Annas Daycare

K.A.R. 28-4-128 Safety and emergency procedures. (a) (5) Each licensee shall ensure that each staff member practices, at least annually, the procedures for assisting the children to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

Provider did not practice the annual off-premises relocation site with the date, time and each participate recorded. (Licensing survey — Annual Survey — 26-000207)

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:

A first Aid container, with required supplies, was not available. (Licensing survey — Annual Survey — 26-000207)

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.

One dog and one cat do not have a current rabies vaccination. (Licensing survey — Annual Survey — 24-008500)

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.

Out of six child records reviewed, one child does not have a current record of immunizations on file. (Licensing survey — Annual Survey — 24-008500)

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;

Out of six child records reviewed, one child has a physical that is not signed by a licensed physician, physician assistant, or a nurse approved to perform health assessments. (Licensing survey — Annual Survey — 24-008500)

K.A.R. 28-4-115 Facility. (i) (3) The use of a trampoline shall be prohibited during the hours of operation of the facility. If a trampoline is on the premises, the trampoline shall be made inaccessible to children during the facility's hours of operation.

One trampoline in the outdoor play area is not made inaccessible to children during daycare hours when the netting is not secure and falling down and steps are not removed. (Licensing survey — Annual Survey — 24-008500)