Little Wonders Day Care

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.

Tornado drills for October 2024-July 2025 are not recorded. (Licensing survey — Annual Survey — 25-004576)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plans have not been developed to include procedure for heavy snow/blizzard or unscheduled closure. (Licensing survey — Annual Survey — 25-004576)

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 file does not have a medical history form on the current form. (Licensing survey — Annual Survey — 25-004576)

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 takes children on walks. One child does not have permission to go off-premises. (Licensing survey — Annual Survey — 25-004576)

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.

Licensing specialist observed a BB gun on a table and not in locked storage. Corrected at visit. (Licensing survey — Annual Survey — 25-004576)

K.A.R. 28-4-116a Napping and sleeping. (c) (7) Each pad used for napping or sleeping shall be at least 0.5 inch thick, washable or enclosed in a washable cover, and long enough so that the child's head and feet rest on the pad. Clean, individual bedding, including a bottom and a top cover, shall be provided for each child.

Licensing specialists observed three children napping on cots without a bottom cover. (Licensing survey — Annual Survey — 25-004576)

K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

Written safe sleep policy is not developed. (Licensing survey — Annual Survey — 25-004576)

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.

Two child files out of four child files reviewed do not have medical history forms on the current form. (Licensing survey — Annual Survey — 25-004576)

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 takes children on walks. Two children do not have permission to go off-premises. (Licensing survey — Annual Survey — 25-004576)

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 — 25-004576)

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.

Provider does not have a health status form on file. (Licensing survey — Annual Survey — 25-004576)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Emergency plans have not been developed to include procedure for responding to and preventing allergic reactions. (Licensing survey — Annual Survey — 25-004576)

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 for October 2024-July 2025 are not recorded. (Licensing survey — Annual Survey — 25-004576)

K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

Insurance is not available for review. (Licensing survey — Annual Survey — 24-004704)

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 file does not have complete written permission from parent for emergency medical treatment as it is missing start and end date of care. Corrected at visit. (Licensing survey — Annual Survey — 24-004704)

K.A.R. 28-4-116 Daily care of children. (d) (3) (B) (ii) two vegetables or two fruits, or one vegetable and one fruit;

Lunch does not include a second fruit or a vegetable. (Licensing survey — Annual Survey — 24-004704)

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.

When licensing specialists arrived, a four month old infant was asleep in a swing. Corrected at visit, per specialist's request. (Licensing survey — Annual Survey — 24-004704)

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.

Three child files out of seven child files reviewed do not have current immunizations on file. Children have been enrolled for more than 60 days. (Licensing survey — Annual Survey — 24-004704)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and;

One child file out of seven child files reviewed does not have documentation of a health assessment. Child has been enrolled for more than 60 days. (Licensing survey — Annual Survey — 24-004704)

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 file out of seven child files reviewed does not have a medical history form on file. (Licensing survey — Annual Survey — 24-004704)

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 file out of seven child files reviewed does not have complete written permission from parent for emergency medical treatment. (Licensing survey — Annual Survey — 24-004704)