City Builders

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.

Last date of tornado drill was not recorded for September 2025. (Corrected on site). (Licensing survey — Annual Survey — 25-005688)

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.

Last fire drill recorded was February 20, 2024. (Corrected on site) (Licensing survey — Annual Survey — 25-005688)

K.A.R. 28-4-116a Napping and sleeping. (c) (9) When not in use, cribs, cots, playpens, pads, and bedding shall be stored in a clean and sanitary manner.

One play pen for use, was used to store play equipment. (Corrected on site) (Licensing survey — Annual Survey — 25-005688)

K.A.R. 28-4-115a Supervision. (a) (2) Each applicant, each applicant with a temporary permit, and each licensee shall update the supervision plan when changes are made in any of the requirements of paragraph (a)(1).

The supervision plan needs updated. (Licensing survey — Annual Survey — 25-005688)

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 a broken sandbox in the designated outdoor play area. (Licensing survey — Annual Survey — 25-005688)

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.

One provider does not have documentation of current certification in pediatric first aid/pediatric CPR on file and one provider does not have documentation of certificate of health and safety training on file. (Licensing survey — Annual Survey — 25-005688)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (5) Each applicant with a temporary permit and each licensee shall ensure that at least one provider who has current certification in pediatric first aid and current certification in pediatric CPR is present at all times.

There is no provider who has current certification in pediatric first aid and current certification in pediatric CPR present at all time. (Licensing survey — Annual Survey — 25-005688)

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 has not completed health and safety training within 30 days of employment. (Licensing survey — Annual Survey — 25-005688)

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:

First aid kit is incomplete. (Licensing survey — Annual Survey — 25-005688)

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

Ten out of thirteen child files reviewed have a missing/incomplete emergency form on file. (Licensing survey — Annual Survey — 24-005854)

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 are empty pop cans and trash in the designated outdoor play area accessible to children in care. Corrected on site. (Licensing survey — Annual Survey — 24-005854)

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 thirteen child files reviewed has an incomplete medical history on file. (Licensing survey — Annual Survey — 24-005854)

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 thirteen child files reviewed have a missing emergency form on file. (Licensing survey — Annual Survey — 24-005854)

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:

There is no documentation available of received orientation for one of the providers. (Licensing survey — Annual Survey — 24-005854)

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.

In an unlocked cabinet against the wall there is 3 cans and one tube of sunblock with warning labels accessible to children in care. In the bathroom near the diapering station there is a tube of diaper rash cream with warning labels accessible to children in care. (Licensing survey — Annual Survey — 24-005854)

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.

Four out of thirteen child files reviewed have an incomplete medical history on file. (Licensing survey — Annual Survey — 24-005854)

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.

There is no documentation available of a negative TB test for one of the providers. One provider does not have a health status form available. (Licensing survey — Annual Survey — 24-005854)

K.A.R. 28-4-132 Child care practices. (g) (9) Disposable diapers and disposable training pants shall be placed in a covered container or plastic bag which shall be emptied daily, or more frequently as necessary for odor control. Each covered container used for disposable diapers and disposable training pants shall be cleaned and disinfected at the end of each day.

In the bathroom near the diapering station there is an uncovered trashcan with disposable diapers inside. (Licensing survey — Annual Survey — 24-005854)