The Great Valley Childcare Center LLC

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) A completed medical record on the form provided by the department shall be on file at the facility for each child.

One child file did not have a medical record on file. (Licensing survey — Compliance Check — 26-000347)

K.A.R. 28-4-437 Child care centers: outside area. (g) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement to prevent movement of the equipment and swings.

Swing set is not anchored in the ground to prevent movement. (Licensing survey — Compliance Check — 26-000347)

K.A.R. 28-4-132 Child care practices. (d) (1) (C) after toileting, diapering, assisting a child with toileting, or handling any bodily fluids;

Staff member changing diapers in Rm 103 Little Rascals did not wash their hands after each diaper change. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-132 Child care practices. (d) (2) (C) after toileting, being diapered, or changing wet or soiled clothing;

Toddler aged children in Rm 103 Little Rascals did not wash their hands after being diapered. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-132 Child care practices. (g) (9) Disposable diapers and disposable training pants shall be placed in a covered container or plastic bag which shall be emptied daily, or more frequently as necessary for odor control. Each covered container used for disposable diapers and disposable training pants shall be cleaned and disinfected at the end of each day.

In Rm 107 Little Giants, disposable diapers were placed in an uncovered container. Container was not emptied as required for odor control. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-423 Physical plant. (a) (23) Dangerous instruments including sharp or pointed objects, shall be in locked storage.

Adult scissors located in Rm 103 Little Rascals are not in locked storage. Corrected at visit. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-423 Physical plant. (e) (1) All household supplies, cleaning supplies, dangerous chemicals and all bodily care products bearing warning labels to keep out of reach of children shall be in locked storage, except that hand sanitizers, disinfectant solutions used daily to disinfect surfaces, and diapering supplies may be kept unlocked at least five feet above the floor and out of reach of children. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a bathroom or sink.

Toothpaste, body spray and air freshener located in Rm 107 Little Giants is not in locked storage. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment 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. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

One child file does not have a health assessment on file. Child has been enrolled more than 60 days. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (2) Each medical record shall include 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.

One child file does not have a current medical history form on file. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-437 Child care centers: outside area. (g) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement to prevent movement of the equipment and swings.

Swing set is not anchored in the ground to prevent movement. (Licensing survey — Compliance Check — 25-008204)

K.A.R. 28-4-439 Child care centers: food service. (m) Staff shall sit at the table with the children, and socialization shall be encouraged. Children shall be encouraged to serve themselves.

In Rm 103 Little Rascals toddler aged children did not sit at the table for snack. Licensing specialist observed children walking around the room while eating graham crackers. In Rm 107 Little Giants, staff plated children's food prior to children coming to the table to eat. Children were not encouraged to serve themselves. (Licensing survey — Compliance Check — 25-008204)

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.

On 11/12/2025 an infant was taken on an off-premises trip to Subway without written permission from the parent or guardian. Per multiple staff statements, infants in Rm 108 Baby Geniuses have been taken on walks off-premises without written off premises permission from parent or guardian. (Complaint survey — To investigate a complaint — 25-008357)

K.A.R. 28-4-132 Child care practices. (d) (2) (B) returning from being outdoors;

Nine children did not wash their hands upon returning to Room 109 (The Sandlot) from being outdoors. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-428a Education and training requirements. (a) (3) Each licensee shall ensure that orientation is completed by each staff member and by each volunteer Each staff member and each volunteer shall complete the orientation within seven calendar days after the date of employment or volunteering. Each staff member shall complete the orientation before being given sole responsibility for the care and supervision of children.

One staff file out of seven staff files reviewed does not have orientation available for review. (Licensing survey — Annual Survey — 25-005712)

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

Six child files out of 15 child files reviewed do not have permission from parent for for emergency medical care. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) Each individual at least 16 years of age who is caring for children shall attest to that individual's health status on a form supplied by the department or approved by the secretary.

One staff file out of seven staff files reviewed does not have a health status form available for review. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-126 Health of individuals at least 16 years of age. (b) (2) Each individual shall update the health status form annually or more often if there is a change in the health status or if the individual has been exposed to an active case of tuberculosis.

Two staff files out of seven staff files reviewed do not have an updated health status form. (Licensing survey — Annual Survey — 25-005712)

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.

Facility plays in the parking lot. Children do not have off-premises permission for this area. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-439 Child care centers: food service. (i) (4) (A) All breast milk shall be labeled with the child's name and the date and time expressed.

One bag of breastmilk located in the refrigerator of Room 108 (Baby Geniuses) was not labeled with the child's name, time, and date expressed. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-437 Child care centers: outside area. (g) Climbing equipment and swings shall be either anchored in the ground with metal straps or pins or set in cement to prevent movement of the equipment and swings.

Swing set is not anchored in the ground to prevent movement. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-436 Child care centers: 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.

In Room 108 (Baby Geniuses) a five-month-old infant was asleep in a rocker. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (2) Each medical record shall include 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 child files do not have a medical history recorded on the current form. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (1) Each medical record shall include the results of a health assessment 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. The assessment shall be conducted by a licensed physician, a physician assistant, or by a nurse approved to perform health assessments.

Four children do not have a health assessment on file. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-427 Program. (a) Programs shall be conducted in self-contained units with staff and children designated for each unit. Applicants that cannot develop self-contained units shall present a plan for use of space to the department for approval.

Two children left their assigned self-contained unit to retrieve items from cubbies in the hallway without a staff member present. (Licensing survey — Annual Survey — 25-005712)

K.A.R. 28-4-426 Administration. (d) (6) work references.

One staff file reviewed does not have work references. (Licensing survey — Annual Survey — 25-005712)