Little Lyons Childcare

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.

The noon meal was observed and staff did not sit at the table in Room 142. Children were not encouraged to serve themselves in any unit. (Licensing survey — Annual Survey — 25-004782)

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (A) Each bottle that contains prepared formula shall be stored in the refrigerator with the nipple covered.

Three bottles present in the refrigerator in Room 140 with the nipple uncovered. (Licensing survey — Annual Survey — 25-004782)

K.A.R. 28-4-439 Child care centers: food service. (i) (3) (B) The bottle shall be labeled with the child's name, the contents, and the date and time prepared, and shall be used within 24 hours of the time of preparation on the label.

Multiple bottles in the refrigerator in Room 140 were not labeled. (Licensing survey — Annual Survey — 25-004782)

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.

The refrigerator in Room 142 was 60 degrees. (Licensing survey — Annual Survey — 25-004782)

K.A.R. 28-4-439 Child care centers: food service. (p) (5) Dry, bulk foods which are not in their original, unopened containers shall be stored in metal, glass, food-grade sealable plastic bags, or food-grade plastic containers with tight-fitting covers and shall be labeled with the date and contents.

Multiple containers of open, dry, bulk foods were not labeled with the date and contents. (Licensing survey — Annual Survey — 25-004782)

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 of twenty children's files reviewed lack a current immunization record. (Licensing survey — Annual Survey — 25-004782)

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

The cabinet storing medications in Room 140 was unlocked at the time of the survey. (Licensing survey — Annual Survey — 25-004782)

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.

Window cleaner, toilet bowl cleaner, floor cleaner, air freshener, and one vial of essential oil were not kept in locked storage. (Licensing survey — Annual Survey — 25-004782)

K.A.R. 28-4-132 Child care practices. (i) (2) (C) ensure that the container is labeled with the first and last name of the child for whom the medication is intended; and

Multiple medications in Rooms 140 and 142 are not labeled. (Licensing survey — Annual Survey — 25-004782)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (a) Rest period. Each child attending for more than four hours shall be encouraged to nap or rest according to their individual needs. Children who do not sleep shall be permitted to have a quiet time through the use of equipment or activities.

Children who do not nap are not always provided a quiet activity. (Complaint survey — To investigate a complaint — 25-000899)

K.A.R. 28-4-423 Physical plant. (a) (19) Each room occupied by the children shall be heated, ventilated and cooled. The temperature in each room shall not be less than 65 degrees Fahrenheit nor more than 85 degrees Fahrenheit. Each room occupied by children shall be free of drafts.

At the time of the survey, the temperature in Room 143 was 64 degrees. (Complaint survey — To investigate a complaint — 25-000535)

K.A.R. 28-4-423 Physical plant. (a) (22) All heating elements, including hot water pipes, shall be insulated or installed in such a way that children cannot come in contact with them. Asbestos insulation shall not be used. Fireplaces shall not be used when children are present.

The heating units in all three classrooms and the space heater in Room 140 are hot to the touch and within reach of children. (Complaint survey — To investigate a complaint — 25-000535)

K.A.R. 28-4-428 Staff requirements. (a) (3) No child shall be left unsupervised.

A lack of supervision occurred when one child, age 2 years 5 months, was left alone on the playground. (Complaint survey — To investigate a complaint — 24-008778)

K.A.R. 28-4-125 Background checks. (e) ensure that no individual works, regularly volunteers, or resides in the facility until the results of the individual's background checks verify that the individual is not prohibited from working, regularly volunteering, or residing in a facility pursuant to K.S.A. 65-516, and amendments thereto.

Individual on-site and background check results remain pending. (Licensing survey — Compliance Check — 24-007191)