The Growing Place

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care 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 form.

Two of twenty-two children's files reviewed lacks updated immunizations on file. (Complaint survey — To investigate a complaint — 26-000653)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) A completed medical record on the form provided by the department shall be on file at the facility for each child.

Nine of twenty-two children's files reviewed lacks updated Medical History on file. *Corrected at visit. (Complaint survey — To investigate a complaint — 26-000653)

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

Five of twenty-two children's files reviewed lacks an updated Authorization for Emergency Medical Care on file. *Corrected at visit. (Complaint survey — To investigate a complaint — 26-000653)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (c) For each location a child is transported and for each off-premises trip, the destination, the time children leave the facility, the adults responsible for the children, and the estimated time of return shall be provided to parents and legal guardians.

On 02/17/2026 fifteen children and two teachers from classroom 102 went off premises to a secondary building for approximately two hours. Per staff this has occurred multiple times. (Complaint survey — To investigate a complaint — 26-000653)

K.A.R. 28-4-428 Staff requirements. (a) (3) No child shall be left unsupervised.

On 01/20/2026 in forty-five-degree weather a three-year-old child was left outside on the playground unsupervised for sixteen minutes and fifty-two seconds. (Complaint survey — To investigate a complaint — 26-000653)

K.A.R. 28-4-436 Child care centers: 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.

Two infants aged 11 months old are asleep with blankets during nap time. Blankets removed per Licensing Specialist's request. (Licensing survey — Compliance Check — 25-007543)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (C) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

One infant aged 5 months placed in car seat stroller for pickup, fell asleep and was not moved to crib for over 30 minutes. (Complaint survey — To investigate a complaint — 25-006364)

K.A.R. 28-4-436 Child care centers: 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.

One infant aged 5 months old was asleep in a car seat for over 30 minutes. One infant aged 9 months was sleeping in kiddie pool with blankets and pillows. (Complaint survey — To investigate a complaint — 25-006364)

K.A.R. 28-4-439 Child care centers: food service. (i) (4) (A) All breast milk shall be labeled with the child's name and the date and time expressed.

Breastmilk in infant classroom is not labeled with the child's name, and the date and time expressed. (Licensing survey — Annual Survey — 25-003603)

K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

Three outlets in preschool classroom are uncovered and accessible to children in care. *Corrected at visit. (Licensing survey — Annual Survey — 25-003603)

K.A.R. 28-4-423 Physical plant. (e) (2) All medications and products containing alcohol shall be in locked storage.

One medication located in classroom drawer is unlocked and accessible to children in care. *Corrected at visit. (Licensing survey — Annual Survey — 25-003603)

K.A.R. 28-4-427 Program. (c) (2) Written lesson plans for each unit shall be made accessible to parents, staff, and the secretary's designee.

Written lesson plans were lacking in two classrooms. (Licensing survey — Annual Survey — 25-003603)

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (B) The bottle shall be labeled with the child's name, the contents, and the date and time prepared, and shall be used within 24 hours of the time of preparation on the label.

Four bottles in infant classroom are not labeled with the child's name, the contents, and the date and time prepared. (Licensing survey — Annual Survey — 25-003603)

K.A.R. 28-4-439 Child care centers: food service. (e) Drinking water shall be available to each child at all times when the child is in care.

Facility lacks sufficient drinking water available for each child in care. (Complaint survey — To investigate a complaint — 25-005773)

K.A.R. 28-4-133 Reporting critical incidents. (b) Written reports to the department. Each primary care provider and each program director shall ensure that a written report of any critical incident specified in subsection (a) is submitted by the next working day to the department. The report shall be submitted on a form provided by the department. A copy of each critical incident report shall be kept on file at the facility for at least one year from the date of the critical incident.

Facility's program director did not submit a written report to the department. (Complaint survey — To investigate a complaint — 25-005773)

K.A.R. 28-4-132 Child care practices. (c) (1) (A) Corporal punishment, including hitting with the hand or any implement, slapping, swatting, shaking, pulling hair, yanking the arm, excessive exercise, exposure to extreme temperatures, and any other measure that produces physical pain or threatens the child's health or safety;

Prohibited punishment was used when a child cut in line and a staff member reacted by pulling the child's hair causing their head to go jerk and lose their balance. (Complaint survey — To investigate a complaint — 25-005773)

K.A.R. 28-4-423 Physical plant. (a) (11) (A) Each window and glass door shall be screened or guarded.

Large window in preschool unit contained a large crack that had been duct taped and is not sufficiently secured from broken glass. Safety hazard. (Licensing survey — Compliance Check — 24-009480)

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 of fifteen children's files reviewed lacked a completed EMR on file. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-437 Child care centers: outside area. (l) The play area shall be arranged so that staff can actively supervise each child at all times.

Installed play structure has multiple areas of blind spots that do not allow for supervision from any angle. Staff demonstrated that they are unable to access certain areas of play structure to assist a child if they were in distress as requested by Licensing Specialist. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-437 Child care centers: outside area. (e) Outdoor play equipment that is safely constructed and in good repair shall be available and placed in an area free of health, safety, and environmental hazards.

Play structure on preschool playground is not safely constructed when it was donated without manufacturers safety recommendations and appropriate ages of use. The structure has multiple hazards including large cracks, holes, rusted railing, and panels that are lacking the required screws to hold in place. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-132 Child care practices. (g) (3) (C) have a covered, hands-free trash container located within reach of the changing surface.

Trash can in preschool unit needs to be covered. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-132 Child care practices. (g) (9) Disposable diapers and disposable training pants shall be placed in a covered container or plastic bag which shall be emptied daily, or more frequently as necessary for odor control. Each covered container used for disposable diapers and disposable training pants shall be cleaned and disinfected at the end of each day.

The trash container in unit 3 did not have a working covered lid leaving the diaper trash accessible to children. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-423 Physical plant. (a) (11) (A) Each window and glass door shall be screened or guarded.

Large window in preschool unit contained a large crack that had been duct taped and is not sufficiently secured from broken glass. Safety hazard. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-423 Physical plant. (e) (1) All household supplies, cleaning supplies, dangerous chemicals and all bodily care products bearing warning labels to keep out of reach of children shall be in locked storage, except that hand sanitizers, disinfectant solutions used daily to disinfect surfaces, and diapering supplies may be kept unlocked at least five feet above the floor and out of reach of children. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or sink.

Baby oil was not locked or out of reach of children (at least five feet above the floor) when it was accessible on the counter in Unit 1. (Licensing survey — Annual Survey — 24-003747)

K.A.R. 28-4-427 Program. (b) (1) Low, open shelves shall be provided for play equipment and materials so that they are readily accessible to the children.

The shelves in multiple units were covered and or shoved against the walls not allowing the children to access the toys on the shelves. (Licensing survey — Annual Survey — 24-003747)