28-4-132. Child care practices. (a) Supervision. Each child in day care shall be under the supervision of a person 16 years of age or older who is responsible for the child's health, safety and well-being.
(b) Discipline.
(1) There shall be a written discipline policy indicating methods of guidance appropriate to the age of the children enrolled. Parents shall be informed of the policy.
(2) Prohibited punishment. Punishment which is humiliating, frightening or physically harmful to the child shall be prohibited. Prohibited methods of punishment include:
(A) corporal punishment such as spanking with the hand or any implement, slapping, swatting, pulling hair, yanking the arm, or any similar activity;
(B) verbal abuse, threats, or derogatory remarks about the child or the child's family;
(C) binding or tying to restrict movement, or enclosing in a confined space such as a closet, locked room, box, or similar cubicle;
(D) withholding or forcing foods; and
(E) placing substances which sting or burn on the child's mouth or tongue or other parts of the body.
(3) If isolation is used in residential facilities as defined in K.A.R. 28-4-268, the isolation policies shall be approved by the department of social and rehabilitation services before implementation.
(4) Each staff member and care provider's discipline practices shall comply with K.A.R. 28-4-132.
(c) Diapering and toileting.
(1) Each child's clothing or bedding shall be changed whenever wet or soiled.
(2) Each child under three years of age shall have at least one complete change of clothing at the facility.
(3)(A) Handwashing facilities shall be in or readily accessible to the diaper-changing area.
(B) Each person caring for children shall wash hands with soap and water after changing diapers or soiled clothing.
(4) Children shall be diapered in their own cribs or playpens, on a clean pad on the floor, or on a changing table. Each unit in a child care center as defined by K.A.R 28-4-420 shall have a changing table.
(5) Changing tables and pads shall have a waterproof, undamaged surface. Tables shall be sturdy, and shall be equipped with railing or safety straps. Children shall not be left unattended on the changing table.
(6) Changing tables and pads shall be sanitized after each use by washing with a disinfectant solution of ¼ cup of chlorine bleach to one gallon of water, or an appropriate commercial disinfectant.
(7) The following procedures shall be followed when washable diapers or training pants are used:
(A) Day care facilities. Washable diapers or training pants shall not be rinsed out. They shall be stored in a labeled covered container or plastic bag and returned home with the parents.
(B) Residential facilities. Sanitary laundering procedures which promote infection control shall be followed.
(8) Disposable diapers shall be placed in a covered container or plastic bag which shall be emptied daily, or more frequently as necessary for odor control.
(9)(A) Potty chairs when used shall be left in the toilet room. The wastes shall be disposed of immediately in a flush toilet. The container shall be sanitized after each use and shall be washed with soap and water daily.
(B) There shall be one potty chair or child-sized toilet for every five toddlers in a child care center as defined by K.A.R. 28-4-420. Potty chairs shall not be counted as toilets.
(10) Diapering procedures recommended by the U.S. Department of Health and Human Services, Public Health Service, December, 1984, shall be followed in all child care facilities caring for infants and toddlers. Diapering and toileting procedures shall be posted in child care centers, group boarding homes, residential centers and group day care homes serving children under 2½ years of age. (Authorized by and implementing K.S.A. 65-508 and K.S.A. 65-522; effective Feb. 26, 1990.)
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