Little Lambs Daycare

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.

Two of two staff files reviewed lack a health status form. Corrected at the time of the survey. (Licensing survey — Annual Survey — 26-001424)

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 six child files reviewed lacks immunizations and has been in care for more than 60 days. (Licensing survey — Annual Survey — 26-001424)

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.

Three of six children lack a medical history form. (Licensing survey — Annual Survey — 26-001424)

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 of six child files reviewed lacks a health assessment and has been in care for more than 60 days. (Licensing survey — Annual Survey — 26-001424)

K.A.R. 28-4-115a Supervision. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop a supervision plan for children in care that includes all age ranges of children for whom care will be provided. A copy of the plan shall be available for review by the parents or legal guardians of children in care and by the department. The plan shall include the following:

Facility lacks a supervision plan. (Licensing survey — Annual Survey — 26-001424)

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 cleaning products labeled to keep out of reach of children accessible to children in care. Corrected at the time of they survey. (Licensing survey — Annual Survey — 26-001424)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

There is an outlet uncovered in the bathroom accessible to children. Corrected at the time of the survey. (Licensing survey — Annual Survey — 26-001424)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (1) Each applicant and each applicant with a temporary permit shall complete the training not later than 30 calendar days after submitting an application for a license.

One of two staff files reviewed lack health and safety training and has been employed longer than 30 days. (Licensing survey — Annual Survey — 26-001424)

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

Six of six children lack an emergency medical treatment form. (Licensing survey — Annual Survey — 26-001424)

K.A.R. 28-4-115a Supervision. (c) (3) (A) Each child who is napping or sleeping shall be within sight or hearing distance of the provider and shall be visually checked on by the provider at least once every 15 minutes.

During the survey, providers did not visually check on the children napping every fifteen minutes without being prompted by the licensing specialist. (Complaint survey — To investigate a complaint — 25-009220)

K.A.R. 28-4-115a Supervision. (b) (1) Each child in care shall be under the supervision of a provider who is responsible for the child's health, safety, and well-being.

On 12/12/25, a 7 month old infant was left alone and unsupervised for three to four minutes, when the provider left the facility. (Complaint survey — To investigate a complaint — 25-009220)

K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

At the time of the survey, children were napping behind a closed door. (Complaint survey — To investigate a complaint — 25-009220)

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.

Facility does not have a safe sleep policy. (Complaint survey — To investigate a complaint — 25-009220)

K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

One outlet in the main living room is uncovered. Corrected at the time of the survey. (Complaint survey — To investigate a complaint — 25-009220)

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;

Three of nine child files reviewed do not have a health assessment. (Complaint survey — To investigate a complaint — 25-009220)

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.

Nine of nine child files reviewed lack a current medical history on the new form. (Complaint survey — To investigate a complaint — 25-009220)

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 of nine child files reviewed do not have immunizations. (Complaint survey — To investigate a complaint — 25-009220)

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

Nine of nine child files reviewed do not have a current emergency medical treatment form. (Complaint survey — To investigate a complaint — 25-009220)

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.

Facility does not have current tornado drills. (Licensing survey — Annual Survey — 24-009267)

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.

Facility does not have current fire drills. (Licensing survey — Annual Survey — 24-009267)