LouBears Daycare

K.A.R. 28-4-132 Child care practices. (g) (7) (A) Have a moisture-proof, nonabsorbent, smooth surface that is undamaged, does not trap soil, and is easily cleaned;

Changing pad is cloth and not moisture proof. (Licensing survey — Annual Survey — 26-001607)

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

The diaper procedure is not posted in the diaper-changing area. (Licensing survey — Annual Survey — 26-001607)

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.

The transporting vehicle does not have documentation of required insurance on file, (Licensing survey — Annual Survey — 26-001607)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Provider did not complete ten hours of annual training in licensure year. (Licensing survey — Annual Survey — 26-001607)

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 child does not have a completed medical record on a form supplied by KDHE. (Licensing survey — Annual Survey — 26-001607)

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 child, in attendance longer than 60 days, does not have documentation of a health assessment on file. (Licensing survey — Annual Survey — 26-001607)

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 child, enrolled longer than 60 days, does not have documentation of current immunizations on file. (Licensing survey — Annual Survey — 26-001607)

K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

The vehicle mechanical safety checklist was not updated annually. (Licensing survey — Annual Survey — 26-001607)

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.

The transporting vehicle does not have documentation of the required insurance on file. (Licensing survey — Annual Survey — 26-001607)

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.

Two cats do not have documentation of current rabies on file. (Licensing survey — Annual Survey — 26-001607)

K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

Diaper changing pad is not disinfected after each use. (Licensing survey — Annual Survey — 26-001607)

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:

Of five children, one child does not have a medical record and health assessment on file. (Licensing survey — Initial Survey — 24-009472)

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 one individual as required to complete background checks. (Licensing survey — Initial Survey — 24-009472)

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. (Licensing survey — Initial Survey — 24-009472)

K.A.R. 28-4-115 Facility. (c) ( 4) has a working smoke detector on each level of the facility;

The main level of the home does not have a working smoke detector. (Licensing survey — Initial Survey — 24-009472)

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.

Body care products and cleaning supplies are unlocked and accessible to the children in a bathroom cabinet and under the kitchen sink. (Licensing survey — Initial Survey — 24-009472)

K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

Medication is not in locked storage in the bathroom. (Licensing survey — Initial Survey — 24-009472)

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:

Provider's children do not have a KDHE medical record form on page. (Licensing survey — Initial Survey — 24-009472)

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;

Procedures for a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing are not on file. (Licensing survey — Initial Survey — 24-009472)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (B) a designated shelter-in-place area, a designated off-premises relocation site, and evacuation routes for each area and for each site;

A designated shelter-in-place area, a designated off=premises relocation site, and evacuation routes for each routes for each area and for each site are not on file. (Licensing survey — Initial Survey — 24-009472)

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;

Procedures to meet the needs of individual children, including each child with special needs and chronic medical conditions are not on file. (Licensing survey — Initial Survey — 24-009472)

K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

A mechanical safety check is not on file for the transporting vehicle. (Licensing survey — Initial Survey — 24-009472)

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 of accident and liability insurance is not on file showing the amount of coverage. (Licensing survey — Initial Survey — 24-009472)

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 discipline policy is not available for review. (Licensing survey — Initial Survey — 24-009472)

K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

A changing pad or changing table is not available. (Licensing survey — Initial Survey — 24-009472)