Daycare Deals

• ·      Should go live within the next week --This is live now.
• ·      Anyone/anywhere can search for your daycare. Currently, the default listing is only name and license number.  If a provider chooses to,  she/he could request that an address and phone number is listed. *I will not be listing my phone number or address because anyone could look up this information.
• ·      All licensed providers/centers will be listed in the system. You cannot opt out of having your name and license number listed.
• ·      The information in the system will be from the last 3 years.
• ·      Complaints—even if no violations were found—will be listed.
• ·      New complaints will not be listed until the complaint is closed.
• ·      The training requirements will not have to be met until 2-3-13, but your NOSF will show that your surveyor consulted you about needing to complete the required trainings. This consultation will be listed in the online system.

• ·      If a currently licensed provider moves to another county or changes his/her program type, he/she needs to have a new orientation that is KDHE approved.
• ·      All providers are required to provide orientation pertaining to his/her own home. Areas to go over should be: supervision plan, safe sleep policy, health & safety practices, confidentiality, and anything else that the provider deems necessary. (Documentation showing that an orientation was given should be kept in the substitute/employee’s file. Must be in compliance with this by May 2012.
• ·      Some counties provided orientations for registered providers separate from licensed providers. If your county did this and you were formally registered, you will need to attend a licensed orientation. *SG county combined registered and licensed, so anyone in SG county should be fine.
• ·      Providers should be able to provide the month/day/year of their orientation. *They said that providers who have been doing care for many, many years shouldn’t have to attend another orientation unless they switch types or move counties.

• ·      Providers who are currently licensed have until 2-3-13 to meet the new training requirements. The required trainings include: First Aid/CPR, signs of abuse and neglect, Safe Sleep, Basic Child Development.
• ·      If your county formerly offered a signs and systems of abuse class, the class will need to be retaken if the class did not cover head trauma. *SG county classes that were previously offered do not count and will need to be taken again.
• ·      SIDS/Safe Sleep classes must be KDHE approved. If you took SIDS/Safe Sleep at one of the trainings days that KDHE provided in 2010, the class will count for the SIDS/Safe Sleep requirement. *I attended a Safe Sleep class at the SG County health department. That class would count for me.
• ·      Pediatric/First Aid and Infant/Child CPR class certifications must be kept current. *The card for pediatric first aid may night say that it covered pediatric first aid, but that is ok as long as you can tell your surveyor that it was covered. The CPR card must say Infant/Child on it.
• ·      Resources for KDHE approved classes: KSCL online, Child Care Aware, Child Start, your local referral/resource agency
• ·      Each year, the annual 5 hours must be KDHE approved. The classes provided by the food program do count for annual hours.

• ·      If switching license types or adding a new substitute/employee, the new person will not have until 2-3-12 to meet the training requirements. All new substitutes will have only 30 days to meet the training requirements.

• ·      All cribs used in a daycare must have a sticker dated after 6-28-11.

• ·      Unused formula/breastmilk in a bottle that an infant did not finish cannot be stored in a refrigerator. It must be discarded.
• ·      Formula/Breast milk cannot be heated in a microwave
• ·      Must be in compliance with this by May 2012.

• ·      They get phone calls from upset parents asking if it is okay that a provider won’t take non-potty trained children or won’t take children under 2, etc. If you have personal policies, KDHE says to put them in your handbook/policies. *KDHE cannot mandate what we charge or if we choose not to take non-potty trained children. They just have parents who call to complain.
•  Bagging up soiled clothing (potty-training accident, etc) is something KDHE supports because the provider is following the regulations. [Parents apparently call about this a lot.] *This section doesn't really concern the new regulations, but KDHE spoke about this.
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• WATER
• ·      It seems like common sense, but all children should be given water if they request it. They should not be told that it isn’t time for water/drink time yet.
• ·      Must be in compliance with this by May 2012.

• ·      In a temporary absence (must be less than 3 hours per day), a substitute must meet these three requirements:

• ·      In an extended absence (more than 3 hours per day), a substitute must have the same new trainings as the provider:

• ·      Play areas now have to meet “use zone” requirements. If you pull your swing it either direction, you should have 1 in of clear space for every foot that the swing is extended in front or behind the swing. The space in front of the slide must be clear as well. (I think this is the way to explain it. My surveyor just went out to the playset and held the swing back to make sure enough space was met.)  *KDHE cannot regulate the depth of the approved surface under the play area. They can cite a violation if any bare spots are showing.
• ·      Manicured grass is not allowed under anchored play equipment. Approved surfaces are listed in the regulations. Sand is included as an approved surface. Landscaping mulch is not.
• ·      If you have moveable play equipment, ie Little Tykes toys, they do not have to be on top of approved ground cover. They should be on the grass or a mat should be under them to protect the children.
• ·      Trampolines must remain inaccessible to children in care but do not have to be in a separate fenced area. They should be as far removed from the play area as possible. Steps must be removed, enclosure zipped, and all children (even the provider’s are not allowed on the trampoline during daycare hours).
• ·      Must be in compliance with this by May 2012.
• ·      As of March 1, 2012, all new licensees must have an outdoor play area. 

• ·      They expanded the guns/weapons information. Even items such as bb guns, air guns, fishing knives should be locked away.
• ·      Guns and ammunition must be locked in separate containers. Even if they are in the same gun safe, the ammunition must be in a separate locked box.
• ·      Must be in compliance with this by May 2012.

• ·      No blanks should be on the forms. Write no or N/A if needed.

• ·      Accordion gates are absolutely not allowed in daycare at all anymore. EVER.
• ·      At the top of the stairs, the baby gate needs to be one which is mounted on one side of the wall.
• ·      At the bottom of stairs, a pressure gate may be used, but not an accordion.
• ·      Must be in compliance with this by May 2012 

• ·      Written, posted, and documented that the provider shared the supervision plan with parents. Plans would likely go something like “Our main play area is… This is how I supervise them in this area…” or “Our kitchen is here…This is how I supervise…”
• ·      I would recommend running your supervision plan by your surveyor before reviewing it and posting it.
• ·      Must be in compliance with this by May 2012 

• ·      If the weather does not permit outside play, 1 hour of physical activity must still be met. This can include dancing, jumping, etc.
• ·      If a child isn’t a napper, he/she must be given a quiet activity during nap time.
• ·      If showing a movie/tv show(G rated), children cannot be forced to watch it. If they do not watch, they need to be given an alternate activity.
• ·      Must be in compliance with this by May 2012. 

• ·      A blanket (even a lightweight one) is not advised for infants under 12months. Swaddling is not allowed unless a doctor’s note is given and the provider gets an exception. *The regs state that a lightweight blanket could be used, but KDHE is saying no blankets. The regulation does say that sleepers or sleep sacks are okay.
• ·      Must be in compliance with this by May 2012.

• ·      Children/Staff should wash their hands after handling pets. The regulations go into further detail about handwashing.
• ·      Must be in compliance with this by May 2012

• ·      All new regulations except for the training requirements must be met by May 2012.
• ·      The training requirements must be met by 2-3-13.
• ·      All complaints, NOSF forms, and any consultations (including those made about not yet meeting the training requirements) will be listed in the online system for anyone to see. *Example: I renew in October. If I haven’t met all the training requirements (even though I have until 2-3-13) before my annual survey, a consultation is written on my NOSF. Potential parents will be able to see that. Hopefully they will understand that a consultation is not a bad thing in this situation.
• ·      Blankets are not to be used with infants.
• ·      Play areas must have approved ground cover.
• ·      Accordion gates are never to be used in daycare.

These are some classes being offered that can help meet the training requirements we need to be in compliance with the new regulations. We need signs & symptoms of abuse, Safe Sleep/SIDS, a basic child development class (I cannot say if any of these classes meet the basic child development requirement), and to keep our CPR/first aid certifications current. I like that I know when these classes are in March and April because I want to wait until our Sedgwick County surveyors are trained in March before taking any classes; this way I can take them with my substitute if my sub will need to meet the requirements. To sign up, call 641-1485 or email angela.bitker@yahoo.com. All of these classes are KDHE approved.

February
21st, 7pm-10pm, $34, Adult, Child and Infant CPR/AED
23rd, 7pm-9pm, $10, Basic Training Health and Safety
28th, 7pm-9pm, $10, Child Abuse and Neglect Signs and Symptoms of Childhood Illness

March
6th, 7pm-9pm, $10, Fearful, Flexible and Feisty Temperaments
7th, 7pm-9pm, $10, Basic Training Chiold Development and Discipline Techniques
12th, 7pm-10pm, $34, Adult, Child and Infant CPR/AED
26th, 7pm-9pm, $10, Child Abuse and Neglect Signs and Symptoms of Childhood Illness
27th, 7pm-9pm, $10, Play: The Good Four Letter Word

April
3rd, 7pm-9pm, $10, Fearful, Flexible and Feisty Temperaments
9th, 7pm-9pm, $10, Pediatric First Aid Introduction and Refresher
11th, 7pm-10pm, $34, Adult, Child and Infant CPR/AED
16th, 7pm-9pm, $10, Reducing the Risk of SIDS
17th, 7pm-9pm, $10, Child Abuse and Neglect Signs and Symptoms of Childhood Illness


 Call 641-1485 or email angela.bitker@yahoo.com to sign up for these classes.


(Disclosure: I am in no way associated with the teacher of these classes. I just wanted to pass information along about these classes.)

I just came across this article for those of us who were unable to attend the May 17th hearing on the proposed regulations. I liked it because the article states some of the concerns that providers had about the proposed regulations. You can also download and listen to the hearing.

Some highlights I found from the live tweets were:

1:48 PM @KansasWatchdog: Insurance counselor at KDHE hearing says proposed regulations have good intentions but overly burden child care providers


2:22 PM @KansasWatchdog: Provider says touching a child every 15 minutes when napping is not common sense.


2:34 PM @KansasWatchdog: Child care provider at KDHE hearing concerned that new regulations will result in less diversity in services; wonders about KDHE’s purpose.


2:54 PM @KansasWatchdog: Child care provider says new touching regulation while sleeping would provide false sense of security to parents about SIDS issue.


Find the article here.

Source: Earl F Glynn. Concerns about new child care regulations at KDHE hearing. http://kansas.watchdog.org/6857/concerns-about-new-child-care-regulations-at-kdhe-hearing/

According to KDHE's website, some of the forms were updated as of 8/2011. I get my renewal packet in the mail in July, so the new form was a surprise to me. I figured that some of you might not be aware of the change either. The only difference I could find was with the health assessment form that the doctor/nurse fills out. It has changed a lot. Find the new form here.

What this means for providers:

According to my local office, this new form is to be used for all new children in care. However, it was suggested that the new form be sent with parents if they are taking their child/children to the doctor. Also, if you do a yearly update of records to make sure that all contact information/shot records, etc. are correct, then you should update to the new health assessment form.

As far as I am aware, the KDHE surveyors will not require current children to have the updated health assessment. If you have questions on this, please let me know.

Also, as it is almost January, the new regulations are supposed to be start being enacted at the beginning of 2012. See my post about that here.

I received this information in an email from my local office. This information concerns parents and caregivers of premature infants.

KDHE has been notified by the FDA to advise parents, caregivers and health care providers not to feed SimplyThick, a thickening product, to premature infants.

This product may be associated with necrotizing enterocolitis (NEC), a life-threatening condition.

Since May 13, 2011 FDA has been notified of 15 cases of NEC, including two deaths, involving premature infants who were given SimplyThick for varying amounts of time. The product was mixed with mothers’ breast milk or infant formula products. In Kansas, two cases of NEC have been reported in premature infants that were given this product.

NEC most often occurs in premature infants while still hospitalized. The current situation is unusual because some of the infants had been discharged from the hospital on a feeding regimen that included SimplyThick and then developed symptoms of NEC while at home.

NEC is a life-threatening condition characterized by inflammation and death of intestinal tiss ue. Signs and symptoms of NEC include appearance of a bloated abdominal area, feeding intolerance, greenish-tinged (bile) vomiting and bloody stools.

SimplyThick is one brand of thickening agent available to medical centers and consumers. The product is sold in packets of individual servings and in 64-ounce dispenser bottles. The product can be purchased from distributors and local pharmacies throughout the United States. Images of the SimplyThick label and packaging can be viewed at: www.flickr.com/photos/fdaphotos/sets/72157626641899297/.

Health care professionals and patients are encouraged to report adverse events or side effects related to the use of this product to the FDA's MedWatch Safety Information and Adverse Event Reporting Program by:
• Completing and submitting the adverse report online: www.fda.gov/MedWatch/report.htm
• Downloading the pre-addressed, postage-paid FDA Form 35003 at: www.fda.gov/Safety/MedWatch/HowToReport/DownloadForms /default.htm (or calling 1-800-332-1088 to request the form), completing it and faxing it to 1-800-FDA-0178; or Mailing the completed form to MedWatch 5600 Fishers Lane, Rockville, MD 20857.

For additional information on this investigation please call the FDA at 888-INFO-FDA or the KDHE Epidemiology Hotline at 877-427-7317.