Karens Kare Bears

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

Procedures for the continuity of operations, including backing up or retrieving health and other required records, are not included in emergency plan. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (C) procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions;

Procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions are not included in the emergency plan. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

A roll of sterile gauze is not included in the first-aid kit. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (H) (iii) ensuring that emergency supplies are readily available.

Procedures for designating the tasks to be followed by each staff member in an emergency, including ensuring that emergency supplies are readily available, are not included in the emergency plan. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Procedures for responding to and preventing allergic reactions of individual children are not included in the emergency plan. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-115 Facility. (g) (1) All household supplies, cleaning supplies, dangerous chemicals, and all bodily care products containing alcohol or bearing warning labels to keep out of reach of children 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 sink.

Two containers of disinfecting wipes are stored on the bathroom sink and are accessible to children. Corrected during survey. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

The closet containing the water heater and furnace is cluttered with bags, groceries and other items that may cause a fire hazard. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-115 Facility. (c) 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:

The facility is not maintained for the health and safety of children in care when the bathroom used by children in care has a bathtub that is moldy and has plastic taped to the wall to cover an area where tile has fallen off of the wall. (Licensing survey — Annual Survey — 26-000042)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

One cat does not have current vaccinations on file. (Licensing survey — Annual Survey — 24-008312)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1) (A) Written permission of the parent or legal guardian for emergency medical treatment on a form that meets the requirements of the hospital or clinic where emergency medical care will be given; and

Out of eight child records reviewed, two children do not have an emergency authorization form on file. (Licensing survey — Annual Survey — 24-008312)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and;

Out of eight child records reviewed, two children who have attended for more than 60 days does not have a health assessment on file. (Licensing survey — Annual Survey — 24-008312)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) A completed medical record on the form provided by the department shall be on file for each child under 10 years of age enrolled for care and for each child under 16 years of age living in the child care facility and shall include the following:

Out of eight child records reviewed, two children do not have a medical record on file. (Licensing survey — Annual Survey — 24-008312)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (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 obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and shall be maintained on the child's medical record.

Out of eight child records, two children who have attended for more than 60 days do not have immunizations on file. (Licensing survey — Annual Survey — 24-008312)