Ada Lynns Day Care Home

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.

Medical record not on updated department form for one child. (Complaint survey — To investigate a complaint — 26-002408)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Bottom of the stairway not guarded with one 7-month-old child present. (Complaint survey — To investigate a complaint — 26-002408)

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.

There are a few bodily care products in the restroom that are not locked up or kept at least 5ft high. (Licensing survey — Annual Survey — 25-001064)

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 dog needs rabies vaccinations on file, and one cat needs updated rabies vaccinations on file. - The cat's appointment has been scheduled; corrected at visit. (Licensing survey — Annual Survey — 25-001064)

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.

There were a pair of adult scissors in the entryway of the home upon arrival (not locked up or stored at least 5ft high). - Corrected at visit (Licensing survey — Annual Survey — 25-001064)

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.

Two children (out of 3) need updated immunization records on file. (Licensing survey — Annual Survey — 25-001064)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (2) the full name and telephone number of each individual authorized to remove the child from the facility;

Two children (out of 3) need contacts for authorized emergency pick-up on file. One child was corrected at the visit. (Licensing survey — Annual Survey — 25-001064)

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 child (out of 3) needs a completed medical history form on file (1st page of the medical record). (Licensing survey — Annual Survey — 25-001064)

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.

Three children (out of 3) need signed off-premises permission forms on file. (Licensing survey — Annual Survey — 25-001064)

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 resident does not have a negative TB test/chest x-ray on file (could not be located at the time of visit). (Licensing survey — Annual Survey — 25-001064)

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 (out of 3) has an emergency medical record form that needs to be fully completed (top part of the form is blank). - Corrected at visit (Licensing survey — Annual Survey — 25-001064)

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.

Fire drills were not recorded for March or April 2025. (Licensing survey — Annual Survey — 25-001064)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Gate at the top of the stairs to the lower level is broken. There is no gate in place to guard the stairs from the entry level to the kitchen level. Gate at top of stairs from the kitchen level to the entry level does not latch securely. One child under 2.5 years of age is in care. (Complaint survey — To investigate a complaint — 24-009766)

K.A.R. 28-4-115 Facility. (g) (3) Chemicals and cleaning supplies shall be used and disposed of in accordance with the product safety label.

Multiple cans of paint accessible to children just inside the unlocked garage. *Corrected at visit when the provider locked the door.* (Complaint survey — To investigate a complaint — 24-009766)

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.

Bodily care products accessible to children in the unlocked hall closet and the unlocked lower level bedroom. *Corrected at visit when the provider moved items in the hall closet to a higher shelf and locked the lower level bedroom door.* (Complaint survey — To investigate a complaint — 24-009766)

K.A.R. 28-4-115 Facility. (c) Each facility shall have 25 square feet of available play space per child and shall be constructed, arranged, and maintained to provide for the health and safety of children in care. Each applicant, each applicant with a temporary permit, and each licensee shall ensure that the facility meets the following requirements:

The sliding glass door to the deck is difficult to open and close due to the interior handle having fallen off. (Complaint survey — To investigate a complaint — 24-009766)

K.A.R. 28-4-115 Facility. (c) (10) has each stairway with more than two stairs railed;

Stairway from entry level to lower level lacks a handrail. (Complaint survey — To investigate a complaint — 24-009766)

K.A.R. 28-4-125 Background checks. (b) ensure that fingerprint-based background checks are completed for each of the following:

Facility did not ensure that fingerprint-based background checks are completed as required for one individual. (Complaint survey — To investigate a complaint — 24-009766)