Kansas Childrens Service League

K.A.R. 28-4-435 Programs serving children with special health care needs and disabilities. (a) Each applicant with a temporary permit and each licensee shall maintain on file a copy of the most recent individual family service plan or individual education plan for each child with special health care needs and disabilities enrolled. The plan shall be reviewed by staff in the unit and in consultation with the child's parent or legal guardian upon enrollment and at least annually.

There is a child in care who is on an individual education plan that is not on file. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-439 Child care centers: food service. (p) (2) All perishables and potentially hazardous foods shall be continuously maintained at 40 degrees Fahrenheit or lower in the refrigerator, or 10 degrees Fahrenheit or lower in the freezer, with 0 degrees Fahrenheit recommended. Each refrigerator and each freezer shall contain a clearly visible, accurate thermometer.

The refrigerator for use does not have a thermometer in the freezer. (Corrected on site) (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

Six out of eleven staff files reviewed without a health status form on file. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

First-aid kit is missing the following items: single-use gloves, sharp scissors, and tweezers. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

There is no record of tornado drills for the months of May, June, July and August, year 2025. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (5) Each licensee shall ensure that each staff member practices, at least annually, the procedures for assisting the children to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

Shelter-in-place and off-premises relocation drills not recorded for the licensure year 2025. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

The refrigerator in use has some spilled milk on the shelves. (Corrected on site) (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-426 Administration. (d) (3) a record of scheduled hours;

One out of eleven staff files reviewed with an incomplete record of scheduled hours. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-426 Administration. (d) (6) work references.

One out of eleven staff files reviewed without record of work references. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-428a Education and training requirements. (e) (5) In each licensure year, each staff member counted in the staff-child ratio and each volunteer counted in the staff-child ratio caring for infants shall complete four of the 16 clock-hours of professional development training in an infant-specific subject.

One lead staff in the infant room did not complete four hours of professional development training in an infant-specific subject for the 2025 licensure year. (Licensing survey — Annual Survey — 25-008643)

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.

One staff has not completed pediatric first aid and pediatric CPR certification 30 days after employment. Hire day is 07/29/2025. (Licensing survey — Annual Survey — 25-008643)

K.A.R. 28-4-428a Education and training requirements. (e) (4) In each licensure year, each staff member counted in the staff-child ratio and each volunteer counted in the staff-child ratio shall complete 16 clock-hours of professional development training based on the staff member's or volunteer's job responsibilities and the training needs identified by the program director. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(2)(A), (b)(2)(C) through (J), or subsection (c).

One staff did not complete 16 hours of professional development training for the licensure year 2025. (Licensing survey — Annual Survey — 25-008643)

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.

Two out of fourteen child files reviewed do not have current immunizations record available. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (f) Documentation. Each licensee shall ensure that documentation of all orientation, training, certifications, and education requirements is kept in each individual's file in the preschool or child care center.

There is no documentation on file for 1 staff for Health and Safety training completed. (Licensing survey — Annual Survey — 24-007410)

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 — 24-007410)

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

One out of fourteen child files reviewed has an expired emergency medical form on file. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

The refrigerator used by the facility needs cleaning. Some of the shelves had dried food particles on them. (Corrected on site). (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (E) prevention of and response to emergencies due to food and allergic reactions;

One staff does not have prevention of and response to emergencies due to food and allergic reactions training. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (J) medication administration training.

One staff does not have medication administration training. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (f) Documentation. Each licensee shall ensure that documentation of all orientation, training, certifications, and education requirements is kept in each individual's file in the preschool or child care center.

There is no documentation on file for verification of program director credentials. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic;

One staff does not have building and premises safety, including identification of and protection from hazards that old cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic training. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (G) emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility;

One staff does not have emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility training. (Licensing survey — Annual Survey — 24-007410)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

One staff does not handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste training. (Licensing survey — Annual Survey — 24-007410)