Karas Little Munchkins Day Care

2025

1. Medium-Low risk4/8/2025

   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.

   One out of 15 children's files reviewed lacks a signed off premise permission form. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
2. Medium-High risk4/8/2025

   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.

   One provider lacks a negative TB skin test on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
3. Medium-High risk4/8/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

   One provider lacks a current CPR and First Aid certification on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
4. Medium-High risk4/8/2025

   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 out of 15 children's files reviewed lacks current immunizations on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
5. Medium-High risk4/8/2025

   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 out of 15 children's files reviewed lacks a medical record on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
6. High risk4/8/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall provide orientation to each provider about the policies and practices of the facility, including duties and responsibilities for the care and supervision of children enrolled. Each provider shall complete the orientation before the provider is given sole responsibility for the care and supervision of children. The orientation shall include the following:

   Two providers lack orientation on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
7. Medium-High risk4/8/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

   Three providers lack current CPR and First Aid certifications on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
8. Medium risk4/8/2025

   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.

   Two swing sets in the outside play area lack impact abosorbent surface material under and around them. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
9. Medium-High risk4/8/2025

   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:

   Two out of 15 children's files reviewed lacks a medical record on file. (Licensing survey — Annual Survey — 25-000315)

   Not corrected
10. Medium-High risk4/8/2025

    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 out of 15 children's files reviewed lacks a health assessment on file. (Licensing survey — Annual Survey — 25-000315)

    Not corrected
11. Medium-High risk4/8/2025

    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.

    Four out of 15 children's files reviewed lacks current immunizations on file. (Licensing survey — Annual Survey — 25-000315)

    Not corrected