Keegan Childcare

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

Written permission for emergency care is not on file for one child. (Licensing survey — Annual Survey — 25-008959)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (f) If a child is moved to a different child care facility, a new health assessment shall not be required if the previous health assessment is available.

A health assessment is not on file for one child. (Licensing survey — Annual Survey — 25-008959)

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:

Updated medical record is not on file for five children. (Licensing survey — Annual Survey — 25-008959)

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 for one child are not on file. (Licensing survey — Annual Survey — 25-008959)

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.

Cleaning supplies under the sink are not locked or stored away from children. Corrected at visit. (Licensing survey — Annual Survey — 25-008959)

K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

Foundations certificates were not located at visit. (Licensing survey — Annual Survey — 25-008959)

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 does not have the required 10 clock-hours of professional development training completed. (Licensing survey — Annual Survey — 25-008959)

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.

Discipline policy is not available. (Licensing survey — Annual Survey — 25-008959)

K.A.R. 28-4-115 Facility. (g) (5) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.

There is a lighter and boxes of matches stored in drawers in the kitchen that are not locked or kept at least 5ft high. (Licensing survey — Annual Survey — 24-007741)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

Pediatric CPR/First Aid is expired for the provider. (Licensing survey — Annual Survey — 24-007741)

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;

There was an uncovered electrical outlet in the kitchen. - corrected at compliance check visit (Licensing survey — Annual Survey — 24-007741)

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 was foil/Saran Wrap in a kitchen drawer that was not locked or kept at least 5ft high. - corrected at compliance check visit (Licensing survey — Annual Survey — 24-007741)

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.

Two children need full immunization records on file. (Licensing survey — Annual Survey — 24-007741)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Upon arrival there was an infant (under 12 months of age) sleeping on the upper level of the home. The upstairs gates (2 gates) were not secured. One gate mount needs repaired. (Licensing survey — Annual Survey — 24-007741)

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;

A few electrical outlets are not covered in the kitchen/dining room areas. (Licensing survey — Annual Survey — 24-007741)

K.A.R. 28-4-115 Facility. (i) (2) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

There is a shed in the backyard play area that is not locked; it contains a lawnmower and chemicals. (Licensing survey — Annual Survey — 24-007741)

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 are sharp objects stored in the kitchen drawers that are not locked up or kept at least 5ft high (sharp knives, adult scissors, pizza cutter, screwdriver, foil/Saran Wrap). (Licensing survey — Annual Survey — 24-007741)

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.

There are a variety of household cleaning supplies and bodily care products that are not locked up or kept at least 5ft high (kitchen, two restrooms). (Licensing survey — Annual Survey — 24-007741)

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.

Two children need updated immunization records on file and two children need full immunization records on file (out of 8 children). (Licensing survey — Annual Survey — 24-007741)

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 8) need medical records (1st page) on file. (Licensing survey — Annual Survey — 24-007741)

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 (out of 8) need health assessments on file. (Licensing survey — Annual Survey — 24-007741)

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

Two children (out of 8) do not have emergency medical release forms on file. (Licensing survey — Annual Survey — 24-007741)