Rins Daycare

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 of seven child files reviewed lack current immunizations. (Licensing survey — Annual Survey — 25-008931)

K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

The safe sleep policy lacks detail for all ages of children in care. (Licensing survey — Annual Survey — 25-008931)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

One outlet is uncovered in the living room and accessible to children in care. Corrected at the time of the survey. (Licensing survey — Annual Survey — 25-008931)

K.A.R. 28-4-131 Animals. (a) If any animal is kept on the premises, each area in which the animal is permitted shall be maintained in a sanitary manner. There shall be no evidence of disease, flea, tick, or worm infestation.

There is dog feces in the outdoor play area accessible to children. (Licensing survey — Annual Survey — 25-008931)

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.

Three of four child files reviewed do not have a medical history. (Complaint survey — To investigate a complaint — 25-009425)

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

Three of four child files reviewed do not have an authorization for emergency medical care form. (Complaint survey — To investigate a complaint — 25-009425)

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.

One child file does not have a medical history. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

There is no nonabsorbent pad, changing table or diapering area in the home (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-130 Transportation. (k) (1) Each individual shall be secured by the use of a seat belt or a child safety seat when the vehicle is in motion.

No child safety seats available for children being transported. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-115 Facility. (c) ( 3) has a 2A 10B:C fire extinguisher;

There is no 2A 10B:C fire extinguisher available. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

A wax warmer is turned on and accessible to children in care. Provider turned this off and moved it to be not accessible. Corrected at the time of survey. (Licensing survey — Initial Survey — 24-008022)

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:

A metal rake is accessible to children in the outdoor play area. The outdoor play area has a large pile of peeled white paint pieces and is accessible to children in care. (Licensing survey — Initial Survey — 24-008022)

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 are accessible to children in care. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

A broken slide is in the outdoor play area and is accessible to children in care. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-115 Facility. (d) Each facility shall be approved for fire safety by a fire inspector.

Facility does not have fire safety approval. (Licensing survey — Initial Survey — 24-008022)

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 file does not have an emergency medical treatment form. Provider completed this for her own child in care and corrected this at the time of survey. (Licensing survey — Initial Survey — 24-008022)

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 child files do not have health assessments. (Licensing survey — Initial Survey — 24-008022)

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 child files do not have immunizations. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-116a Napping and sleeping. (c) (1) Clean, individual bedding shall be provided for each child.

Children in care do not have individual bedding. (Licensing survey — Initial Survey — 24-008022)

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.

Bodily care products that state, "Keep out of reach of children" are accessible to children in care in the second bedroom. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

Two outlets in the kitchen are uncovered and accessible to children. Corrected at the time of survey Two outlets in the first bedroom are uncovered and accessible to children. Corrected at the time of survey. Four outlets in the second bedroom are uncovered and accessible to children. (Licensing survey — Initial Survey — 24-008022)

K.A.R. 28-4-116a Napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a bed, a cot, the lower bunk of a bunk bed, or a pad over a carpet or area rug on the floor.

There are no nap cots/pads/beds available for children in care. (Licensing survey — Initial Survey — 24-008022)