Bright Beginnings

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.

Bags of breast milk are stored in the refrigerator without the child's name on the bag. (Licensing survey — Initial Survey — 25-001672)

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

Two of seven children do not have an emergency medical release on file. (Licensing survey — Annual Survey — 24-004859)

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 seven children do not have current immunizations on file. (Licensing survey — Annual Survey — 24-004859)

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 seven children do not have a health assessment on file. (Licensing survey — Annual Survey — 24-004859)

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:

Two of seven children do not have a complete medical record on file. (Licensing survey — Annual Survey — 24-004859)

K.A.R. 28-4-116a Napping and sleeping. (c) (9) When not in use, cribs, cots, playpens, pads, and bedding shall be stored in a clean and sanitary manner.

When not in use, the bedding used for the cots is not stored in a sanitary manner. The blankets are all stored together in a pack n play. (Licensing survey — Annual Survey — 24-004859)

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.

Household cleaning supplies and bodily care products bearing warning labels are within reach of children. A can of Lysol is located in the play area, two bottles of Johnson and Johnson baby wash are located near the table where food is served, off bug repellent is on a shelf beside the table the children eat meals at, and a can of paint and miscellaneous tools are located behind the table the children eat at. (Licensing survey — Annual Survey — 24-004859)