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KANSAS ADMINISTRATIVE REGULATIONS
AGENCY 28 DEPARTMENT OF HEALTH AND ENVIRONMENT
ARTICLE 4. MATERNAL AND CHILD HEALTH
CHILD CARE CENTERS AND PRESCHOOLS
Date:
08/31/2009
Document:
28-4-430. Health practices; illness and abuse; general health requirements for staff.
(a) Children's health assessments.
(1) A preentrance health assessment conducted within six months before enrollment shall be required for each child. The assessment shall be conducted by a licensed physician or by a nurse approved to perform health assessments.
(2) The results of the health assessment shall be kept on file at the child care facility.
(3) Children transferring from one child care facility to another shall not be required to obtain a new health assessment if the previous assessment record is available.
(4) Tuberculin testing shall be required only if the child comes in contact with a new active or reactivated case of tuberculosis. The results of the examination shall become a part of the child's health record.
(5) Immunizations for each child in care 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 maintained on the child's medical record form.
(6) Exceptions to the requirement 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 child care facility.
(7) Each licensee shall provide information to the parents of children in care about the benefits of annual, well-child health assessments for children under six years of age, and biennial health assessments for children six years of age and older. Each licensee shall also provide information about the importance of seeking medical advice when a child exhibits health problems. This information may be either given on a form provided by the Kansas department of health and environment to the parent at the time the child is enrolled or posted in a conspicuous place, with copies of the form available to parents on request.
(b) Health practices.
(1) Each child's hands shall be washed with soap and water before and after eating and after toileting.
(2) Children shall be allowed to go to the bathroom individually as needed.
(c) Illness and abuse.
(1) If a child is absent due to a communicable disease, staff shall inform all parents of the nature of the illness.
(2) Each communicable disease shall be reported to the county health department.
(3) Each staff member shall be trained to observe symptoms of illness, neglect, and child abuse and shall observe each child's physical condition daily.
(4) Symptoms of illness shall be reported upon discovery to parents.
(5) All evidence of neglect or unusual injuries, including bruises, contusions, lacerations, and burns, shall be noted on the child's record and shall be reported upon discovery to the program director or, in the absence of the program director, the person designated in charge of the child care facility.
(6) The program director or, in the absence of the program director, the person designated in charge of the child care facility shall report within 24 hours to the Kansas department of social and rehabilitation services any evidence of suspected child abuse or neglect. When the local offices of the department of social and rehabilitation services are not open, reports shall be made to local law enforcement agencies.
(7) If care of sick children is to be provided, written plans regarding the needs of a sick child and the care of a sick child shall be prepared in consultation with the public health nurse and shall be presented to the parents at the time of enrollment. The requirements for the infectious and contagious diseases specified in K.A.R. 28-1-2 and for the isolation and quarantine of individuals with the infectious and contagious diseases specified in K.A.R. 28-1-6 shall be met.
(8) A quiet area shall be provided for any sick child. Each sick child shall be supervised by an adult.
(9) Non-prescription medications shall not be administered to any child except on written order of the parent or guardian. Each order shall be renewed yearly. Each non-prescription medication shall be administered by a designated staff member.
(10) Each prescription medication shall be administered by a designated staff member, from a pharmacy container labeled with the child's name, the name of the medication, the dosage and dosage intervals, the name of the physician, and the date the prescription was filled. The label shall be considered the order from the physician.
(11) A record of the name of the designated staff member who administered the medication and the date and time the medication was given to the child shall be kept in the child's file.
(d) Staff.
(1) Smoking shall be prohibited in the child care center or preschool.
(2) Alcohol, as defined in K.S.A. 41-102 and amendments thereto, and non-prescribed controlled substances, as defined in K.S.A. 65-4101 and amendments thereto, shall not be consumed on the premises during the hours of operation and shall not be consumed while children are present.
(3) Each child residing in the same location as that of a child care center or preschool shall meet the requirements specified in subsection (a).
Authorized by and implementing K.S.A. 65-508; effective May 1, 1983; amended May 1, 1984; amended May 1, 1985; amended May 1, 1986; amended July 11, 2008.
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