Little Haven Daycare

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 twelve children's files did not have the Authorization of Emergency Medical form on file. (Licensing survey — Annual Survey — 26-002678)

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.

Three out of five staff do not have the current health status form on file. (Licensing survey — Annual Survey — 26-002678)

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 check. (Licensing survey — Annual Survey — 26-002678)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (2) 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.

Two out of twelve children's medical history is not on the current form. One out of twelve children's medical history is not complete. (Licensing survey — Annual Survey — 26-002678)

K.A.R. 28-4-116a 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.

Written safe sleep plan not available. (Licensing survey — Annual Survey — 26-002678)

K.A.R. 28-4-114a Initial and ongoing professional development training. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall provide orientation to each provider about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children enrolled. Each provider shall complete the orientation before the provider is given sole responsibility for the care and supervision of children. The orientation shall include the following:

Two out of five staff do not have orientation on file. (Licensing survey — Annual Survey — 26-002678)

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;

Written Emergency plan does not include procedures for Heavy blizzard, intruder, allergic reaction, unscheduled closing, serious injury, and continuity of care. (Licensing survey — Annual Survey — 26-002678)

K.A.R. 28-4-114 Applicant; licensee. (h) (2) The total number of children on the premises, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum group size based on the age of the youngest child present and the number of providers present as specified in subsection (e).

One provider present with 11 children: 9 children 12 months to 5 years of age and 2 children 5 to 10 years of age. Provider exceeded maximum group size for one provider by one child. (Licensing survey — Compliance Check — 25-002331)

K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

One provider present with 11 children: 9 children 12 months to 5 years old and 2 children 5 to 10 years of age. Provider exceeded maximum number of children 12 months to 5 years of age by one child. (Licensing survey — Compliance Check — 25-002331)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (5) Each applicant with a temporary permit and each licensee shall ensure that at least one provider who has current certification in pediatric first aid and current certification in pediatric CPR is present at all times.

Licensee and provider's CPR/First aid certification expired March 2025. (Licensing survey — Compliance Check — 25-002331)

K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

Four children's nap cots are only separated by around 12 inches. (Licensing survey — Compliance Check — 25-002331)

K.A.R. 28-4-125 Background checks. (b) (4) each provider in a day care home or group day care home;

Facility did not ensure that fingerprint-based background checks are complete for one individual. (Licensing survey — Compliance Check — 25-002331)

K.A.R. 28-4-132 Child care practices. (d) (2) (D) before and after eating each snack and each meal; and

Child did not wash hands before eating lunch. *Corrected after surveyor reminded* (Licensing survey — Annual Survey — 24-010004)

K.A.R. 28-4-132 Child care practices. (d) (2) (A) First arriving at the facility;

Child arriving at the facility did not wash his hands. *Corrected after surveyor reminded* (Licensing survey — Annual Survey — 24-010004)

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 supplies did not include roll of gauze, scissors, tweezers, elastic bandage, 4x4 gauze squares, bottle of water. (Licensing survey — Annual Survey — 24-010004)

K.A.R. 28-4-125 Background checks. (b) (4) each provider in a day care home or group day care home;

Facility did not ensure that fingerprint-based background checks are complete for one individual. (Licensing survey — Annual Survey — 24-010004)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (c) Immunizations for each child, including each child of the provider under 16 years of age 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.

One out of sixteen children's immunizations are not complete. (Licensing survey — Annual Survey — 24-010004)

K.A.R. 28-4-115 Facility. (i) ( 5) (D) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

Surfacing underneath the swings and the slide needs raked back underneath to include all areas of the use zone. (Licensing survey — Annual Survey — 24-010004)

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 supplies did not include an elastic bandage. (Licensing survey — Annual Survey — 24-010004)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be 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 and;

One out of ten children's health assessment is not on file. (Licensing survey — Compliance Check — 24-009498)

K.A.R. 28-4-115 Facility. (g) (1) All household supplies, cleaning supplies, dangerous chemicals, and all bodily care products containing alcohol or bearing warning labels to keep out of reach of children shall be in locked storage or stored out of reach of children under six years of age. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a sink.

Clorox wipes on kitchen counter accessible to children. (Licensing survey — Compliance Check — 24-009498)

K.A.R. 28-4-115 Facility. (i) ( 5) (D) Surfaces made of loose material shall be maintained by replacing, leveling, or raking the material.

On the swing set there is bare dirt underneath the swings. The surfacing has not been raked and leveled underneath. (Licensing survey — Compliance Check — 24-009498)

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.

Individual on-site and background check results remain pending. (Licensing survey — Compliance Check — 24-009498)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (c) Immunizations for each child, including each child of the provider under 16 years of age 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.

One out of ten children's immunizations are not on file. (Licensing survey — Compliance Check — 24-009498)