Little Knights Learning B

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.

Four out of 11 staff files reviewed without a health status form on file. One out of 11 staff files reviewed without a TB test on file. (Licensing survey — Annual Survey — 25-005676)

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.

Three out of 12 child files reviewed without updated immunizations on file. (Licensing survey — Annual Survey — 25-005676)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be conducted not more than twelve months before and obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and;

Two out of 12 child files reviewed with missing or incomplete health assessments. (Licensing survey — Annual Survey — 25-005676)

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 out of 12 child files with out current medical history form. One out of 12 child files reviewed with incomplete medical history on file. (Licensing survey — Annual Survey — 25-005676)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (1) Each applicant and each applicant with a temporary permit shall complete the training not later than 30 calendar days after submitting an application for a license.

Two out of 11 staff files reviewed without health and safety training on file. (Licensing survey — Annual Survey — 25-005676)

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.

Two out of 11 staff files reviewed without CPR/First aid training on file. (Licensing survey — Annual Survey — 25-005676)

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:

Two out of 11 staff files reviewed without orientation on file. (Licensing survey — Annual Survey — 25-005676)

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 missing procedures for intruder, an act of terrorism, chemical release, utility failure, and unscheduled closings. (Licensing survey — Annual Survey — 25-005676)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Four out of nine provider files reviewed without health and safety training on file. (Licensing survey — Annual Survey — 24-005842)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

One provider file without health and safety training on file. (Licensing survey — Annual Survey — 24-005842)

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.

One staff file without TB test on file. (Licensing survey — Annual Survey — 24-005842)

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:

Four out of nine provider files reviewed without orientation on file. (Licensing survey — Annual Survey — 24-005842)

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 outlets without covers, corrected at time of visit. (Licensing survey — Annual Survey — 24-005842)

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.

Outdoor play area has numerous stickers as observed during the survey. (Licensing survey — Annual Survey — 24-005842)

K.A.R. 28-4-124 Parental permission for children to go off-premises. (b) Written permission on a form supplied by the department shall be obtained from the parent or legal guardian of each child who will be transported or allowed to participate in any off-premises field trip.

One out of eight child files reviewed without off-premises trip form on file. (Licensing survey — Annual Survey — 24-005842)

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.

Three out of nine provider files reviewed without TB test on file. (Licensing survey — Annual Survey — 24-005842)

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

Two out of eight child files reviewed without emergency medical treatment form on file. (Licensing survey — Annual Survey — 24-005842)

K.A.R. 28-4-125 Background checks. (e) ensure that no individual works, regularly volunteers, or resides in the facility until the results of the individual's background checks verify that the individual is not prohibited from working, regularly volunteering, or residing in a facility pursuant to K.S.A. 65-516, and amendments thereto.

Two individuals on-site and background check results remain pending. (Complaint survey — To investigate a complaint — 24-007368)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

Two providers without health and safety training given sole responsibility for children. (Complaint survey — To investigate a complaint — 24-007368)

K.A.R. 28-4-116a Napping and sleeping. (c) (7) Each pad used for napping or sleeping shall be at least 0.5 inch thick, washable or enclosed in a washable cover, and long enough so that the child's head and feet rest on the pad. Clean, individual bedding, including a bottom and a top cover, shall be provided for each child.

Per provider statements children were napping without a bottom cover. (Complaint survey — To investigate a complaint — 24-007368)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (B) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

Per collateral contacts infants nap in the swing and infant chair. (Complaint survey — To investigate a complaint — 24-007368)

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 09/12/2024 One provider present with nine children: one child under 12 months old and eight children 12 months to five years old. Provider exceeded maximum number of children in 12 months to five years of age category by two children. (Complaint survey — To investigate a complaint — 24-007368)