Ruths Day Care Home

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Four month old infant napping in a playpen with blankets. (Complaint survey — To investigate a complaint — 26-001167)

K.A.R. 28-4-116a Napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a bed, a cot, the lower bunk of a bunk bed, or a pad over a carpet or area rug on the floor.

Upon arrival two children were napping on mats laid over the hardwood floor. (Complaint survey — To investigate a complaint — 25-003346)

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.

Per provider statement children are napping in pack-n-plays without bottom mat. (Complaint survey — To investigate a complaint — 25-003346)

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.

Per provider statement children are napping in room separate from the provider with door closed. (Complaint survey — To investigate a complaint — 25-003346)

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;

Three out of 14 child files reviewed without health assessment on file. (Licensing survey — Annual Survey — 25-001002)

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.

Two out of 14 child files reviewed without current immunizations on file. (Licensing survey — Annual Survey — 25-001002)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

Tornado drills not completed for June, July, or August. (Complaint survey — To investigate a complaint — 24-007252)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (A) A fire drill shall be conducted monthly. A record of the date and time of each fire drill and a record of each evacuation time shall be kept on file on the premises for one year.

Fire drills not completed for June, July, or August. (Complaint survey — To investigate a complaint — 24-007252)

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.

Pack-n-play used for napping without a tight fitting sheet. (Complaint survey — To investigate a complaint — 24-007252)