Melissas Little Red Caboose Day Care

K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

Diaper changing pad has a fabric cover over the pad, so it is not a nonabsorbent pad. *Corrected per licensing specialist request* (Licensing survey — Annual Survey — 25-006945)

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:

First aid kit does not contain an elastic bandage. (Licensing survey — Annual Survey — 25-006945)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plan does not have continuity of care for long term. (Licensing survey — Annual Survey — 25-006945)

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.

One out of five children's immunizations are not current. (Licensing survey — Annual Survey — 25-006945)

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.

Two holes in the netting on the play pen used for an 8-month-old infant. (Licensing survey — Annual Survey — 25-006945)

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.

Play pen used for 8-month-old infant has a loose-fitting sheet and a loose-fitting mattress. (Licensing survey — Annual Survey — 25-006945)

K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

Written safe sleep plan does not include for infants under 12 months of age that they sleep on a tight-fitting sheet with a tight-fitting mattress; on their back and nothing in the playpen, and where it is stored. For children 12 months to 5 yrs where the napping is stored. For children 5 years and above what they do for napping. (Licensing survey — Annual Survey — 25-006945)

K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

Breast milk in the freezer is not marked with child's name, time and date. (Licensing survey — Annual Survey — 25-006945)

K.A.R. 28-4-115 Facility. (g) (4) 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.

Sharp knife in the kitchen drawer in reach of children. *Corrected at visit* (Licensing survey — Annual Survey — 25-006945)

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;

Front four stairs entering the facility are guarded on one side only. Children use this to exit to the outdoor play area and for emergency exiting. (Licensing survey — Annual Survey — 24-006557)