Little Steps Daycare

2024

1. Medium-High risk11/22/2024

   K.A.R. 28-4-132 Child care practices. (g) (4) Each child in a family child care home shall be diapered in the child's own crib or playpen, on a clean, moisture-proof, nonabsorbent pad on the floor, or on a changing table.

   One child was not diapered on a nonabsorbent pad on the floor or a changing table when they were diapered on a couch. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
2. Medium-High risk11/22/2024

   K.A.R. 28-4-132 Child care practices. (g) (2) A copy of the procedures shall be posted in each diaper-changing area.

   A copy of the diapering procedures are not posted. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
3. Medium-High risk11/22/2024

   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.

   The provider did not follow diapering procedures when no roll of paper or disposable towel was placed under the child (step 2), did not wipe their hands with a moist towelette or a damp paper towel (step 7), did not wash the child's hands (step 9) and did clean and disinfect the diapering area (step 11). (Licensing survey — Annual Survey — 24-007732)

   Not corrected
4. Medium risk11/22/2024

   K.A.R. 28-4-132 Child care practices. (d) (1) (D) before preparing each snack and each meal and before and after eating each snack and each meal;

   The provider did not wash their hands before snack was given. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
5. Medium risk11/22/2024

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

   Four children did not wash their hands before a snack was given. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
6. Medium-High risk11/22/2024

   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 for 2024. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
7. Medium-High risk11/22/2024

   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 — 24-007732)

   Not corrected
8. Medium-High risk11/22/2024

   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 nine child records reviewed, two children do not have an Authorization for Emergency Medical Care form on file. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
9. Medium-High risk11/22/2024

   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 nine child records reviewed, two children who have been enrolled more than 60 days do not have complete immunizations on file. (Licensing survey — Annual Survey — 24-007732)

   Not corrected
10. Medium-High risk11/22/2024

    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 nine child records reviewed, three children have incomplete medical records on file. (Licensing survey — Annual Survey — 24-007732)

    Not corrected
11. Medium-High risk11/22/2024

    K.A.R. 28-4-116a Napping and sleeping. (b) (5) (A) The child shall nap or sleep in a crib or a playpen. Stacking cribs or bassinets shall not be used. Cribs with water-bed mattresses shall not be used.

    One two month old child was observed sleeping in a bassinet. (Licensing survey — Annual Survey — 24-007732)

    Not corrected
12. Medium risk11/22/2024

    K.A.R. 28-4-116 Daily care of children. (a) ( 7) Unless prohibited by the child's medical condition or extreme weather conditions, each child in care shall be taken outdoors daily. Each child 12 months of age or older shall have the opportunity for at least one hour of outdoor play daily.

    Per provider's statement children have not been taken out daily since 10/31/2024. (Licensing survey — Annual Survey — 24-007732)

    Not corrected
13. Medium-High risk11/22/2024

    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.

    Household cleaning supplies and bodily care products bearing warning labels are not in locked storage or kept out of reach in the bathroom children use. (Licensing survey — Annual Survey — 24-007732)

    Not corrected
14. Medium-Low risk11/22/2024

    K.A.R. 28-4-114 Applicant; licensee. (k) Posting of temporary permit or license and availability of regulations. Each applicant with a temporary permit and each licensee shall post any temporary permit or license conspicuously as required by K.S.A. 65-504, and amendments thereto. A copy of the current regulations governing facilities shall be kept on the premises and shall be available to all providers at all times.

    The license was not posted. (Licensing survey — Annual Survey — 24-007732)

    Not corrected