Little Lambs Day Care

2025

1. Medium-High risk10/22/2025

   K.A.R. 28-4-133 Reporting critical incidents. (b) Written reports to the department. Each primary care provider and each program director shall ensure that a written report of any critical incident specified in subsection (a) is submitted by the next working day to the department. The report shall be submitted on a form provided by the department. A copy of each critical incident report shall be kept on file at the facility for at least one year from the date of the critical incident.

   A written critical incident report was not submitted to the department by the next working day once the facility became aware that a parent of a child in care sought treatment by a health care professional for their child (19 months of age) after an incident that occurred on the toddler playground on October 3, 2025. (Complaint survey — To investigate a complaint — 25-007917)

   Not corrected
2. High risk8/7/2025

   K.A.R. 28-4-125 Background checks. (e) ensure that no individual works, regularly volunteers, or resides in the facility until the results of the individual's background checks verify that the individual is not prohibited from working, regularly volunteering, or residing in a facility pursuant to K.S.A. 65-516, and amendments thereto.

   One individual working in the facility and background check results remain pending. (Complaint survey — To investigate a complaint — 25-006224)

   Not corrected
3. Medium-Low risk7/23/2025

   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 fan in Room 2 has dust and dirt on the guard. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
4. Medium-High risk7/23/2025

   K.A.R. 28-4-439 Child care centers: food service. (p) (3) All foods stored in the refrigerator shall be covered. Food which is not in its original, unopened container shall be stored in metal, glass, food-grade sealable plastic bags, or foodgrade plastic containers with tightfitting covers and shall be labeled with the date and contents.

   The kitchen freezer has frozen bags of food that are not labeled with the contents. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
5. High risk7/23/2025

   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 three individuals as required to complete background checks. Corrected at visit. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
6. Medium-High risk7/23/2025

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

   Three staff members do not have a record of a negative tb test on file. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
7. Medium-High risk7/23/2025

   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.

   Tornado drill not recorded for December 2024. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
8. Medium risk7/23/2025

   K.A.R. 28-4-130 Transportation. (b) Each driver shall hold a valid driver's license that meets the requirements of the Kansas motor vehicle drivers' license act, K.S.A. 8-234a et seq. and amendments thereto.

   Four staff members do not have a record of a valid driver's license on file. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
9. Medium risk7/23/2025

   K.A.R. 28-4-421 Terms of temporary permit or license. (a) (1) License capacity shall be determined by age of children, available space and number of self-contained units per facility.

   Not meeting the terms of license by having a child that is over 2 years and 7 months in a room licensed for 12 months to 2 1/2. (Licensing survey — Annual Survey — 25-003519)

   Not corrected
10. Medium-High risk7/23/2025

    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.

    The following items were out of locked storage: Room 2: Diaper cream, sunscreen, cleaner inside of a mop, and wipes that say keep out of reach of children. Room 5: Diaper cream. Room 9: Diaper cream and bug spray. Room 11: Sunscreen and diaper cream. Youth Building Playroom: The kitchen door was unlocked that had knives, cleaning products, and carpet adhesive in it. Partially corrected at visit. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
11. Medium-Low risk7/23/2025

    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.

    In Room 11 the hot water was at 132.7 degrees Fahrenheit. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
12. Medium-Low risk7/23/2025

    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.

    The following rooms had outlets that were not covered: Room 4 and Room 5. Corrected at visit. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
13. Medium risk7/23/2025

    K.A.R. 28-4-427 Program. (c) (2) Written lesson plans for each unit shall be made accessible to parents, staff, and the secretary's designee.

    A written lesson plan was not accessible for the following rooms: Room 1, Room 4, Room 9, and the Youth Building. Partially corrected. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
14. Medium risk7/23/2025

    K.A.R. 28-4-427 Program. (c) (4) The daily schedule shall be posted in each unit.

    The daily schedule was not posted in the following rooms: Room 1, Room 5, Room 9, Room 11, and the Youth Building. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
15. Medium-High risk7/23/2025

    K.A.R. 28-4-428a Education and training requirements. (b) (2) (C) safe sleep practices and sudden infant death syndrome;

    One staff member did not have record of training that includes safe sleep practices and sudden infant death syndrome on file. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
16. High risk7/23/2025

    K.A.R. 28-4-428a Education and training requirements. (b) (1) Each staff member who is counted in the staff-child ratio, each volunteer who is counted in the staff-child ratio, and each program director shall complete health and safety training either before employment or volunteering or not later than 30 calendar days after the date of employment or volunteering. Each staff member shall complete the training before being given sole responsiblity for the care and supervision of children.

    One staff member does not have record of health and safety training on file. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
17. High risk7/23/2025

    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 members do not have record of First Aid or CPR training on file. Partially corrected. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
18. Medium risk7/23/2025

    K.A.R. 28-4-429 Staff qualifications. (e) Lead teacher. There shall be a lead teacher present with each unit of children in the facility. Each lead teacher shall have the following qualifications:

    Room 4 does not have a lead teacher. Corrected at visit. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
19. High risk7/23/2025

    K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

    Of the ten child files reviewed, one child file does not have a record of a health assessment on file. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
20. Medium risk7/23/2025

    K.A.R. 28-4-437 Child care centers: outside area. (c) The outdoor play space shall be located to provide both sunshine and shade.

    The playground is lacking shade. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
21. Medium-High risk7/23/2025

    K.A.R. 28-4-437 Child care centers: outside area. (d) The outdoor play space shall be well drained and free of hazards.

    The tarp under the rubber mulch is uncovered on the playground. (Licensing survey — Annual Survey — 25-003519)

    Not corrected
22. Medium risk5/7/2025

    K.A.R. 28-4-423 Physical plant. (a) (17) Each room occupied by children shall be illuminated sufficiently in all parts of the room for any activity in which each child is engaged. When children are napping and during rest periods, each room shall be illuminated to allow freedom of movement and to ensure staff members are able to observe the breathing of each child.

    Room 2 was not lighted to allow freedom of movement and to ensure staff members were able to observe the breathing of each child while five (5) children, two (2) years of age, were napping. Corrected at visit. (Complaint survey — To investigate a complaint — 25-003236)

    Not corrected
23. Medium risk5/7/2025

    K.A.R. 28-4-429 Staff qualifications. (e) (1) At least 18 years of age;

    A lead teacher, at least 18 years of age, was not present in Room 9. The staff member present was seventeen (17) years of age. Corrected at visit. (Complaint survey — To investigate a complaint — 25-003236)

    Not corrected