The Nurturing Nest

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.

Fire drill was not recorded for January. (Licensing survey — Annual Survey — 26-000242)

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.

Tornado drill was not recorded for January. (Licensing survey — Annual Survey — 26-000242)

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 10 children were missing an Emergency Medical Release on file. (Licensing survey — Annual Survey — 26-000242)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

Health Status was not on current form for 2 staff. (Licensing survey — Annual Survey — 26-000242)

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.

Three of 10 children did not have current immunizations on file. (Licensing survey — Annual Survey — 26-000242)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

Child under 12 months was swaddled while napping. Corrected at visit per specialists request. (Licensing survey — Annual Survey — 26-000242)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (A) The child shall nap or sleep in a crib or a playpen. Stacking cribs or bassinets shall not be used. Cribs with water-bed mattresses shall not be used.

Child under 12 months was napping in a bassinet. Corrected at visit per specialists request. (Licensing survey — Annual Survey — 26-000242)

K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

Child under 12 months was napping in a room with the door closed. Corrected at visit per specialists request. (Licensing survey — Annual Survey — 26-000242)

K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

Playset with swings, slides and climbing wall did not have impact-absorbent material underneath. (Licensing survey — Initial Survey — 24-008773)

K.A.R. 28-4-115 Facility. (f) A refrigerator shall be available for the storage of perishable foods. Refrigerated medications shall be in a locked box.

No locked box for refrigerated medicine. (Licensing survey — Initial Survey — 24-008773)

K.A.R. 28-4-115 Facility. (i) (1) The outdoor play area shall be fenced if the play area adjoins that of another child care facility, as defined in K.S.A. 65-503 and amendments thereto, or if the area surrounding, or the conditions existing outside, the play area present hazards that could be dangerous to the safety of the children, which may include any of the following:

Several sections of the fence were in disrepair; falling down, boards missing, and nails exposed. (Licensing survey — Initial Survey — 24-008773)

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

Did not have individual towels for children. (Licensing survey — Initial Survey — 24-008773)

K.A.R. 28-4-115 Facility. (c) Each facility shall have 25 square feet of available play space per child and shall be constructed, arranged, and maintained to provide for the health and safety of children in care. Each applicant, each applicant with a temporary permit, and each licensee shall ensure that the facility meets the following requirements:

Area intended to be off limits to children was not secured with a barrier. Gas stove has knobs accessible to children. (Licensing survey — Initial Survey — 24-008773)

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;

Two outlets in the play area did not have covers. (Licensing survey — Initial Survey — 24-008773)