K.A.R. 28-4-128 Safety procedures. (a) Each facility shall develop an emergency plan to provide for the safety of children and staff in emergencies such as fire, tornadoes, storms, floods, and serious injury.
Description : Emergency plans are not developed per KDHE initiative.
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 : 2 out of 8 children's files reviewed had missing and/or incomplete Emergency Medical Release forms.
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 : 6 out of 8 children's files with an incomplete Medical Record. 1 out of 8 childen's files without a Health Assessment.
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 : 3 out of 8 children's files without current immunizations.
K.A.R. 28-4-116a Napping and sleeping. (c) (9) When not in use, cribs, cots, playpens, pads, and bedding shall be stored in a clean and sanitary manner.
Description : Nap pads are stored on top of the diapering mat.
K.A.R. 28-4-116a Napping and sleeping. (c) (2) Each surface used for napping or sleeping shall be kept clean, of safe construction, and maintained in good repair.
Description : Playpen with soiled netting (black in color) and top railings of playpen visibly soiled.
K.A.R. 28-4-116a Napping and sleeping. (c) (3) Each crib and each playpen shall be used only for children who meet the manufacturer's recommendations for use, including any age, height, or weight limitations. The manufacturer's instructions for use, including any recommendations for use, shall be kept on file at the facility.
Description : Manufacturer's recommendations not on file for the playpens using for child over 1 yr of age.
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 playpens onsite - 2 without sheets, 1 with a loose sheet and 2 with sheets so tight they were causing the mattress to fold in on itself.
K.A.R. 28-4-116 Daily care of children. (c) ( 2) (A) First arriving at the facility;
Description : Per provider statement children's hands are not being washed upon arrival at the facility.
K.A.R. 28-4-116 Daily care of children. (a) ( 7) Unless prohibited by the child's medical condition or extreme weather conditions, each child in care shall be taken outdoors daily. Each child 12 months of age or older shall have the opportunity for at least one hour of outdoor play daily.
Description : Provider has on file a statement from parents stating they do not wish their child to go outside if it is 40 degrees. This does not constitute an extremen weather condition.
K.A.R. 28-4-116 Daily care of children. (a) ( 4) Each child shall be given the opportunity for at least one hour of physical activity daily, either outdoors as described in paragraph (a)(7) or indoors
Description : Play area in the back not clean to allow for daily use.
K.A.R. 28-4-116 Daily care of children. (c) ( 2) (D) before and after eating each snack and each meal; and
Description : At lunch children's hands were wiped down with a wet washcloth. Children's hands not washed after eating.
K.A.R. 28-4-116 Daily care of children. (c) ( 2) (C) after toileting;
Description : Child's hands were washed after surveyor requested after diaper changing.
K.A.R. 28-4-116 Daily care of children. (e) (3) Each applicant with a temporary permit and each licensee shall include the following items in meals and snacks:
Description : Children were served V8 juice at lunch. Surveyor requested milk be served.
K.A.R. 28-4-115a Supervision. (a) (1) (B) the manner in which supervision will be provided; and
Description : Supervision plan not complete. Missing details for ensuring supervision while enaged in other day care activites. Plan must include details for supervision of stairs and ensuring safety of children under 2 1/2 years of age. Plan must also details for nap time and outdoor play.
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 : Stairway leading into the house with a step that is crumbling and unsafe. Dog feces in a bedroom downstairs. Cigarette butts on the front porch of the facility. Scentsy within reach in lower living room (corrected at visit).
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 : Outlets uncovered in dining area, in lower living room and in bathroom.
K.A.R. 28-4-115 Facility. (g) (4) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.
Description : Cigarettes and ash tray in kitchen window sill.
K.A.R. 28-4-115 Facility. (c) (15) does not have any window coverings with strings or cords accessible to children in care; and
Description : One blind in the upper living room with a long dangling cord.
K.A.R. 28-4-115 Facility. (c) (10) has each stairway with more than two stairs railed;
Description : Stairway leading into the facility without a handrail.
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 : Stain remover and Dawn dish soap on kitchen counter.
K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.
Description : Facility a block away from highway 24; fenced play area full of animal feces.
K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;
Description : Stairway connecting the kitchen/dining area to lower livingroom is a stairway with three stairs and not guarded. Children using all levels of the home.
K.A.R. 28-4-114a Initial and ongoing professional development. (b) (4) (B) at least two clock-hours of training in basic child development; and
Description : 1 applicant without child abuse and neglect training.
K.A.R. 28-4-114a Initial and ongoing professional development. (d) In addition to the professional development requirements in subsections (a), (b), and (c), each applicant, each applicant with a temporary permit, and each primary care provider shall, not later than 30 calendar days following initial application for a license or employment, meet one of the following requirements:
Description : Provider onsite has 14 hours of initial training.
1 Applicant with only 5 hours of initial training.
K.A.R. 28-4-114a Initial and ongoing professional development. (b) (4) (A) At least two clock-hours of training in recognizing the signs of child abuse or neglect, including prevention of abusive head trauma, and the reporting of suspected child abuse and neglect;
Description : 1 applicant without child abuse and neglect training.
K.A.R. 28-4-114a Initial and ongoing professional development. (b) (4) (C) at least two clock-hours of training on safe sleep practices and sudden infant death syndrome if the individual will be caring for children under 12 months of age.
Description : 1 applicant without child abuse and neglect 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 : 6 children present with only one provider present. 4 children under 18 months and 2 children over 18 months to age 5. Facility over by 1 child under 18 months of age. Children under 18 months of age were: 8, 9, 14 and 15 months of age.
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