Joy! Child Development Center

K.A.R. 28-4-439 Child care centers: food service. (e) Drinking water shall be available to each child at all times when the child is in care.

Per staff statement in Room 115 children do not have access to drinking water during outdoor play. (Licensing survey — Annual Survey — 26-002558)

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.

In Room 159 there are 2 baby bottles in the refrigerator that are not labeled with the childs' name, the contents and the date and time prepared. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

Indoor garage container in Multipurpose room is uncovered. (Licensing survey — Annual Survey — 26-002558)

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.

Refrigerator door in Room 117 is broken, 40 degrees Fahrenheit is not maintained in the refrigerator. Temperature measure 50 degrees Fahrenheit. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-439 Child care centers: food service. (p) (3) All foods stored in the refrigerator shall be covered. Food which is not in its original, unopened container shall be stored in metal, glass, food-grade sealable plastic bags, or foodgrade plastic containers with tightfitting covers and shall be labeled with the date and contents.

There is a plastic bag of chicken in the refrigerator in a plastic bag that has small tear and not dated and labeled and a package of biscuits in a plastic bag not dated and not labeled. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-002558)

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.

Three out of nine staff did not have the new health status form completed. (Corrected on site) (Licensing survey — Annual Survey — 26-002558)

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 out of eleven child files reviewed with an incomplete emergency medical release form on file. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-128 Safety and emergency procedures. (a) (5) Each licensee shall ensure that each staff member practices, at least annually, the procedures for assisting the children to move to a designated shelter-in-place area and to a designated off-premises relocation site. The date and time of each practice and a list of all participating staff members shall be recorded and kept on file on the premises.

Shelter-in-place and off-premises relocation drills for the licensure year ending in 2026 are not recorded. (Licensing survey — Annual Survey — 26-002558)

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 is missing an elastic bandage. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

Indoor garbage container in Room 104 is uncovered. Corrected at the time of survey. (Licensing survey — Annual Survey — 26-002558)

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

Medication not in a locked storage and accessible to children in Room 104. (Licensing survey — Annual Survey — 26-002558)

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.

There is no thermometer in the lower refrigerator in Room 124. (Licensing survey — Annual Survey — 26-002558)

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.

There is dry food in Room 105 in a sealable plastic bag not labeled with the date and the content. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-439 Child care centers: food service. (p) (3) All foods stored in the refrigerator shall be covered. Food which is not in its original, unopened container shall be stored in metal, glass, food-grade sealable plastic bags, or foodgrade plastic containers with tightfitting covers and shall be labeled with the date and contents.

There is a package of opened ground beef stored in the refrigerator that is not stored in a food-grade sealable plastic bag and not labeled with the date and contents. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-438 Child care centers: program. (c) Unless extreme conditions prevail, each infant and toddler shall spend time outdoors daily.

Per staff, children in Room 159 were taken outdoors one time this week, staff not able to determine extreme conditions. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-436 Child care centers: napping and sleeping. (c) (11) Each piece of sleeping equipment shall be labeled and designated for use by a single child.

Nap mats in rooms 117, 115 and 105 are not label. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-427 Program. (c) (4) The daily schedule shall be posted in each unit.

There is no daily schedule in Room 124. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-426 Administration. (a) There shall be a written delegation of administrative authority designating the person in charge in the facility for all hours of operation.

Line of authority is not current. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-423 Physical plant. (a) (25) The interior and exterior surfaces of the facility shall be free from peeling, chipping, cracking, scaling, and loose paint.

Wall in Room 104 has chipping paint accessible to children in care. (Licensing survey — Annual Survey — 26-002558)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (H) handling and storage of hazardous materials and the appropriate disposal of biocontaminants, including blood and other bodily fluids or waste;

One staff has not complete training that includes handling and storage of hazardous materials and the appropriate disposal of bio-contaminants, including blood and other bodily fluids or waste. (Licensing survey — Compliance Check — 25-008523)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (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;

One staff has not complete training that includes 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. (Licensing survey — Compliance Check — 25-008523)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (D) recognizing a sick child and prevention and control of infectious diseases, including immunizations;

One staff has not complete training that includes recognizing a sick child and prevention and control of infectious diseases, including immunizations. (Licensing survey — Compliance Check — 25-008523)

K.A.R. 28-4-423 Physical plant. (a) (18) The premises shall be maintained in good condition and shall be clean at all times, free from accumulated dirt and trash, and any evidence of vermin or rodent infestation. Each outdoor trash and garbage container shall be covered, and the contents shall be removed at least weekly.

In Room 124 the trash was not covered. (Corrected on site) (Licensing survey — Compliance Check — 25-008523)

K.A.R. 28-4-428a Education and training requirements. (b) (2) (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;

One staff has not complete training that includes 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. (Licensing survey — Compliance Check — 25-007905)

K.A.R. 28-4-421 Terms of temporary permit or license. (a) (1) License capacity shall be determined by age of children, available space and number of self-contained units per facility.

At time of survey, there was a 4-week-old in care, being supervised by the director in the directors' office. (Licensing survey — Compliance Check — 25-007905)