Immanuel Lutheran Early Childhood Center

K.A.R. 28-4-125 Background checks. (a) (3) before allowing any individual to work, regularly volunteer, or reside in the facility and before allowing any individual whose activities involve either supervised or unsupervised access to children to be in the facility;

Facility did not submit identifying information for one individual as required to complete background checks. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-439 Child care centers: food service. (i) (4) (A) All breast milk shall be labeled with the child's name and the date and time expressed.

Infant unit's fridge contained four bags of breastmilk which were not completely labeled with name, date, and time expressed. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

One staff file out of nine staff files reviewed did not have a health status form on file. Corrected at visit. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) (2) Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

Two staff files out of nine staff files reviewed did not update their health status form annually. Corrected at visit. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1) (A) Written permission of the parent or legal guardian for emergency medical treatment on a form that meets the requirements of the hospital or clinic where emergency medical care will be given; and

Twelve child files out of 14 child files reviewed do not have complete written permission from parent for emergency medical treatment. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plan does not include procedures for heavy snow/blizzard and unscheduled closure. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Emergency plan does not include procedures for responding to and preventing allergic reactions on children. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-428a Education and training requirements. (c) (1) Each staff member counted in the staff-child ratio, each volunteer counted in the staff-child ratio, and each program director shall obtain certification in pediatric first aid and in pediatric CPR as specified in this subsection either before the date of employment or volunteering or not later than 30 calendar days after the date of employment or volunteering.

Two staff files out of nine staff files reviewed do not have documentation of CPR/FA training. Staff members have been employed longer than 30 days. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

Safe sleep plan has not been developed for all ages of children in care. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (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.

One child file out of 14 child files reviewed does not have current immunizations on file. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (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.

Medical history form for six children have not been reviewed within the past 12 months. Medical history form for one child does not have a parent signature. Medical history form for one child does not have complete information. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-428a Education and training requirements. (a) (3) Each licensee shall ensure that orientation is completed by each staff member and by each volunteer 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.

One staff file out of nine staff files reviewed did not have documentation of orientation on file. Staff member has been employed for longer than seven days. Corrected at visit. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-423 Physical plant. (b) (6) Cold water and hot water shall be supplied to lavatory fixtures accessible to children. Hot water shall maintain a minimum temperature of 90 degrees Fahrenheit and shall not exceed 120 degrees Fahrenheit.

Four sinks located in the hallway bathrooms had water ranging from 123 degrees to 126 degrees. (Licensing survey — Annual Survey — 26-000010)

K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

Two outlets located in Classroom 1 are not covered to prevent access by children. Corrected at visit. (Licensing survey — Compliance Check — 25-007937)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

Adult scissors located in Classroom 2 and Classroom 4 are not in locked storage. Corrected at visit. (Licensing survey — Compliance Check — 25-007937)

K.A.R. 28-4-423 Physical plant. (e) (1) All household supplies, cleaning supplies, dangerous chemicals and all bodily care products bearing warning labels to keep out of reach of children shall be in locked storage, except that hand sanitizers, disinfectant solutions used daily to disinfect surfaces, and diapering supplies may be kept unlocked at least five feet above the floor and out of reach of children. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or sink.

Sunscreen located in Classroom 4 is not in locked storage. Corrected at visit. (Licensing survey — Compliance Check — 25-007937)

K.A.R. 28-4-132 Child care practices. (c) (1) (B) mental and emotional cruelty, including verbal abuse, threats, derogatory remarks about the child or the child's family, or statements which tend to shame, humiliate, or frighten the child;

On 10/8/2025, a staff member was overhead telling a child “Don't hit me. I hit kids back. I might lose my job, but I hit back.” (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (E) When the child is able to turn over independently from front to back and back to front, the child shall be placed on the child's back but then shall be allowed to remain in a position preferred by the child. Wedges or infant positioners shall not be used.

An infant positioner is being used in the Infant classroom in one pack n play. Positioner was removed at the request of licensing specialist. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (d) (1) (C) after toileting, diapering, assisting a child with toileting, or handling any bodily fluids;

On 9/25/2025 a staff member in Classroom 4 was observed not washing hands after a diaper change. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

On 9/25/2025 a child was observed not washing their hands after their diaper change. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (g) (1) Each applicant, each applicant with a temporary permit, each licensee, and each individual caring for children shall follow the diapering procedures provided by the department.

On 9/25/2025 Classroom 4 did not follow the diapering procedure. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (g) (6) No child shall be left unattended on a diaper-changing surface.

On 9/25/2025 Classroom 4 left a child unattended on the changing table on two separate occasions. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (e) (1) Each child's clothing, diaper, training pants, or bedding shall be changed without delay whenever wet or soiled. The diaper or training pants of each child shall be checked at least every two hours to determine if a change is needed.

On 9/25/2025 a child's clothing was not changed right away when the clothing was soiled with feces. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (d) (1) Each individual caring for children shall wash that individual's hands as needed when hands are soiled and when each of the following occurs:

On 9/25/2025 a staff member in Classroom 4 was observed opening a child's water bottle in the middle of a diaper change. The child was given the water bottle to drink out of. (Complaint survey — To investigate a complaint — 25-007768)

K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

On 9/25/2025 Classroom 4 did not sanitize the changing table after a diaper was changed. A second child was observed accessing the table prior to the table being sanitized. (Complaint survey — To investigate a complaint — 25-007768)