Lexsis Lil Ones In Home Daycare

2025

1. Medium-High risk5/29/2025

   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.

   Fire drills are not recorded for 2024. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
2. Medium-High risk5/29/2025

   K.A.R. 28-4-132 Child care practices. (g) (1) Each applicant, each applicant with a temporary permit, each licensee, and each individual caring for children shall follow the diapering procedures provided by the department.

   Diapering procedures were not followed when the provider did not wash the child's hands after diapering (step 9). (Licensing survey — Annual Survey — 25-002036)

   Not corrected
3. Medium-High risk5/29/2025

   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.

   Out of 12 child records reviewed, one child who has been enrolled for more than 60 days does not have current vaccines on file. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
4. Medium-High risk5/29/2025

   K.A.R. 28-4-132 Child care practices. (g) (1) Each applicant, each applicant with a temporary permit, each licensee, and each individual caring for children shall follow the diapering procedures provided by the department.

   Diapering procedures are not followed when the provider did not remove their gloves (step 7) before diapering or dressing the child. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
5. Medium-High risk5/29/2025

   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;

   Out of 13 child records reviewed, three children who have been enrolled for more than 60 days do not have a health assessment on file. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
6. Medium-High risk5/29/2025

   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.

   Out of 12 child records reviewed, four children who have been enrolled for more than 60 days do not have current vaccines on file. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
7. Medium-High risk5/29/2025

   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:

   Out of 13 child records reviewed, four children do not have a medical record on file. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
8. High risk5/29/2025

   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 one individual as required to complete background checks. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
9. Medium-High risk5/29/2025

   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

   Out of 13 files reviewed, five children do not have emergency medical authorization forms on file. (Licensing survey — Annual Survey — 25-002036)

   Not corrected
10. Medium-High risk5/29/2025

    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.

    Tornado drills are not recorded July and August 2024. (Licensing survey — Annual Survey — 25-002036)

    Not corrected
11. High risk5/22/2025

    K.A.R. 28-4-115a Supervision. (b) (1) Each child in care shall be under the supervision of a provider who is responsible for the child's health, safety, and well-being.

    Children were not adequately supervised, when by provider statement, provider was sleeping with three children in care. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
12. High risk5/22/2025

    K.A.R. 28-4-115a Supervision. (c) (2) (B) The door to each room remains open.

    Upon licensing specialists arrival, three children were observed sleeping a room with the door shut. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
13. Medium-High risk5/22/2025

    K.A.R. 28-4-124 Parental permission for children to go off-premises. (d) The child's emergency medical treatment form and medical record shall be accessible when any child is participating in any off-premises trip or activity.

    Children's emergency medical treatment forms and medical records were not accessible to the provider when children were taken off-premises on 5/21/2025. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
14. Medium-Low risk5/22/2025

    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.

    Written permission from parents or legal guardians was not obtained before children were transported, by vehicle, off-premises. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
15. High risk5/22/2025

    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 one individual as required to complete background checks. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
16. Medium risk5/22/2025

    K.A.R. 28-4-130 Transportation. (j) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have a first-aid kit that meets the requirements in K.A.R. 28-4-128.

    A first-aid kit was not in the transporting vehicle. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
17. Medium-High risk5/22/2025

    K.A.R. 28-4-130 Transportation. (k) (1) Each individual shall be secured by the use of a seat belt or a child safety seat when the vehicle is in motion.

    Six children transported in a vehicle on 5/21/2025 were not secured by the use of a seat belt or child safety seat. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
18. Medium-High risk5/22/2025

    K.A.R. 28-4-130 Transportation. (e) Each transporting vehicle owned or leased by the facility, residential center, or group boarding home shall have an annual mechanical safety check The safety check shall be documented on a form provided by the department. A record of the date of the safety check and corrections made shall be kept on file at the facility, residential center, or group boarding home.

    The vehicle used to transport children does not have a completed annual mechanical safety check. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected
19. Medium-High risk5/22/2025

    K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

    Documentation for insurance coverage amounts is not available for review for the vehicle used to transport children. (Complaint survey — To investigate a complaint — 25-003971)

    Not corrected