Nanas Daycare

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 provider and one volunteer without a negative tb test on file. (Licensing survey — Annual Survey — 26-001717)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

There is no statement on file signed by the parents of one infant stating they have been informed of an unimmunized child attending the facility. (Licensing survey — Annual Survey — 26-001717)

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.

Four out of twenty-one child files reviewed with a missing immunization record on file. (Licensing survey — Annual Survey — 26-001717)

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.

Sixteen out of twenty-one child files reviewed with an incomplete medical history on file. Four out of twenty-one child files reviewed medical history is not on current form. (Licensing survey — Annual Survey — 26-001717)

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 arrival there is a 4-month-old napping being swaddle. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-001717)

K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

Brest milk label is missing date expressed. (Licensing survey — Annual Survey — 26-001717)

K.A.R. 28-4-115 Facility. (c) ( 1) Has walls that are in good condition;

There is a large crack on the wall in one of the playrooms accessible to children in care. (Licensing survey — Annual Survey — 26-001717)

K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

One provider present with 11 children. One child under 12 months of age, 9 children 12 months to 5 years of age, and 1 child 5 to 10 years of age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by 3 children. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-001717)

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 twenty-one child files reviewed without a current immunization record on file. (Licensing survey — Annual Survey — 26-001717)

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

Two out of twenty-one child files reviewed with an incomplete emergency medical release form on file. (Licensing survey — Annual Survey — 26-001717)

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 assessment on file for one of the providers. (Licensing survey — Annual Survey — 24-009256)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

One provider did not complete 16 clock-hours of professional development for the 2024 licensure year. (Licensing survey — Annual Survey — 24-009256)

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 out of sixteen child files reviewed does not have a health assessment available. (Licensing survey — Annual Survey — 24-009256)

K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

There is no documentation on file of completed health and safety training for one of the providers. (Licensing survey — Annual Survey — 24-009256)

K.A.R. 28-4-115 Facility. (c) (17) has interior and exterior surfaces of the facility that are free from peeling, chipping, cracking, scaling, and loose paint.

Walls in the playrooms have peeling paint. (Licensing survey — Annual Survey — 24-009256)

K.A.R. 28-4-115 Facility. (i) ( 5) (D) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

Surfacing material under the swing set is bare. (Licensing survey — Annual Survey — 24-009256)

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 bathroom there is a tube of petroleum cream and in an unlocked pantry are 3 containers of disinfecting wipes, all items with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009256)

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.

Six out of sixteen child files reviewed have an incomplete medical history on file. One was corrected at the time of survey. (Licensing survey — Annual Survey — 24-009256)

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;

Two out of sixteen child files reviewed do not have a health assessment available. (Licensing survey — Annual Survey — 24-009256)

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 sixteen child files reviewed do not have current immunizations record available. (Licensing survey — Annual Survey — 24-009256)

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. (Licensing survey — Annual Survey — 24-009256)

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 — 24-009256)