Little Blessings Childcare

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.

Out of six child files reviewed, two children who have been enrolled for more than 60 days do not have current immunizations on file. (Licensing survey — Annual Survey — 26-001524)

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 January and February of 2026. (Licensing survey — Annual Survey — 26-001524)

K.A.R. 28-4-114 Applicant; licensee. (k) Posting of temporary permit or license and availability of regulations. Each applicant with a temporary permit and each licensee shall post any temporary permit or license conspicuously as required by K.S.A. 65-504, and amendments thereto. A copy of the current regulations governing facilities shall be kept on the premises and shall be available to all providers at all times.

The current license is not posted. (Licensing survey — Annual Survey — 26-001524)

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).

The provider has not completed 10 hours of training for the 2026 licensure year. (Licensing survey — Annual Survey — 26-001524)

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:

Out of eight child files reviewed, five children do not have the current KDHE Medical Record form on file. (Licensing survey — Annual Survey — 26-001524)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

Emergency plans do not include procedures for responding to and preventing allergic reactions. (Licensing survey — Annual Survey — 26-001524)

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 do not include procedures for an act of terrorism, an unscheduled closing, and a lock down. (Licensing survey — Annual Survey — 26-001524)

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 do not include procedures for continuity of operations. (Licensing survey — Annual Survey — 26-001524)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (5) Each licensee shall ensure that each staff member practices, at least annually, the procedures for assisting the children to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

The provider did not have documentation annually that they practiced the procedures for assisting children to the off premise evacuation and shelter-in-place locations. (Licensing survey — Annual Survey — 26-001524)

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 January and February of 2026. (Licensing survey — Annual Survey — 26-001524)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

The first-aid kit does not include gloves, an elastic bandage, tweezers, and a bottle of water. (Licensing survey — Annual Survey — 26-001524)

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.

Upon licensing specialist's arrival, one four month old child was observed sleeping in a swing. Corrected during survey. (Licensing survey — Compliance Check — 25-001503)

K.A.R. 28-4-115 Facility. (g) (5) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.

A can of discarded cigarretes is on the porch accessible to children. (Licensing survey — Compliance Check — 25-001503)

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).

One provider present with 8 children: 2 children under 12 months old and 6 children 12 months to 5 years old. Provider exceeded maximum number of children in 12 months to 5 years of age category by 1 child. (Licensing survey — Compliance Check — 25-001503)

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.

The outdoor play area presents numerous hazards when there are dozens of discarded cigarettes, a gas can, discarded furniture, piles of wood and tree branches with sharp edges accessible to children. (Licensing survey — Annual Survey — 24-009342)

K.A.R. 28-4-115 Facility. (g) (5) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.

A lighter in the outdoor play area was not kept out of reach of children. Corrected during survey. (Licensing survey — Annual Survey — 24-009342)

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 pediatric first-aid and pediatric CPR certifications on file. (Licensing survey — Annual Survey — 24-009342)

K.A.R. 28-4-115 Facility. (g) (5) Tobacco products, ashtrays, lighters, and matches shall be stored out of reach of children.

A lighter in the outdoor play area was not kept out of reach of children. (Licensing survey — Annual Survey — 24-009342)

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.

Out of 11 child records reviewed, two children who have been enrolled for more than 60 days do not have current vaccination records on file. (Licensing survey — Annual Survey — 24-009342)

K.A.R. 28-4-131 Animals. (a) If any animal is kept on the premises, each area in which the animal is permitted shall be maintained in a sanitary manner. There shall be no evidence of disease, flea, tick, or worm infestation.

The outdoor play area and the outdoor deck have multiple piles of dog feces. (Licensing survey — Annual Survey — 24-009342)