Tiny Blossoms

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1)

One out of seven child files reviewed without EMR on file. (Licensing survey — Annual Survey — 26-002587)

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.

One provider present without Health status form on file. (Licensing survey — Annual Survey — 26-002587)

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 out of seven child files reviewed with expired immunizations on file. One out of seven child files reviewed without immunizations on file. (Licensing survey — Annual Survey — 26-002587)

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 out of seven child files reviewed without health assessment on file. (Licensing survey — Annual Survey — 26-002587)

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.

Five out of seven child files reviewed with incomplete medical record on file. One out of seven child files reviewed with medical record on old form. One out of seven child files reviewed without medical record on file. (Licensing survey — Annual Survey — 26-002587)

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.

No written safe sleep plan on file. (Licensing survey — Annual Survey — 26-002587)

K.A.R. 28-4-115 Facility. (c) (16) has at least one bathroom with at least one sink and one flush toilet. All fixtures shall be in working order at all times. An individual towel and washcloth or disposable products shall be provided for each child. The use of common towels shall be prohibited. Hand soap shall be readily accessible in each bathroom.; and

Only common hand towel present in bathroom. No paper towels or individual towels provided. (Licensing survey — Annual Survey — 26-002587)

K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

No diapering procedures posted in the facility. (Licensing survey — Annual Survey — 26-002587)

K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

Two children over in the age category of 12 months to five years of age. (Complaint survey — To investigate a complaint — 26-003203)

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 out three child files reviewed without health assessment on file. (Licensing survey — Initial Survey — 25-000018)

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 out of three child files reviewed without immunizations on file. (Licensing survey — Initial Survey — 25-000018)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

One out of three cats present without immunizations on file. (Licensing survey — Initial Survey — 24-008256)

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

Four out of five child files without Emergency medical record on file or incomplete. (Licensing survey — Initial Survey — 24-008256)

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.

Provider present without Health status form or Tuberculosis test on file. (Licensing survey — Initial Survey — 24-008256)

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 out of five child files reviewed without medical record on file. (Licensing survey — Initial Survey — 24-008256)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

Two infant bottles without labels. Corrected at time of survey. (Licensing survey — Initial Survey — 24-008256)

K.A.R. 28-4-115a Supervision. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop a supervision plan for children in care that includes all age ranges of children for whom care will be provided. A copy of the plan shall be available for review by the parents or legal guardians of children in care and by the department. The plan shall include the following:

No supervision plan available to be viewed at facility. (Licensing survey — Initial Survey — 24-008256)

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

Facility without 2A 10BC fire extinguisher onsite. (Licensing survey — Initial Survey — 24-008256)

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;

Outlet uncovered in living room accessible to children. Corrected at time of survey. (Licensing survey — Initial Survey — 24-008256)

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.

Paint cans accessible to children on porch in play area. Rat poison on porch accessible to children in play area. Corrected at time of survey. (Licensing survey — Initial Survey — 24-008256)

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 bearing the label keep out of reach of children sitting on bathroom sink. Mouthwash and toothpaste. Corrected at time of survey. Kitty litter bearing the label keep out of reach of children sitting on bathroom floor. Corrected at time of survey. (Licensing survey — Initial Survey — 24-008256)