The Nurture Nest

2025

1. Medium-High risk10/29/2025

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

   Copy of the diapering procedures is not posted in the diaper changing area. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
2. Medium-High risk10/29/2025

   K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (D) procedures for responding to and preventing allergic reactions of individual children;

   Emergency plan does not include procedures for preventing allergic reactions of children. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
3. Medium-High risk10/29/2025

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

   Provider does not have documentation of a TB test on file. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
4. High risk10/29/2025

   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 one individual as required to complete background checks. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
5. Medium-High risk10/29/2025

   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.

   Two children do not have a medical history form on file. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
6. Medium-High risk10/29/2025

   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.

   Multiple bodily care products located in a bathroom are accessible to children and not in locked storage. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
7. Medium risk10/29/2025

   K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

   Razor located in the bathroom used by children is accessible to children and not in locked storage. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
8. Medium risk10/29/2025

   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.

   Impact-absorbent material is not available under a swing set and slide structure. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
9. Medium-High risk10/29/2025

   K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (1) Each applicant and each applicant with a temporary permit shall complete the training not later than 30 calendar days after submitting an application for a license.

   Applicant has not completed health and safety training. Applicant submitted application more than 30 calendar days ago. (Licensing survey — Initial Survey — 25-007507)

   Not corrected
10. Medium-High risk10/29/2025

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

    Copy of the KDHE diapering procedures is not posted in the diaper changing area. (Licensing survey — Initial Survey — 25-007507)

    Not corrected
11. Medium-High risk10/29/2025

    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.

    Toothpaste bearing a warning label located in a bathroom is accessible to children and not in locked storage. Corrected at visit. (Licensing survey — Initial Survey — 25-007507)

    Not corrected