Lions and Bears

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

Out of 20 child files reviewed, three children do not have an emergency authorization form on file. One child has an incomplete emergency authorization form and one child has an expired form. (Licensing survey — Annual Survey — 26-003366)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) (2) Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

Two individuals did not update the health status form. (Licensing survey — Annual Survey — 26-003366)

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:

Out of 20 child records reviewed, two children do not have a medical record on file. (Licensing survey — Annual Survey — 26-003366)

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.

Out of 20 child records reviewed, five children do not have an annually updated medical record form on file. (Licensing survey — Annual Survey — 26-003366)

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 20 child records reviewed, two children who have been enrolled for more than 60 days do not have current immunizations on file. (Licensing survey — Annual Survey — 26-003366)

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 20 child records reviewed, one child who has been enrolled for more than 60 days does not have a health assessment on file. (Licensing survey — Annual Survey — 26-003366)

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:

The first-aid kit does not include rolled gauze, scissors, an elastic bandage, and a bottle of water. (Licensing survey — Annual Survey — 26-003366)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

One employee does not have current pediatric first aid/CPR on file. (Licensing survey — Annual Survey — 25-000366)

K.A.R. 28-4-115 Facility. (i) (4) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement, to prevent movement of the equipment and swings.

One swing set is not anchored. (Licensing survey — Annual Survey — 25-000366)

K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

One swing set does not have impact absorbent material under and around the swing set. (Licensing survey — Annual Survey — 25-000366)

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 nine child records reviewed, one did not have current immunizations on file. (Licensing survey — Annual Survey — 25-000366)

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 employee does not have a completed health status form. (Licensing survey — Annual Survey — 25-000366)

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.

One employee does not have a negative TB test or chest x-ray on file. (Licensing survey — Annual Survey — 25-000366)

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

Out of nine child records reviewed, six had an incomplete authorization for emergency medical care form on file and one did not have a form. (Licensing survey — Annual Survey — 25-000366)

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:

Out of nine child records reviewed, three did not have a complete medical record form on file. (Licensing survey — Annual Survey — 25-000366)

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:

One child does not have a medical record on file to include the health assessment and immunizations. (Complaint survey — To investigate a complaint — 24-008824)

K.A.R. 28-4-125 Background checks. (b) (3) the licensee;

Facility allowed one adult in the home before submitting identifying information as required to complete the background check. (Complaint survey — To investigate a complaint — 24-008824)

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

One child does not have an emergency medical treatment form on file. (Complaint survey — To investigate a complaint — 24-008824)