Tots to the Top

K.A.R. 28-4-132 Child care practices. (d) (2) (A) First arriving at the facility;

Provider did not ensure two children washed hands when arriving at the facility. (Licensing survey — Annual Survey — 26-003298)

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

Three out of nine child files reviewed with incomplete Authorization for Emergency Medical Treatment form. Three out of nine child files reviewed without Authorization for Emergency Medical Treatment form. (Licensing survey — Annual Survey — 26-003298)

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.

Four out of nine child files reviewed with incomplete off-premises permission form. Two out of nine child files reviewed without off-premises form. (Licensing survey — Annual Survey — 26-003298)

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.

Eight out of nine child files reviewed with medical history not on current form. One out of nine child files reviewed without medical history form. (Licensing survey — Annual Survey — 26-003298)

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;

Three out of nine child files reviewed without the results of a health assessment on file. (Licensing survey — Annual Survey — 26-003298)

K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (i) Each bottle that contains prepared formula shall be stored in the refrigerator with the nipple covered.

One bottle for a four-month-old without the nipple covered. *Corrected at time of survey. (Licensing survey — Annual Survey — 26-003298)

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

Children observed eating lunch without washing hands beforehand. (Licensing survey — Annual Survey — 25-000368)

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.

A record of tornado drill not on file for February 2025. (Licensing survey — Annual Survey — 25-000368)

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.

A record of fire drill not on file for February 2025. (Licensing survey — Annual Survey — 25-000368)

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.

Six-month-old observed sleeping in a Pack 'n Play on an activity mat. A stuffed animal and a loose blanket were next to the infant in the Pack 'n Play. *Corrected at time of survey per surveyor's request. (Licensing survey — Annual Survey — 25-000368)