Little Blessings

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (G) procedures for continuity of operations, including backing up or retrieving health and other required records; and

Emergency plans are without procedures for continuity of operations, including backing up or retrieving records. (Licensing survey — Annual Survey — 26-001464)

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 need further developed to include procedures for an unscheduled closing. (Licensing survey — Annual Survey — 26-001464)

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 out of five staff files reviewed with expired health status forms. (Licensing survey — Annual Survey — 26-001464)

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.

Six out of 10 child files reviewed are with incomplete or expired medical history forms. (Licensing survey — Annual Survey — 26-001464)

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 practices need further developed to detail where infants are slept. (Licensing survey — Annual Survey — 26-001464)

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).

Four out of five staff files reviewed are without documentation or have not yet fully completed annual professional development training. One out of five staff files reviewed is without documentation of four hours of annual health and safety training. (Licensing survey — Annual Survey — 26-001464)

K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

Diapering procedures not available or posted in diaper-changing area. Corrected at time of survey. (Licensing survey — Annual Survey — 26-001464)

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.

One provider has not maintained current certifications in Pediatric First Aid and CPR. (Licensing survey — Annual Survey — 24-009296)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (3) Each provider shall obtain the certifications before the date of employment or not later than 30 calendar days after the date of employment.

Provider hired September 2024, has not obtained certification in Pediatric First Aid and CPR. (Licensing survey — Annual Survey — 24-009296)

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:

Provider hired September 2024 without orientation on file. (Licensing survey — Annual Survey — 24-009296)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (i) Each bottle that contains prepared formula shall be stored in the refrigerator with the nipple covered.

One bottle stored in fridge without nipple covered. Corrected at time of survey. (Licensing survey — Annual Survey — 24-009296)