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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 child (out of 10) needs updated immunization records on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic;

One sub does not have the training "Building and premises safety..." training on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (B)

One sub does not have the training, "Basic Child Development" on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

One sub has not taken the required health and safety trainings; certificates are not on file. (Licensing survey — Annual Survey — 25-005498)

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 sub needs the orientation training/checklist on file. (Licensing survey — Annual Survey — 25-005498)

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 sub needs current pediatric first aid and CPR on file, and another sub has pediatric CPR; however, the pediatric first aid component is not present. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (D) recognizing when a child is ill and prevention and control of infectious diseases, including immunizations;

One sub does not have the training, "Recognizing when a child is ill and prevention and control of infectious diseases..." on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (E) prevention of and response to emergencies due to food and allergic reactions;

One sub does not have the training, "Prevention of and response to emergencies due to food and allergic reactions" on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

One sub does not have the training, "Handling and storage of hazardous materials..." on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (J) medication administration training.

One sub does not have the training, "Medication Administration" training on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-115 Facility. (d) Each facility shall be approved for fire safety by a fire inspector.

The provider does not have a fire inspection approval document (approval signed by the fire inspector). (Licensing survey — Annual Survey — 25-005498)

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:

One child needs a health history form on file (1st page of the medical record). (Licensing survey — Annual Survey — 25-005498)

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 sub needs a health status form on file. (Licensing survey — Annual Survey — 25-005498)

K.A.R. 28-4-132 Child care practices. (g) (7) (A) Have a moisture-proof, nonabsorbent, smooth surface that is undamaged, does not trap soil, and is easily cleaned;

Changing table pad has several rips and tears. (Licensing survey — Annual Survey — 24-005634)

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.

Immunization record is incomplete for two children and missing for one child. (Licensing survey — Annual Survey — 24-005634)

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.

Household cleaning supplies were stored on a shelf in the bathroom; two sanitizing wipes were on the floor of the bathroom. Corrected at visit. (Licensing survey — Annual Survey — 24-005634)