Circle of Friends

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;

Two of sixteen children's files with old health assessment form. (Licensing survey — Annual Survey — 26-003314)

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.

Six of sixteen children's files without annual review signature. (Licensing survey — Annual Survey — 26-003314)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

At arrival licensing specialist noticed food on the floor and kitchen trash-can overloaded keeping the cover opened. Cups and disposable juice pouch on top of two tables at the outside play area. Corrected during time of visit. (Licensing survey — Annual Survey — 26-003314)

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

One of sixteen children's file with an expired medical care form. One of sixteen children with an old medical care form. (Licensing survey — Annual Survey — 26-003314)

K.A.R. 28-4-114a Initial and ongoing professional development training. (d) (2) In each licensure year, each provider shall complete 16 clock-hours of professional development training. Four of the 16 clock-hours shall include the subject areas specified in paragraphs (b)(3)(A), (b)(3)(C) through (J), or subsection (c).

One provider completed 6 hours of annual training for the 2023-2024 licensure year. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-115 Facility. (c) (16) has at least one bathroom with at least one sink and one flush toilet. All fixtures shall be in working order at all times. An individual towel and washcloth or disposable products shall be provided for each child. The use of common towels shall be prohibited. Hand soap shall be readily accessible in each bathroom.; and

The bathroom lacks paper towels. Corrected at visit. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-115 Facility. (c) ( 5) is uncluttered, visibly clean, and free from any evidence of vermin infestation and any objects or materials that constitute a danger to children in care;

Both children's play areas and bathroom downstairs are cluttered with small pieces of Kleenex and paper. Toys are scattered all over the floor, making it difficult to walk. Blankets are falling off the selves onto the floor. The carpet had not been vacuumed. The hallways are lined and stacked with children's activities in a cluttered way. There was a mop head and two towels in the downstairs shower that have mildew with a strong odor and is accessible to children. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-115 Facility. (c) ( 6) has kitchen and outdoor trash and garbage in covered containers or in tied plastic bags;

The kitchen trash can is overflowing, and the lid will not close. (Licensing survey — Annual Survey — 25-000420)

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.

The laundry room door that does not latch was open near the kitchen, where children had access to multiple chemicals and cat litter box. In the upstairs bathroom there are bodily care projects within reach of children. The cabinet under the kitchen sink has chemicals in it and does not latch closed, leaving it accessible to children. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-115 Facility. (c) ( 4) has a working smoke detector on each level of the facility;

Provider has the mounting plate but is missing 3 smoke detectors between both floors in the facility. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-116 Daily care of children. (d) (12) Sanitary methods of food handling and storage shall be followed.

The refrigerator downstairs has food residue on the door frame, shelves, and the bottom. The upstairs refrigerator does not have food stored in a sanitary manner. The walls of the refrigerator are dirty with food residue. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-116a Napping and sleeping. (c) (9) When not in use, cribs, cots, playpens, pads, and bedding shall be stored in a clean and sanitary manner.

Multiple covers and sheets are touching each other where the cots are placed in a closet. (Licensing survey — Annual Survey — 25-000420)

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.

Seven of 13 children files lack a health assessment on file. (Licensing survey — Annual Survey — 25-000420)

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.

Two of 13 children's files lack immunization that are current as medically appropriate. (Licensing survey — Annual Survey — 25-000420)

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

One of 13 children's files lack an emergency medical release form on file. (Licensing survey — Annual Survey — 25-000420)

K.A.R. 28-4-128 Safety and emergency procedures. (b) (3) Each contaminated surface or area on which a spill occurs shall be cleaned by removing any visible spill from the surface or area with a water-saturated disposable paper towel or wipe. After the surface or area has been cleaned, the surface or area shall be sanitized by wetting the entire surface or area with a disinfectant solution of chlorine bleach mixed according to the directions on the label, or an appropriate commercial disinfectant used according to the directions on the label.

The highchair tray downstairs was not cleaned and disinfected after use. Below the highchair there was a plate of food on the floor. The dining room table was not disinfected prior to children eating lunch. (Licensing survey — Annual Survey — 25-000420)

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.

The upstairs and the downstairs trashcans are overflowing. The trashcan next to the diaper changing table was also overflowing. All trashcans are accessible to children. (Licensing survey — Annual Survey — 25-000420)