Itty Bitty Daycare

2025

1. Medium risk5/23/2025

   K.A.R. 28-4-129 Swimming and wading activities. (b) (3) Each aboveground pool shall have non-climbable sidewalls that are at least four feet high, or shall be enclosed by a fence at least five feet high to prevent chance access by children. The fence and the gate shall meet the requirements in paragraphs (b)(1) and (b)(2). Steps and ladders shall be removed and stored away from the pool when the pool is not in use. Each aboveground pool with a deck or berm that provides a ground-level entry on any side shall be treated as an inground pool.

   Above ground pool was not enclosed with a fence at least five feet high. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
2. Medium risk5/23/2025

   K.A.R. 28-4-114 Applicant; licensee. (h) (1) The maximum number of children in each age category, including children under 10 years of age related to the applicant with a temporary permit, the licensee, or any other provider, does not exceed the maximum number of children in each age category as specified in subsection (e), except as specified in paragraph (h)(3).

   Facility with 13 children present and one provider; 4 children under 12 months, 7 children 12 months to under 5 years and 2 children 5 years to under 10 years. Facility was over capacity by 2 children under 12 months and 2 children 12 months to under 5 years. Infants present were 4 months, 6 months, 8 months and 9 months. Four children ages 6 months, 9 months, 5 years and 8 years left after licensing specialist arrived. Second provider arrived while specialist was on site and facility was in compliance at that time. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
3. Medium-High risk5/23/2025

   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:

   Four of 15 children's files reviewed did not have a complete Medical Record on file. Two were missing their Health Assessment and 2 were missing the Medical Record. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
4. Medium-High risk5/23/2025

   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.

   Two of 15 children's files reviewed did not have current immunization record on file. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
5. High risk5/23/2025

   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 — 25-001213)

   Not corrected
6. Medium-High risk5/23/2025

   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

   One of 15 children did not have an Emergency Medical Release on file. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
7. Medium risk5/23/2025

   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 the play area were not covered. Corrected at visit per specialist's request. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
8. Medium risk5/23/2025

   K.A.R. 28-4-115 Facility. (i) ( 5) (A) Impact-absorbent surfacing material shall be installed in each use zone under and around anchored equipment over four feet in height, including climbing equipment, slides, and swings.

   Swing set and slide did not have impact-absorbent material underneath. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
9. Medium-High risk5/23/2025

   K.A.R. 28-4-116a Napping and sleeping. (c) (7) Each pad used for napping or sleeping shall be at least 0.5 inch thick, washable or enclosed in a washable cover, and long enough so that the child's head and feet rest on the pad. Clean, individual bedding, including a bottom and a top cover, shall be provided for each child.

   Three nap cots did not have a bottom cover. (Licensing survey — Annual Survey — 25-001213)

   Not corrected
10. Medium-High risk5/23/2025

    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:

    Five of 15 children's files reviewed did not have a complete Medical Record on file. Five were missing their Health Assessment and 4 were missing the Medical Record. (Licensing survey — Annual Survey — 25-001213)

    Not corrected
11. Medium-High risk5/23/2025

    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.

    Four of 15 children's files reviewed did not have current immunization record on file. (Licensing survey — Annual Survey — 25-001213)

    Not corrected
12. Medium-High risk5/23/2025

    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 were not recorded for March or April. (Licensing survey — Annual Survey — 25-001213)

    Not corrected
13. Medium-High risk5/23/2025

    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 were not recorded for February, March or April. (Licensing survey — Annual Survey — 25-001213)

    Not corrected
14. Medium-High risk5/23/2025

    K.A.R. 28-4-132 Child care practices. (g) (10) Each diaper-changing surface shall be cleaned and disinfected after each use. The surface shall be cleaned by removing any visible soil from the surface with a water saturated disposable paper towel or wipe. After the surface has been cleaned, the surface shall be disinfected.

    Diaper changing pad had dirt and debris. Corrected at visit per specialist's request. (Licensing survey — Annual Survey — 25-001213)

    Not corrected
15. Medium-High risk5/23/2025

    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.

    Safe Sleep policy did not include all ages. (Licensing survey — Annual Survey — 25-001213)

    Not corrected