Little Beginnings Daycare

K.A.R. 28-4-128 Safety and emergency procedures. (a) (1) (A) Procedures for emergencies likely to occur on or near the premises, including a fire, a weather-related event, a missing or runaway child, a chemical release, a utility failure, an intruder, an act of terrorism, a lockdown, and an unscheduled closing;

Written emergency plan does not include: heavy snow/blizzard, intruder, allergic reaction, unscheduled closing, chemical release, continuity of care. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (F) building and premises safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water, and vehicular traffic;

Providers training is not complete for building and premises safety. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (E) prevention of and response to emergencies due to food and allergic reactions;

Providers training is not complete for prevention of and response to emergencies due to food and allergic reactions. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (D) recognizing when a child is ill and prevention and control of infectious diseases, including immunizations;

Providers training is not complete for Prevention and control of infectious diseases including immunizations. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (I) precautions when transporting children, if transportation is provided; and

Providers training is not complete for precautions when transporting children. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

Providers training is not complete for handling and storage of hazardous materials and appropriate disposal. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (3) (G) emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event, including violence at a facility;

Providers training is not complete for emergency preparedness and response planning for emergencies. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-116a Napping and sleeping. (b) (1) Each applicant with a temporary permit and each licensee shall develop a written plan for safe sleep practices and implement safe sleep practices for children in care who are napping or sleeping.

Written safe sleep plan does not state: where napping is stored, what napping on, separated by 24 inches, adequate lighting, and how often laundered. For the children under 12 months, what napping on, adequate lighting, on back, nothing in the play pen, and separated by 24 inches. (Licensing survey — Annual Survey — 25-005749)

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 out of twelve children's immunizations are not on file. (Licensing survey — Annual Survey — 25-005749)

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 twelve children's health assessment is not on file. (Licensing survey — Annual Survey — 25-005749)

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 out of 12 children's Medical History is not on the current form. (Licensing survey — Annual Survey — 25-005749)

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.

Health status form is not on the current form. (Licensing survey — Annual Survey — 25-005749)

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

Nine out of twelve children's emergency medical treatment forms are not complete. (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-128 Safety and emergency procedures. (c) Each applicant with a temporary permit and each licensee shall maintain first-aid supplies in a first-aid kit, carrying case, box, or other container. The first-aid supplies shall include the following:

First aid kit does not contain: first aid manual, 4X4 gauze, elastic bandage, roll of sterile gauze, sharp scissors, cleaning agent, and bottle of water, (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-130 Transportation. (h) Each vehicle shall be covered by accident and liability insurance in an amount of not less than $100,000 for personal injury or death in any one accident, $300,000 for injury or death to two or more persons in any one accident; and $50,000 for loss to property of others.

Current vehicle insurance is not on file, expired 11-24. *Corrected at visit* (Licensing survey — Annual Survey — 25-005749)

K.A.R. 28-4-116a Napping and sleeping. (c) (8) Cribs, cots, playpens, and pads, when in use for napping or sleeping, shall be separated by at least 24 inches in all directions except when bordering on the wall.

Several nap mats are only 18 inches separating them in all directions. (Licensing survey — Annual Survey — 24-005894)

K.A.R. 28-4-115 Facility. (i) ( 5) (C) Hard-surfacing materials, including asphalt and concrete, shall not be used in any use zone. Hard-packed dirt shall be covered with an impact-absorbent surfacing material as specified in paragraph (i)(5)(B). This requirement shall apply regardless of the height of the climbing equipment, slides, and swings.

Little tyke equipment in the back play area has hard packed dirt and dead grass underneath the equipment. (Licensing survey — Annual Survey — 24-005894)