Scribbles and Giggles

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Compliance Check — 26-000957)

K.A.R. 28-4-132 Child care practices. (d) (2) (A) First arriving at the facility;

At the time of survey, licensing specialist observed two children arrived at the facility and their hands were not washed or they were not assisted in washing their hands. (Licensing survey — Compliance Check — 26-000613)

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.

In the laundry area are three spray bottles of stain remover and glass cleaner with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Compliance Check — 26-000613)

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.

In a corner of the designated outdoor area is an unassembled playhouse and a wheelbarrow not in a locked storage and accessible to children in care. (Licensing survey — Compliance Check — 26-000613)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Compliance Check — 26-000613)

K.A.R. 28-4-115a Supervision. (c) (1) For each child who is under 2 1/2 years of age and who is awake, the provider shall be within sight of and in proximity to the child, watching and overseeing the activities of the child. When the provider is attending to personal hygiene needs or engaging in other child care duties and is temporarily unable to remain within sight of the child, the provider shall meet all of the following conditions:

Upon arrival, three children under the age of 2 1/2 years of age were in the lower level of the facility while the provider was on the main level of the facility. The provider was not within sight or hearing distance of the children. (Licensing survey — Compliance Check — 26-000613)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

One volunteer without a negative TB test on file. (Licensing survey — Annual Survey — 25-008831)

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 eleven child files reviewed without a current immunization record on file. (Licensing survey — Annual Survey — 25-008831)

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 dog feces located in the designated outdoor area accessible to children in care. In the left side of the outdoor play area is an unassembled playhouse accessible to children in care. (Licensing survey — Annual Survey — 25-008831)

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.

Two out of eleven child files reviewed without a current immunization record on file. (Licensing survey — Annual Survey — 25-008831)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Annual Survey — 25-008831)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

There is no health status form on file for the provider. One resident without a negative TB test on file. (Licensing survey — Annual Survey — 25-008831)

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 eleven child files reviewed with an incomplete emergency medical release form on file. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-008831)

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. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-008831)

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 twelve child files reviewed has an incomplete emergency medical form on file. Corrected at the time of survey. (Licensing survey — Compliance Check — 24-009771)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plan needs to be further developed to include missing child. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-007605)

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 diapering area. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-007605)

K.A.R. 28-4-115a Supervision. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall update the supervision plan when changes are made in any of the requirements of paragraph (a)(1).

Supervision plan needs to be updated to reflect what is currently being followed. (Licensing survey — Annual Survey — 24-007605)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (C) A crib or playpen shall be provided and used for each child in attendance at any one time. The child shall not nap or sleep in the same crib or playpen occupied by another child at the same time.

There are two playpens available, and three children present in attendance that nap in them. (Licensing survey — Annual Survey — 24-007605)

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.

Three out of ten child files reviewed do not have current immunizations available. (Licensing survey — Annual Survey — 24-007605)

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.

Three out of ten child files reviewed do not have medical history on file. (Licensing survey — Annual Survey — 24-007605)

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

Three out of ten child files reviewed did not have an emergency medical form available. (Licensing survey — Annual Survey — 24-007605)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plans need to be further developed to include missing child. (Licensing survey — Annual Survey — 24-007605)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

Last tornado drill is recorded for September 2024. (Licensing survey — Annual Survey — 24-007605)

K.A.R. 28-4-132 Child care practices. (g) (1) Each applicant, each applicant with a temporary permit, each licensee, and each individual caring for children shall follow the diapering procedures provided by the department.

Child's hands were not washed after diaper change. (Licensing survey — Annual Survey — 24-007605)