reglab/statecodes huggingface dataset:
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-405 - Providers of service

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Application.
			 Each person or corporation desiring to supply services or sell prosthetic
			 devices, equipment, appliances or supplies shall file an application with the
			 secretary. Each application shall be approved or disapproved by the secretary,
			 interested parties shall be notified of the action taken, and a list of
			 approved providers of service shall be maintained.
(b) Designation of hospitals. Each hospital
			 approved to provide medical and surgical services for the care and treatment of
			 eligible persons, except for those out-of-state hospitals authorized by K.A.R.
			 28-4-408, shall meet the following requirements:
(1) For inpatient services, the hospital
			 shall meet these standards:
(A) be licensed
			 as a hospital in Kansas;
(B) be
			 certified by the joint commission on accreditation of health care
			 organizations;
(C) have staff
			 physicians certified by specialty boards in the specialty appropriate for the
			 needs of the eligible person;
(D)
			 have available consultation in other specialty areas for the cases being
			 treated;
(E) have appropriate
			 operating facilities for the specialty for which the hospital is approved;
(F) have other facilities
			 appropriate for the application of plaster or other cast material for eligible
			 persons;
(G) have regularly
			 scheduled inservice programs relating to children and pediatric conditions; and
(H) provide the following services
			 for children:
(i) qualified professional
			 nurses assigned to care of children;
(ii) at least one pediatrician on the
			 hospital staff, with a designated chief of pediatrics; and
(iii) nonrestrictive visiting hours for
			 parents and suitable recreational facilities for children.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-405a - Payment

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each provider
			 shall submit a claim to the secretary for payment for a prior-authorized
			 medical treatment within six months of the date of service.
(b) Each claim submitted for payment shall
			 provide the following information:
(1) the
			 eligible person's name and address;
(2) the date the medical treatment was
			 provided;
(3) the appropriate
			 procedure code; and
(4) the
			 insurance or medicaid status of the eligible person or both insurance and
			 medicaid status, when applicable.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-405b - Termination

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Any provider
			 may be terminated by the secretary from participation in the services for
			 children with special health care needs program for one or more of the
			 following reasons:
(1) Voluntary withdrawal
			 of the provider from participation in the program;
(2) suspension or termination of a required
			 professional license or certificate; or
(3)
(A)
			 non-compliance with applicable state laws or regulations; or
(B) unethical or unprofessional conduct.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-406 - Conditions eligible for treatment

Current through Register Vol. 43, No. 28, July 11,
			 2024
For a person to be eligible for financial assistance under the
				services for children with special health care needs program, the person shall
				be diagnosed with one or more of the following conditions:
(a) Myelomeningocele;
(b) Cleft palate, cleft lip, and related
			 problems;
(c) Cardiovascular
			 conditions, except for high blood pressure;
(d) Neurosurgical conditions, limited to
			 permanent spinal cord injury that results in paralysis, or hydrocephalus;
(e) Orthopedic conditions,
			 including the following:
(1) Congenital
			 anomalies leading to physical limitations or functional disabilities which
			 interfere with performance of age-appropriate activities;
(2) Acquired conditions leading to physical
			 handicaps, excluding non-vitamin D resistant rickets;
(3) Fractures in which there is a
			 complication in healing;
(4)
			 Developmental problems requiring surgical correction; or
(5) Muscle problems that are of a disabling
			 nature, limited to muscular dystrophies, myositis ossificans progressiva or
			 poliomyelitis;
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-407 - System of priorities

Current through Register Vol. 43, No. 28, July 11,
			 2024
Persons with the diagnosis specified in subsection (a) of
				K.A.R.
				28-4-406 shall have priority assistance, with
				subsequent priorities for assistance established in descending order for the
				diagnoses listed in subsections (b) through (n), inclusive. Persons with the
				diagnoses specified in subsection (n) of
				K.A.R.
				28-4-406 shall be assigned the lowest
				priority for assistance.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-408 - Out-of-state service provision

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Treatment
			 services may be provided out of state on an individual basis under any of the
			 following conditions.
(1) The medical
			 specialty is not practiced in Kansas.
(2) The medical treatment is not available in
			 Kansas, and two approved medical specialists recommend out-of-state treatment.
(3) Kansas facilities have no
			 hospital beds available for the client.
(4) The eligible person, traveling outside of
			 Kansas but within the United States and its territories, requires emergency
			 treatment for the eligible condition, if Kansas residency is not severed
			 through action or intent.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-410 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) "Blood bank"
			 means a licensed facility that supplies blood or clotting factor.
(b) "Clotting factor" means a substance
			 derived from human blood or prepared by recombinant deoxyribonucleic acid
			 technology.
(c) "Cash assets"
			 means money, savings accounts, savings certificates, checking accounts, and
			 stocks and bonds.
(d)
			 "Comprehensive centers" means those facilities that provide services to
			 individuals with hemophilia, and meet the standards established by the national
			 hemophilia foundation medical and scientific advisory council in "standards and
			 criteria: for the care of persons with congenital bleeding disorders," approved
			 on July 10, 1994.
(e) "Emergency"
			 means an unanticipated, urgent event requiring immediate medical treatment.
(f) Family.
(1) "Family," for an eligible person who
			 resides with the person's parents, stepparents or legal guardian or who is
			 considered to be a dependent of that person's parents, stepparents or legal
			 guardian for income tax purposes, means the eligible person who has hemophilia,
			 that person's parents, stepparents or legal guardian and all other persons who
			 reside in the same home as that of the person who has hemophilia. Family shall
			 not include persons who lease or rent a portion of the residence.
(2) "Family," for an eligible person who has
			 established a separate residence and is no longer considered a dependent of
			 that person's parents, stepparents or legal guardian for income tax purposes,
			 means the eligible person who has hemophilia, that person's spouse and
			 children, and all other relatives and persons who reside in the same home as
			 that of the person who has hemophilia. Family shall not include persons who
			 lease or rent a portion of the residence.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-411 - Responsibilities of individuals who apply for or who receive assistance

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each applicant
			 shall fulfill these requirements:
(1) supply
			 financial, insurance and family information essential to the establishment of
			 eligibility within 30 days of the request for service, on forms approved by the
			 secretary;
(2) submit written
			 permission on forms prescribed by the secretary for release of information
			 needed to determine medical and financial eligibility; and
(3) report to the secretary changes in any of
			 the following circumstances;
(A) eligible
			 person's address;
(B) the number
			 of persons living in the home;
(C)
			 marital status of the eligible person, parents, or legal guardians;
(D) custody of the eligible person;
(E) medical insurance coverage for
			 the eligible person;
(F) medicaid
			 eligibility or supplemental security income eligibility for the eligible
			 person;
(G) family income or cash
			 assets of more than $500.00 per year; or
(H) other circumstances that affect the
			 special health care needs of the eligible person.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-413 - Financial eligibility

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a)
(1) The uniform standard for determining
			 eligibility shall be the annual margin as calculated in paragraph (2). If the
			 annual margin is zero or below, the person shall be eligible for financial
			 assistance under the hemophilia program. If the annual margin is above zero,
			 the person shall not be eligible for financial assistance, except as provided
			 in subsections (d) and (e). The factors to be utilized in calculating the
			 annual margin shall be the following items:
(A) the family income;
(B) cash assets;
(C) family living allowance;
(D) anticipated specialized health care
			 expenditures for the eligible person and other family members; and
(E) the benefits available under health
			 insurance coverage for the eligible person.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-414 - Payment

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each provider
			 shall submit a claim to the secretary for payment for a prior-authorized
			 clotting factor or service within six months of the date of service.
(b) Each claim submitted for payment shall
			 provide the following information:
(1) the
			 eligible person's name and address;
(2) the date the service was provided;
(3) the appropriate procedure
			 code;
(4) the insurance or
			 medicaid status, or both, of the eligible person, when applicable.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-415 - Conditions eligible for treatment

Current through Register Vol. 43, No. 28, July 11,
			 2024
Each person who is eligible for financial assistance under the
				hemophilia program shall meet one or more of the following conditions._
(a) The person requires continuing home
			 therapy, under the direction of a comprehensive center, with clotting factor to
			 avoid extensive hospitalization and other disabling effects associated with
			 this chronic bleeding condition.
(b) The person requires education concerning
			 the administration and management of home therapy for hemophilia.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-416 - System of priorities

Current through Register Vol. 43, No. 28, July 11,
			 2024
Provision of clotting factor and infusion supplies for home
				therapy shall be the highest priority for assistance, education for persons who
				have hemophilia and for families of persons who have hemophilia shall be the
				second-highest priority for assistance, and education for physicians, dentists,
				nurses and other professionals who assist persons with hemophilia shall be the
				lowest priority for assistance.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-420 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) "Administrator"
			 means the staff member of a child care center or preschool who is responsible
			 for the general and fiscal management of the facility.
(b) "Attendance" means the number of children
			 present at any one time.
(c)
			 "Basement" means an area in which all four outside walls are more than
			 two-thirds below ground level.
(d)
			 "Child care center" means a facility:
(1)
			 which provides care and educational activities for 13 or more children two
			 weeks to 16 years of age for more than three hours and less than 24 hours per
			 day including day time, evening, and nighttime care; or
(2) which provides before and after school
			 care for school-age children. A facility may have fewer than 13 children and be
			 licensed as a center if the program and building meet child care center
			 regulations.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-421 - Terms of license

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) License
			 capacity shall be specified on the license.
(1) License capacity shall be determined by
			 age of children, available space, program director qualifications, and number
			 of self-contained units per facility.
(2) Permission for a change of license
			 capacity, age of children to be enrolled or number of units shall be requested
			 on forms prescribed by the Kansas department of health and environment. No
			 change shall be made unless permission is granted in writing by Kansas
			 department of health and environment. If granted, permission shall be posted.
(3) Permission for an overlap
			 period of attendance to accommodate lunch time and shift changes shall be
			 requested from the Kansas department of health and environment, and if granted,
			 shall be posted.
(4) Children
			 enrolled on an irregular basis shall not cause the center or preschool to
			 exceed its license capacity.
(5)
			 Each license shall be valid only for the licensee and the address appearing on
			 the license.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-422 - Procedures

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) General.
(1) Any person, corporation, firm,
			 association, or other organization desiring to conduct a child care center or
			 preschool which will operate for more than five consecutive hours or more than
			 one day per week shall apply for a license on forms supplied by the Kansas
			 department of health and environment.
(2) In lieu of being licensed, preschools
			 operated on the premises of private schools providing kindergarten through
			 grade six shall be governed by Kansas statutes applicable to private schools.
(3) Each application for a license
			 or an application for renewal of license shall be accompanied by the license
			 fee which shall not be refundable.
(4) Children shall not be in attendance at
			 the center or preschool until a license has been issued by the Kansas
			 department of health and environment.
(5) Applicants shall be 18 years of age or
			 older at time of application.
(6)
			 A license shall be issued if the secretary finds that the applicant is in
			 compliance with the requirements of
			 K.S.A.
			 65-501 et seq. and amendments thereof, and
			 the rules and regulations promulgated pursuant to those statutes, and that the
			 applicant has made full payment of the license fee required by the provisions
			 of K.S.A.
			 65-505 and amendments thereof.
(A) A license for an additional facility
			 operated by a licensee shall not be issued until all existing facilities
			 operated by the licensee are in compliance with licensing regulations.
(B) It shall be the responsibility
			 of the licensee to provide the financial resources necessary to maintain
			 compliance with licensing regulations.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-426 - Administration

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Line of
			 authority. There shall be a written delegation of administrative authority
			 designating the person in charge in the facility for all hours of operation.
(b) Admission policy.
(1) Arrangements for the admission of
			 children shall be made prior to the admission date to the center or preschool.
(2) Each admission policy shall be
			 non-discriminatory in regard to race, color, religion, national origin,
			 ancestry, physical handicap, or sex, in accordance with
			 K.S.A.
			 44-1009. A copy of the admission policy shall
			 be available for review.
(3) Each
			 parent shall be informed of services offered.
(4) Each parent shall be informed when
			 religious training is included in the program.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-427 - Program

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Programs shall
			 be conducted in self-contained units with staff and children designated for
			 each unit. Centers or preschools which cannot develop self-contained units
			 shall present a plan for space use to the Kansas department of health and
			 environment for approval.
(b)
			 Equipment.
(1) Low, open shelves shall be
			 provided for play equipment and materials so that they are readily accessible
			 to the children.
(2) Equipment
			 shall be scaled to the size of the children.
(3) Equipment shall be of sound construction
			 with no sharp, rough, loose, nor pointed edges, and in good operating
			 condition.
(4) Equipment shall be
			 placed to avoid danger of accident or collision, and to permit freedom of
			 movement.
(5) Equipment shall be
			 provided in a sufficient quantity so that each child has a choice of at least
			 three activities when all children are using equipment at the same time.
(6) Storage space located
			 conveniently for the staff shall be provided for supplies and equipment not in
			 use.
(7) Each child shall have
			 individual space for the child's garments, clothing, and possessions during the
			 session attended.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-428 - Staff requirements

Current through Register Vol. 43, No. 28,
			 July 11, 2024
Each licensee shall ensure that all of the following
				requirements are met:
(a) Minimum
			 staff-child ratio.
(1) The ratio between
			 staff members and children shall be determined by the ages of the children and
			 the type of care provided.
(2) The
			 minimum staff-child ratio and the maximum number of children per unit shall be
			 the following, at all times:
Age of children
Minimum staff-child ratio
Maximum
number of
children per unit
Infants
1 to 3
9
Infants and other children
1 to 4
8
under the age of 6
(including
(including
not more than
not more than
2 infants)
4 infants)
Toddlers
1 to 5
10
Children at least 2 years of
1 to 7
14
age but under the age of 3
Children at least 21/2 years of
1 to 10
20
age but under school-age
Children at least 3 years of
1 to 12
24
age but under school-age
Kindergarten enrollees
1 to 14
28
School-age
1 to 16
32
(3) No
			 child shall be left unsupervised.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-428a - Education and training requirements

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Orientation.
(1) Each person shall, before applying for a
			 license, complete an orientation program on the requirements for operating a
			 preschool or a child care center. If the person is not an individual, the
			 person shall designate an individual to meet this requirement. The orientation
			 shall be provided by the county health department or the secretary's designee
			 that serves the county in which the preschool or child care center will be
			 located.
(2) Each licensee shall
			 provide orientation to each program director not later than seven calendar days
			 after the date of employment and before the program director is given sole
			 responsibility for implementing and supervising the program.
(3) Each licensee shall ensure that
			 orientation is completed by each staff member who will be counted in the
			 staff-child ratio and by each volunteer who will be counted in the staff-child
			 ratio. Each staff member and each volunteer shall complete the orientation
			 within seven calendar days after the date of employment or volunteering. Each
			 staff member shall complete the orientation before being given sole
			 responsibility for the care and supervision of children.
(4) Each licensee shall ensure that the
			 orientation for each program director, staff member, and volunteer is related
			 to work duties and responsibilities and includes the following:
(A) Licensing regulations;
(B) the policies and practices of the
			 preschool or child care center, including emergency procedures, behavior
			 management, and discipline;
(C) the
			 schedule of daily activities;
(D)
			 care and supervision of children in care, including any special needs and known
			 allergies;
(E) health and safety
			 practices; and
(F)
			 confidentiality.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-429 - Staff qualifications

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Program
			 directors shall be 18 years of age or older and shall meet the training
			 requirements for the license capacity of the facility.
(b) Facilities with fewer than 13 children
			 shall have a program director who meets the training requirements by one of the
			 following options:
(1) Option 1: Six months'
			 teaching experience in licensed facilities with children of the same age as
			 enrolled in present facility.
(2)
			 Option 2:
(A) Five sessions of observation
			 for not less than 2 1/2 consecutive hours per observation in licensed
			 facilities with children of the same age as enrolled in present facility; and
(B) 10 clock hours of workshops
			 approved by the state licensing staff;
(3) Option 3:
(A) A minimum of three semester hours of
			 academic credit or equivalent training in child development, early childhood
			 education, and curriculum resources; and
(B) supervised observation in high school or
			 college or three months' work experience with children of the same age as
			 enrolled in present facility; or
(4) Option 4: A child development associate
			 credential.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-430 - Health practices; illness and abuse; general health requirements for staff

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Children's
			 health assessments.
(1) A preentrance health
			 assessment conducted within six months before enrollment shall be required for
			 each child. The assessment shall be conducted by a licensed physician or by a
			 nurse approved to perform health assessments.
(2) The results of the health assessment
			 shall be kept on file at the child care facility.
(3) Children transferring from one child care
			 facility to another shall not be required to obtain a new health assessment if
			 the previous assessment record is available.
(4) Tuberculin 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 become a part of 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 maintained on the
			 child's medical record form.
(6)
			 Exceptions to the requirement 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,
			 wellchild 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 Kansas department of health and environment 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.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-434 - Preschools

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Inside area.
			 Any building used as a residence shall be licensed as a preschool only if there
			 is a room or rooms designated exclusively for preschool use.
(b) Nutrition.
(1) A nutritious snack shall be provided
			 daily and shall include at least one of the following foods:
(A) Milk, milk product, or food made with
			 milk;
(B) fruit, vegetable, or
			 full-strength fruit or vegetable juice;
(C) meat;
(D) peanut butter; or
(E) bread or cereal product.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-435 - Programs serving children with handicapping conditions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Records.
			 Written parental permission shall be on file for evaluation and placement of
			 children.
(b) Physical plant.
(1) Programs which include non-ambulatory
			 children shall be conducted on the ground floor. All exits and steps shall have
			 ramps approved by a fire inspector.
(2) Facilities enrolling children who use
			 walkers or wheelchairs shall have 50 square feet of space for each physically
			 handicapped child.
(3) When
			 physically handicapped children are enrolled, toilets and washbasins shall be
			 designed to accommodate them.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-436 - Child care centers: physical plant

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Inside area. A
			 building used as a residence shall be licensed as a child care center only if
			 there is a room or rooms designated exclusively for child care use.
(b) Napping and sleeping.
(1) Children remaining at the center more
			 than four hours shall be encouraged to nap or rest according to their
			 individual needs. Children who do not sleep shall be permitted to have a quiet
			 time through the use of equipment or activities which will not disturb other
			 children.
(2) Centers shall have a
			 crib, cot or pad for each child. Pads shall be enclosed in washable covers and
			 shall be used only over carpet. When pads are used, they shall be long enough
			 so that the child's head does not rest on the carpet. Bunk beds shall be
			 prohibited.
(3) Each crib or cot
			 shall be equipped with individually-labeled bottom sheet. Every child shall
			 have a cover. Children shall not share bedding.
(4) There shall be a complete change of
			 bedding after each five uses, immediately when wet or soiled, and always upon a
			 change in occupancy. Blankets shall be laundered monthly.
(5) Cribs, cots, or pads, when in use, shall
			 be separated from each other by at least two feet in all directions except when
			 bordering on the wall. When not in use, they shall be stored in a clean and
			 sanitary manner.
(6) Nighttime
			 care.
(A) Movable screens shall be available
			 to insure privacy as needed.
(B)
			 Separate sleeping areas shall be provided for boys and girls over six years of
			 age.
(C) A center in which
			 children sleep for more than three consecutive hours shall be provided with a
			 smoke detector installed in consultation with a fire inspector.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-437 - Child care centers: outside area

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) There shall be
			 at least 75 square feet of outdoor play space on the premises for each child
			 using the space at a given time. The total outdoor space shall accommodate not
			 less than one-half of the licensed capacity, or shall include a minimum of 750
			 square feet, whichever is greater.
(b) The boundaries of outdoor play space
			 shall be enclosed with a fence not less than four feet high.
(c) The outdoor play space shall be located
			 to provide both sunshine and shade. A hard-surfaced area or gravel shall not be
			 used under anchored play equipment.
(d) The outdoor play space shall be well
			 drained and free of hazards.
(e)
			 Outdoor play equipment shall be safely constructed and in good repair. Climbing
			 equipment and swings shall be anchored in the ground with metal straps or pins,
			 or set in cement. Swings shall be safely located and shall have canvas or soft
			 rubber seats. Teeter-totters and merry-go-rounds designed for school-age
			 children shall not be used for children under six years.
(f) Sandboxes shall be maintained in a safe
			 and sanitary condition.
(g) A
			 rooftop used as a play area shall be enclosed with a flat board fence or a
			 chainlink fence angled toward the play area. The fence shall not be less than
			 six feet high. An approved fire escape shall lead from the roof to the ground.
(h) The play area shall be
			 arranged so that staff can provide close supervision at all times.
(i) Outdoor equipment shall be provided in
			 sufficient quantity so that each child has access to at least one activity
			 appropriate to the child's age level.
(j) There shall be bathroom facilities
			 accessible to the play area.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-438 - Child care centers: program

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The program
			 shall provide regularity in routines such as eating and napping, and protection
			 from excess fatigue and overstimulation.
(b) Unless extreme weather conditions
			 prevail, children shall have a daily period of outdoor play under the
			 supervision of an adult. Children spending more than four consecutive hours at
			 the center shall play outdoors for at least one hour daily.
(c) Routines such as toileting and eating,
			 and intervals between activities shall be planned so that children do not have
			 to wait in lines, or assemble in large groups.
(d) If television is on the premises, its use
			 shall be limited to children's programs.
(e) Activities shall be available for
			 children during the entire time they are in attendance, including early morning
			 and late afternoon.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-439 - Child care centers: food service

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Single or
			 multi-unit centers serving a meal prepared at the center to 13 or more children
			 shall employ a staff person who:
(1) Has
			 knowledge of nutritional needs of children;
(2) understands quantity food preparation and
			 service;
(3) practices sanitary
			 methods of food handling and storage;
(4) is sensitive to individual and cultural
			 food tastes of children; and
(5)
			 is willing to work with the program director in planning learning experiences
			 for children relative to nutrition.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-440 - Infant and toddler programs

Current through Register Vol. 43, No.
			 28, July 11, 2024
(a)
			 Infant and toddler programs shall be conducted on the ground floor
			 only.
(b) Each unit of infants and
			 each unit of toddlers shall be separate from each unit of older
			 children.
(c) Floor furnaces shall
			 be prohibited.
(d) A sleeping area
			 separate from the play area shall be provided for infants.
(e) A crib or playpen shall be provided for
			 each infant in care at any one time. Cribs and playpens shall be maintained in
			 good condition. Clean individual bedding shall be provided.
(f) Each licensee shall ensure that the
			 following requirements are met:
(1) The use
			 of stacking cribs, cribs with water mattresses, or bassinets shall be
			 prohibited.
(2) Cribs and playpens
			 shall have slats not more than
			 23/8 inches apart.
(3) All sides of each crib or playpen shall
			 be up while the crib or playpen is in use.
(4) On and after December 28, 2012, each
			 licensee shall ensure that no crib purchased before June 28, 2011 is in use in
			 the facility.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-441 - Programs for school-age children

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Physical plant.
			 Centers shall have a minimum of 35 foot candles of light in each area used for
			 reading, study, and other close work.
(b) Staffing.
(1) Single or multi-unit centers shall employ
			 teaching staff who meet the requirements under one of the following options:
Option 1: As specified in K.A.R. 28-4-429; or
Option 2: An A.B. or B.S. degree in elementary education,
				physical education, child development or a related academic discipline, and
				three months' experience with school-age children.
(2) Each unit for school-age children shall
			 be separate from units for younger children, except for periods not to exceed
			 two hours before and after school. Staff/child ratios and unit size shall
			 conform to the provisions of K.A.R. 28-4-428 and shall be based on the age of
			 the youngest child in the group.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-442 - No Section Heading Designated

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Definitions.
(1) "Adult" means a person 18 years of age or
			 older.
(2) "Child" means a person
			 as defined in K.A.R. 28-4-420(u), (x) and (dd).
(3) "Infant" means a person as defined in
			 K.A.R. 28-4-420(k).
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-501 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) "Applicable
			 income" means the total monies received by all adult members of the family
			 based on any of the following, with the addition of nontaxable benefits from
			 any private, state, and federal funding sources:
(1) The total amount of adjusted gross income
			 reported on one of the federal income tax forms 1040, 1040A, or 1040EZ,
			 including a copy of all W-2 forms filed by each adult member of the family;
(2) the six most recent pay stubs;
			 or
(3) a letter of anticipated
			 earnings from the employer of each adult member of the family if the most
			 recent federal income tax form does not reflect current income.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-502 - Responsibility to obtain specimen

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The
			 administrative officer or other person in charge of each institution or the
			 attending physician are responsible for obtaining an adequate initial specimen
			 for newborn screening on infants born in that institution.
(b) The attending physician or other birth
			 attendant is responsible for obtaining an adequate specimen for newborn
			 screening on infants born outside of an institution.
(c) The attending physician or other birth
			 attendant is responsible for obtaining repeat specimens when needed to complete
			 the screening process.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-503 - Timing of specimen collections

Current through Register Vol. 43,
			 No. 28, July 11, 2024
(a) The initial specimen from each infant
			 born in an institution shall be obtained as follows:
(1)
(A)
			 When the infant is at least 24 hours of age but less than 48 hours of age;
			 or
(B) if the infant is discharged
			 from the institution of birth before 24 hours of age, before the infant is
			 discharged;
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-504 - Methods of specimen collection

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The specimen
			 shall be collected using kits provided by the department.
(b) The form provided with the kit shall be
			 completed before collection of the blood specimen.
(c) The outlined circles on the filter paper
			 portion of the kit shall be saturated with blood in the manner specified on the
			 filter paper.
(d) The specimen
			 shall be delivered by carrier or mailed first-class to the laboratory after the
			 blood has dried and not later than 24 hours from time of collection.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-505 - Unsatisfactory specimens

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 unsatisfactory specimen shall be retained by the department. The sending agency
			 or facility shall be notified that the specimen is unsatisfactory. The
			 physician or birth attendant shall be notified that the specimen is
			 unsatisfactory with a request to submit another specimen.
(b) A specimen shall be labeled
			 unsatisfactory if one of the following criteria is met:
(1) Identifying information is
			 missing.
(2) More than 10 days have
			 elapsed since the date of collection.
(3) The specimen is of unacceptable quality
			 or quantity for analysis.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-509 - Registry

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) The registry
			 shall be a computerized data system that includes the diagnosed individuals'
			 name, birth-date, unique identification number, diagnosis, address including
			 telephone number, parental names and addresses, guardian, nuclear family size
			 and health status.
(b) Persons or
			 guardians of minor children with a confirmed diagnosis of phenylketonuria,
			 hypothyroidism or galactosemia shall forward to the newborn screening
			 coordinator any address and health status changes within three months of the
			 change.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-510 - Diagnosis and monitoring

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Each person
			 with a confirmed diagnosis of any of the diseases specified in
			 K.S.A.
			 65-180, and amendments thereto shall be
			 eligible to receive medical specialist monitoring upon the department's annual
			 receipt of the person's current address, insurance data, and documentation of
			 continued medical need from a medical specialist.
(b) Each medical specialist shall meet the
			 following requirements:
(1) Provide
			 consultation and diagnosis; and
(2) provide and coordinate ongoing
			 monitoring.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-512 - Parental education

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Providers of
			 prenatal health care shall discuss and distribute written material describing
			 the newborn screening program as a component of the prenatal care to pregnant
			 women.
(b) Prior to obtaining the
			 specimen for newborn screening, the person responsible for obtaining the
			 specimen shall inform the parent or parents about the newborn screening
			 program, including how the test can be refused.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-513 - Professional education

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) Consultation
			 with medical specialists shall be available without charge to primary care
			 providers and others involved in the care of persons at risk for or diagnosed
			 with phenylketonuria, congenital hypothyroidism, galactosemia, or hemoglobin
			 diseases and traits.
(b)
			 Notification letters and telephone calls reporting abnormal test results to the
			 physicians shall contain information including interpretation of data and
			 recommendations for follow-up.
(c)
			 Upon request, workshops and other educational presentations concerning newborn
			 screening shall be provided by the department when a specific need is
			 identified.
(d) The newborn
			 screening coordinator and personnel in the newborn screening section of the
			 laboratory shall respond to telephone and written inquiries concerning
			 specimens within five working days of receipt.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-514 - MSUD and PKU; financial assistance availability for certain related expenses

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a)
(1) The following factors shall be used to
			 determine each family's eligibility for financial assistance for necessary
			 treatment products or medically necessary food treatment products, or both:
(A) Applicable income; and
(B) cash assets in excess of 15 percent of
			 the applicable income.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-520 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
In addition to the terms defined in
				K.S.A.
				65-1,241 and
				K.S.A.
				65-2401 and amendments thereto, each of the
				following terms, as used in this regulation and in
				K.A.R.
				28-4-521, shall have the meaning specified in
				this regulation:
(a) "Abnormal
			 condition" means any condition established at conception or acquired in utero
			 that results in a morphologic, metabolic, or functional disorder requiring
			 medical or other intervention.
(b)
			 "Birth defects information system" means the Kansas birth defects reporting
			 system, which collects, maintains, analyzes, and disseminates information
			 regarding abnormal conditions, birth defects, and congenital anomalies of each
			 stillbirth and of children from live birth to five years of age pursuant to
			 K.S.A.
			 65-101, and amendments thereto.
(c) "Congenital anomaly" means an error of
			 morphogenesis that is established at conception or acquired during intrauterine
			 life.
(d) "Notifiable condition"
			 means any abnormal condition or congenital anomaly diagnosed by a physician in
			 a child from live birth to five years of age or stillbirth.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-521 - Reporting notifiable conditions

Current through Register Vol. 43, No. 28, July 11,
			 2024
The requirements for reporting notifiable conditions shall be
				those specified in the department's "Kansas birth defects surveillance
				reporting manual," dated April 18, 2022, which is hereby adopted by
				reference.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-550 - Definitions

Current through Register Vol. 43, No. 28, July 11,
			 2024
(a) "Assessment"
			 means the initial and ongoing procedures used by qualified personnel to
			 identify early intervention services.
(b) "Child find" means a public awareness
			 program provided by community and state agencies that prepares information on
			 the availability of early intervention services, disseminates information given
			 to parents of infants and toddlers with disabilities to all primary referral
			 sources, and adopts procedures for assisting the primary referral sources for
			 the purpose of identifying the potential need for early intervention
			 services.
(c) "Collaboration" means
			 the establishment and maintenance of open communication and cooperative working
			 relationships among service providers and other caregivers and the family when
			 identifying goals and delivering care to children.
(d) "Community" means an interacting
			 population of various kinds of individuals in a common location.
(e) "Community-based," when used to describe
			 a place, means a place where small groups of infants and toddlers without
			 disabilities are typically found, including child care centers and day care
			 facilities.
(f) "Continuing
			 education experience" means either of the following:
(1) College and university coursework
			 completed after an individual receives a professional credential; or
(2) an inservice, workshop, or conference
			 that offers professional continuing education credit.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-565 - Local tiny-k program responsibilities

Current through Register Vol.
			 43, No. 28, July 11, 2024
(a) Each local tiny-k program shall have a
			 local council that has as one of its purposes the coordination of part C for
			 infants and toddlers with disabilities and their families.
(1) The local council shall consist of
			 members who reflect the community, including at least the following:
(A) A parent of a child who has received part
			 C services;
(B) a representative of
			 a health or medical agency;
(C) a
			 representative of an educational agency;
(D) a representative of a social service
			 agency; and
(E) a representative of
			 the local tiny-k program.
Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-568 - Child advocates

Current through Register Vol. 43, No. 28,
			 July 11, 2024
(a) Each
			 local tiny-k program coordinator, with the assistance of the secretary, if
			 needed, shall determine the legal relationship between a parent and a child
			 before evaluation and assessment.
(b) The lead agency shall assign a child
			 advocate to a child if at least one of the following conditions is met:
(1) No parent can be identified.
(2) A local tiny-k program, after reasonable
			 efforts, cannot locate a parent.
(3) The child is in the custody of the state
			 under the laws of Kansas, and parental rights have been severed.