Nanas House

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 does not have current certification in pediatric first aid and pediatric CPR. (Licensing survey — Compliance Check — 26-003577)

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 out of seven children files reviewed does not have a emergency medical treatment form on file. (Licensing survey — Annual Survey — 26-001477)

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.

The provider does not have the health status form completed on new form. (Licensing survey — Annual Survey — 26-001477)

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 seven children files reviewed did not have a current child history form. (Licensing survey — Annual Survey — 26-001477)

K.A.R. 28-4-115 Facility. (c) ( 6) has kitchen and outdoor trash and garbage in covered containers or in tied plastic bags;

Indoor trash was uncovered. (Corrected on site) (Licensing survey — Annual Survey — 26-001477)

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.

The provider does not have current certification in pediatric first aid and pediatric CPR. (Licensing survey — Annual Survey — 26-001477)

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's file does not have a medical history form on file, and 2 children files have an incomplete medical history form. (Licensing survey — Annual Survey — 26-001477)

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 has not completed 10 clock-hours of professional development training for 2026 calendar year. (Licensing survey — Annual Survey — 26-001477)

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 — Compliance Check — 25-002358)

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:

There is no supervision plan available for review. (Licensing survey — Compliance Check — 25-002358)

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.

On the kitchen counter there is a container of disinfecting wipes with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (a) A working telephone shall be on the premises and available for use at all times. Emergency telephone numbers shall be readily accessible or be posted next to the telephone for the police, fire department, ambulance, hospital or hospitals, and poison control center.

Facility does not have emergency phone numbers posted/available. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

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.

On the kitchen counter there is a container of disinfecting wipes with warning labels accessible to children in care. Corrected at the time of survey. In an unlocked drawer in the bathroom there is a tube of lotrimin cream, toothpaste and sting eze with warning labels accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

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:

There is no supervision plan available for review. (Licensing survey — Annual Survey — 24-009303)

K.A.R. 28-4-116 Daily care of children. (d) Each applicant with a temporary permit and each licensee shall develop and implement menu plans for meals and snacks that contain a variety of healthful foods, including fresh fruits, fresh vegetables, whole grains, lean meats, and low-fat dairy products.

Per provider statement milk is not serve with meals. (Licensing survey — Annual Survey — 24-009303)

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 out of five child files reviewed have an incomplete medical history on file. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

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.

There is an 11-month-old napping on a mat. (Licensing survey — Annual Survey — 24-009303)

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.

Witten plan for safe sleep practices does not list practices for the different ages. (Licensing survey — Annual Survey — 24-009303)

K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (a) A working telephone shall be on the premises and available for use at all times. Emergency telephone numbers shall be readily accessible or be posted next to the telephone for the police, fire department, ambulance, hospital or hospitals, and poison control center.

Facility does not have emergency phone numbers posted/available. (Licensing survey — Annual Survey — 24-009303)

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

Five out of five child files reviewed have an incomplete emergency medical form on file. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

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.

Last tornado drill is recorded for September 2024. (Licensing survey — Annual Survey — 24-009303)

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

There is no diapering procedures posted in the diaper-changing area. Corrected at the time of survey. (Licensing survey — Annual Survey — 24-009303)

K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

Per provider statement diaper changing pad is not being disinfected between changes. (Licensing survey — Annual Survey — 24-009303)