Ms Annettes

2025

1. Medium-High risk6/26/2025

   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 nine children files reviewed did not have the emergency medical treatment on file. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
2. Medium-High risk6/26/2025

   K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

   There is no copy of the diaper changing procedure posted near the diaper-changing area. (Corrected on site) (Licensing survey — Annual Survey — 25-003550)

   Not corrected
3. Medium-High risk6/26/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (C) safe sleep practices and sudden infant death syndrome;

   One provider has not completed health and safety training in safe sleep practices and sudden infant death syndrome. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
4. Medium-High risk6/26/2025

   K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

   There is a bottle of Benadryl on the kitchen counter accessible to children. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
5. Medium-High risk6/26/2025

   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.

   The following products on the kitchen counter: Sunblock spray Stay away Mosquito spray with warning labels accessible to chidlren. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
6. Medium-High risk6/26/2025

   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.

   One child's file did not have a mediacal history on file. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
7. Medium-High risk6/26/2025

   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 childs' file did not have current immunizations on file. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
8. Medium-High risk6/26/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) A completed medical record on the form provided by the department shall be on file for each child under 10 years of age enrolled for care and for each child under 16 years of age living in the child care facility and shall include the following:

   One childs' file did not have a completed medical record. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
9. Medium-High risk6/26/2025

   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 child's emergency medical treatment form not of file. (Licensing survey — Annual Survey — 25-003550)

   Not corrected
10. Medium risk6/26/2025

    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 9 children: 9 children 12 months to 5 years old. Provider exceeded maximum number of children in 12 months to 5 years age category by 1 child. (Licensing survey — Annual Survey — 25-003550)

    Not corrected
11. Medium risk6/26/2025

    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 9 children: 9 children 12 months to 5 years old. Provider exceeded maximum group size for one provider by one child. (Licensing survey — Annual Survey — 25-003550)

    Not corrected
12. Medium-High risk6/26/2025

    K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

    There is no documentation on file for training completed on the topic: Safe sleep practices. (Licensing survey — Annual Survey — 25-003550)

    Not corrected
13. High risk6/26/2025

    K.A.R. 28-4-115a Supervision. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall update the supervision plan when changes are made in any of the requirements of paragraph (a)(1).

    The supervision plan needs updated to reflect supervision practices for older children over 5 years. (Corrected on site) (Licensing survey — Annual Survey — 25-003550)

    Not corrected
14. Medium-High risk6/26/2025

    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.

    One out of nine children files reviewed did not have a medical history on file. (Licensing survey — Annual Survey — 25-003550)

    Not corrected
15. Medium-High risk6/26/2025

    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 nine children files reviewed did not have current immunizations on file. (Licensing survey — Annual Survey — 25-003550)

    Not corrected
16. Medium-High risk1/28/2025

    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.

    Health status and negative TB test are not on file for one provider. (Licensing survey — Compliance Check — 24-008842)

    Not corrected
17. High risk1/28/2025

    K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

    Upon arrival there was a 5-month-old napping behind doors. Corrected by provider. (Licensing survey — Compliance Check — 24-008842)

    Not corrected
18. Medium risk1/28/2025

    K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

    In the living room there are two electrical outlets uncovered not in use accessible to children in care. Corrected at the time of survey. (Licensing survey — Compliance Check — 24-008842)

    Not corrected