Grace and Giggles Childcare

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.

One swing set lacks impact absorbent material in all use zones. (Licensing survey — Compliance Check — 26-004434)

K.A.R. 28-4-115 Facility. (e) A basement or a second floor used for child care in a facility shall be approved for fire safety by a fire inspector before use. A third floor shall not be used for child care.

Approval for second floor usage is not currently on file. Provider's own child naps on this level. (Licensing survey — Compliance Check — 26-004434)

K.A.R. 28-4-115 Facility. (i) (4) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement, to prevent movement of the equipment and swings.

One climbing dome is not anchored in the ground. (Licensing survey — Compliance Check — 26-004434)

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.

One swing and dome climber set lacks impact absorbent material in all use zones. (Licensing survey — Compliance Check — 26-004361)

K.A.R. 28-4-115 Facility. (i) (4) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement, to prevent movement of the equipment and swings.

One climbing dome is not anchored in the ground. (Licensing survey — Compliance Check — 26-004361)

K.A.R. 28-4-115 Facility. (c) (11) (B) has each stairway guarded by a secured door or gated to prevent unsupervised access by the child, including a latching device that an adult can open readily in an emergency;

Basement stairs are not guarded by a secured door. (Licensing survey — Initial Survey — 26-003099)

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

Kitchen trash needs a lid. (Licensing survey — Initial Survey — 26-003099)

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.

Garage contains chemicals and is accessible to children without due to secure lock on door. (Licensing survey — Initial Survey — 26-003099)

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:

Page one of the medical record is not on file for four children. (Licensing survey — Initial Survey — 26-003099)

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.

Negative TB tests are not on file for two residents. (Licensing survey — Initial Survey — 26-003099)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (2) the full name and telephone number of each individual authorized to remove the child from the facility;

Two children (out of 7) needs contacts for authorized pick-up on file. (Licensing survey — Annual Survey — 24-005836)

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.

There were bodily care products and scented plug-in oils in the main level restroom that were not locked up or kept at least 5ft high. - Corrected at the compliance check visit (Licensing survey — Annual Survey — 24-005836)

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;

There were uncovered electrical outlets in the restroom & living room area. - Corrected at compliance check visit (Licensing survey — Annual Survey — 24-005836)

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's Pediatric CPR and First Aid is currently expired. (Licensing survey — Annual Survey — 24-005836)

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.

There are household cleaning supplies and bodily care products in the restroom (drawer and cabinet) that are not locked up or kept at least 5 ft high. (Licensing survey — Annual Survey — 24-005836)

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;

There are electrical outlets that need covered (restroom and living room/dining area). (Licensing survey — Annual Survey — 24-005836)

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.

There is insect killer in the backyard play area. (Licensing survey — Annual Survey — 24-005836)

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.

Five children (out of 7) need updated immunization records on file. (Licensing survey — Annual Survey — 24-005836)

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 does not have a full medical record on file, and three children need completed health assessments on file. (Licensing survey — Annual Survey — 24-005836)

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 for background checks. (Licensing survey — Annual Survey — 24-005836)

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.

Two residents do not have negative TB tests or chest x-rays on file. (Licensing survey — Annual Survey — 24-005836)

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.

Fire drills are not recorded for 2024. For 2023, there are missing fire drills for Feb-May, and July-Nov. (Licensing survey — Annual Survey — 24-005836)

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.

Tornado drills are not recorded for 2024. For 2023, there are missing tornado drills for April, May and July-September. (Licensing survey — Annual Survey — 24-005836)

K.A.R. 28-4-131 Animals. (d) Each domesticated dog and each domesticated cat shall have a current rabies vaccination given by a licensed veterinarian or a person acting under the direct supervision of a veterinarian as specified in K.S.A. 21-1213, and amendments thereto. A record of vaccinations shall be kept on file at the facility.

Four cats and 2 dogs need rabies vaccination records on file. (Licensing survey — Annual Survey — 24-005836)