Noahs Arkademy

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) A completed medical record on the form provided by the department shall be on file at the facility for each child.

Thirteen of twenty children's files reviewed lacks a completed Medical Record on file. (Licensing survey — Annual Survey — 25-005486)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care 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 form.

Two of twenty children's files reviewed lacks an updated immunization on file. (Licensing survey — Annual Survey — 25-005486)

K.A.R. 28-4-423 Physical plant. (e) (1) All household supplies, cleaning supplies, dangerous chemicals and all bodily care products bearing warning labels to keep out of reach of children shall be in locked storage, except that hand sanitizers, disinfectant solutions used daily to disinfect surfaces, and diapering supplies may be kept unlocked at least five feet above the floor and out of reach of children. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or sink.

Bug spray bearing the label keep out of reach of children is accessible to children in care in Room D. *Corrected at visit. (Licensing survey — Annual Survey — 25-005486)

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 twenty children's files reviewed lacks a updated Authorization for Emergency Medical Care on file. (Licensing survey — Annual Survey — 25-005486)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment 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. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

Five of twenty children's files reviewed lacks a health assessment on file. (Licensing survey — Annual Survey — 25-005486)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (3) No change to the terms of the license, including a change in the license capacity, age of children enrolled, or the number of units, shall be made unless written approval is granted by the secretary.

Infant unit is licensed for six infants and two providers. There were seven infants and two providers present at time of the survey. (Complaint survey — To investigate a complaint — 25-003110)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

Infant swaddled and asleep in a pack in play. (Complaint survey — To investigate a complaint — 25-003110)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (C) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

Infant asleep in a swing upon arrival to the unit and not moved to an approved sleep space. Infant was moved per licensing specialist request. (Complaint survey — To investigate a complaint — 25-003110)

K.A.R. 28-4-439 Child care centers: food service. (i) (2) No child shall be allowed to sleep with a bottle in the child's mouth.

Infant was asleep in a pack in play with a bottle in its mouth. (Complaint survey — To investigate a complaint — 25-003110)

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 children lack completed Authorization for Emergency Care. (Licensing survey — Annual Survey — 24-005622)

K.A.R. 28-4-428a Education and training requirements. (b) (1) Each staff member who is counted in the staff-child ratio, each volunteer who is counted in the staff-child ratio, and each program director shall complete health and safety training either before employment or volunteering or not later than 30 calendar days after the date of employment or volunteering. Each staff member shall complete the training before being given sole responsiblity for the care and supervision of children.

Three staff members lack health and safety training on file. (Licensing survey — Annual Survey — 24-005622)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Two staff members lack current pediatric CPR and First aid. (Licensing survey — Annual Survey — 24-005622)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) A completed medical record on the form provided by the department shall be on file at the facility for each child.

Four children lack a health assessment on file. (Licensing survey — Annual Survey — 24-005622)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care 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 form.

One child lacks current immunizations on file. (Licensing survey — Annual Survey — 24-005622)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (c) (4) Cribs, playpens, cots, or pads, when in use for napping or sleeping, shall be separated from each other by at least 24 inches in all directions except when bordering on the wall.

Nap cots in unit G were not 24 inches apart. (Licensing survey — Annual Survey — 24-005622)