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KANSAS ADMINISTRATIVE REGULATIONS
AGENCY 28 DEPARTMENT OF HEALTH AND ENVIRONMENT
ARTICLE 4. MATERNAL AND CHILD HEALTH
INFANT TODDLER SERVICES--I.D.E.A.
Date:
08/31/2009
Document:
28-4-592. Safety and emergency procedures.
(a) Telephone.
(1) Each operator shall ensure that there is a working telephone readily available to the operator and staff members to receive all incoming calls and make outgoing calls during all hours of operation.
(2) A working cellular phone that is turned on during the hours of operation may be substituted for a wired telephone.
(3) Each operator shall post emergency telephone numbers for the police, fire department, ambulance, hospital or hospitals, and poison control center next to the telephone, or shall have the numbers immediately accessible to each wired or cellular phone.
(b) Emergency plans and evacuation procedures.
(1) Emergency plans.
(A) Each operator shall develop and implement an emergency plan to provide for the safety of children, youth, and staff in emergencies including fire, tornadoes, storms, floods, serious injury, and other types of emergency specific to the geographic area in which the program is conducted.
(B) Each emergency plan shall be posted in a conspicuous place in each indoor activity area.
(C) Each staff member shall be informed of and shall follow the emergency plans.
(2) Evacuation procedures. Each operator shall practice both of the following evacuation procedures with the children and youth:
(A) Fire drills shall be conducted monthly. A record of the date and time of each fire drill and a record of each evacuation time shall be kept on file for one year.
(B) Tornado drills shall be conducted monthly during April through September. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file for one year.
(c) First aid and cardiopulmonary resuscitation (CPR).
(1) Each operator shall ensure that there is at least one staff member on the premises who is readily available to each child or youth at all times and who has a current certification in first aid and a current certification in CPR appropriate to the age of children and youth attending the program.
(2) Each record of certification shall be kept in the staff member's file. Equivalent training or certification may be substituted for the required training or certification if approved by the secretary.
(3) First-aid supplies. Each operator shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:
(A) First-aid manual;
(B) single-use gloves;
(C) adhesive bandages of assorted sizes;
(D) adhesive tape;
(E) a roll of sterile gauze;
(F) sharp scissors;
(G) packages of four-inch sterile gauze squares;
(H) a cleansing agent or pump soap;
(I) an elastic bandage;
(J) tweezers; and
(K) a bottle of water for washing and cleansing.
(d) Standard precautions for handling blood and other bodily fluids or waste. Each operator shall ensure that each staff member complies with the following standard precautions:
(1) Each individual shall wear single-use gloves in the following situations:
(A) When cleaning contaminated surfaces or areas;
(B) before dressing a cut or sore that is leaking body fluids; and
(C) when cleaning up each spill, including urine, feces, blood, saliva, vomit, and tissue discharge.
(2) Each contaminated surface or area on which a spill occurs shall be cleaned with a disinfectant solution of one-quarter cup of unscented chlorine bleach to one gallon of cool water, or an appropriate commercial disinfectant used according to the manufacturer's instructions.
(3) Care shall be taken to avoid splashing any contaminated material onto any mucous membrane, including eyes, nose, and mouth.
(4) Each mop used to clean up a contaminated area shall be cleaned and rinsed in a disinfecting solution, wrung as dry as possible, and hung to dry.
(5) Each paper towel, sponge, or other material used for cleaning up a contaminated area shall be placed in a plastic bag with a secure tie and thrown away in a covered container.
(e) Emergency medical care.
(1) If a child or youth needs emergency medical care and is taken to an emergency care source, each operator shall ensure that the parent or other adult responsible for the child or youth is notified immediately and shall make the following documents and information immediately available to emergency care personnel:
(A) The child's or youth's health history;
(B) the name, address, and telephone number of the following individuals:
(i) The parent or other adult responsible for the child or youth;
(ii) a designated emergency contact; and
(iii) the physician designated by the parent or other adult to be called in case of emergency; and
(C) authorization for emergency medical care.
(2) If the operator has been unable to obtain the necessary documents as specified in K.A.R. 28-4-582, the operator shall follow the plan approved by the secretary.
(3) A staff member shall accompany a child or youth to the source of emergency care and shall remain with the child or youth until a parent or other responsible adult assumes responsibility for the child or youth. When a staff member goes to the source of emergency care with a child or youth, the operator shall ensure that there is an adequate number of staff members available to supervise the remaining children and youth in the program.
(f) Reporting illnesses.
(1) If a child or youth becomes ill while attending the program, the operator shall immediately notify the parent or other adult responsible for the child or youth.
(2) If an operator, staff member, child, or youth in a program contracts a reportable infectious or contagious disease specified in K.A.R. 28-1-2 and K.A.R. 28-1-18, the operator shall report the disease to the local county health department by the next working day. The operator shall follow the protocol recommended by the county health department and shall cooperate fully with any investigation, disease control, or surveillance procedures initiated by the county health department or the department of health and environment.
(g) Reporting critical incidents.
(1) Each operator shall report the following critical incidents immediately to each parent or other adult responsible for a child or youth affected by the critical incident, on a form supplied by the department:
(A) Fire damage or other damage to the building, or damage to the property that affects the structure of the building or safety of the children and youth;
(B) a vehicle accident involving children or youth;
(C) a missing child or youth;
(D) physical restraint of a child or youth by staff members;
(E) the injury of a child or youth that requires medical attention;
(F) the death of a child, youth, or staff member; and
(G) any other incident that jeopardizes the safety of any child or youth.
(2) Each operator shall report each critical incident specified in paragraph (g)(1) of this regulation to the secretary's designee by the next working day, on a form supplied by the department. However, the use of physical restraint shall be reported to the secretary if an injury or bruising occurs. A copy of each critical incident report shall be kept on file for not less than one year on the premises or at a designated central office location and shall be accessible for review by the secretary's designee.
(3) Each operator shall ensure that a report is made to the secretary's designee of all known facts concerning the time, place, manner, and circumstances of the death of a child or a youth attending the program when submitting a critical incident report as specified in paragraph (g)(1) of this regulation.
(4) Each operator and each staff member shall report suspected child abuse or child neglect, as follows:
(A) Immediately, by telephone or in writing, to the secretary of the department of social and rehabilitation services; and
(B) by the next working day to the secretary's designee, on a form supplied by the department.
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