Kan. Admin. Regs. § 28-4-132 - Child care practices
(a)
Supervision. Each applicant, each applicant with a temporary permit, and each
licensee shall ensure that supervision is provided by a person 16 years of age
or older who is responsible for the health, safety, and well-being of each
child in care.
(b) Behavior
management practices.
(1) Behavior management
practices shall be consistent with the goals and purposes of the program and
appropriate to the age and developmental level of the child.
(2) Each individual caring for children shall
practice methods of behavior management that are designed to help each child
develop inner controls and manage the child's own behavior in a socially
acceptable manner. No individual caring for children shall use prohibited
methods of punishment.
(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.
(c) Prohibited punishment. Punishment that is
humiliating, frightening, or physically harmful to any child shall be
prohibited.
(1) Prohibited methods of
punishment. Prohibited methods of punishment shall include the following:
(A) Corporal punishment, including hitting
with the hand or any implement, slapping, swatting, shaking, pulling hair,
yanking the arm, excessive exercise, exposure to extreme temperatures, and any
other measure that produces physical pain or threatens the child's health or
safety;
(B) mental and emotional
cruelty, including verbal abuse, threats, derogatory remarks about the child or
the child's family, or statements which tend to shame, humiliate, or frighten
the child;
(C) binding or tying the
child to restrict movement;
(D)
confining the child in a high chair, a play yard, a crib, a closet, a locked
room or area, a box, or a similar enclosure;
(E) withholding or forcing foods, toilet use,
or rest; and
(F) placing soap or
any other substances that stings, burns, or has a bitter taste in the child's
mouth, on the tongue or on or in any other part of the child's body.
(2) Each individual who cares for
children shall be prohibited from giving any child any medications, herbal or
folk remedies, or drugs to control or manage behavior, unless prescribed by a
licensed physician, physician assistant, or advanced practice registered
nurse.
(d) Hand washing.
Hands shall be washed using soap and warm running water and dried with an
individual towel or disposable product. When cloth towels and washcloths are
used, they shall be labeled with the child's name, and shall be laundered at
least weekly. When soap and running water are not readily available, an
alcohol-based hand sanitizer may be used only by adults and, under adult
supervision, by children two years of age and older.
(1) Each individual caring for children shall
wash that individual's hands as needed when hands are soiled and when each of
the following occurs:
(A) At the start of the
hours of operation or when first arriving at the facility;
(B) returning from being outdoors;
(C) after toileting, diapering, assisting a
child with toileting, or handling any bodily fluids;
(D) before preparing each snack and each meal
and before and after eating each snack and each meal;
(E) before and after administrating any
medication; and
(F) after feeding
or handling any animal.
(2) Each individual caring for children shall
ensure each child washes that child's hands or be assisted in washing that
child's hands as needed when hands are soiled and when each of the following
occurs:
(A) First arriving at the
facility;
(B) returning from being
outdoors;
(C) after toileting,
being diapered, or changing wet or soiled clothing;
(D) before and after eating each snack and
each meal; and
(E) after feeding or
handling any animal.
(e) Clothing, diapers, and bedding. Each
applicant, each applicant with a temporary permit, and each licensee shall
ensure that the following requirements are met for clothing, diapers, and
bedding:
(1) Each child's clothing, diaper,
training pants, or bedding shall be changed without delay whenever wet or
soiled. The diaper or training pants of each child shall be checked at least
every two hours to determine if a change is needed.
(2) Each child under three years of age shall
have at least two complete changes of clothing available.
(f) Hand washing sinks. Sinks for hand
washing shall be in or readily accessible to each diaper-changing area and each
toileting area.
(g) Diapering. This
subsection shall apply if any child in care requires diapering.
(1) Each applicant, each applicant with a
temporary permit, each licensee, and each individual caring for children shall
follow the diapering procedures provided by the department.
(2) A copy of the procedures shall be posted
in each diaper-changing area.
(3)
Each area used for diaper changing shall meet the following requirements:
(A) Be located in an area away from the food
preparation area;
(B) be located in
an area that allows the individual who is changing a diaper to maintain
supervision of the other children in care; and
(C) have a covered, hands-free trash
container located within reach of the changing surface.
(4) Each child in a family child care home
shall be diapered in the child's own crib or playpen, on a clean,
moisture-proof, nonabsorbent pad on the floor, or on a changing
table.
(5) Each infant unit and
each toddler unit in a child care center shall have a changing table.
(6) No child shall be left unattended on a
diaperchanging surface.
(7) If a
changing table is used, the table shall meet the following requirements:
(A) Have a moisture-proof, nonabsorbent,
smooth surface that is undamaged, does not trap soil, and is easily
cleaned;
(B) be sturdy;
(C) be equipped with railings or with safety
straps that are secured to the changing table; and
(D) if equipped with safety straps, have
straps that are easily cleaned and disinfected after each diaper
change.
(8) Washable
diapers or training pants shall not be rinsed out. They shall be stored in a
labeled covered container or plastic bag and returned to the parent or legal
guardian.
(9) Disposable diapers
and disposable training pants shall be placed in a covered container or plastic
bag which shall be emptied daily, or more frequently as necessary for odor
control. Each covered container used for disposable diapers and disposable
training pants shall be cleaned and disinfected at the end of each
day.
(10) Each diaper-changing
surface shall be cleaned and disinfected after each use. The surface shall be
cleaned by removing any visible soil from the surface with a water saturated
disposable paper towel or wipe. After the surface has been cleaned, the surface
shall be disinfected.
(h) Toilet training. This subsection shall
apply if any child in care is learning to use the toilet.
(1) Toilet training shall begin when the
individual caring for children or program director and the parent or legal
guardian of a child determine that the child is ready for toilet
training.
(2) No child shall be
forced to participate in toilet training if the child is not ready.
(3) No child shall be punished or shamed for
toileting accidents.
(4) If a
toilet training device is used, the following requirements shall be met:
(A) Each toilet training device shall be used
and stored in the bathroom.
(B) The
wastes shall be disposed of immediately in a flush toilet.
(C) Each toilet training device, including
the container shall be cleaned and disinfected after each use.
(D) Toilet training devices shall not be
counted as toilets.
(i) Medication administration.
(1) Each individual caring for children shall
complete medication administration training before administering any medication
to any child, as specified in
K.A.R.
28-4-114a and
K.A.R.
28-4-428a.
(2) If nonprescription medication is to be
administered to a child, each individual caring for children shall meet the
following requirements:
(A) Obtain written
permission from each child's parent or legal guardian before administering
medication to that child;
(B)
require that each medication supplied by a parent or legal guardian for the
child be in the original container;
(C) ensure that the container is labeled with
the first and last name of the child for whom the medication is intended;
and
(D) administer each medication
according to the instructions on the label.
(3) If prescription medication is
administered to a child, each individual caring for children shall meet the
following requirements:
(A) Obtain written
permission from each child's parent or legal guardian before administering
medication to that child;
(B) keep
each medication in the original container labeled by a pharmacist, with the
following information:
(i) The child's first
and last name;
(ii) the name of the
licensed physician, physician assistant (PA), or advanced practice registered
nurse (APRN) who ordered the medication;
(iii) the date the prescription was
filled;
(iv) the expiration date of
the medication; and
(v) specific,
legible instructions for administration and storage of the
medication;
(C) consider
the instructions on each label to be the order from the licensed physician, PA,
or APRN;
(D) administer the
medication only to the child designated on the prescription label;
and
(E) administer the medication
in accordance with the instructions on the label.
(4) Documentation of each medication
administered shall be kept on a form provided by the department and maintained
in each child's file.
(5) A copy of
the documentation of each medication administered shall be made available to
the parent or legal guardian of the child.
(j) Each residential center and group
boarding home shall be exempt from subsections (a) through (c).
Notes
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