Little Britches N Bows Daycare

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 could not be located for one child. (Licensing survey — Annual Survey — 25-008835)

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.

Toothpaste was found on the bathroom sink. Corrected at visit. (Licensing survey — Annual Survey — 25-008835)

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 plan was not available. (Licensing survey — Annual Survey — 25-008835)

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.

Medical history is not on current form for five children. (Licensing survey — Annual Survey — 25-008835)

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 record is not current for one child. (Licensing survey — Annual Survey — 25-008835)

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 assessments were not on file for two children. (Licensing survey — Annual Survey — 25-008835)

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) could not be located for one child. (Licensing survey — Annual Survey — 25-008835)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

Negative TB test was not no file for one person living in the home. (Licensing survey — Annual Survey — 25-008835)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

Health status form was not on file for provider. (Licensing survey — Annual Survey — 25-008835)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

First aid kit with all supplies was not available. (Licensing survey — Annual Survey — 25-008835)

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 — 24-007611)

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 children (out of 10) need updated immunization records on file. (Licensing survey — Annual Survey — 24-007611)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

There are a few electrical outlets are that not covered (basement restroom) and on the upstairs level. One child naps on the upstairs level. (Licensing survey — Annual Survey — 24-007611)

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 backyard area; the trampoline does not have guard netting or a lock. (Licensing survey — Annual Survey — 24-007611)

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;

One child (under 2.5 years of age) sleeps on the upper level of the home; there are two sets of stairs that are not guarded. (Licensing survey — Annual Survey — 24-007611)

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.

There are bodily care products in the basement restroom that are not locked up or kept at least 5 ft high. There are bodily care products and toilet bowel cleaner in the upstairs restroom that are not locked up or kept at least 5 ft high. There are also cleaning supplies under the kitchen sink. (Licensing survey — Annual Survey — 24-007611)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

Provider has taken online pediatric CPR/Frist Aid only; Provider must have an in-person skills test. (Licensing survey — Annual Survey — 24-007611)