Violets Day Care

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.

Updated immunization records are not on file for one child. (Licensing survey — Annual Survey — 25-008815)

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:

A completed medical record form is not on file for three children. (Licensing survey — Annual Survey — 25-008815)

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;

A signed health assessment is missing for one child. (Licensing survey — Annual Survey — 25-008815)

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.

Bottles are not labeled with the child's name, contents and the time date it was prepared. (Licensing survey — Annual Survey — 25-008815)

K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

Medications in the kitchen cabinet are not locked or stored out of reach of children. Corrected at visit. (Licensing survey — Annual Survey — 25-008815)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

A gate was not being used at the bottom of the stairs. Corrected at visit. (Licensing survey — Annual Survey — 25-008815)

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

Written permission for emergency care is not available for one child. (Licensing survey — Annual Survey — 25-008815)

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;

Health assessment is not on file for one child. (Licensing survey — Annual Survey — 24-007589)

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

Emergency medical treatment form is not on file for two children. (Licensing survey — Annual Survey — 24-007589)

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.

Health and safety training was not completed for one provider. (Licensing survey — Annual Survey — 24-007589)

K.A.R. 28-4-115 Facility. (c) ( 4) has a working smoke detector on each level of the facility;

Working smoke detector was not located in the basement. (Licensing survey — Annual Survey — 24-007589)

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.

Perfume and bodily care products were on the bathroom counter of main floor. Corrected at visit. (Licensing survey — Annual Survey — 24-007589)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Basement door was not secured. (Licensing survey — Annual Survey — 24-007589)

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:

Medical record (page one) is not on file for two children. (Licensing survey — Annual Survey — 24-007589)

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 records are incomplete for three children and not on file for one child. (Licensing survey — Annual Survey — 24-007589)

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

Emergency medical treatment form is not on file for three children. (Licensing survey — Annual Survey — 24-007589)

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

Diaper changing procedures were not posted. (Licensing survey — Annual Survey — 24-007589)