First Steps Child Care

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (2) a medical history obtained from the parent or legal guardian. Each applicant with a temporary permit and each licensee shall review with each child's parent or legal guardian that child's medical history at least once every 12 months.

Two of ten child files reviewed do not have a complete medical history. (Licensing survey — Annual Survey — 25-006992)

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.

Disinfecting wipes, baby powder and diaper rash cream stating to keep out of reach of children are accessible to children in care. Provider corrected this at the time of the survey. (Licensing survey — Annual Survey — 25-006992)

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;

A power drill is accessible to children in care. Provider corrected this at the time of the survey. (Licensing survey — Annual Survey — 25-006992)

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.

There is a metal shovel in the outdoor play area. Provider corrected this at the time of the survey. (Licensing survey — Annual Survey — 25-006992)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

Two of Two staff members do not have a current pediatric first aid and cpr certificate. (Licensing survey — Annual Survey — 25-006992)

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

Four of 13 child files reviewed do not have an authorization for emergency medical care. Six of 13 child files reviewed have an incomplete authorization for emergency medical care. (Licensing survey — Annual Survey — 24-008202)

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;

Two of 13 child files reviewed do not have a health assessment. (Licensing survey — Annual Survey — 24-008202)

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.

A container of disinfecting wipes are accessible to children. This is labeled, "Keep out of reach of children." A container of Oxy clean powder is accessible to children. This is labeled, "Keep out of reach of children." Both items were moved to no longer be accessible to children. Corrected at the time survey. (Licensing survey — Annual Survey — 24-008202)

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 provider about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children enrolled. 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:

One staff file does not have an orientation. (Licensing survey — Annual Survey — 24-008202)