Babies and Bubbles

2025

1. Medium-High risk11/17/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127(b)(1)(A) and (B).

   Authorization for emergency medical care not on file for 1 child out of 4 records reviewed. One authorization for emergency medical care incomplete for 1 child out of 4 records reviewed. Incomplete form corrected at time of survey. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
2. Medium-High risk11/17/2025

   K.A.R. 28-4-116a Napping and sleeping. (b) (5) (B) If the child falls asleep on a surface other than a crib or playpen, the child shall be moved to a crib or playpen.

   9 month old child asleep on couch. Corrected at direction of licensing specialist. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
3. Medium-High risk11/17/2025

   K.A.R. 28-4-116 Daily care of children. (d) (12) Sanitary methods of food handling and storage shall be followed.

   Bottle containing breast milk on floor, accessible to several infants crawling and playing on the floor. Corrected at time of survey. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
4. Medium risk11/17/2025

   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.

   Bottle containing breast milk not labeled. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
5. High risk11/17/2025

   K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

   9 month old child asleep in room with the door closed. Corrected by licensing specialist. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
6. Medium-High risk11/17/2025

   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.

   Medications unlocked in bathroom cabinet.Corrected at time of survey. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
7. Medium risk11/17/2025

   K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

   3 outlets: one in the playroom, one in the napping room, and one in the hallway uncovered and accessible to children. All 3 corrected at time of survey (Licensing survey — Compliance Check — 25-007888)

   Not corrected
8. Medium-High risk11/17/2025

   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.

   Lysol spray unlocked accessible to children in the bathroom. Clorox wipes sitting on kitchen counter accessible to children in the kitchen. Diapering creams bearing the warning labels to keep out of reach of children accessible to children on changing table. Spray paint accessible to children near front door. All areas corrected at time of survey. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
9. Medium-High risk11/17/2025

   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.

   Medical history not on file for 2 children out of 4 records reviewed. (Licensing survey — Compliance Check — 25-007888)

   Not corrected
10. Medium-High risk7/14/2025

    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.

    Immunizations not current for 1 child out 6 records reviewed. (Licensing survey — Compliance Check — 25-004931)

    Not corrected
11. Medium risk7/14/2025

    K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

    One outlet uncovered in hallway and one outlet uncovered in bedroom used for napping. Both corrected at visit. (Licensing survey — Compliance Check — 25-004931)

    Not corrected
12. High risk7/14/2025

    K.A.R. 28-4-115 Facility. (i) (3) The use of a trampoline shall be prohibited during the hours of operation of the facility. If a trampoline is on the premises, the trampoline shall be made inaccessible to children during the facility's hours of operation.

    Small trampoline used by children during outdoor play accessible on front porch. (Licensing survey — Compliance Check — 25-004931)

    Not corrected
13. High risk7/14/2025

    K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

    Bottles not labeled with child's name, date, and time prepared. (Licensing survey — Compliance Check — 25-004931)

    Not corrected
14. Medium-High risk4/28/2025

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

    Diaper changing procedure not posted in changing area. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
15. Medium risk4/28/2025

    K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

    Two outlets in kitchen and four outlets in living room uncovered and accessible to children. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
16. Medium-High risk4/28/2025

    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 supplies and bodily care products bearing warning labels to keep out of reach of children unlocked on bathroom counter. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
17. High risk4/28/2025

    K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

    Door closed to nap room with 8 month old infant sleeping inside. Corrected by licensing specialists. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
18. High risk4/28/2025

    K.A.R. 28-4-116 Daily care of children. (d) (1) (C) (ii) Each bottle shall be labeled with the child's name, the contents, and the time and date prepared, and shall be used within 24 hours of the time of preparation on the label.

    Bottles not labeled with child's name, date, and time prepared. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
19. Medium-High risk4/28/2025

    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.

    Bassinet used by two month old infant in living room. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
20. Medium-High risk4/28/2025

    K.A.R. 28-4-116a Napping and sleeping. (c) (4) Each crib and each playpen shall have a firm, tightfitting mattress and a fitted sheet. The mattress shall be set at its lowest point when any child using the crib or playpen becomes able either to sit up or to pull up to a standing position inside the crib or playpen, whichever occurs first, to ensure that the child cannot climb out of the crib or playpen.

    Sheet removed and bunched in corner of playpen containing sleeping 8 month old infant. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
21. Medium-High risk4/28/2025

    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:

    Medical record not on file for 1 child out of 6 records reviewed. Corrected at time of survey. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
22. Medium-High risk4/28/2025

    K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (h) (4) written permission from the parent or legal guardian for emergency medical care and for the child to go off the premises as required by K.A.R. 28-4-124 and 28-4-127(b)(1)(A) and (B).

    Authorization for emergency medical care not on file for 1 child out of 6 records reviewed. Corrected at time of survey, (Licensing survey — Compliance Check — 25-002355)

    Not corrected
23. High risk4/28/2025

    K.A.R. 28-4-132 Child care practices. (g) (6) No child shall be left unattended on a diaper-changing surface.

    Two month old infant left unattended on diaper changing table while provider answered the door. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
24. Medium-High risk4/28/2025

    K.A.R. 28-4-132 Child care practices. (g) (7) (A) Have a moisture-proof, nonabsorbent, smooth surface that is undamaged, does not trap soil, and is easily cleaned;

    Soft, fabric pad on top of diaper changing pad. (Licensing survey — Compliance Check — 25-002355)

    Not corrected
25. Medium-High risk2/21/2025

    K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) Each applicant, each applicant with a temporary permit, and each licensee shall develop and implement a written emergency plan to provide for the safety of children and staff members in emergencies. The emergency plan shall include the following information:

    Written emergency plans unavailable for review. (Licensing survey — Annual Survey — 24-009386)

    Not corrected