Ciecaylas Childcare

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:

The fencing around the outdoor play area does not have a latch on the gates preventing children access to a busy street. The outdoor play area adjacent to another child care facility is not fenced on one side with a sturdy material. The fence line separating the facilities is divided using a mesh material. (Licensing survey — Compliance Check — 26-003500)

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:

The designated play area is shared with another child care facility as defined in 503 (c). The fencing around the outdoor play area does not have a latch on the gate preventing children access to a busy street. (Licensing survey — Compliance Check — 26-001186)

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.

One employee does not have pediatric first aid. (Licensing survey — Compliance Check — 26-001186)

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 five child records reviewed, one child attending more than 60 days, does not have an immunization record on file. (Licensing survey — Annual Survey — 25-008921)

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 five child records reviewed, all five medical records were not on the correct KDHE medical forms. (Licensing survey — Annual Survey — 25-008921)

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:

There is not a sturdy fence at least 4 foot high for the outdoor play area that is within 50 yards of a busy street. (Licensing survey — Annual Survey — 25-008921)

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.

One provider does not have pediatric first aid. (Licensing survey — Annual Survey — 25-008921)

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 four child records reviewed, four children do not have an emergency authorization form on file. (Licensing survey — Annual Survey — 24-007714)

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 four child records reviewed, two children who have been enrolled for more than 60 days do not have a health assessment on file. (Licensing survey — Annual Survey — 24-007714)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (1) Certifications shall include a practical application component and be demonstrated in front of an instructor certified by a nationally recognized first aid and CPR training organization.

The providers first aid class was not completed in person and did not include demonstration in front of an instructor. (Licensing survey — Annual Survey — 24-007714)