Gigis Little Angels

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 eight child files do not have a current authorization emergency medical form. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-115 Facility. (c) ( 3) has a 2A 10B:C fire extinguisher;

Facility does not have a 2A 10B:C fire extinguisher. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

There are outlets uncovered in the bathroom and bedroom and are accessible to children in care. (Licensing survey — Initial Survey — 25-007353)

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.

Two bottles of body lotion, one bottle of aloe vera, two bottles of air freshener, one bottle of dish soap, two bottles of cleaning products, three tubes of caulking and one container of wall putty that all state, "keep out of reach of children" are accessible to children in care. Provider corrected this at the time of the survey. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-115 Facility. (g) (5) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.

One package of cigarettes are on the kitchen counter and accessible to children in care. Provider corrected this at the time of the survey. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-115 Facility. (i) (1) The outdoor play area shall be fenced if the play area adjoins that of another child care facility, as defined in K.S.A. 65-503 and amendments thereto, or if the area surrounding, or the conditions existing outside, the play area present hazards that could be dangerous to the safety of the children, which may include any of the following:

There are paint cans, buckets of ice melting salt, a weed eater, rototiller, a metal rake and multiple metal fence posts accessible to children in the outdoor play area. (Licensing survey — Initial Survey — 25-007353)

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.

The metal skirting under the mobile home has open gaps and torn metal presenting environmental hazards to children in the outdoor play area. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-115 Facility. (i) (4) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement, to prevent movement of the equipment and swings.

The swing set is not anchored. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

The safe sleep plan lacks detail for all ages of children in care. (Licensing survey — Initial Survey — 25-007353)

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 eight child files reviewed does not have a health assessment. (Licensing survey — Initial Survey — 25-007353)

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.

One of eight child files reviewed does not have a current medical history form. (Licensing survey — Initial Survey — 25-007353)

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 eight child files reviewed does not have current immunizations. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

One staff member does not have a health status form. (Licensing survey — Initial Survey — 25-007353)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

The emergency plans for the facility lack detail for all emergencies likely to occur. (Licensing survey — Initial Survey — 25-007353)

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.

There is no impact-absorbent surfacing material underneath the outdoor swing set. (Licensing survey — Initial Survey — 25-007353)

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 ten child files reviewed does not have a health assessment. (Licensing survey — Annual Survey — 24-006648)