Three Little Bears Daycare Home

2025

1. High risk9/5/2025

   K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

   One cat does not have current rabies vaccine on file. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
2. Medium-High risk9/5/2025

   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:

   Three child files out of nine child files reviewed do not have a medical history recorded on the current form. One child file out of nine child files reviewed does not have a complete medical history form, as it is missing parent signature. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
3. Medium-High risk9/5/2025

   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 child file out of nine child files reviewed do not have current immunization record on file. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
4. Medium-Low risk9/5/2025

   K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

   Provider routinely transports a child in a vehicle. Provider does not have signed permission from parent to transport the child. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
5. Medium-High risk9/5/2025

   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 provider does not have a signed health status form on file. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
6. Medium-High risk9/5/2025

   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.

   One regular volunteer does not have a record of a negative TB test on file. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
7. Medium-High risk9/5/2025

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

   August 2025 fire drill is not recorded. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
8. Medium-High risk9/5/2025

   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.

   August 2025 tornado drill is not recorded. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
9. Medium-High risk9/5/2025

   K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

   Yearly mechanical safety checklist is not on file. (Licensing survey — Annual Survey — 25-004460)

   Not corrected
10. Medium-High risk9/5/2025

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

    Diapering procedures is not posted in the diaper-changing area. Corrected at visit. (Licensing survey — Annual Survey — 25-004460)

    Not corrected