Unity East Day Care

K.A.R. 28-4-116a Napping and sleeping. (a) Each child shall have a daily, supervised rest period as needed. Each child who does not nap or sleep shall be given the opportunity for quiet play.

Per provider statement, children who do not nap are not offered the opportunity for quiet play. (Complaint survey — To investigate a complaint — 26-003558)

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

A lighter sticking out of a drawer is accessible to children. Corrected at visit. (Complaint survey — To investigate a complaint — 26-003558)

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. (Complaint survey — To investigate a complaint — 26-001003)

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.

One provider does not have a negative TB test on file. (Licensing survey — Annual Survey — 25-007028)

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 child file out of eight child files reviewed do not have complete written permission from parent for emergency medical treatment, as it is missing name of caregivers. (Licensing survey — Annual Survey — 25-007028)

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 provider does not have documentation of orientation. (Licensing survey — Annual Survey — 25-007028)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

One provider does not have current certifications for CPR/FA. (Licensing survey — Annual Survey — 25-007028)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

One provider does not have a health status form on file. (Licensing survey — Annual Survey — 25-007028)

K.A.R. 28-4-116 Daily care of children. (d) (1) (B) No child shall be allowed to sleep with a bottle in the child's mouth.

Licensing specialist observed a ten month old infant asleep in a pack n play with a bottle present. Corrected at visit. (Licensing survey — Compliance Check — 24-009658)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (B) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

Licensing specialist observed a one month old infant asleep in a swing and not a pack n play. Corrected per licensing specialist's request. (Licensing survey — Annual Survey — 24-006649)

K.A.R. 28-4-114 Applicant; licensee. (g) License capacity not exceeded. Each applicant with a temporary permit and each licensee shall ensure that 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 license capacity, except for additional children permitted in subsection (i).

Licensing specialist observed one provider present with three children 0-12months of age and six children 12months-5yrs. Provider is over by three children in the 12months-5yrs category. (Licensing survey — Annual Survey — 24-006649)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (C) A crib or playpen shall be provided and used for each child in attendance at any one time. The child shall not nap or sleep in the same crib or playpen occupied by another child at the same time.

Facility does not have enough pack n plays available for the number of infants in attendance on 11/14/2024. Three infants are in attendance with only two pack n plays available for use. (Licensing survey — Annual Survey — 24-006649)

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:

Three child files do not have complete medical history forms on file, as they are missing emergency contact information. (Licensing survey — Annual Survey — 24-006649)

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:

Five child files out of 11 child files reviewed do not have a complete medical history form on file. Two forms are missing emergency contact information. Two forms are missing parent signature. One form is missing parent signature and emergency contact information. (Licensing survey — Annual Survey — 24-006649)

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.

Two child files out of 11 child files reviewed do not have current immunizations on file. (Licensing survey — Annual Survey — 24-006649)

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 child files out of 11 child files reviewed do not have a health assessment on file. (Licensing survey — Annual Survey — 24-006649)

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.

Two children do not have signed off-premises forms. (Licensing survey — Annual Survey — 24-006649)

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

Two child files out of 11 child files reviewed do not have complete permission from parent for emergency medical treatment. One form does not include child's start date of care. One file does not have a form. (Licensing survey — Annual Survey — 24-006649)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (A) A fire drill shall be conducted monthly. A record of the date and time of each fire drill and a record of each evacuation time shall be kept on file on the premises for one year.

Record of December 2023 fire drill is not available for review. (Licensing survey — Annual Survey — 24-006649)