Kan. Admin. Regs. § 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:
(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;
(2) a medical history obtained
from the parent or legal guardian. Each applicant with a temporary permit and
each licensee shall review with each child's parent or legal guardian that
child's medical history at least once every 12 months.
(b) A child under 16 years of age shall not
be required to have routine tuberculin tests.
(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.
(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.
(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.
(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.
(g)
Each applicant with a temporary permit and each licensee shall provide
information to parents of children about the benefits of annual well-child
health assessments for children under the age of six years and biennial health
assessments for children six years of age and older. Each applicant with a
temporary permit and each licensee shall also provide information about the
importance of seeking medical advice when children exhibit health problems.
This information shall be given on a form provided by the department to the
parent when the child is enrolled or be posted in a conspicuous place, with
copies of the form available to parents on request.
(h) Recordkeeping. Each applicant with a
temporary permit and each licensee shall ensure that a file is maintained for
each child. Each file shall include the following information:
(1) The full name, home and business
addresses, and telephone numbers of the child's parent or parents or legal
guardian and the name, address, and telephone number of the individual to
notify in case of emergency;
(2)
the full name and telephone number of each individual authorized to remove the
child from the facility;
(3) a
medical record as required by
K.A.R.
28-4-117(a) ; and
Notes
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