Dawn M Hilton Day Care Home

K.A.R. 28-4-115a Supervision. (d) (2) (C) The provider remains within hearing distance of the child.

Upon specialists arrival, six children over the age of five were playing in the fenced in outdoor space unattended and were not within hearing distance of the provider inside. (Licensing survey — Annual Survey — 25-008755)

K.A.R. 28-4-115a Supervision. (d) (1) For each child under five years of age, the provider shall be outdoors at all times and remain within sight of and in proximity to each child, watching and directing the activities of the child.

Upon specialists arrival, two children age 4 years were playing in the fenced in play area unsupervised. Corrected upon request. (Licensing survey — Annual Survey — 25-008755)

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:

An orientation is not on file for one provider. (Licensing survey — Annual Survey — 25-008755)

K.A.R. 28-4-114 Applicant; licensee. (h) (2) The total number of children on the premises, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum group size based on the age of the youngest child present and the number of providers present as specified in subsection (e).

Upon specialists arrival, one provider present with 12 children: one child under 12 months, five children 12 months to 5 years, and six children 5 to 10. Provider exceed maximum group size for one provider by 2 children. The second provider arrived at the facility approximately 5 minutes after specialists arrival. (Licensing survey — Annual Survey — 25-008755)

K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

Upon specialists arrival, one provider present with 12 children: one child under 12 months, five children 12 months to 5 years, and six children 5 to 10. Provider exceed maximum number of children 5 to 10 by 2 children. The second provider arrived at the facility approximately 5 minutes after specialists arrival. (Licensing survey — Annual Survey — 25-008755)

K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

Upon specialists arrival, five children were napping on nap mats that were not separated by at least 24 inches from another napping child. (Licensing survey — Annual Survey — 25-008755)

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.

Medical history is not on current form for nine children. (Licensing survey — Annual Survey — 25-008755)

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 of eleven children's files reviewed lack immunization records. (Licensing survey — Annual Survey — 24-007521)

K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

Impact-absorbent surfacing material is not present under three swings. (Licensing survey — Annual Survey — 24-007521)

K.A.R. 28-4-115 Facility. (c) ( 7) (A) Has a protective barrier for each freestanding heating appliance to protect from burns; and

One freestanding heating appliance was in use without a protective barrier. (Licensing survey — Annual Survey — 24-007521)

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;

One of eleven children's files reviewed lack a health assessment. (Licensing survey — Annual Survey — 24-007521)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

Parental permission for children to go off-premises is not on file for ten children. (Licensing survey — Annual Survey — 24-007521)