Rebecca S Mead Day Care Home

K.A.R. 28-4-132 Child care practices. (d) (2) (D) before and after eating each snack and each meal; and

Licensing Specialist observed provider wiping children's hands with washcloths after eating lunch. Children did not wash hands with soap and water. (Licensing survey — Annual Survey — 25-007062)

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.

Written safe sleep policy needs further developed to include all ages of children, visual checks every 15 minutes, and swaddling is not permitted. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (C) procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions;

Emergency plans need further developed to include procedures to meet the needs of individual children, including each child with special needs and chronic medical condition. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (F) procedures for reuniting each child with each parent or adult responsible for the child;

Emergency plans need further developed to include procedures for reuniting each child with each parent or adult responsible for the child. (Licensing survey — Annual Survey — 25-007062)

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.

Several cleaning supplies, bearing labels stating keep out of reach of children, accessible in cabinet under kitchen sink. (Licensing survey — Annual Survey — 25-007062)

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.

Garage storing a mower, sharp tools, and several chemicals accessible from outdoor play area. Corrected at time of survey. (Licensing survey — Annual Survey — 25-007062)

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.

Written safe sleep policy needs further developed to include all ages of children. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-116a Napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a bed, a cot, the lower bunk of a bunk bed, or a pad over a carpet or area rug on the floor.

Licensing Specialist observed children napped on pads directly on hardwood floors. (Licensing survey — Annual Survey — 25-007062)

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;

Three out of eight child files reviewed with incomplete medical history forms. (Licensing survey — Annual Survey — 25-007062)

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 out of eight child files reviewed with incomplete or expired emergency medical treatment forms. (Licensing survey — Annual Survey — 25-007062)

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 plans need further developed to include evacuation routes. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

Emergency plans are without procedures for continuity of operations, including backing up or retrieving health and other required records. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

Rabies vaccinations for two cats not on file. (Licensing survey — Annual Survey — 25-007062)

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

Procedures for diapering not posted in diaper-changing area. Corrected at time of survey. (Licensing survey — Annual Survey — 25-007062)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

One domesticated dog does not have current rabies vaccination on file. (Licensing survey — Annual Survey — 24-006695)

K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

Kitchen knives stored in drawer not equipped with childproof device to prevent access by children. (Licensing survey — Annual Survey — 24-006695)

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.

Medication for one canine dog not in locked storage or stored out of reach of children. Corrected at time of survey. (Licensing survey — Annual Survey — 24-006695)