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K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

One infant file reviewed without a statement on file notifying parents of an unimmunized child in care. (Licensing survey — Compliance Check — 26-000995)

K.A.R. 28-4-125 Background checks. (b) (4) each provider in a day care home or group day care home;

Facility did not ensure that fingerprint-based background checks are completed as required for two individuals. (Licensing survey — Compliance Check — 25-008998)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

One infant file reviewed without a statement on file notifying parents of an unimmunized child in care. (Licensing survey — Compliance Check — 25-008998)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

One out of nine child files reviewed with incomplete permission for off-premises field trips. (Licensing survey — Annual Survey — 25-007221)

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).

One provider present with nine children. One child 0-12 months and eight children 12-months to five years. Provider exceeded maximum number of children in the 12 months to 5 years age category by one child. (Licensing survey — Annual Survey — 25-007221)

K.A.R. 28-4-114a Initial and ongoing professional development training. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall provide orientation to each provider about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children enrolled. Each provider shall complete the orientation before the provider is given sole responsibility for the care and supervision of children. The orientation shall include the following:

Four staff files reviewed without orientation on file. (Licensing survey — Annual Survey — 25-007221)

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.

Four out of nine child files reviewed with medical history not on current form. (Licensing survey — Annual Survey — 25-007221)

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 nine child files reviewed without immunizations on file. One out of nine child files reviewed with immunizations not current as medically appropriate. (Licensing survey — Annual Survey — 25-007221)

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.

Three staff files reviewed without health status form on file. (Licensing survey — Annual Survey — 25-007221)

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 out of nine child files reviewed without Authorization for Emergency Medical Treatment. One out of nine child files reviewed with incomplete Emergency Medical Treatment. (Licensing survey — Annual Survey — 25-007221)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (A) A fire drill shall be conducted monthly. A record of the date and time of each fire drill and a record of each evacuation time shall be kept on file on the premises for one year.

September 2025 fire drill not available for review. (Licensing survey — Annual Survey — 25-007221)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

September 2025 tornado drill not available for review. (Licensing survey — Annual Survey — 25-007221)

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 nine child files reviewed without immunizations on file. (Licensing survey — Annual Survey — 25-007221)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

One infant file reviewed without a statement on file notifying parents of an unimmunized child in care. (Licensing survey — Annual Survey — 25-007221)

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 nine child files reviewed with medical history not on current form. (Licensing survey — Annual Survey — 25-007221)

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 nine child files reviewed without health assessment. (Licensing survey — Annual Survey — 25-007221)

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 out of nine child files reviewed without Authorization for Emergency Medical Treatment (Licensing survey — Annual Survey — 25-007221)

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 as required to complete background checks. (Licensing survey — Compliance Check — 24-008739)

K.A.R. 28-4-116 Daily care of children. (d) (1) (F) Solid foods shall be offered when the provider and the parent or legal guardian of the child determine that the child is ready for solid foods. Opened containers of solid foods shall be labeled with the child's name, the contents, and the date opened. Containers shall be covered and stored in the refrigerator.

Bowl of grapes not covered in refrigerator. Corrected at time of survey. (Licensing survey — Compliance Check — 24-008739)

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.

Adult scissors accessible on kitchen counter. Corrected at time of survey. (Licensing survey — Compliance Check — 24-008739)

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.

Bathroom with disinfectant wipes, soap and caulking tube, bearing labels stating keep out of reach of children, accessible under sink. Corrected at time of survey. (Licensing survey — Compliance Check — 24-008739)

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 procedures need further developed to include all scenarios required. (Licensing survey — Initial Survey — 24-007984)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (a) A working telephone shall be on the premises and available for use at all times. Emergency telephone numbers shall be readily accessible or be posted next to the telephone for the police, fire department, ambulance, hospital or hospitals, and poison control center.

Emergency phone numbers not posted. Corrected at time of survey. (Licensing survey — Initial Survey — 24-007984)

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:

Supervision plan not available to review. (Licensing survey — Initial Survey — 24-007984)

K.A.R. 28-4-115 Facility. (c) (13) has each lockable interior door designed to permit the door to be unlocked from either side in case of an emergency;

Bathroom door unable to be unlocked from either side. Corrected at time of survey. (Licensing survey — Initial Survey — 24-007984)