Lizzys little ladybugs

2025

1. Medium-High risk7/15/2025

   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.

   Did not have record of Fire Drills for 2025. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
2. Medium-High risk7/15/2025

   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:

   Two of 14 children did not have a complete Medical Record on file (Licensing survey — Annual Survey — 25-002821)

   Not corrected
3. Medium risk7/15/2025

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

   Children did not wash hands before lunch. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
4. Medium-High risk7/15/2025

   K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

   Several bottles of medication were located within reach of children due to a broken lock on cabinet. Corrected at visit per specialists request. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
5. Medium-High risk7/15/2025

   K.A.R. 28-4-115 Facility. (i) (1) The outdoor play area shall be fenced if the play area adjoins that of another child care facility, as defined in K.S.A. 65-503 and amendments thereto, or if the area surrounding, or the conditions existing outside, the play area present hazards that could be dangerous to the safety of the children, which may include any of the following:

   Outdoor play area had grass that was overgrown, 3 large bags of chicken food within reach of children and a large hose spread out on the ground that posed as a tripping hazard. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
6. Medium-High risk7/15/2025

   K.A.R. 28-4-116a Napping and sleeping. (c) (2) Each surface used for napping or sleeping shall be kept clean, of safe construction, and maintained in good repair.

   Crib had a visibly dirty sheet. Provider changed it per specialists request. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
7. Medium-High risk7/15/2025

   K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

   Did not have a Safe Sleep policy for all ages. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
8. Medium-High risk7/15/2025

   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 of 14 children did not have a Health Assessment on file. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
9. Medium-Low risk7/15/2025

   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.

   Two of 14 children did not have a signed permission form on file. (Licensing survey — Annual Survey — 25-002821)

   Not corrected
10. High risk7/15/2025

    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 1 individual as required to complete background checks. (Licensing survey — Annual Survey — 25-002821)

    Not corrected
11. Medium-High risk7/15/2025

    K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

    Two staff did not have an update Health Status form on file. (Licensing survey — Annual Survey — 25-002821)

    Not corrected
12. Medium-High risk7/15/2025

    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 of 14 children did not have an Emergency Medical Release on file. (Licensing survey — Annual Survey — 25-002821)

    Not corrected
13. Medium-High risk7/15/2025

    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.

    Did not have record of Tornado Drills for 2025. (Licensing survey — Annual Survey — 25-002821)

    Not corrected
14. Medium risk7/15/2025

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

    Children did not wash hands after lunch. (Licensing survey — Annual Survey — 25-002821)

    Not corrected
15. Medium-High risk7/15/2025

    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.

    Six of 14 children did not have an updated Immunization record on file. (Licensing survey — Annual Survey — 25-002821)

    Not corrected