Keen Day Care

K.A.R. 28-4-115 Facility. (i) (2) 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.

Designated outdoor play area contains a broken metal chair which has sharp pieces protruding posing a safety hazard to children when playing in the area. (Licensing survey — Annual Survey — 26-002470)

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.

Documentation of tornado drills is not available for June through December 2025 and January through March 2026. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (d) Exceptions to the requirements for immunizations shall be permitted as specified in K.S.A. 65-508 and amendments thereto. Documentation of each exception shall be maintained on file at the facility.

Two child do not have documentation on the proper form for exemption from immunizations. (Licensing survey — Annual Survey — 26-002470)

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.

Documentation of fire drill for April 2026 is not available for review. (Licensing survey — Annual Survey — 26-002470)

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.

Documentation of tornado drill for April 2026 is not available for review. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (4) Each individual required to obtain the certifications shall maintain current certifications.

Provider on site does not have documentation of current CPR and First Aid certification on file. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

Provider completed 0 hours of annual professional development training for the licensure year ending 3/31/2026. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-115 Facility. (c) (17) has interior and exterior surfaces of the facility that are free from peeling, chipping, cracking, scaling, and loose paint.

Exterior siding and frames have peeling, scaling and cracking paint. (Licensing survey — Annual Survey — 26-002470)

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;

Two electrical outlets are accessible to children and do not have outlet covers. (Licensing survey — Annual Survey — 26-002470)

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.

Cleaning products such as glass cleaner and disinfectant spray were located under the sink in the kitchen. Lysol spray was located on a chair in the passageway to the bathroom used by children. A variety of essential oils and dish soap were located by the kitchen sink. Lotion was on the kitchen counter. All products were accessible to children and not in locked storage. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-115a Supervision. (a) (1) (A) A description of the rooms, levels, or areas of the facility including indoor and outdoor areas in which the child will participate in activities, have snacks or meals, nap, or sleep;

Supervision plan does not include a description of the rooms or areas of the facility being used for activities, snacks or meals, napping, etc. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-116a Napping and sleeping. (c) (3) Each crib and each playpen shall be used only for children who meet the manufacturer's recommendations for use, including any age, height, or weight limitations. The manufacturer's instructions for use, including any recommendations for use, shall be kept on file at the facility.

A three year four month old child was observed napping in a pack and play. Manufacturer's recommendations are not being followed. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-116a Napping and sleeping. (b) (3) Each provider shall follow the safe sleep practices of the facility.

Provider is not following the written safe sleep practices developed for the facility. Written plan states children over 12 months will sleep on a cot or mat. A three year old child was observed napping in a pack and play. (Licensing survey — Annual Survey — 26-002470)

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 two child files reviewed do not have a medical history form recorded on the current form. Forms have not been reviewed in the last 12 months. (Licensing survey — Annual Survey — 26-002470)

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 available for review. (Licensing survey — Annual Survey — 26-002470)

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.

Provider and one resident do not have documentation of negative TB skin tests on file. (Licensing survey — Annual Survey — 26-002470)

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 plan is not available for a missing child, chemical release, intruder, terrorism, lockdown, and an unscheduled closure. (Licensing survey — Annual Survey — 26-002470)

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 plan is not available for responding to and preventing an allergic reaction. (Licensing survey — Annual Survey — 26-002470)

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.

Documentation of fire drills is not available for June through December 2025 and January through March 2026. (Licensing survey — Annual Survey — 26-002470)

K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

Documentation of initial health and safety training is not available for review. (Licensing survey — Compliance Check — 25-007564)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

Facility is not free from evidence of vermin infestation as there are crickets, spiders, and other bugs covering the basement floor and steps. Basement is used by children as a tornado shelter. (Licensing survey — Compliance Check — 25-007564)

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 do not have a medical history recorded on the current form. (Licensing survey — Compliance Check — 25-007564)

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 reviewed does not have complete permission from parent for emergency medical treatment. (Licensing survey — Compliance Check — 25-004855)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (1) The full name, home and business addresses, and telephone numbers of the child's parent or parents or legal guardian and the name, address, and telephone number of the individual to notify in case of emergency;

One child file reviewed does not have emergency contact information. (Licensing survey — Compliance Check — 25-004855)

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 file reviewed does not have a medical history form available for review. (Licensing survey — Compliance Check — 25-004855)