First Steps Daycare

2025

1. Medium-High risk6/3/2025

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

   There is no diaper procedures posted in the diaper-changing area. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
2. Medium-High risk6/3/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (e) If an infant who has not been immunized against measles, mumps, rubella, and varicella because of the age of that child is enrolled and there are children in care who have not had measles, mumps, rubella, and varicella immunizations due to an exception, including the children of the provider, the parents of the infant at risk shall sign a statement that the parents have been informed of the risk to their child. This statement shall be in the infant's file at the facility.

   There is no documentation available and signed by the parents of an infant enroll stating that they have been informed of an unimmunized child in the facility. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
3. Medium-High risk6/3/2025

   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.

   One out of thirteen child files reviewed does not have a medical history form available. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
4. Medium-High risk6/3/2025

   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.

   One out of thirteen child files reviewed does not have current immunizations record available. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
5. Medium-High risk6/3/2025

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (a) (1) The results of a health assessment conducted by a nurse approved to perform health assessments, a licensed physician, or physician assistant. The health assessment shall be 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 and;

   One out of thirteen child files reviewed does not have a health assessment available. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
6. Medium-High risk6/3/2025

   K.A.R. 28-4-116a Napping and sleeping. (b) (4) Each child who is 12 months of age or older shall nap or sleep on a bed, a cot, the lower bunk of a bunk bed, or a pad over a carpet or area rug on the floor.

   Upon arrival there is a 4-year-old napping on a couch. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
7. Medium risk6/3/2025

   K.A.R. 28-4-116 Daily care of children. (d) (1) (D) (i) All breast milk shall be labeled with the child's name and the time and date expressed.

   Breast milk label does not include child's name. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
8. High risk6/3/2025

   K.A.R. 28-4-115a Supervision. (c) (3) (C) When any child is napping or sleeping in a room separate from the provider, the door to that room shall remain open.

   Upon arrival there is a 3-year-old napping behind doors. Corrected by surveyor. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
9. Medium-High risk6/3/2025

   K.A.R. 28-4-115 Facility. (f) A refrigerator shall be available for the storage of perishable foods. Refrigerated medications shall be in a locked box.

   There is medication in the refrigerator in an unlocked storage. (Licensing survey — Annual Survey — 25-002883)

   Not corrected
10. Medium-High risk6/3/2025

    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.

    There are tubes of toothpaste and body lotion in the bathroom in an unlocked storage and accessible to children in care. Corrected at the time of survey. All items with "keep out of reach of children" labels. (Licensing survey — Annual Survey — 25-002883)

    Not corrected
11. Medium risk6/3/2025

    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.

    There are knives in the kitchen in an unlocked storage and accessible to children in care. (Licensing survey — Annual Survey — 25-002883)

    Not corrected
12. Medium-High risk6/3/2025

    K.A.R. 28-4-115 Facility. (g) (2) All medications shall be in locked storage or stored out of the reach of children under 10 years of age.

    There is a container of pain medicine in the restroom in an unlocked storage and accessible to children in care. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-002883)

    Not corrected
13. Medium-High risk6/3/2025

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

    There is no diaper procedures posted in the diaper-changing area. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-002883)

    Not corrected
14. High risk6/3/2025

    K.A.R. 28-4-115a Supervision. (c) (3) (A) Each child who is napping or sleeping shall be within sight or hearing distance of the provider and shall be visually checked on by the provider at least once every 15 minutes.

    Upon arrival there is a 6-year-old napping in the basement while the provider is in the main level. (Licensing survey — Annual Survey — 25-002883)

    Not corrected
15. Medium-High risk6/3/2025

    K.A.R. 28-4-115 Facility. (f) A refrigerator shall be available for the storage of perishable foods. Refrigerated medications shall be in a locked box.

    There is medication in the refrigerator in an unlocked storage. Corrected at the time of survey. (Licensing survey — Annual Survey — 25-002883)

    Not corrected