Kan. Admin. Regs. § 28-4-430 - Health practices; illness and abuse; general health requirements for staff
(a) Medical
record. A completed medical record on the form provided by the department shall
be on file at the facility for each child.
(1) Each medical record shall include the
results of a health assessment 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. The assessment shall be conducted by a licensed
physician, a physician assistant, or by a nurse approved to perform health
assessments.
(2) Each medical
record shall include 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.
(3)
Children transferring from one child care facility to another shall not be
required to obtain a new health assessment if the previous health assessment
record is available.
(4)
Tuberculosis 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 be maintained in 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 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 form.
(6) 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 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 department 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 shall be provided an
individual toothbrush for that child's use. Each child shall brush that child's
teeth or be assisted in brushing that child's teeth at least once daily. Each
toothbrush shall be stored in a sanitary manner and out of reach of
children.
(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 or legal guardians of the
nature of the illness without disclosing the child's identity.
(2) Each communicable disease shall be
reported to the local health department.
(3) Each staff member shall report within 24
hours to the Kansas department for children and families any suspected child
abuse or neglect.
(4) Each
applicant with a temporary permit or licensee providing care of sick children
shall submit written plans regarding the needs of a sick child and the care of
a sick child to the department. The plans shall be prepared in consultation
with a 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.
(5) A quiet area shall be provided for any
sick child. Sick children shall be supervised at all times.
(d) Staff.
(1) The use of tobacco products shall be
prohibited on the premises.
(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 licensed 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).
Notes
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No prior version found.