Butterfly Playhouse

K.A.R. 28-4-116a Napping and sleeping. (c) (3) Each crib and each playpen shall be used only for children who meet the manufacturer's recommendations for use, including any age, height, or weight limitations. The manufacturer's instructions for use, including any recommendations for use, shall be kept on file at the facility.

Playpens are used for children that no longer meet the manufacturer's recommendations. Children age 3 years old are napped in playpens. These children are capable of and do climb out of their playpen. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-115 Facility. (c) (10) has each stairway with more than two stairs railed;

Handrail from main to lower level is missing. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age. (a) (1) A completed medical record on the form supplied by the department shall be on file for each child under 11 years of age enrolled for care and for each child under 16 living in the child care facility.

Complete Medical Record including a health assessment not on file for three of eight children. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age. (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 maintained on the child's medical record.

Immunization record not on file for one of eight children. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-127 Emergencies. (b) (1) (A) written permission of the parent, guardian, or legal custodian 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 not on file for one of eight children. (Complaint survey — To investigate a complaint — 23-008093)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

Health status form is not on file for three individuals. (Licensing survey — Initial Survey — 25-007390)

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 plans are not developed for new location. (Licensing survey — Initial Survey — 25-007390)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

Negative TB test is not on file for one provider. (Licensing survey — Initial Survey — 25-007390)

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:

Medical records are incomplete or not on the updated form for seven children. (Licensing survey — Initial Survey — 25-007390)

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 record is not complete for one child. (Licensing survey — Initial Survey — 25-007390)

K.A.R. 28-4-115a Supervision. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall update the supervision plan when changes are made in any of the requirements of paragraph (a)(1).

Supervision plan is not updated for new location of home. (Licensing survey — Initial Survey — 25-007390)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Health and safety training was not on file for two providers. (Licensing survey — Initial Survey — 25-007390)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

Negative TB test is not on file for one person living in the home. (Licensing survey — Annual Survey — 24-008491)

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:

Medical record is not on file for one child. (Licensing survey — Annual Survey — 24-008491)

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 record is not current for one child. (Licensing survey — Annual Survey — 24-008491)

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).

Two providers present with 11 children: 1 child under 12 months, 10 children 12 months to 5 years old. Provider exceeded maximum number of children in 12 months to 5 years of age category. Provider by 1 child. (Licensing survey — Annual Survey — 24-008491)

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

2A 10B:C fire extinguisher was not located at the visit. (Licensing survey — Annual Survey — 24-008491)

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:

Medical record is not on file for six children. (Licensing survey — Annual Survey — 24-008491)

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 are not current for three children. (Licensing survey — Annual Survey — 24-008491)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background check. (Licensing survey — Annual Survey — 24-008491)

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 form is not on file for five children. (Licensing survey — Annual Survey — 24-008491)