A Bunch of Littles

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.

A tornado drill is not conducted & recorded monthly. (Licensing survey — Annual Survey — 26-000247)

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:

One owner has not completed orientation. (Licensing survey — Annual Survey — 26-000247)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (1) Each applicant and each applicant with a temporary permit shall complete the training not later than 30 calendar days after submitting an application for a license.

One owner has not completed health & safety training. (Licensing survey — Annual Survey — 26-000247)

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.

One owner has not completed pediatric first aid/CPR. (Licensing survey — Annual Survey — 26-000247)

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:

The floor in the bathroom children use is not maintained to provide safety when the floor is broken. (Licensing survey — Annual Survey — 26-000247)

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 for all ages is not developed. (Licensing survey — Annual Survey — 26-000247)

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:

Out of six child records reviewed, three do not have a medical record on file and one has an incomplete record on file. (Licensing survey — Annual Survey — 26-000247)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) Each applicant with a temporary permit and each licensee shall ensure that a file is maintained for each child. Each file shall include the following information:

Out of three children present, one child does not have a file. (Licensing survey — Annual Survey — 26-000247)

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.

Out of six child records reviewed, two children attending more than 60 days, do not have immunizations on file. (Licensing survey — Annual Survey — 26-000247)

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.

Written permission is not obtained from parents and on file for three children being transported. (Licensing survey — Annual Survey — 26-000247)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (d) The child's emergency medical treatment form and medical record shall be accessible when any child is participating in any off-premises trip or activity.

Child's emergency medical treatment form and medical records are not accessible when children are taken off-premises. (Licensing survey — Annual Survey — 26-000247)

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.

One person living in the home, 16 years of age or older, does not have a negative TB test on file. (Licensing survey — Annual Survey — 26-000247)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) (2) Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

The owner does not have a completed health status form. (Licensing survey — Annual Survey — 26-000247)

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

The emergency plans do not include continuity of operations. (Licensing survey — Annual Survey — 26-000247)

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

The emergency plan does not include responding to and preventing allergic reactions. (Licensing survey — Annual Survey — 26-000247)

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;

The emergency plan does not include missing child, utility failure, an act of terrorism, & an unscheduled closing. (Licensing survey — Annual Survey — 26-000247)

K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

Documentation is not available to show the accident and liability insurance amounts. (Licensing survey — Annual Survey — 26-000247)

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;

Out of six child records reviewed, two children attending more than 60 days, do not have a child health assessment on file. (Licensing survey — Annual Survey — 26-000247)

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

A 2A 10B:C fire extinguisher is not available when a 1A 10B:C was purchased. (Licensing survey — Initial Survey — 24-009423)

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:

A medical record is not on file for two children under 16 years of age living in the facility. (Licensing survey — Initial Survey — 24-009423)

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;

A health assessment is not on file for two children under 16 years of age. (Licensing survey — Initial Survey — 24-009423)

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.

Immunizations are not on file for two children under 16 years of age. (Licensing survey — Initial Survey — 24-009423)

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.

A negative TB test is not on file for one resident. (Licensing survey — Initial Survey — 24-009423)

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 do not include procedures for a missing or runaway child, utility failure and unscheduled closings. (Licensing survey — Initial Survey — 24-009423)

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 procedures do not include procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions. (Licensing survey — Initial Survey — 24-009423)