training not available for review for one provider/licensee.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment.
Description : Two providers (temporary substitute and provider) without completion of required health and safety training on file.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (A) Recognizing the signs of child abuse or neglect, including prevention of shaken baby syndrome and abusive head trauma, and the reporting of suspected child abuse or neglect;
Description : One provider onsite without completion of training.
K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (4) (B) basic child development, including supervision of children;
Description : One provider onsite without completion of training.
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 : Upon arrival the facility had 10 children present with one provider. Present were 4 children under 18 months of age and 6 children 18 months to age 5. Facility over by one child under 18 months of age and by 3 children 18 months to age 5.
Second provider arrived 30 minutes into the survey; at group capacity facility is over 2 children 18 months to age 5.
Children under 18 months of age are 10, 13, 13 and 15 months of age.
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