Smart Start

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:

An updated medical record form is not on file for 10 children. (Licensing survey — Annual Survey — 25-005555)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127(b)(1)(A) and (B).

Written permission to go off premises is not on file for seven children. (Licensing survey — Annual Survey — 25-005555)

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.

Current rabies vaccination record was not available for two dogs. (Licensing survey — Annual Survey — 24-005699)

K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

Vehicle safety check is not current. (Licensing survey — Annual Survey — 24-005699)

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.

Tornado drills were not recorded. (Licensing survey — Annual Survey — 24-005699)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop and implement a written emergency plan to provide for the safety of children and staff members in emergencies. The emergency plan shall include the following information:

Written emergency plans are not developed for home. (Licensing survey — Annual Survey — 24-005699)

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

Fire drills were not recorded. (Licensing survey — Annual Survey — 24-005699)

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 release forms are not on file for two children. (Licensing survey — Annual Survey — 24-005699)

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 records were not on file for three children. (Licensing survey — Annual Survey — 24-005699)

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.

Page one of the medical record (medical history) was not on file for one four children. (Licensing survey — Annual Survey — 24-005699)

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;

Page three of the medical record (health assessment) was not on file for three children. (Licensing survey — Annual Survey — 24-005699)

K.A.R. 28-4-115a Supervision. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop a supervision plan for children in care that includes all age ranges of children for whom care will be provided. A copy of the plan shall be available for review by the parents or legal guardians of children in care and by the department. The plan shall include the following:

Copy of written supervision plan was not available. (Licensing survey — Annual Survey — 24-005699)

K.A.R. 28-4-115 Facility. (c) ( 3) has a 2A 10B:C fire extinguisher;

2A 10B:C was not available. (Licensing survey — Annual Survey — 24-005699)

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 to upper level were not guarded. One child under 2 1/2 in care. (Licensing survey — Annual Survey — 24-005699)