Burlingame Cuties Daycare

K.A.R. 28-4-439 Child care centers: food service. (i) (4) (A) All breast milk shall be labeled with the child's name and the date and time expressed.

Breast milk in Room 1 is not labeled with the time of expression. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-439 Child care centers: food service. (p) (5) Dry, bulk foods which are not in their original, unopened containers shall be stored in metal, glass, food-grade sealable plastic bags, or food-grade plastic containers with tight-fitting covers and shall be labeled with the date and contents.

An opened bag of granola in Room 2 was not stored in a metal, glass, or food-grade plastic bag or container. Corrected while onsite. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

An updated health status form is not on file for one staff member. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-132 Child care practices. (d) (1) (C) after toileting, diapering, assisting a child with toileting, or handling any bodily fluids;

Staff in Room 1 did not wash their hands between diapering children. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Children were not assisted in washing hands after being diapered in Room 1. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-426 Administration. (d) (1) A record of education and experience;

A record of education and experience is not on file for one staff member. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-426 Administration. (c) (1) Accident insurance shall be carried on children.

Current accident insurance is not on file. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-426 Administration. (c) (2) Liability insurance shall be carried by the center or preschool to provide recourse to parents of children enrolled in the event of negligence.

Current liability insurance is not on file. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Pediatric first aid is not on file for two staff members. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-428a Education and training requirements. (e) (5) In each licensure year, each staff member counted in the staff-child ratio and each volunteer counted in the staff-child ratio caring for infants shall complete four of the 16 clock-hours of professional development training in an infant-specific subject.

Four training hours in an infant-specific subject is not on file for one staff member caring for infants. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care 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 form.

Current immunization records are not on file for one child. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment 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. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

A health assessment is not on file for one child. (Licensing survey — Annual Survey — 26-001572)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

A negative TB test is not on file for one staff member. (Licensing survey — Annual Survey — 24-009374)

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

Written permission for emergency medical treatment is not on file for one of twenty children's files reviewed. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Emergency plans do not include procedures for responding to and preventing allergic reactions. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (E) procedures for notifying each parent or adult responsible for a child of any off-premises relocation;

Emergency plans do not include procedures for notifying each parent or adult responsible for a child of any off-premises relocation. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (H) procedures designating the tasks to be followed by each staff member in an emergency, including the following:

Emergency plans do not include procedures designating the tasks to be followed in an emergency by each staff member. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

Emergency plans do not include procedures for continuity of operations. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plans do not include a chemical release, utility failure, act of terrorism, or an unscheduled closing. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

Emergency plans do not have evacuation routes. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (C) procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions;

Emergency plans do not include procedures to meet the needs of individual children. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (2) Each applicant with a temporary permit and each licensee shall ensure that the license capacity as stated on the temporary permit or license is not exceeded.

Room 1 was out of the terms of the license when 12 children ages 5 months to 5 years were present in a room licensed for 8 children, at the time of the survey. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

Three outlets on a power strip within reach of children were uncovered. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-426 Administration. (c) (1) Accident insurance shall be carried on children.

Facility does not carry accident insurance on children. (Licensing survey — Annual Survey — 24-009374)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

Adult scissors were not in locked storage in Room 1 and 2. (Licensing survey — Annual Survey — 24-009374)