Aunt Nanells Daycare

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 child files without immunizations current as medically appropriate. (Licensing survey — Annual Survey — 25-004560)

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;

One child without Health Assessment on file. (Licensing survey — Annual Survey — 25-004560)

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.

Trampoline on the premises not made inaccessible to children during facility's hours of operation. (Licensing survey — Annual Survey — 25-004560)

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 child files without Authorization for Emergency Medical Treatment. One child file with incomplete Authorization for Emergency Medical Treatment. (Licensing survey — Annual Survey — 25-004560)

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.

Two dogs and one cat without vaccination records on file. (Licensing survey — Compliance Check — 25-002582)

K.A.R. 28-4-116a Napping and sleeping. (c) (7) Each pad used for napping or sleeping shall be at least 0.5 inch thick, washable or enclosed in a washable cover, and long enough so that the child's head and feet rest on the pad. Clean, individual bedding, including a bottom and a top cover, shall be provided for each child.

One sleeping cot used for a child is without a bottom cover. (Licensing survey — Compliance Check — 25-002582)

K.A.R. 28-4-115a Supervision. (c) (3) (A) Each child who is napping or sleeping shall be within sight or hearing distance of the provider and shall be visually checked on by the provider at least once every 15 minutes.

At arrival it was naptime, the back living room where two children were napping was not properly lit to allow freedom of movement or visually see children to ensure supervision. (Licensing survey — Compliance Check — 25-002582)

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;

Gate at top of stairs leading to the basement was not closed to prevent access by children under 2.5 years of age who were in care. Corrected at time of survey. (Licensing survey — Compliance Check — 25-002582)

K.A.R. 28-4-115a Supervision. (c) (3) (A) Each child who is napping or sleeping shall be within sight or hearing distance of the provider and shall be visually checked on by the provider at least once every 15 minutes.

At arrival it was naptime, the rooms where children were napping were not properly lit to allow freedom of movement or visually see children to ensure supervision. (Complaint survey — To investigate a complaint — 24-008255)

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.

Observed a six-month-old in a playpen with a pillow and two lightweight blankets inside. Corrected at time of survey per surveyor's request. (Complaint survey — To investigate a complaint — 24-008255)

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.

Observed a four-month-old and a six-month-old swaddled. Corrected at time of survey per surveyor's request. (Complaint survey — To investigate a complaint — 24-008255)

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.

Two dogs are without current vaccinations. (Complaint survey — To investigate a complaint — 24-008255)

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 and body wipes, bearing labels stating keep out of reach of children, accessible on counter in bathroom. Corrected at time of survey. (Licensing survey — Annual Survey — 24-004690)

K.A.R. 28-4-115 Facility. (c) Each facility shall have 25 square feet of available play space per child and shall be constructed, arranged, and maintained to provide for the health and safety of children in care. Each applicant, each applicant with a temporary permit, and each licensee shall ensure that the facility meets the following requirements:

Wax warmer, in dining room, accessible to children and presenting a burn hazard. Corrected at time of survey. (Licensing survey — Annual Survey — 24-004690)

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 is without current pediatric CPR and pediatric first aid. (Licensing survey — Annual Survey — 24-004690)

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 for three-month-old and five-month-old not labeled with children's names. Corrected at time of survey. (Licensing survey — Annual Survey — 24-004690)

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.

Two out of 10 child files reviewed with incomplete medical history forms. (Licensing survey — Annual Survey — 24-004690)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

Two out of 10 child files without written permission forms for off-premises participation. (Licensing survey — Annual Survey — 24-004690)

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

Four out of 10 child files reviewed with incomplete emergency medical treatment forms. (Licensing survey — Annual Survey — 24-004690)