Tregons Daycare

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 of eleven children's files reviewed lacks an Authorization for Emergency Medical care on file. (Complaint survey — To investigate a complaint — 25-008036)

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 of eleven children's files reviewed lacks a completed medical record on file. (Complaint survey — To investigate a complaint — 25-008036)

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;

Four of eleven children's files reviewed lacks a health assessment on file. (Complaint survey — To investigate a complaint — 25-008036)

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.

Four of eleven children's files reviewed lacks immunizations on file. (Complaint survey — To investigate a complaint — 25-008036)

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.

Nine-month-old sleeping in a swing. Corrected per licensing specialist's request. (Complaint survey — To investigate a complaint — 25-008036)

K.A.R. 28-4-116a Napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

Five-month-old swaddled in a blanket while sleeping. Corrected per licensing specialist's request. (Complaint survey — To investigate a complaint — 25-008036)

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.

Five-month-old sleeping in a pack n play with blankets and toys surrounding them. Corrected per licensing specialist's request. Nine-month-old sleeping with two blankets placed on top of them. Corrected per licensing specialist's request. (Complaint survey — To investigate a complaint — 25-008036)

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.

Two individuals caring for and transporting children in care between August 2025 and November 2025 lack a Health Status form and negative TB test on file. (Complaint survey — To investigate a complaint — 25-008036)

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 two individuals as required to complete background checks. (Complaint survey — To investigate a complaint — 25-008036)

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.

Per collateral contacts, provider transported children in care to a local donut shop without written parent permission. Per collateral contacts, on multiple occasions, from August 2025-Novemeber 2025, without written parent permission, children were walked to the provider's residence, while waiting for the parents to pick-up. (Complaint survey — To investigate a complaint — 25-008036)

K.A.R. 28-4-114a Initial and ongoing professional development training. (e) Documentation of all orientation, training, and certifications for each individual shall be kept in that individual's file in the facility.

Two individuals caring for and transporting children in care between August 2025 and November 2025 lack orientation, health and safety training and Pediatric First Aid and CPR on file. (Complaint survey — To investigate a complaint — 25-008036)

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.

Hair detangler spray was not in a locked cabinet in the bathroom and was accessible to children. *Corrected at visit (Complaint survey — To investigate a complaint — 24-008659)

K.A.R. 28-4-132 Child care practices. (c) (1) (B) mental and emotional cruelty, including verbal abuse, threats, derogatory remarks about the child or the child's family, or statements which tend to shame, humiliate, or frighten the child;

Prohibited punishment occurred when the Provider yelled " Get out of here, Go, I'm fucking pissed" and other verbal abuse towards the children. (Complaint survey — To investigate a complaint — 24-008659)