Little Tribe Daycare USD 297

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

Child arrived at the facility and hands were not washed. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-132 Child care practices. (d) (1) (A) At the start of the hours of operation or when first arriving at the facility;

Provider arrived at the facility and hands were not washed. (Licensing survey — Annual Survey — 26-000234)

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 out of seventeen children's immunizations are not current. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-114a Initial and ongoing professional development training. (a) (2) (A) Licensing regulations;

Two staff orientation are not on file. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

One staff only has 4 hours of professional development training completed. (Licensing survey — Annual Survey — 26-000234)

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.

Cleaner on low shelf in the napping room accessible to children. *Corrected at survey* Wood cleaner on low shelf in the entry way in reach of children. *Corrected at survey* Sunscreen on low shelf in the kitchen in reach of children. *Corrected at survey* (Licensing survey — Annual Survey — 26-000234)

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.

Immune support medicine on low shelf in the kitchen accessible to children. *Corrected at survey* (Licensing survey — Annual Survey — 26-000234)

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.

Safe Sleep plan needs to state adequate lighting, where the napping is stored, and for under 12 months of age tight fitting mattress. (Licensing survey — Annual Survey — 26-000234)

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 out of seventeen children's immunizations are not current. (Licensing survey — Annual Survey — 26-000234)

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.

Three out of seventeen children's medical history is not complete. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

Infant in care does not have the statement signed by parents that there is an unimmunized child in care. (Licensing survey — Annual Survey — 26-000234)

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;

Two out of seventeen children's health assessment is not on file. (Licensing survey — Annual Survey — 26-000234)

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 out of seventeen children's Emergency Medical Treatment form is not on file. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Emergency plan does not include procedures for unscheduled closings and Intruder. (Licensing survey — Annual Survey — 26-000234)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

One providers CPR and first aid training expired January 7, 2025. One providers CPR and first aid training is not complete. (Licensing survey — Annual Survey — 24-008537)

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 staff's health and safety training is not complete. (Licensing survey — Annual Survey — 24-008537)

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.

Two staff's health and safety training is not on file. (Licensing survey — Annual Survey — 24-008537)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) Each applicant, each applicant with a temporary permit, each licensee, and each provider shall obtain certification in pediatric first aid and pediatric CPR as specified in this subsection.

One Providers CPR and first aid training expired January 7, 2025. Two providers CPR and first aid training is not on file. (Licensing survey — Annual Survey — 24-008537)

K.A.R. 28-4-114a Initial and ongoing professional development training. (c) (1) Certifications shall include a practical application component and be demonstrated in front of an instructor certified by a nationally recognized first aid and CPR training organization.

One staff's CPR and first aid training was done on-line only per the documentation in the file. (Licensing survey — Annual Survey — 24-008537)

K.A.R. 28-4-115a Supervision. (c) (3) (A) Each child who is napping or sleeping shall be within sight or hearing distance of the provider and shall be visually checked on by the provider at least once every 15 minutes.

Three month old infant napping in a room that was too dark and the infant could not be seen. (Licensing survey — Annual Survey — 24-008537)

K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

Breast milk was not labeled with the time the milk was expressed. (Licensing survey — Annual Survey — 24-008537)

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.

Written Safe Sleep plan does not include where the older chidren are napping. Does not include the lightening is lit enough for children to be seen and able to move freely. (Licensing survey — Annual Survey — 24-008537)

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 out of fifteen children's immunizations is not on file or current. (Licensing survey — Annual Survey — 24-008537)

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;

One out of fifteen children's health assessment is not on file. (Licensing survey — Annual Survey — 24-008537)

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 did not contain elastic bandages. (Licensing survey — Annual Survey — 24-008537)