Cottonwood Kids Corner

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 eleven children's files reviewed lack a complete emergency medical release. (Licensing survey — Annual Survey — 26-002550)

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.

Two of eleven children's files reviewed lack a complete medical record. (Licensing survey — Annual Survey — 26-002550)

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 eleven children's files reviewed lack immunization records. (Licensing survey — Annual Survey — 26-002550)

K.A.R. 28-4-116a Napping and sleeping. (c) (4) Each crib and each playpen shall have a firm, tightfitting mattress and a fitted sheet. The mattress shall be set at its lowest point when any child using the crib or playpen becomes able either to sit up or to pull up to a standing position inside the crib or playpen, whichever occurs first, to ensure that the child cannot climb out of the crib or playpen.

A fitted sheet is not on one mattress of a pack and play. (Licensing survey — Annual Survey — 26-002550)

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.

Breast milk is not labeled with the time of expression. (Licensing survey — Annual Survey — 26-002550)

K.A.R. 28-4-115a Supervision. (b) (1) Each child in care shall be under the supervision of a provider who is responsible for the child's health, safety, and well-being.

Upon specialists arrival, a 10-month-old and a 13-month-old child were napping inside while staff and children were in the outdoor play area. Corrected upon specialists request. (Licensing survey — Annual Survey — 26-002550)

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.

First aid and CPR certification was not demonstrated in front of an instructor for two staff members. (Licensing survey — Annual Survey — 26-002550)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Annual training hours are not completed for one staff member. (Licensing survey — Annual Survey — 26-002550)

K.A.R. 28-4-123 Parental access. (b) (1) The parent or legal guardian of each child in care shall be informed in writing that cameras are used in the facility.

Facility has cameras and parents have not been notified in writing. (Licensing survey — Annual Survey — 24-010213)

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.

A current immunization record is not on file for one child. (Licensing survey — Annual Survey — 24-010213)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Two providers working at the facility for over 30 days have not completed health and safety training. (Licensing survey — Annual Survey — 24-010213)