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K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

No record of negative TB test on file for provider. (Licensing survey — Annual Survey — 25-008754)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) (2) Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

Provider's health status form has not been updated annually. (Licensing survey — Annual Survey — 25-008754)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127(b)(1)(A) and (B).

One of four children does not have an Emergency medical care form on file and two of four children have Emergency medical care forms that are incomplete. (Licensing survey — Annual Survey — 25-008754)

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:

Two of four children do not have a completed medical record on file. (Licensing survey — Annual Survey — 25-008754)

K.A.R. 28-4-115a Supervision. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall update the supervision plan when changes are made in any of the requirements of paragraph (a)(1).

Supervision plan has not been updated to reflect the change in the outdoor play area location. (Licensing survey — Annual Survey — 25-008754)

K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

Provider's orientation and initial Health and safety trainings are not on file. (Licensing survey — Annual Survey — 25-008754)

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.

Vaccination records for animals on site were unavailable during survey. (Licensing survey — Annual Survey — 24-007520)

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

One of nine children has an incomplete emergency medial treatment form on file. (Licensing survey — Annual Survey — 24-007520)

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.

Outdoor play equipment is placed in an area where hazards are present - lawn mowers are accessible. (Licensing survey — Annual Survey — 24-007520)