Kiddie Round Up

K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

There is no diapering procedures posted in the diaper-changing area. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

A blanket is use for diaper changing on the floor. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

Emergency plan does not include a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site. (Licensing survey — Annual Survey — 25-007042)

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 out of nine child files reviewed with an incomplete emergency medical release form on file. (Licensing survey — Annual Survey — 25-007042)

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 out of nine child files reviewed with an incomplete medical history on file. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

There is no statement on file signed by the parents of three infants stating the parents of the infants have been informed of the risk to their child with an immunized child in the facility. (Licensing survey — Annual Survey — 25-007042)

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.

There is no written plan for safe sleep practices for children in care. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

Breastmilk is not labeled with the child's name and the time and date expressed. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

There are two bottles of formula not labeled with the child's name, the contents, and the time and date prepared. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-115 Facility. (i) (3) The use of a trampoline shall be prohibited during the hours of operation of the facility. If a trampoline is on the premises, the trampoline shall be made inaccessible to children during the facility's hours of operation.

There is a trampoline in the outdoor area accessible to children in care. (Licensing survey — Annual Survey — 25-007042)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Upon arrival, there is an 8-month-old napping with a soft blanket. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-007042)

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.

Upon arrival there is an 8-month-old napping with a bottle in the child's mouth. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-007042)

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.

There is play equipment in the designated outdoor area with multiple bird feces accessible to children in care. (Licensing survey — Annual Survey — 25-007042)

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 out of eight children files reviewed does not have current immunizations on file. (Licensing survey — Annual Survey — 24-006666)