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K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Two children were not assisted with hand washing after being diapered. (Licensing survey — Annual Survey — 26-001699)

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.

Current immunization records are not on file for three children. (Licensing survey — Annual Survey — 26-001699)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

Upon specialists arrival, a 4 month old child was napping in a sleep sack with a swaddle attached, binding the infants arms. Corrected upon specialists request. (Licensing survey — Annual Survey — 26-001699)

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 specialists arrival, a 4 month old child was napping in a pack and play with a blanket wrapped over the mattress. Corrected upon specialists request. (Licensing survey — Annual Survey — 26-001699)

K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

Impact-absorbent surfacing material is not installed under two swings. (Licensing survey — Annual Survey — 26-001699)

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;

Health and safety training does not include building and premises safety for one staff member. (Licensing survey — Annual Survey — 26-001699)

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.

A current rabies vaccination is not on file for three dogs. (Licensing survey — Annual Survey — 24-009237)

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;

Stairs leading to the second floor are not guarded. (Licensing survey — Annual Survey — 24-009237)

K.A.R. 28-4-115 Facility. (c) (11) (A) Has each stairway equipped with balusters not more than four inches apart or guarded to prevent a child's head or body from falling through;

Stairs leading to the tornado shelter are not guarded. (Licensing survey — Annual Survey — 24-009237)

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.

A shelf in the restroom within reach of children has multiple bodily care products. (Licensing survey — Annual Survey — 24-009237)

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.

Upon specialists arrival, one 16 month old child was napping in a bouncer. (Licensing survey — Annual Survey — 24-009237)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (A) The child shall nap or sleep in a crib or a playpen. Stacking cribs or bassinets shall not be used. Cribs with water-bed mattresses shall not be used.

Upon specialists arrival, one 6 month old child was napping in a car seat. (Licensing survey — Annual Survey — 24-009237)

K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

Upon specialists arrival, three one-year-old children were napping in pack n' plays in a room with the door closed. (Licensing survey — Annual Survey — 24-009237)