QT Pies

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 does not contain a roll of gauze, elastic wrap, bottle of water or adhesive tape. (Licensing survey — Annual Survey — 25-008949)

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

Six of 12 child files reviewed do not have an emergency authorization form on file. Two have incomplete forms on file. (Licensing survey — Annual Survey — 25-008949)

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.

One provider does not have a health status form on file. (Licensing survey — Annual Survey — 25-008949)

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.

Five of 12 child files reviewed do not have a current immunization record on file. (Licensing survey — Annual Survey — 25-008949)

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;

Two children, enrolled more than 60 days, do not have a health assessment on file. (Licensing survey — Annual Survey — 25-008949)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) A completed medical record on the form provided by the department shall be on file for each child under 10 years of age enrolled for care and for each child under 16 years of age living in the child care facility and shall include the following:

One of 12 child files reviewed does not have a completed medical record form on file. (Licensing survey — Annual Survey — 25-008949)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (5) Each licensee shall ensure that each staff member practices, at least annually, the procedures for assisting the children to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

An off-premises relocation drill was not conducted annually. (Licensing survey — Annual Survey — 25-008949)

K.A.R. 28-4-114 Applicant; licensee. (k) Posting of temporary permit or license and availability of regulations. Each applicant with a temporary permit and each licensee shall post any temporary permit or license conspicuously as required by K.S.A. 65-504, and amendments thereto. A copy of the current regulations governing facilities shall be kept on the premises and shall be available to all providers at all times.

The temporary permit is not posted. Corrected during visit. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

The provider does not have documentation of pediatric first aid/CPR. (Licensing survey — Initial Survey — 24-007857)

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

There is not a 2A 10B:C fire extinguisher available. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

The carpet/flooring is not visibly clean when there is pieces of trash, beads scattered throughout, and food in various places throughout the home upstairs and downstairs. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-115 Facility. (c) ( 6) has kitchen and outdoor trash and garbage in covered containers or in tied plastic bags;

Garbage in the kitchen is not in a covered container. (Licensing survey — Initial Survey — 24-007857)

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.

Household cleaning supplies and bodily care products containing warning labels are not in locked storage or stored out of reach. (Licensing survey — Initial Survey — 24-007857)

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:

A supervision plan is not developed. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-116 Daily care of children. (d) (11) Tableware shall be washed, rinsed, and air-dried or placed in a dishwasher after each meal.

Dirty dishes from the night before are still in the sink upon arrival. Corrected during visit. (Licensing survey — Initial Survey — 24-007857)

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.

A written safe sleep plan is not developed. The written plan should include all ages. (Licensing survey — Initial Survey — 24-007857)

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.

The provider does not have a health status form on file. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

The provider does not have record of a negative TB test. (Licensing survey — Initial Survey — 24-007857)

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 telephone numbers are not posted. Corrected during visit. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop and implement a written emergency plan to provide for the safety of children and staff members in emergencies. The emergency plan shall include the following information:

Written emergency plans are not developed. (Licensing survey — Initial Survey — 24-007857)

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:

There is not a first aid kit available. (Licensing survey — Initial Survey — 24-007857)

K.A.R. 28-4-132 Child care practices. (b) (3) Each applicant, each applicant with a temporary permit, and each licensee shall develop and implement a written discipline policy indicating the methods of guidance appropriate for the ages of the children in care. Parents and legal guardians shall be informed of the policy.

A written discipline policy is not developed. (Licensing survey — Initial Survey — 24-007857)

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

Diapering procedures are not posted. (Licensing survey — Initial Survey — 24-007857)