All Tots Day Care

K.A.R. 28-4-115 Facility. (h) No child in care shall have access to weapons. All weapons shall be stored in a locked room, closet, container, or cabinet. Ammunition shall be kept in locked storage separate from other weapons.

One gun was in an upstairs bedroom and not in locked storage. (Licensing survey — Compliance Check — 26-002115)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Upon specialist arrival, a three month old child was asleep in a pack and play with a mobile attached and diaper organizing insert inside. Corrected upon specialists request. (Licensing survey — Compliance Check — 25-009074)

K.A.R. 28-4-115 Facility. (i) ( 5) (C) Hard-surfacing materials, including asphalt and concrete, shall not be used in any use zone. Hard-packed dirt shall be covered with an impact-absorbent surfacing material as specified in paragraph (i)(5)(B). This requirement shall apply regardless of the height of the climbing equipment, slides, and swings.

Concrete is partially present under the use zone of one climbing wall and slide. Sidewalk runs along the edge of the other side of the play structure in the use zone. (Licensing survey — Compliance Check — 25-009074)

K.A.R. 28-4-115 Facility. (c) (17) has interior and exterior surfaces of the facility that are free from peeling, chipping, cracking, scaling, and loose paint.

Peeling paint present on the shed door in the outdoor play area. (Licensing survey — Compliance Check — 25-009074)

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 two children under 12 months and six children 12 months to 5 years old. Provider exceeded maximum number of children in 12 months to 5 years of age category by one child. Second provider arrived approximately 5 minutes after specialist arrival. (Licensing survey — Compliance Check — 25-009074)

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 of ten children's files reviewed lack current immunization records. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Upon specialists arrival, one 6 month old child was napping in a pack n play with a lightweight blanket layered over the mattress. Corrected upon specialists request. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

Impact-absorbent surfacing material is not installed under multiple swings and climbing equipment and a slide over four feet in height. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-115 Facility. (f) A refrigerator shall be available for the storage of perishable foods. Refrigerated medications shall be in a locked box.

Multiple boxes of medications stored in the refrigerator are not stored in a locked box. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

Multiple knives are stored in an unlocked drawer in the kitchen within reach of children. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (B) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

Upon specialist arrival, a 14 month old child was asleep in a rocker. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

Upon specialists arrival, one 6 month old child was napping with a lightweight blanket, with multiple blankets layered over the mattress. Child was removed upon specialists request. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (A) The child shall nap or sleep in a crib or a playpen. Stacking cribs or bassinets shall not be used. Cribs with water-bed mattresses shall not be used.

Upon specialists arrival, one 6 month old child was napping in a pack in play with the bassinet insert. Child was removed upon specialists request. (Licensing survey — Annual Survey — 25-007020)

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 — 25-007020)

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 form is not on file for two providers. (Licensing survey — Annual Survey — 25-007020)

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.

A tornado drill was not conducted for October 2025. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Per provider, children's hands are not washed after diapering. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-132 Child care practices. (d) Hands shall be washed using soap and warm running water and dried with an individual towel or disposable product. When cloth towels and washcloths are used, they shall be labeled with the child's name, and shall be laundered at least weekly. When soap and running water are not readily available, an alcohol-based hand sanitizer may be used only by adults and, under adult supervision, by children two years of age and older.

A single wash cloth is used to dry children's hands after hand washing. (Licensing survey — Annual Survey — 25-007020)

K.A.R. 28-4-115 Facility. (f) A refrigerator shall be available for the storage of perishable foods. Refrigerated medications shall be in a locked box.

Several medications are stored in the refrigerator and not in a locked box. (Licensing survey — Annual Survey — 24-006639)