Tiny Toes

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 of six children's files reviewed lack current immunization records. (Licensing survey — Annual Survey — 25-007110)

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. (Licensing survey — Annual Survey — 25-007110)

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.

A written safe sleep plan was not on file for review. (Licensing survey — Annual Survey — 25-007110)

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.

Per provider, children napping out of sight are visually checked on every 30 minutes. Upon specialists arrival, children were napping in a room without enough light for the provider to easily move around the room and visually check on children. (Licensing survey — Annual Survey — 25-007110)

K.A.R. 28-4-115 Facility. (h) No child in care shall have access to weapons. All weapons shall be stored in a locked room, closet, container, or cabinet. Ammunition shall be kept in locked storage separate from other weapons.

Ammunition is not kept in locked storage separate from other weapons. (Licensing survey — Annual Survey — 25-007110)

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.

A container of Clorox wipes are stored on the kitchen counter within reach of children. Multiple bottles of bodily care products are stored in unlocked cabinets in the bathroom within reach of children. (Licensing survey — Annual Survey — 25-007110)

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 information is not on file for 3 dogs and 2 cats. (Licensing survey — Annual Survey — 24-006751)