Little Tigers Daycare

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.

Three of ten children's files reviewed lacks a completed Medical History on file. (Licensing survey — Initial Survey — 25-009335)

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 ten children's files reviewed lacks updated immunizations on file. (Licensing survey — Initial Survey — 25-009335)

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;

Four of ten children's files reviewed lacks a completed health assessment on file. (Licensing survey — Initial Survey — 25-009335)

K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

The outdoor play area has several health, safety, and environmental hazards that are a danger to children in care including, glass panes, a metal sink with sharp edges, and trash. (Licensing survey — Initial Survey — 25-009335)

K.A.R. 28-4-115 Facility. (i) (1) The outdoor play area shall be fenced if the play area adjoins that of another child care facility, as defined in K.S.A. 65-503 and amendments thereto, or if the area surrounding, or the conditions existing outside, the play area present hazards that could be dangerous to the safety of the children, which may include any of the following:

Facility lacks fencing in outdoor play area and has hazards such as a busy road within 50 yards of play area. (Licensing survey — Initial Survey — 25-009335)

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.

Laundry soap is accessible to children in care in kitchen pantry. *Corrected at visit. (Licensing survey — Initial Survey — 25-009335)

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

Four of ten children's files reviewed lacks a completed Authorization for Emergency Medical Care on file. (Licensing survey — Initial Survey — 25-009335)

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.

One individual caring for children lacks a health status form on file. (Licensing survey — Initial Survey — 25-007679)

K.A.R. 28-4-115 Facility. (i) (1) The outdoor play area shall be fenced if the play area adjoins that of another child care facility, as defined in K.S.A. 65-503 and amendments thereto, or if the area surrounding, or the conditions existing outside, the play area present hazards that could be dangerous to the safety of the children, which may include any of the following:

Facility has a broken gate leading to outside of play area that allows children in care access to grills, tools and outdoor equipment. (Licensing survey — Initial Survey — 25-007679)

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:

Eight of eight children's files reviewed lacks updated Medical History on file. (Licensing survey — Initial Survey — 25-007679)

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

Eight of eight children's files reviewed lacks updated Authorization for Emergency Medical Care on file. (Licensing survey — Initial Survey — 25-007679)

K.A.R. 28-4-132 Child care practices. (d) (2) (D) before and after eating each snack and each meal; and

Children lack handwashing before and after eating their snack. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-123 Parental access. (b) (1) The parent or legal guardian of each child in care shall be informed in writing that cameras are used in the facility.

Parents not informed in writing of cameras used in the facility. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Child's hands lack being washed after their diaper change. (Complaint survey — To investigate a complaint — 25-004137)

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 nine children's files reviewed lack updated immunizations. (Complaint survey — To investigate a complaint — 25-004137)

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;

Three of nine children's files reviewed lack a current Health Assessment on file. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-116 Daily care of children. (d) (10) Meals and snacks shall be served to each child using individual tableware that is appropriate for the food or beverage being served. Food shall be served on tableware appropriate for that food and shall not be served directly on a bare surface, including a tabletop.

Marshmallows served to children in a sandwich baggie on the living room floor. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-116 Daily care of children. (d) Each applicant with a temporary permit and each licensee shall develop and implement menu plans for meals and snacks that contain a variety of healthful foods, including fresh fruits, fresh vegetables, whole grains, lean meats, and low-fat dairy products.

Children's snack lacks healthful foods. They were served marshmallows for snack. (Complaint survey — To investigate a complaint — 25-004137)

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.

Bathroom had toothpaste and hairspray accessible to children in care. *Corrected at visit. (Complaint survey — To investigate a complaint — 25-004137)

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.

Two providers caring for children lack negative TB test on file. (Complaint survey — To investigate a complaint — 25-004137)

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 as required to complete background checks. (Complaint survey — To investigate a complaint — 25-004137)

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.

Two providers given sole responsibility of the children lack completed health and safety training on file. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-114a Initial and ongoing professional development training. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall provide orientation to each provider about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children enrolled. Each provider shall complete the orientation before the provider is given sole responsibility for the care and supervision of children. The orientation shall include the following:

Two individuals lack orientation on file prior to being given sole responsibility for the care and supervision of children. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

Two providers caring for children lack Pediatric CPR and First Aid. (Complaint survey — To investigate a complaint — 25-004137)

K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

Facility lacks a copy of the procedures in the diaper-changing area. (Complaint survey — To investigate a complaint — 25-004137)