The Nest

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.

Two out of six staff files reviewed without Health Status Form. (Licensing survey — Annual Survey — 26-002507)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

One out of six staff files reviewed without a record of a tuberculosis test on file. (Licensing survey — Annual Survey — 26-002507)

K.A.R. 28-4-115 Facility. (c) (16) has at least one bathroom with at least one sink and one flush toilet. All fixtures shall be in working order at all times. An individual towel and washcloth or disposable products shall be provided for each child. The use of common towels shall be prohibited. Hand soap shall be readily accessible in each bathroom.; and

An individual towel or disposable product not available for each child. *Corrected at time of survey. (Licensing survey — Annual Survey — 26-002507)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Four out of six staff files reviewed without annual hours completed. (Licensing survey — Annual Survey — 26-002507)

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:

Facility first-aid kit is without first-aid manual, single use gloves, sterile gauze squares at least 4" X 4" in size, cleansing agent or liquid soap, elastic bandage, and a bottle of water. (Licensing survey — Annual Survey — 26-002507)

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;

One child file without a health assessment. (Licensing survey — Annual Survey — 24-010171)

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.

One child file without immunization record. One child file with immunization records not current as medically appropriate. (Licensing survey — Annual Survey — 24-010171)

K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

Children were observed napping in two bedrooms, separate from the providers, with the doors latched shut. Corrected at time of survey per surveyor's request. (Licensing survey — Annual Survey — 24-010171)

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 12 child files reviewed with immunization records not on file. One out of 12 child files reviewed with immunization records not current as medically appropriate. (Licensing survey — Annual Survey — 24-010171)

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;

One out of 12 child files reviewed without a health assessment on file. (Licensing survey — Annual Survey — 24-010171)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

Two out of 12 child files reviewed had written permission forms for off-premises trips incomplete. (Licensing survey — Annual Survey — 24-010171)