Menagerie Child Care

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;

One of six children files without a health assessment form. (Licensing survey — Annual Survey — 26-001571)

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 six children files without immunization record. (Licensing survey — Annual Survey — 26-001571)

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Two of six children files with outdated medical history form. Corrected during visit. Two of six children files without annual review signature. Corrected during visit. (Licensing survey — Annual Survey — 26-001571)

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).

One staff with three of ten annual training hours. (Licensing survey — Annual Survey — 26-001571)

K.A.R. 28-4-125 Background checks. (b) (5) each individual at least 18 years of age who resides in a day care home or group day care home;

Facility did not ensure that fingerprint-based background check are completed as required for one individual. (Licensing survey — Annual Survey — 26-001571)

K.A.R. 28-4-114 Applicant; licensee. (b) (3) not be engaged in either business or social activities that interfere with the care or supervision of children.

Per provider's statement, she meets with a parent and their child for parenting lessons during daycare hours from 3:30pm to 5:00pm. (Complaint survey — To investigate a complaint — 26-000349)

K.A.R. 28-4-115a Supervision. (d) (1) For each child under five years of age, the provider shall be outdoors at all times and remain within sight of and in proximity to each child, watching and directing the activities of the child.

Per provider statement, she allows children who are 4 years of age to go outside in the fenced in play area unsupervised while she observes them from the kitchen window. (Complaint survey — To investigate a complaint — 26-000349)

K.A.R. 28-4-115a Supervision. (c) (3) Each applicant with a temporary permit and each licensee shall ensure that supervision is provided for each child who is napping or sleeping.

Three children ages 4,4 and 2 were napping in a library room with the door closed (Complaint survey — To investigate a complaint — 26-000349)

K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

Cots not separated during naptime 24 inches apart. (Complaint survey — To investigate a complaint — 26-000349)

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for four individuals required to complete background checks. (Complaint survey — To investigate a complaint — 26-000349)

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 9 children's files lack immunizations on file. (Licensing survey — Annual Survey — 24-009373)

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 of 9 children's files lack a medical history form on file. (Licensing survey — Annual Survey — 24-009373)

K.A.R. 28-4-115a Supervision. (d) (1) For each child under five years of age, the provider shall be outdoors at all times and remain within sight of and in proximity to each child, watching and directing the activities of the child.

Upon arriving at the facility, licensing specialist observed children in the front yard unsupervised, while the provider was still inside the home with one child. Corrected at visit when provider came outside before the licensing specialist got out of the car. (Licensing survey — Annual Survey — 24-009373)

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.

In the outdoor play area, there is a long wooden board that is cracked and broken with sharp edges. There are also multiple clay pots that are broken and have sharp edges. (Licensing survey — Annual Survey — 24-009373)

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;

One of 9 children's files lack a health assessment on file. (Licensing survey — Annual Survey — 24-009373)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (d) The child's emergency medical treatment form and medical record shall be accessible when any child is participating in any off-premises trip or activity.

Two of 9 children's files lack an emergency medical record in the vehicle when transporting. Seven of 9 children's files lack the medical history form and 9 of 9 children's files lack a health assessment and immunizations on file while transporting in the vehicle. (Licensing survey — Annual Survey — 24-009373)

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 of 9 children's files lack an emergency medical treatment form on file. (Licensing survey — Annual Survey — 24-009373)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

The first aid kit is lacking a roll of gauze, elastic bandage, and first aid manual. (Licensing survey — Annual Survey — 24-009373)

K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

A vehicle safety mechanical check has not been completed. (Licensing survey — Annual Survey — 24-009373)