Kan. Admin. Regs. § 28-4-116 - Daily care of children
Current through Register Vol. 40, No. 39, September 30, 2021
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28-4-116. Daily care of children. (a) Daily activities.
(1) Each applicant with a temporary permit and each licensee shall provide daily activities that promote healthy growth and development, take into consideration the cultural background and traditions that are familiar to the children, and incorporate both indoor and outdoor activities that are appropriate for the ages and developmental levels of the children in care.
(2) Each child shall be offered a choice of activities and the opportunity to participate. Ageappropriate toys, play equipment, books, and other learning materials shall be available in sufficient quantities to allow each child a choice of activities.
(3) The activities, supplies, and equipment shall be designed to promote the following:
(A) Large motor and small motor development, which may include running, climbing, jumping, grasping objects, drawing, buttoning, and tying;
(B) creative expression, which may include dramatic play, music, and art;
(C) math and science skills, which may include sorting, matching, counting, and measuring; and
(D) language development and literacy, which may include reading, singing, finger plays, writing, and stories.
(4) Each child shall be given the opportunity for at least one hour of physical activity daily, either outdoors as described in paragraph (a)(7) or indoors.
(5) Each applicant with a temporary permit and each licensee shall ensure that the following requirements are met if the daily activities include any media viewing:
(A) Each program shall be age-appropriate and, if rated, shall have a rating appropriate for the ages and developmental levels of the children who view the program.
(B) No child shall be required to participate in media viewing. Each child not engaged in media viewing shall be offered a choice of at least one other activity for that time period.
(6) Toys and other items used by children shall meet the following requirements:
(A) Be clean, of safe construction, and in good repair;
(B) be washed and sanitized daily when used by children under 18 months of age; and
(C) be washed and sanitized before being used by another child, if contaminated by saliva or other bodily fluids.
(7) Unless prohibited by the child's medical condition or extreme weather conditions, each child in care shall be taken outdoors daily. Each child 12 months of age or older shall have the opportunity for at least one hour of outdoor play daily.
(b) Self-help and personal care. Each provider shall ensure that each child is assisted as needed with hand washing, toileting, dressing, and other personal care.
(c) Hand washing. Hands shall be washed using soap and warm running water and dried with a paper towel or a single-use towel. 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 provider shall wash that provider'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 pet.
(2) Each child shall wash 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;
(D) before and after eating each snack and each meal; and
(E) after feeding or handling any pet.
(d) Smoking prohibited. No provider shall smoke while providing direct physical care to children. Smoking in any room, enclosed area, or other enclosed space on the premises shall be prohibited when children are in care pursuant to K.S.A. 65-530, and amendments thereto.
(e) Nutrition and food service. Each applicant with a temporary permit and each licensee shall develop and implement menu plans for meals and snacks that contain a variety of healthful foods, including fresh fruits, fresh vegetables, whole grains, lean meats, and low-fat dairy products.
(1) If children under 18 months of age are in care, the following requirements shall be met:
(A) Each child shall be held when bottle-fed until the child can hold the child's own bottle.
(B) No child shall be allowed to sleep with a bottle in the mouth.
(C) Each bottle that contains prepared formula or breast milk shall be stored in the refrigerator with the nipple covered. The bottle shall be labeled with the child's name, the contents, and the date received and shall be used within 24 hours of the date on the label.
(D) If a child does not finish a bottle, the contents of the bottle shall be discarded.
(E) No formula or breast milk shall be heated in a microwave oven.
(F) Solid foods shall be offered when the provider and the parent or legal guardian of the child determine that the child is ready for solid foods. Opened containers of solid foods shall be labeled with the child's name, the contents, and the date opened. Containers shall be covered and stored in the refrigerator.
(2) Each applicant with a temporary permit and each licensee shall serve nutritious meals and snacks based on the amount of time a child is in care.
(A) Each child who is in care at least 2½ hours but under four hours shall be served at least one snack.
(B) Each child who is in care at least four hours but under eight hours shall be served at least one snack and at least one meal.
(C) Each child who is in care at least eight hours but under 10 hours shall be served at least two snacks and one meal or at least one snack and two meals.
(D) Each child who is in care for 10 or more hours shall be served at least two meals and at least two snacks.
(3) Each applicant with a temporary permit and each licensee shall include the following items in meals and snacks:
(A) Breakfast shall include the following:
(i) A fruit, vegetable, full-strength fruit juice, or full-strength vegetable juice;
(ii) bread or grain product; and
(B) Noon and evening meals shall include one item from each of the following:
(i) Meat or a meat alternative;
(ii) two vegetables or two fruits, or one vegetable and one fruit;
(iii) bread or a grain product; and
(C) Midmorning and midafternoon snacks shall include at least two of the following:
(ii) fruit, vegetable, full-strength fruit juice, or full-strength vegetable juice;
(iii) meat or a meat alternative; or
(iv) bread or grain product.
(D) For snacks, juice shall not be served when milk is served as the only other item.
(4) A sufficient quantity of food shall be prepared for each meal to allow each child to have a second portion of bread, milk, and either vegetables or fruits.
(5) Drinking water shall be available to each child at all times when the child is in care.
(6) Only pasteurized milk products shall be served.
(7) Milk served to any child who is two years of age or older shall have a fat content of one percent or less, unless a medical reason is documented in writing by a licensed physician.
(8) If a fruit juice or a vegetable juice is served, the juice shall be pasteurized and full-strength.
(9) If any child has a food allergy or special dietary need, the provider and the parent or legal guardian of the child shall make arrangements for the provision of alternative foods or beverages.
(10) Meals and snacks shall be served to each child using individual tableware that is appropriate for the food or beverage being served. Food shall be served on tableware appropriate for that food and shall not be served directly on a bare surface, including a tabletop.
(11) Tableware shall be washed, rinsed and air-dried or placed in a dishwasher after each meal.
(12) Sanitary methods of food handling and storage shall be followed.
(13) A washable or disposable individual cup, towel, and washcloth shall be provided for each child.
(f) Recordkeeping. Each applicant with a temporary permit and each licensee shall ensure that a file is maintained for each child, including each child enrolled for emergency care. 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 pick up the child and to provide transportation to and from the facility;
(3) a medical record as required by K.A.R. 28-4-117(a), except that each child enrolled for emergency care shall be exempt from K.A.R. 28-4-117 (a)(2); and
(4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127(b)(1)(A). (Authorized by K.S.A. 2010 Supp. 65-508; implementing K.S.A. 65-507 and K.S.A. 2010 Supp. 65-508; effective, E-80-18, Oct. 17, 1979; effective May 1, 1980; amended May 1, 1981; amended May 1, 1983; amended May 1, 1985; amended May 1, 1987; amended Feb. 26, 1990; amended Feb. 3, 2012.)