Blessed Beginnings Center

2025

1. High risk8/5/2025

   K.A.R. 28-4-430 Health practices; illness and abuse; general health requirements for staff. (a) (5) Immunizations for each child in care 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 form.

   Three child files without immunization records. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
2. Medium-High risk8/5/2025

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

   Four staff without health status forms on file. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
3. High risk8/5/2025

   K.A.R. 28-4-426 Administration. (d) (3) a record of scheduled hours;

   One staff file without scheduled hours. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
4. High risk8/5/2025

   K.A.R. 28-4-428a Education and training requirements. (b) (1) Each staff member who is counted in the staff-child ratio, each volunteer who is counted in the staff-child ratio, and each program director shall complete health and safety training either before employment or volunteering or not later than 30 calendar days after the date of employment or volunteering. Each staff member shall complete the training before being given sole responsiblity for the care and supervision of children.

   One staff hired in 2024 is without health and safety trainings. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
5. High risk8/5/2025

   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 child files without health assessments. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
6. High risk8/5/2025

   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 with an incomplete medical history form. Two child files without medical history forms. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
7. Medium-Low risk8/5/2025

   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.

   Three child files with incomplete permission forms for off-premises trips. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
8. Medium-High risk8/5/2025

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (d) The health status form each tuberculosis test shall be recorded on forms provided by the department and shall be kept in each individual's record at the facility.

   Six staff without health status forms on file. One staff without negative TB test on file. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
9. Medium-High risk8/5/2025

   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

   Ten child files with incomplete emergency medical treatment forms. (Licensing survey — Annual Survey — 25-004763)

   Not corrected
10. Medium-High risk8/5/2025

    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 not recorded from May 2025 through July 2025. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
11. Medium-High risk8/5/2025

    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 not recorded for July 2025. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
12. Medium-High risk8/5/2025

    K.A.R. 28-4-132 Child care practices. (g) (3) (C) have a covered, hands-free trash container located within reach of the changing surface.

    Trash can with soiled diaper without a lid. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
13. Medium-High risk8/5/2025

    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.

    Several cleaning sprays and wipes, dish soap, and baby wipes, all bearing labels stating keep out of reach of children, accessible in Infant Room bathroom. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
14. High risk8/5/2025

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

    One staff file without work references. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
15. High risk8/5/2025

    K.A.R. 28-4-426 Administration. (d) (3) a record of scheduled hours;

    Three staff files without scheduled hours. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
16. High risk8/5/2025

    K.A.R. 28-4-426 Administration. (d) (2) date of employment;

    One staff file without first date of employment recorded. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
17. Medium-High risk8/5/2025

    K.A.R. 28-4-428a Education and training requirements. (c) (2) First aid and CPR training and certification shall include a practical application component and be demonstrated in front of an instructor certified by a nationally recognized certification program.

    One staff without practical application component of first aid and CPR. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
18. Medium risk8/5/2025

    K.A.R. 28-4-428a Education and training requirements. (a) (4)

    Two staff files without orientation. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
19. High risk8/5/2025

    K.A.R. 28-4-428a Education and training requirements. (b) (1) Each staff member who is counted in the staff-child ratio, each volunteer who is counted in the staff-child ratio, and each program director shall complete health and safety training either before employment or volunteering or not later than 30 calendar days after the date of employment or volunteering. Each staff member shall complete the training before being given sole responsiblity for the care and supervision of children.

    Two staff hired in 2024 are without all of the required health and safety trainings. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
20. High risk8/5/2025

    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.

    Thirteen child files with incomplete medical history forms. One child file with medical history not on current form. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
21. High risk8/5/2025

    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.

    Ten child files without health assessments. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
22. Medium-High risk8/5/2025

    K.A.R. 28-4-439 Child care centers: food service. (p) (2) All perishables and potentially hazardous foods shall be continuously maintained at 40 degrees Fahrenheit or lower in the refrigerator, or 10 degrees Fahrenheit or lower in the freezer, with 0 degrees Fahrenheit recommended. Each refrigerator and each freezer shall contain a clearly visible, accurate thermometer.

    Refrigerator in Infant Room without a thermometer. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
23. Medium-High risk8/5/2025

    K.A.R. 28-4-423 Physical plant. (e) (2) All medications and products containing alcohol shall be in locked storage.

    Children's Tylenol, located on upper shelf in Infant Room. Corrected at time of survey. (Licensing survey — Annual Survey — 25-004763)

    Not corrected
24. Medium-High risk6/11/2025

    K.A.R. 28-4-436 Child care centers: napping and sleeping. (b) (5) (G) The child may nap or sleep in sleep clothing, including sleepers and sleep sacks. Swaddling shall not be permitted.

    2 month old observed sleeping in a swaddle in a pack-n-play in Training Room 1 unit. *Corrected per surveyor's request. (Licensing survey — Compliance Check — 25-004186)

    Not corrected
25. Medium risk6/11/2025

    K.A.R. 28-4-423 Physical plant. (a) (15) Electrical outlets shall be covered or inaccessible to prevent access by a child when not in use.

    One electrical outlet accessible in Training Room 3 unit. Corrected at time of survey. (Licensing survey — Compliance Check — 25-004186)

    Not corrected