That Waun Daycare

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;

Facility lacks emergency plans for a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing. (Licensing survey — Initial Survey — 26-003597)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

Facility's emergency plans lack a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site. (Licensing survey — Initial Survey — 26-003597)

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.

Cleaning supplies and bodily care products bearing the warning labels "keep out of reach of children" are not in locked storages and are accessible to children in care. (Licensing survey — Initial Survey — 25-003890)

K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

Kitchen knives and razors in shower are not in locked storage and are accessible to children in care. *Corrected at visit. (Licensing survey — Initial Survey — 25-003890)

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

Nine of nine children's files reviewed lacks a completed EMR on file. (Licensing survey — Annual Survey — 25-000369)

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.

Three of nine children's files reviewed lacks immunizations on file (Licensing survey — Annual Survey — 25-000369)

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;

Two of nine children's files reviewed lacks a health assessment on file. (Licensing survey — Annual Survey — 25-000369)

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 nine children's files reviewed lacks a completed medical record on file. (Licensing survey — Annual Survey — 25-000369)

K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

Breastmilk in fridge is not labeled with the child's name, time and date expressed. (Licensing survey — Annual Survey — 25-000369)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

One bottle is not labeled with child's name, the contents and the time and date prepared. (Licensing survey — Annual Survey — 25-000369)

K.A.R. 28-4-115 Facility. (i) ( 5) (B) Impact-absorbent surfacing material shall consist of material intended for playground use, including shredded bark mulch, wood chips, fine sand, fine gravel, shredded rubber, unitary surfacing material, or synthetic impact material.

The play equipment does not have impact-absorbent material under it. (Licensing survey — Annual Survey — 24-000635)