The Tot Spot

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

First-aid kit is missing the following items: single use gloves, sterile gauze squares at least 4"x4" in size, elastic bandage, and tweezers. (Licensing survey — Annual Survey — 26-002750)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (a) A working telephone shall be on the premises and available for use at all times. Emergency telephone numbers shall be readily accessible or be posted next to the telephone for the police, fire department, ambulance, hospital or hospitals, and poison control center.

Emergency numbers are not readily accessible or posted. (Licensing survey — Annual Survey — 26-002750)

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 sixteen child files reviewed without an emergency medical release form on file. (Licensing survey — Annual Survey — 26-002750)

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 without a health assessment on file. (Licensing survey — Annual Survey — 26-002750)

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 out of sixteen child files reviewed without current immunizations record on file. (Licensing survey — Annual Survey — 26-002750)

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 with and incomplete/missing medical history on file. Two were corrected at the time of survey. (Licensing survey — Annual Survey — 26-002750)

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.

Breast milk not labeled with the child's name and the time and date expressed. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-002750)

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 a napping room are several bodily care products with bearing warning labels to keep out of reach of children not in a locked storage and accessible to children in care. (Licensing survey — Annual Survey — 26-002750)

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 current rabies vaccination for 1 dog and 2 cats on file. (Licensing survey — Annual Survey — 24-010096)

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.

One out of fourteen children files reviewed had an incomplete medical history on file. (Corrected on site) (Licensing survey — Annual Survey — 24-010096)

K.A.R. 28-4-115 Facility. (e) A basement or a second floor used for child care in a facility shall be approved for fire safety by a fire inspector before use. A third floor shall not be used for child care.

Basement is being used for childcare prior to approval by the fire inspector. (Licensing survey — Annual Survey — 24-010096)