The Toy Box Daycare

K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

Per provider, children are diaper changed on a pad on a cabinet shelf. (Corrected on site) (Licensing survey — Annual Survey — 26-004708)

K.A.R. 28-4-132 Child care practices. (d) (2) (E) after feeding or handling any animal.

During survey, children were handling a dog and did not wash hands after. (Licensing survey — Annual Survey — 25-001946)

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.

There is no record of vaccinations on file for one dog. (Licensing survey — Annual Survey — 25-001946)

K.A.R. 28-4-125 Background checks. (b) (5) each individual at least 18 years of age who resides in a day care home or group day care home;

Facility did not ensure that fingerprint-based background checks are completed as required for one individual. (Licensing survey — Annual Survey — 25-001946)

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 eleven child files reviewed does not have a health assessment available. (Licensing survey — Annual Survey — 25-001946)

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 eleven child files reviewed have an incomplete medical history on file. (Licensing survey — Annual Survey — 25-001946)

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 is a bottle of Febreze air freshener in the bathroom accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-001946)