News to Twos and Threes

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:

An updated medical record is not on file for one child. (Licensing survey — Annual Survey — 26-002594)

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.

An updated immunization record is not on file for three children. (Licensing survey — Annual Survey — 26-002594)

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 one child. (Licensing survey — Annual Survey — 26-002594)

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.

A signed statement is not on file for two children. (Licensing survey — Annual Survey — 26-002594)

K.A.R. 28-4-115a Supervision. (a) (1) (A) A description of the rooms, levels, or areas of the facility including indoor and outdoor areas in which the child will participate in activities, have snacks or meals, nap, or sleep;

The supervision plan needs to be updated to include the basement area used for play and naptime. Corrected at visit. (Licensing survey — Annual Survey — 26-002594)

K.A.R. 28-4-115 Facility. (i) (3) The use of a trampoline shall be prohibited during the hours of operation of the facility. If a trampoline is on the premises, the trampoline shall be made inaccessible to children during the facility's hours of operation.

A child-sized trampoline is in the children's play area. Corrected at visit by removing the trampoline. (Licensing survey — Annual Survey — 26-002594)

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).

The provider did not complete 6 of the 10 annual professional development training. (Licensing survey — Annual Survey — 26-002594)

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

An emergency medical release is not on file for two children. (Licensing survey — Annual Survey — 26-002594)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Provider has not taken the required health and safety trainings and currently has sole responsibility for the care and supervision of children. (Licensing survey — Initial Survey — 25-000438)

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.

There is a knife block on the kitchen counter (under 5ft high), there are sharp knives in a kitchen drawer that does not have a safety latch/lock, and there are adult scissors stored on the kitchen counter that are not locked up or kept at least 5ft high. (Licensing survey — Initial Survey — 25-000438)

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.

Upon arrival, there was a child (under 12 months of age) sleeping behind a closed door. - Corrected at visit (Licensing survey — Initial Survey — 25-000438)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Upon arrival, there was a child (under 12 months of age) sleeping in a pack n play with a supplemental mattress. - corrected at visit (Licensing survey — Initial Survey — 25-000438)

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:

Two children (out of 6) need completed medical record forms on file (1st page). (Licensing survey — Initial Survey — 25-000438)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (d) Exceptions to the requirements for immunizations shall be permitted as specified in K.S.A. 65-508 and amendments thereto. Documentation of each exception shall be maintained on file at the facility.

One child (out of 6) does not have the immunization exemption section of the medical record completed/signed. (Licensing survey — Initial Survey — 25-000438)

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.

Two children (out of 6) need parent/guardian acknowledgement statements on file for children who are exempt from immunizations. (Licensing survey — Initial Survey — 25-000438)

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 — 25-000438)

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 and one resident do not have negative TB tests or chest x-rays on file. (Licensing survey — Initial Survey — 25-000438)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1)

Five children (out of 6) do not have emergency medical release forms on file. (Licensing survey — Initial Survey — 25-000438)