Little Hands Daycare LLC

2025

1. Medium-High risk4/17/2025

   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.

   Record of negative TB tests not on file for two residents and one volunteer. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
2. Medium risk4/17/2025

   K.A.R. 28-4-114 Applicant; licensee. (h) (2) The total number of children on the premises, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum group size based on the age of the youngest child present and the number of providers present as specified in subsection (e).

   On 04/17/2025, one provider present with 11 children: 2 children under 12 months old, 8 children 12 months to 5 years and 1 child 5 to 10 years of age. Provider exceeded maximum group size for one provider by two children when maximum group size for one provider is 9 children based on the age of children in attendance. Two primary providers exceed the maximum group size number by having two children under 12 months, nine children from 12 months to five years, and one 5-year-old present. Capacity is exceeded by one child, from the 12 months to 5 years of age group, Tuesday through Thursday in the morning. Two primary providers exceed the maximum group size number by having two children under 12 months, ten children from 12 months to five years, and one 5-year-old present. Capacity is exceeded by two children, from the 12 months to 5 years of age group, Tuesday through Thursday in the afternoon. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
3. Medium risk4/17/2025

   K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

   On 04/17/2025, one provider present with 11 children: 2 children under 12 months old, 8 children 12 months to 5 years and 1 child 5 to 10 years of age. Provider exceeded maximum number of children in 12 months to 5 years age category by three children. The primary provider exceeds the maximum number of children per one provider on Tuesday through Thursday between 10:30-11:00am by having two children under 12 months and up to 9 children from 12 months to 5 years of age. Provider exceeds maximum number of children in 12 months to 5 years age category by up to 4 children. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
4. High risk4/17/2025

   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.

   The primary provider left nine children for 45 minutes while on a field trip with adults that are not associated with the licensed child care facility. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
5. High risk4/17/2025

   K.A.R. 28-4-115a Supervision. (b) (2) Each provider shall be aware at all times of the location of each child in that provider's care and the activities in which the child is engaged. Each provider shall perform the following:

   Per video footage on 2/28/25, the primary provider was not supervising a toddler when the toddler was left outside the building for five minutes. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
6. Medium-High risk4/17/2025

   K.A.R. 28-4-116a Napping and sleeping. (b) (5) (F) The child shall sleep in a crib or a playpen that is free of any soft items, including pillows, quilts, blankets, bumpers, comforters, sheepskins, flat sheets, cloth diapers, bibs, stuffed animals, and toys.

   One 6-month-old infant sleeping with a blanket in the playpen and a blanket hanging over the side. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
7. Medium-Low risk4/17/2025

   K.A.R. 28-4-124 Parental permission for children to go off-premises. (c) For each location a child is transported and for each off-premises trip, the destination, the time children leave the facility, the adults responsible for the children, and the estimated time of return shall be provided to parents and legal guardians.

   All enrolled parents were not notified of adults responsible for transporting, departure and return times for their children to and from field trips. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
8. High risk4/17/2025

   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 three individuals as required to complete background checks. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
9. Medium-High risk4/17/2025

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (a) (1) Each individual caring for children shall be free from any physical, mental, or emotional conditions that prevent the individual's ability to protect the health, safety, and welfare of the children, shall be qualified by temperament and emotional maturity, demonstrate an understanding of children, and shall act with sound judgment.

   The provider did not act with sound judgment when allowing two individuals to transport up to nine children in two different vehicles without proper safety seats or seat belts to and from field trips. The children's ages range from toddler to school age. (Complaint survey — To investigate a complaint — 25-002510)

   Not corrected
10. Medium risk4/17/2025

    K.A.R. 28-4-130 Transportation. (c) Each driver shall be informed of the requirements of this regulation.

    The primary provider did not inform one individual driver the requirements in this regulation by not knowing who the driver was. (Complaint survey — To investigate a complaint — 25-002510)

    Not corrected
11. Medium risk4/17/2025

    K.A.R. 28-4-130 Transportation. (m) (4) No child shall either enter or exit the vehicle into a lane of traffic.

    Per video footage on 1/24/25, one child exiting the primary provider's vehicle, walked into a lane of traffic. (Complaint survey — To investigate a complaint — 25-002510)

    Not corrected
12. Medium-High risk4/17/2025

    K.A.R. 28-4-130 Transportation. (k) (1) Each individual shall be secured by the use of a seat belt or a child safety seat when the vehicle is in motion.

    Per video footage; On 1/24/25, four children were not secured by a seat belt or child safety seat when the vehicle was in motion. At least three children were not secured in another vehicle. On 1/31/24, Five children were not secured by a seat belt or child safety seat when the vehicle was in motion. At least three children were not secured in another vehicle. On 2/21/25, three children were not secured by a seat belt or child safety seat when the vehicle was in motion. At least three children were not secured in another vehicle. On 2/28/25, five children were not secured by a seat belt or child safety seat when the vehicle was in motion. At least three children were not secured in another vehicle. There are only four available seats in each vehicle but five children being transported on several occasions. (Complaint survey — To investigate a complaint — 25-002510)

    Not corrected
13. Medium-High risk4/17/2025

    K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

    Two nap pads not placed 24 inches apart while in use in the basement. (Complaint survey — To investigate a complaint — 25-002510)

    Not corrected
14. Medium risk4/17/2025

    K.A.R. 28-4-132 Child care practices. (d) (2) (D) before and after eating each snack and each meal; and

    Ten children did not wash hands prior to eating lunch. (Complaint survey — To investigate a complaint — 25-002510)

    Not corrected
15. Medium-High risk1/14/2025

    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.

    Immunization records are not complete for two children. One was corrected at the visit. (Licensing survey — Annual Survey — 24-009317)

    Not corrected