922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation and interview, there were three (3) toddlers seated at the table in bucket seats eating lunch. The toddlers were not securely attached with the straps in the bucket seats. Director Requirements In Compliance Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation and review of documentation, one (1) three-month-old infant, who slept in an individual crib, had a pacifier with the cord attached to it in the Infants' classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation and interview, a wooden cabinet containing Purell Professional Surface Disinfectant was placed on the second shelf in the Pre-K classroom. It was easily accessible to children. A label on the cabinet read, "Keep out of reach of children." Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, the gray lining of the high chair was heavily soiled with an unknown substance in the Toddler 2 classroom. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, one (1) bottle in the refrigerator within the infant classroom was not covered. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, the files for ten (10) children (DOE: 09/06/22, 09/16/23, 02/01/22, 07/15/22, 12/11/23, 08/24/22, 06/29/20, 04/27/22, 11/3/23, and 04/30/24) did not contain contact information for the preferred hospital. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on review of documentation, on two (2) occasions, a staff member in the two year old classroom took several steps away from the changing area while diapering a child, leaving the child unattended. Staffing Requirements In Compliance General Administration In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, a staff member in the two year old classroom failed to ensure that several toddlers washed their hands after eating breakfast. Additionally, the aforementioned staff member failed to ensure that several toddlers washed their hands after being diapered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on review of documentation, a staff member in the two year old classroom failed to sanitize the changing surface after diapering a toddler.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, a toy shelf within the One-Year-Old classroom had sticky tape residue which had started to accumulate dirt and grime.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, the trash can lid within the Two-Year-Old classroom had streaks of sticky residue and an accumulation of grime. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, children’s coats overlapped with one another in the Three-Year-Old classroom; this method of storage promotes the spread of germs and bacteria. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, staff members hired 11/1/18, and 10/31/2019, did not have a current evaluation on file for review. The most current evaluations were dated for 2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff members hired 11/1/18, and 10/31/19, had a Pediatric Abusive Head Trauma training record that exceeded five years; therefore, no longer valid. A review of ECE-TRIS supports this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, a spray bottle labeled, “bleach water” was stored on a toy shelf within the Three-Year-Old classroom. This chemical cleaner was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the wall area above an electrical outlet in the School-Age classroom had a gap in the drywall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation and interview, the surveyor observed several large cannisters of infant formula in the Infant classroom. The surveyor asked the staff person in charge how bottles are prepared. The staff person stated that staff will measure the formula from the original cannister as well as water. The formula cannisters were brought from each child’s home, and bottles were not prepared at home by the parent. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the earthquake and tornado drills were documented as occurring at the same time; these drills require separate actions and should be documented individually. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation and review of documentation, the following was found: 1.) The Statement of Deficiency and corresponding Plan of Correction from the 2022 licensure year was not posted for public inspection. 2.) The lesson plan posted within the One-Year-Old classroom was not current, the plan was dated for January 3rd through 7th. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, a caregiver hired on 12/2/19, completed thirteen (13) hours of early child care education training between July 1 and the following June 30 of the subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the toilet room, with two (2) toilets, did not have ventilation to outside air in the girls' restroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, a child did not wash their hands after a diaper change in the toddler classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, two (2) caregivers did not wash their hands before and after a diaper change in the toddler classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, a child enrolled on 7/24/20, and two (2) children enrolled on 3/22/21, did not have a physician listed on the enrollment form. Also, two (2) children enrolled on 3/22/21, did not have allergy information listed on their enrollment form. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, a caregiver hired on 12/2/19, did not have an annual written professional development. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on interview and review of documentation, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of KARES report revealed two (2) employees with a date of hire 11/19/2019 and 12/2/19 did not show eligibility for employment. The staff member with the hire date of 12/2/19 was working alone with children in the infant classroom. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on interview and review of documentation, documentation verifying current compliance with the State Fire Marshal was not presented for review. The documentation presented was dated 10/23/2017. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, in the girl’s restroom a plunger was observed stored under the sink, within reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, interview and review of documentation, a staff member with a hire date 12/2/2019 did not have a background check and was working alone with the children in the infant room. The staff in charge was unable to provide the documentation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, an employee with a date of hire 11/19/2019 did not have any education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, review of the presented employee records revealed one (1) staff member with hire date 11/19/2019 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, there were stains on five (5) of the ceiling tiles located in the infant room one that were indicative of water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the foam mats on the floor, where the children crawl and play in the infant and two year old classroom, had dark black stains. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, review of the presented children's records revealed five (5) children with enrollment dates 6/29/20,10/21/20,7/6/20.7/24/20 and 6/26/20 whose file did not contain the name of the family's preferred hospital. continued review of the presented children's records revealed a child with enrollment date 6/26/20 whose file did not contain the emergency authorization form. Upon request, the staff member in charge did not present the documentation for the aforementioned children at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on interview and review of documentation, the child care center failed to maintain a updated copy of the evacuation plan in accordance with regulatory requirements. The evacuation plan was dated for 10/30/18. Upon request, the staff member in charge did not provide a current copy of the evacuation plan. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, in the preschool room there was not a current plan of activities posted. The posted plan was dated for the month of October. Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the KARES report revealed sixteen (16) individuals listed as current employees who were determined to be eligible for employment on 3/26/18, 8/17/18, 6/12/18, 7/10/18, 8/14/18, 10/9/18, 9/20/18, 11/19/18, 12/6/18, 1/22/19, 3/15/19, 4/9/19, 5/1/19, 5/29/19, 7/1/19 and 9/29/19. Interview with the staff member in charge revealed that the aforementioned individuals were no longer employed with the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 8/2/11 and 11/29/12 whose file did not contain a current annual evaluation. Upon request, the staff member in charge did not present a current evaluation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 10/4/19 whose file did not contain a high school diploma, GED or documentation from a qualifying educational entity. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 6/30/19 whose file did not contain a current statement from a health professional that she was free of active tuberculosis. Upon request, the staff member in charge did not present a current statement for the aforementioned staff member at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. 1) Review of the presented employee records revealed two (2) staff members with hire dates 11/1/18 and 4/10/19 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. 2) Review of the presented employee records revealed two (2) staff members with hire dates 8/2/11 and 3/1/11 whose file did not contain documentation to verify completion of the one and one-half (1 ½) hours of pediatric abusive head trauma training. 3) Review of the presented employee records revealed four (4) staff members with hire dates 8/2/11, 7/14/17, 3/1/11 and 11/29/12 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) There were water stains on three (3) of the ceiling tiles located in the Two’s Room at the time of the survey. 2) There was a water stain on one (1) of the ceiling tiles located in the Before/After School Room at the time of the survey. 3) There were water stains on twelve (12) of the ceiling tiles located in the One’s Room at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was peeling blue paint located at the entrance to the One’s Room at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) The toilet located in the handicapped Bathroom in the hallway was not secured to the floor at the time of the survey. 2) The first toilet located in the Girls' Bathroom was not secured to the floor at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) Two (2) of the purple crib sheets located in cribs in Infant Room 1 were stained at the time of the survey. 2) Three (3) of the crib sheets located in cribs in Infant Room 2 were stained at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) The highchair located in the Two’s Room was soiled with food debris at the time of the survey. 2) The blue vinyl climber located in Infant Room 2 was torn exposing the absorbent material.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The front piece was broken off the pink and blue ride on toy located in the One’s Room at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Several of the cabinet doors were broken off the beige toy kitchen set located in the One’s Room at the time of the survey. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. 1) Review of the presented children’s records revealed eight (8) children with enrollment dates 10/14/19, 4/1/19, 3/8/18, 10/10/19 and four (4) children with the same enrollment date of 8/2/19 whose file did not contain the name of the family’s preferred hospital. 2) Continued review of the presented children’s records revealed a child with enrollment date 4/1/19 whose file did not contain the name or contact information for the child’s physician. Upon request, the staff member in charge did not present the documentation for the aforementioned children at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 11/29/12 whose file did not contain a current annual professional development plan. Upon request, the staff member in charge did not present a current professional development plan for the aforementioned staff member at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. Information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897 was not posted at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed the oven was soiled food debris.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation at 11:13 a.m. of the one-year-old room revealed the staff member left the room leaving four (4) children unsupervised for less than one (1) minute. Observation at 11:15 a.m. of the one-year-old room revealed the staff member left the room leaving five (5) children unsupervised while she took milk cartons to the two-year-old room and went to the sink to retrieve a rag returning to the room at 11:16 a.m. Observation at 11:18 a.m. of the one-year-old room revealed the staff member left the room leaving six (6) children unsupervised for less than one (1) minute to retrieve a broom and dust pan from another room. Observation at 11:22 a.m. of the one-year-old room revealed the staff member left the room leaving six (6) children unsupervised for less than one (1) minute. Observation at 11:26 a.m. of the one-year-old room revealed the staff member left the room leaving six (6) children unsupervised for less than one (1) minute. Observation at 11:28 a.m. of the one-year-old room revealed the staff member left the room saying “I am going to get the mop bucket” leaving six (6) children unsupervised.At 11:29 a.m. the staff member in the two-year-old room came and stood in the doorway between the classrooms to supervise the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two-year-old room revealed after a diaper change a child went to the classroom and began to use the materials without washing his/her hands. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation at 11:29 a.m. revealed the staff member from the two- year-old class came to stand in the doorway between the two rooms where she was caring for thirteen (13) children. Interview with the staff member revealed the youngest age child in care was one-years-old. Observation at 1:35 p.m. of the one-year-old room and two-year-old room revealed a staff member standing in the doorway between the two rooms caring for thirteen (13) children. Interview with a staff member revealed the youngest age child being cared for was one-years-old. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, current liability insurance for the child care center was not presented for review. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, documentation of staff meetings was not presented for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, a staff evaluation for four (4) staff members was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, written documentation from a health care professional was not presented for review to verify that a staff member with the hire date 7/11/11 was free from active TB. The documentation that was presented had a date that appeared altered. Interview with the director revealed she acknowledged the date on the document appeared to be altered.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed five (5) staff members with the hire dates; 9/29/15, 6/6/17, 8/2/11, 7/11/11 and 3/1/11 did not complete Fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report did not verify that the training hours had been completed. Interview with the director revealed she was not able to verify the training hours were completed. Review of presented staff files revealed a staff member with the hire date 7/17/18 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. Interview with the director revealed she was not able to verify that the orientation training was completed within ninety (90) days of employment for the aforementioned staff member. Upon request, documentation was not presented to verify that two (2) staff members with the hire dates 9/29/15 and 6/6/17 had completed one and one half (1 ½) hours of cabinet- approved pediatric abusive head trauma training in the last five years. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on review of documentation, interview and observation, the child care center failed to comply with regulatory programming requirements. Review of posted documents revealed six (6) classrooms did not have a current written daily planned program for review. Interview with staff members confirmed there was not a current written daily planned program for review in each classroom. Observation of the three-year-old room revealed there were no materials for dramatic play, science, stories and books. Observation of the four-year-old room revealed there were no materials for blocks and art. Observation of the school age room revealed there were no materials for art. Interview with a staff member confirmed the aforementioned materials were not in the rooms as observed.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation at 11:36 a.m. of the infant room revealed an infant sleeping on his/her stomach. Interview with a staff member revealed the infant was three (3) months old. Continued interview revealed the infant was not yet turning over. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the infant room revealed an infant asleep in a crib with a bib on. Interview with a staff member revealed the sleeping infant was three (3) months old. Continued observation of the infant room revealed a sleeping infant in a crib with a loose pink blanket covering them. Further observation of the infant room revealed a sleeping infant in a crib with a loose Elmo blanket covering them. Interview with the staff revealed the two (2) aforementioned infants with the loose bedding were seven months old. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the one-year-old room revealed soiled walls and walls with chipped and peeling paint. Observation of the two-year-old room revealed soiled walls and walls with chipped and peeling paint. Observation of the three-year-old room revealed soiled walls and walls with chipped and peeling paint located by the blocks. Observation of the four-year-old room revealed soiled walls and walls with chipped and peeling paint. Observation of the school age room revealed soiled walls.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the one-year-old room revealed floor tiles that were missing pieces located by the table and three (3) cracked floor tiles located by the cots. Continued observation of the one-year-old room revealed ceiling tiles with brown circular stains. Observation of the two-year-old room revealed holes in the wall located by the light switch. Observation of the three-year-old room revealed missing pieces of tile located by the sink area. Observation of the four-year-old room revealed two (2) holes in the wall with plastic protruding from them. Observation of the school age room revealed the following: 1. Holes in the wall under the light switch on the left side of the room; 2. A hole in the wall above the light switch on the right side of the room; and 3. Several holes in the wall under the bulletin board.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the front bathroom revealed the toilet seat was broken. Observation of the back boys’ bathroom revealed the toilet seat was broken. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two-year-old room revealed a staff member changed a child’s diaper and did not wash his/her own hands before returning to care for the children in the room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the diaper changing area located in the two-year-old room revealed the changing pad was soiled with debris. Continued observation of the changing area located in the two-year-old room revealed a build up of dirt and debris under the changing pad. Observation of the diaper changing area located in the infant room revealed a torn diaper changing pad, exposing the inside absorbent material. Observation of the diaper changing area located in the infant crawlers room revealed a torn diaper changing pad, exposing the inside absorbent material. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements regarding first aid. Observation of the first aid supplies revealed the child care center did not have medical tape. Interview with the director revealed there was no medical tape at the child care center at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, the child care center failed to comply with regulatory requirements regarding medication. Observation in the two-year-old room revealed diaper rash cream in an unlocked cabinet under the diaper changing area. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor playground revealed a yellow slide where the ground was visible through the protective surfacing. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the infant room revealed a table with bucket seats with openings for safety straps; however, the seats did not have the safety straps. Observation of infant crawlers’ room revealed a table with bucket seats with openings for safety straps; however, the seats did not have the safety straps. Observation of the school age room revealed the following: 1. Three (3) children sized chairs with a white substance on the seat area; and 2. Circle rug soiled with black and brown substance. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant room revealed an infant sitting in an apparatus and a staff member holding a bottle up for the infant to consume the bottle instead of holding the infant. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the infant room revealed cans of powdered infant formula on a shelf with each one labeled with a child’s name. Interview with a staff member revealed the child’s parents provide the labeled cans of formula observed on the shelf. Continued interview revealed bottles for the infants are prepared by the child care center staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documents revealed the child care center failed to have a weekly menu prepared, dated and posted in advance in a conspicuous place at the time of the survey. Interview with the director revealed the menu was not posted in a conspicuous place. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed one (1) child’s file with the enrollment date 8/15/18 did not contain the information for the parents' preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a written annual plan for child care staff professional development was not presented for three (3) staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a written orientation procedure was not presented for review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of presented posted documents revealed information on the Kentucky Consumer Product Safety Program was not posted at the time of the survey. Interview with the director revealed she was unable to locate the aforementioned document at the time of the survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not provide current veirification of a negative TB results or documentation from a physician for staff member with hire date 7/11/11. The results of the last TB skin test were dated 11/12/15. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements in regards to enrollment information. Upon request, the director did not provide documentation of a preferred hospital for nine (9) out of ten (10) children's files reviewed. A child's file with enrollment date 3/14/17 failed to list physician as well as hospitial. In addition, the child's file with the enrollment date 8/25/17 did not have a completed enrollment form as it did not contain a preferred hospital or physician's information as well as emergency contacts. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, the childcare center failed to comply with regulations for supervision. Observation in the hallway revealed a four (4) year old child walking alone into the boys bathroom. In interview, the staff member with hire date 04/15/2017 acknowledged the child belonged in her classroom, and that she allowed the child to walk unsupervised down the hallway to the boys bathroom alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, the childcare center failed to comply with regulations for staffing requirements. Observation in the infant room revealed a staff member with the hire date of 06/06/2017 was solely caring for six (6) infants in age from three (3) months to one (1) year old. Further observation revealed in the three and four year old room a staff member with the hire date of 04/15/2017 was solely caring for twenty (20) children in age from three (3) to four (4) years old. Interview with the director revealed she was aware the aforementioned rooms were out of ratio. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the childcare center failed to comply with regulations for employee records. The presented personnel file for a staff member with the hire date 04/15/2017 failed to contain proof of an out of state criminal record check. Based on information included on the referenced staff member's Child Abuse and Neglect Check, the staff member resided in Illinois during the last five years. The aforementioned staff member was observed to be alone caring for twenty (20) children in age from three (3) to four (4) years old. Interview with the director revealed the out of state criminal record check was not available for review at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation and interview, the childcare center failed to comply with regulations for employee records. The presented personnel file for a staff member with the hire date 04/15/2017 failed to contain proof of an out of state criminal record check. Based on information obtained from the referenced staff member's Child Abuse and Neglect Check, the staff member resided in Illinois within the last five years. The aforementioned staff member was observed to be alone caring for twenty (20) children in age from three (3) to four (4) years old. Interview with the director revealed the out of state criminal record check was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant/Toddler classroom revealed two (2) cribs with dirt and debris on the fitted sheet in the crib. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, and interview, the child care center failed to comply with staffing requirements. Observation of the Infant/Toddler classroom revealed one (1) staff and six (6) children in care. Interview with staff revealed the youngest child in care was ten (10) months old and the oldest was one (1) year old. Further interview with staff revealed he/she normally cared for six (6) children alone. The classroom exceeded the minimum staff-to-child ratio by one (1) child. Further observation of the Three (3) to Four (4) year classroom (Area B) on 01/06/17 at 2:49 PM revealed one (1) staff and fourteen (14) children in care. Interview with staff revealed the youngest child in the classroom was three (3) years old and the oldest was eleven (11) years old. The classroom exceeded the minimum staff-to-child ratio by two (2) children. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory staff meeting requirements. Review of documentation revealed no evidence of written documented meetings conducted and/or managed for the current review period. Interview with the child care center director revealed she did not have documentation that the staff meetings were conducted during the review period.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory staff evaluation requirements. Review of employee records revealed the child care center director failed to assess each staff person’s interaction with children in care and classroom performance through an annual written performance evaluation for staff with hire dates 09/29/15, 01/26/15, 08/31/15, 11/29/12, 08/26/13, and 08/02/11. Interview with the child care center director revealed she failed to complete performance evaluations for staff reviewed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of children in care. Observation of the Infant/Toddler classroom revealed a small “wobbly” shelf in the center of the room with jagged edges and torn surfaces on the back of the shelf. Additional observation revealed the shelf was not mounted to prevent injury when an infant/toddler crawled on or attempted to climb the shelf. Further observation in the Three (3) to Four (4) year classroom revealed a very large box style television on a “TV” stand, placed forward of the stand and at eye level of the children in the classroom, which created the possibility for the TV to tilt over on a child. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with hire dates 10/11/15, 12/19/16 and 11/29/12 revealed no documented evidence of a completed criminal records background checks. In addition, there was no documented evidence of completed child abuse/neglect (CA/N) checks in accordance with 922 KAR 1:470. Interview with the child care center director revealed she did not have documented evidence of background checks for each staff person referenced.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant/Toddler classroom revealed nine (9) cribs less than twelve (12) inches apart. Interview with staff in the classroom revealed there was not enough room in the classroom to put twelve (12) inches between each crib.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff records revealed no documentary evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff with a hire date 07/26/16. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with a hire date 03/01/11, revealed no documented evidence of a current statement from a health professional that the staff is free of active tuberculosis. Interview with the child care center director revealed she did not have a current statement for the referenced staff.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee record for staff with hire dates of 09/29/15, 08/31/15, and 08/02/11 revealed no documented evidence of Pediatric Abusive Head Trauma (PAHT) training completed within their first year of employment. Further review revealed staff with a hire date 02/03/16 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Exit interview with the child care center director revealed acknowledgement of deficient practice. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Infant/Toddler classroom revealed loose garbage bags stored in an unlocked cabinet, under the sink, in accessible reach of children. Interview of staff revealed the youngest child in the classroom was ten (10) months old and the oldest was one (1) year old. Observation of the Three (3) to Four (4) year old classroom revealed a personal cell phone on the changing table plugged into the wall in (Area A). The cellphone was in accessible reach of children. Interview with the child care center director revealed the child care center’s cellphone policy is that staff were not to have the device out in the classroom. Further observation of the Two (2) year classroom revealed Palmer’s Coca Butter and Sanitizer in a spray bottle, on the diaper changing table in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the child care center revealed exposed wiring in the hallway area, located at the upper area of the wall. Interview with the child care center director revealed the exposed wiring was for a security system to be installed at the child care center.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant/Toddler classroom revealed a small “wobbly” shelf in the center of the room with jagged edges, torn surfaces on the back of the shelf and found to be without good repair. Further observation revealed a toddler unsuccessfully attempted to pull himself/herself up on the shelf however, the shelf was not sturdy. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, and record review, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Three (3) to Four (4) year old classroom revealed twelve (12) children in (Area A) at approximately 10:15 AM. The maximum capacity for the classroom based on the dimension in the room with a minimum of thirty-five (35) square feet of space per child was not to exceed ten (10) children in accordance with previous measurements completed on 12/20/16. Further observation of the same classroom at 2:49 PM revealed fourteen (14) children in (Area B). The maximum capacity for the classroom based on dimension in the room with a minimum of thirty-five (35) square feet of space per child was not to exceed twelve (12) children in accordance with previous measurements completed on 12/20/16. Interview with the child care center director revealed the corrected measurements, (Area A) maximum capacity nine (9) children and (Area B) maximum capacity eleven (11) children, dated 01/06/17 became effective on 01/07/17. The child care center director signed the floor plan acknowledging the correct measurements and any future references would be determined by the floorplan dated 01/06/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the School-Age classroom at approximately 10:30 AM revealed a classroom temperature of fifty-one (51) degrees Fahrenheit. The temperature was fourteen (14) degrees Fahrenheit less than the minimum regulatory requirement of sixty-five (65) degrees Fahrenheit during the winter. An additional observation was made at 3:05 PM when school-age children began to arrive to the child care center. Review of the temperature measuring device revealed fifty-four (54) degrees Fahrenheit which was still less than the minimum regulatory requirement. Interview with the child care center director revealed the thermostat was adjusted when the school-age children left the child care center for school in the mornings. She further stated that the temperature was increased about an hour before the school-age children arrived at the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Infant/Toddler classroom and the One (1) year classroom revealed no evidence of a separate area of entrance or exit and/or adequate crawling space for an infant or toddler away from general traffic patterns from the Infant/Toddler classroom to the One (1) year classroom. Further observation revealed infants crawling in the general traffic pattern area. Interview with staff revealed the youngest child in the classroom was ten (10) months old and the oldest was one (1) year old. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant/Toddler classroom and the Two (2) year classroom revealed soiled diapers in uncovered trash cans.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Two (2) year classroom revealed Palmer’s Coca Butter and a spray bottle of liquid Sanitizer on the diaper changing table surface. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care center used Third Party transportation services for field trips only. Review of record revealed no documented evidence of a written plan that detailed emergency procedures when children are transported to and from the child care center and plan to assure staff perform duties.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care center used Third Party transportation services for field trips only. Review of record revealed no documented evidence of a written plan that detailed emergency procedures when children are transported to and from the child care center.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care received Third Party transportation services from Miller Transportation. Review of transportation records for the child care center revealed no documented evidence of a written plan that would ensure staff performance of duties relating to proper transportation of children while in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care center used Third Party transportation services for field trips only. Review of record revealed no documented evidence of a written plan that detailed emergency procedures when children are transported to and from the child care center.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care received Third Party transportation services from Miller Transportation. Review of record revealed no documented evidence of contracts, agreements or documents detailing arrangements with Miller Transportation for services. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care conducted field trips within the review period. Review of record revealed no documented evidence of a transportation roster to include each child transported and the time each child got on and off the vehicle during each field trip of the review period.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the child care conducted field trips within the review period. Review of record revealed no documented evidence of a transportation roster to include each child transported and the time each child got on and off the vehicle. Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of a child’s record with an enrollment date 11/16/16 revealed no documented evidence of a current immunization certificate. Further review revealed immunization on record expired 01/03/17. Interview with the child care center director revealed she was not aware the immunization certificate had expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of records for children with enrollment dates 11/16/16, 12/14/15, 04/05/16, and 04/05/16 revealed no documented evidence of completed enrollment documents signed by each child’s parent. Review of record for children with enrollment dates 11/16/16 and 12/14/15 revealed no documented evidence of medical information for each child. Review of record for children with enrollment dates 11/16/16, 11/04/13, 12/14/15, 01/26/15 and 10/26/16 revealed no documented evidence of a family physician or preferred hospital as should have been indicated by the parent or legal guardian. In addition, review of record for children with enrollment dates 11/16/16, 12/14/15, 01/26/15 and 10/26/16 revealed no documented evidence of authorization by the parent for the child care center to seek emergency medical care for each child in the parent’s absence. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements with regard to policies and procedures. Review of the child care center’s policy and procedures revealed no documentary evidence of written job descriptions, organizational chart, chain of command and/or child abuse reporting procedures. Interview with the child care center director revealed she was unable to locate any of the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed the child care center failed to have a written annual plan or individualized plan for child care professional development for staff with hire dates 11/29/12 and 08/26/13. Interview with the child care center director revealed the professional development plan had not been completed for staff.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s written documentation revealed the child care center failed to conduct quarterly earthquake and tornado drills detailing the date, time and children who participated in the drill. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s written records revealed the child care failed to conduct monthly fire drills detailing the date, time and children who participated in the drill. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation revealed that the child care center did not present a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s written documentation revealed the child care failed to conduct monthly fire drills. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s written documentation revealed the child care center failed to conduct quarterly earthquake and tornado drills. Exit interview with the child care center director revealed acknowledgement of deficient practice. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the large eating area room revealed a play train apparatus with a barrel. Continued observation of the barrel revealed a male child (approximately two-years-old) hiding in the barrel at 8:28 am which was out of the scope of vision of staff members located in another area of the room. Interview with staff members in the room revealed the children assigned to them for care for the day were all accounted for. Observation at 8:37 am revealed the boy continued to be in the barrel out of the scope of vision for staff members in the room. At 8:37 am the surveyor asked a staff member who the supervising staff was for the child in the barrel; the staff member replied, “What child?” When the surveyor pointed to the child in the barrel the staff member replied, “The child’s class had left the room.” Interview with a staff member revealed the age of the child in the barrel was two-years-old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation in the eating area revealed twenty-two (22) children in care with two (2) staff members. Interview with a staff member revealed the youngest age child in care was two-years-old. Therefore the child care center was not maintaining staff- to-child ratios and maximum group size.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the school age classroom revealed at 7:45 am twenty (20) children in care with one (1) staff member. Observation of the school age classroom revealed at 8:14 am twenty-three (23) children in care with one staff member. Interview with a staff member revealed the youngest age child in the school age classroom was six (6) years of age throughout the survey. Observation of the apple classroom revealed at 7:52 am thirteen (13) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child in the apple classroom was three (3) years of age. Observation of the two-year-old classroom revealed at 7:50 am nine (9) children in care with one (1) staff member. Observation of the two-year-old classroom revealed at 7:55 am ten (10) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child in the two-year-old classroom was one (1) year of age. Observation of the two-year-old classroom revealed at 7:57 am the classroom was within ratio. Upon entering the eating area to finish the exit interview with the staff in charge it was revealed at 8:19 am twenty-nine (29) children in care with two (2) staff members. Continued observation revealed at 8:22 am thirty (30) children in care with two (2) staff members. Interview with a staff member revealed the youngest age child in the eating area to be one (1) year of age. Exit interview with the staff in charge revealed an acknowledgment of the deficiency. The eating area continued to be out of ratio as the surveyor exited the child care center. Observation of thirty (30) children ages one (1) to four (4) year olds in the eating area revealed the child care center exceeded the maximum group size for one-year-old children. Interview with the staff in charge revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the school age classroom revealed at 7:45 am twenty (20) children in care with one (1) staff member. Observation of the school age classroom revealed at 8:14 am twenty-three (23) children in care with one staff member. Interview with a staff member revealed the youngest age child in the school age classroom was six (6) years of age. Continued interview with the staff member revealed they believed the ratio to be twenty-five (25) school age children to one (1) staff member for before and after school care. Further interview revealed the staff was not aware that ratios for school age children are determined by the youngest age child in care. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation and Interview, the child care center failed to comply with regulatory programming requirements. Observation of the infant classroom revealed a sleeping infant in a crib. Continued observation revealed loose bedding around the sleeping infant’s face. Interview with a staff member revealed the infant to be four (4) months old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the infant classroom revealed a torn changing pad exposing the absorbent material. Exit interview with the staff in charge revealed an acknowledgement of the deficiency. First Aid/Medication

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on Observation and Interview, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the infant classroom revealed a tube of Aquaphor Healing ointment on the changing table, not in a locked place at the time of the survey. Interview with a staff member revealed the ointment belonged to a child in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Three- and-Four-Year-Old Classroom revealed at 8:10 am a child was in the bathroom. Continued observation at 8:12 am the child comes to the door of the bathroom and yells “Hey, help me” staff do not respond or acknowledge the child in any way. Further observation revealed the child to go back into the bathroom. Ongoing observation revealed at 8:13 am the boy return to the area where the staff were supervising the other children. Exit interview with the director revealed unawareness that the incident had occurred.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the reception area revealed at 8:04 am twenty-one (21) children with one (1) staff member. Continued observation revealed at 8:07 am twenty-three (23) children with one (1) staff member. Further observation revealed at 8:15 am twenty-six (26) children with one (1) staff member. Interview with the staff member revealed the youngest child in care was six (6) years of age. Continued interview with the staff member revealed unawareness of the age of the oldest child in care. Interview with the staff revealed unawareness as to the ratios for children in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements. Observation of the child care center revealed major renovation/construction. Observation of the child care center revealed construction workers using tools and taking out a wall during the survey. Observation revealed renovation in the Computer, Media, Activity and Activity 2 Classrooms at the time of the survey. Continued observation revealed materials to be stored in the Three to Five-Year-Old Area as well as the Before and After School Area making it unusable space for children at the time of the survey. Interview with the staff in charge revealed the child care center did not contact DRCC prior to the renovation/construction.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation failed to reveal staff meetings conducted by the director. Interview with the director revealed staff meetings were conducted. Continued interview revealed the director acknowledged an inability to find documentation of staff meetings at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Three and Four-Year-Old Classroom revealed two (2) electrical outlets by the gold and red chair to not be covered. Continued observation revealed two (2) electrical outlets by the pink toy to not be covered at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed a staff member with the hire date 3/19/15 failed to complete six (6) hours of cabinet-approved orientation within the ninety (90) day time frame. Continued review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for two (2) staff members hired 3/1/11 and 6/28/12 at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Men’s bathroom off the Preschool Area revealed a vent cover with dust build up. Observation of the Women’s bathroom off the Three-And-Four-Year-Old Classroom revealed a vent cover with dust build up. Observation of the Men’s bathroom off the Three-And-Four-Year-Old Classroom revealed a vent cover with dust build up. Exit interview with director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Three-to-Five- Year-Old Area revealed a wall missing a section approximately twelve (12) feet by three (3) feet. Continued observation revealed the outside concrete wall to be exposed. Interview with staff revealed an awareness of the wall being in disrepair at the time of the survey. Observation of the Men’s bathroom off the Preschool Area revealed a hole in the wall in the back bathroom stall. Continued observation revealed seven (7) tiles with brown stains at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Women’s bathroom off the Preschool Area revealed a yellow substance in the middle toilet indicative of urine. Observation of the Men’s bathroom off the Preschool Area failed to reveal a light in the first bathroom stall. Observation of Women’s bathroom off the Three-And-Four-Year-Old Classroom revealed fecal matter and toilet tissue to be in the toilet in the front bathroom stall at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the eating area revealed at 8:20 am a staff member helped two (2) children wipe and blow their nose. Continued observation failed to reveal a hand wash for either child. Exit interview with the director revealed an acknowledgment of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the eating area revealed at 8:20 am a staff member help two (2) children wipe and blow their nose. Continued observation failed to reveal a hand wash for the staff member. Further observation revealed at 8:24 am the staff member then served food to children in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on Observation and Interview, The child care center failed to comply with regulatory requirements regarding first aid. Observation of the first aid supplies failed to reveal medical tape, gloves and flashlight at the time of the survey. Interview with the director revealed an inability to locate the items.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, The child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed glass on the ground on the left side. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first aid supplies failed to reveal medical tape, gloves and first aid book. Interview with a staff member revealed an inability to locate the items at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van failed to reveal a working seat belt located on the back seat on the right side. Interview with staff revealed an acknowledgement of the seat belt not working properly.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer in the kitchen failed to reveal an indicating thermometer or appropriate temperature measuring device at the time of the survey. Interview with a staff member revealed the thermometer was not in the freezer.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Kitchen revealed the stove to have food built up at the time of the survey. Interview with a staff member revealed it was in the process of being addressed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of milk served to the three and four-year-old children revealed it to be whole milk. Interview with a staff member revealed unawareness that the children were served whole milk. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain the children’s records in accordance with regulatory requirements. Review of ten (10) children’s files failed to reveal a parent’s signature, contain medical information, have authorization to seek emergency medical care and contain emergency contacts for four (4) children’s files. Continued review failed to reveal the parents preferred hospital for ten (10) children’s files. Further review failed to reveal. Review of ten (10) children’s files revealed the physician’s information for five (5) of the children’s files. Interview with staff revealed an inability to locate the documents at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of staff files failed to reveal an annual professional development plan for all staff at the time of the survey. Exit interview with director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of Earthquake and Tornado drills revealed the child care center failed to document the date, time and names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of Fire drills revealed the child care center failed to document the date, time and names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center policies and procedures failed to reveal a written orientation procedure at the time of the survey. Exit interview with the director revealed the inability to locate the written orientation procedure for the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of disaster drills failed to reveal documented Fire drills. Interview with a staff member revealed the child care center had conducted the drills. Continued interview revealed an inability to locate documentation of the drills completed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of disaster drills failed to reveal documented Earthquake and Tornado drills. Interview with a staff member revealed the child care center had conducted the drills. Continued interview revealed an inability to locate documentation of the drills completed. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation and Interview, The child care center failed to post documentation in accordance with regulatory requirements. Review of documents posted failed to reveal the statement of deficiency at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documents failed to reveal a daily schedule in the Three-And-Four-Year-Old Classroom. Continued review of posted documents failed to reveal a current daily activity plan at the time of the survey. Interview with staff revealed an inability to locate the documents at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General:Based on Interview and Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. Interview with staff revealed that staff members with the hire dates 11/6/14 and 6/5/09 were the only two (2) staff members present during a field trip conducted on 12/22/14. Continued interview with staff revealed that all children listed on the field trip document attended the field trip. Further interview revealed that the children who participated in the field trip were five-year-old and up. Record review revealed that thirty-eight (38) children attended the field trip; therefore, the child care center exceeded the maximum group size from 12:30 p.m. when they departed from the center to 3:30 p.m. when they returned to the center. Based on Observation, the child care center failed to comply with staffing requirements. Observation revealed from 8:32 a.m. to 8:38 a.m. one (1) staff member was supervising twenty-four (24) children age ranging three-year-old to four-year-old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that a tuberculosis test for a staff member with the hire date 6/5/09 was no longer current after 3/18/14. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview and Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. Interview with staff revealed that staff members with the hire dates 11/6/14 and 6/5/09 were the only two (2) staff members present during a field trip conducted on 12/22/14. Continued interview with staff revealed that all children listed on the field trip document attended the field trip. Further interview revealed that the children who participated in the field trip were five-years-old and up. Record review revealed that thirty-eight (38) children attended the field trip; therefore, the child care center exceeded the maximum group size from 12:30 p.m. when they departed from the center to 3:30 p.m. when they returned to the center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Record review revealed that the child care center failed to record the loading and unloading times of the children for a field trip that occurred on 12/22/14.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, and interview with the director, the child care center director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for eight (8) of the employees. Interview with the Director revealed she could not locate a current copy of the evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the baseboard located near the kitchen prep revealed the baseboard to be loose from the wall. Continued observation revealed the carpets to have various stains and areas that had ripped carpeting threads creating a potential tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documentation provided the child care center did not have a written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895. Interview with the director revealed she did not have the plan available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and policies provided by the child care center revealed that eight (8) of the staff files revealed that the files did not contain a annual plan for child-care staff professional development for the staff. Interview with the director revealed she could not locate of the missing documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6 License Issuance.

General: Based on review of documentation, the child care center failed to provide written proof of liability insurance coverage.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, a child waiting in line to leave on a field trip, was allowed to go back to the classroom, unaccompanied, to retrieve a jacket.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, the child care center failed to request and maintain a CAN and criminal records check for a staff member hired 8/6/13 pursuant to 922 KAR 1:470 and KRS 199.896. Record review revealed no evidence that the CAN check was requested within five working days of said employee's hire date and no evidence that the CRC was requested no later than the first day of employment.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 Section 3. Records.

General: Based on review of documentation, no personnel file was available for review on a staff person working with children on day of survey whose hire date could not be determined.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the child care center failed to maintain staff persons' file, hired on 06/05/13 and 08/26/13, to include a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, staff member hired 06/05/13, failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the child care center failed to have on file a contract with the bus company transporting the children on a field trip on 10/07/13.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, the child care center's van failed to be equipped with emergency reflective triangles.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, the center failed to have a thermometer in the refrigerated milk case.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation, children over twenty-five (25) months of age through eight (8) years of age were served whole milk with breakfast.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation and review of documentation, there was not a current posted menu.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the child care center failed to maintain a current immunization certificate on children born 12/10/09 and 10/08/08. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the child care center failed to maintain a written record for each child containing contact information to enable a person in charge to contact the child's physician for children born on: 12/10/09, 05/15/04, and 10/18/08. Also, the child care center failed to maintain a written record for each child containing the name and phone number of each person to be contacted in an emergency siutation involving or impacting children born on 10/18/08 and 07/30/07. A child born on 12/10/09 failed to have a medical history and general health status maintained in the file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on observation review of documentation, there were forty-nine (49) children observed and only twelve (12) children signed in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 8

General: Based on interview, the center will be serving food from a catering service. There was no document presented for review verifying that the catering company was a licensed catering service. 255 - Food preparation utensils Not Applicable 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 255 - Food preparation utensils 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 1) Sanitized In Compliance 2) Provided In Compliance 3) Used to Minimize Handling of Food In Compliance 256 - Refrigerator Not Applicable 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 256 - Refrigerator 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 1) Thermometer In Compliance 2) Safe environment In Compliance 3) 45 degrees or below In Compliance 257 - Frozen Food Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 31 of 40 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 257 - Frozen Food 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 1) Kept at zero degrees or below In Compliance 258 - Food Contact Items 922 KAR 2:120 - Section 8 (7) Equipment, utensils, and surfaces contacting food shall be: (a) Smooth; (b) Free of breaks, open seams, cracks, and chips; (c) Accessible for cleaning; and (d) Nontoxic. 1) Equipment smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 2) Utensils smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 3) Food contact surfaces smooth, free from breaks, open seams, cracks and chips, accessible for In Compliance cleaning, and nontoxic 259 - Kitchen Equipment clean and sanitary 922 KAR 2:120 - Section 8 (8) The following shall be clean and sanitary: (a) Eating and drinking utensils; (b) Kitchenware; (c) Food contact surfaces of equipment; (d) Food storage utensils; (e) Cooking surfaces of equipment; and (f) Nonfood contact surfaces of equipment. 1) Eating and drinking utensils In Compliance 2) Kitchenware In Compliance 3) Food contact surfaces of equipment In Compliance 4) Food storage utensils In Compliance 5) Cooking surfaces of equipment In Compliance 6) Nonfood contact surfaces of equipment In Compliance 264 - Meals Required 922 KAR 2:120 - Section 9 (3) The child-care center shall serve: (a) 1. Breakfast; or 2. A mid-morning snack; (b) Lunch; (c) A mid-afternoon snack; and (d) Dinner. 1) Breakfast Discussed 2) Mid-morning snack Discussed 3) Lunch Discussed 4) Mid-afternoon snack Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 32 of 40 Web site: http://chfs.ky.gov/ Inspection Report 5) Dinner Discussed 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 1) Prepared In Compliance 2) Dated In Compliance 3) Posted In Compliance 4) On File In Compliance 5) Substitutions noted In Compliance 266 - Breakfast Requirements 922 KAR 2:120 - Section 9 (5) Breakfast shall include: (a) Milk; (b) Bread; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk In Compliance 2) Bread In Compliance 3) Fruit/Vegetable/Juice In Compliance 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk ** Must select two from the list In Compliance 2) Protein ** Must select two from the list In Compliance 3) Bread ** Must select two from the list In Compliance 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance 268 - Lunch/Dinner Requirements 922 KAR 2:120 - Section 9 (7) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d) 1. Two (2) vegetables; or 2. A fruit and one (1) vegetable. 1) Milk In Compliance 2) Protein In Compliance 3) Bread In Compliance 4) 2 Vegetables or Fruit and Vegetable In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 33 of 40 Web site: http://chfs.ky.gov/ Inspection Report 269 - Food Requirements 922 KAR 2:120 - Section 9 (8) Food shall be: (a) Clean; (b) Free from: 1. Spoilage; 2. Adulteration; and 3. Misbranding; (c) Safe for human consumption; (d) Withheld from service or discarded if the food is hermetically sealed, nonacidic, or low-acidic food that has been processed in a place other than a commercial food-processing establishment; (e) Obtained from a source that is in compliance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217; (f) Acceptable if from an established commercial food store; (g) Served in a quantity reflecting the developmental stage of the child with additional portions provided upon request of the child; and (h) Protected against contamination from: 1. Dust; 2. Flies; 3. Rodents and other vermin; 4. Unclean utensils and work surfaces; 5. Unnecessary handling; 6. Coughs and sneezes; 7. Flooding; 8. Drainage; and 9. Overhead leakage. 1) Clean In Compliance 2) Free from Spoilage In Compliance 3) Free from Adulteration In Compliance 4) Free from Misbranding In Compliance 5) Safe for human consumption In Compliance 6) No homemade food In Compliance 7) Source approved by Public Health In Compliance 8) Commercial Food Store In Compliance 9) Appropriate quantity/Additional portions In Compliance 10) Protected from contamination In Compliance 270 - Food Storage 922 KAR 2:120 - Section 9 (9) Food shall be stored on: (a) Clean racks; (b) Clean shelves; (c) Other clean surfaces; or (d) If maintained in a sanitary condition, food in nonabsorbent containers may be stored on the floor. 1) Food stored on clean racks, shelves, or other clean surfaces In Compliance 2) Food stored in nonabsorbent containers on the floor if maintained in a sanitary condition In Compliance 271 - Fruits and Vegetables Washed Discussed 922 KAR 2:120 - Section 9 (10) Fruits and vegetables shall be washed before cooking or serving. 272 - Potentially hazardous foods 922 KAR 2:120 - Section 9 (11) Meat salads, poultry salads, and cream filled pastries shall be: (a) Prepared with utensils that are clean; and (b) Unless served immediately, refrigerated pending service. 1) Prepared with clean utensils Discussed 2) Refrigerated pending service Discussed 273 - Individual Portion Discussed 922 KAR 2:120 - Section 9 (12) An individual portion of food served to a child or adult shall not be served again. 274 - Wrapped Food Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 34 of 40 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 9 (13) Wrapped food that is still wholesome and has not been unwrapped may be reserved. 275 - Drinking Water Discussed 922 KAR 2:120 - Section 9 (14) Drinking water shall be freely available to a child. 277 - Parent provided formula/breast milk Not Applicable 922 KAR 2:120 - Section 9 (16) A parent who provides formula or breast milk to the center for the child shall prepare the liquid and label its container. 1) Prepared Not Applicable 2) Labeled Not Applicable Food Service - Classroom 194 - Bottle Feeding Not Applicable 922 KAR 2:120 - Section 3 (10) While bottle feeding an infant, the: (a) Child shall be held; and (b) Bottle shall not be: 1. Propped; 2. Left in the mouth of a sleeping infant; or 3. Heated in a microwave. 1) Child held Not Applicable 2) Not Propped Not Applicable 3) Not with sleeping infant Not Applicable 4) Not heated in microwave Not Applicable 254 - Requirements for children's meal service 922 KAR 2:120 - Section 8 (3) A child shall be: (a) Seated with sufficient room to manage food and tableware; and (b) Supplied with individual eating utensils designed for use by a child. 1) Seated with sufficient room In Compliance 2) Individual utensils In Compliance 256 - Refrigerator Not Applicable 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 1) Thermometer Not Applicable 2) Safe environment Not Applicable 3) 45 degrees or below Not Applicable 257 - Frozen Food Not Applicable 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 1) Kept at zero degrees or below Not Applicable 2) Thawed at refrigerator temperatures Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 35 of 40 Web site: http://chfs.ky.gov/ Inspection Report 259 - Kitchen Equipment clean and sanitary Not Applicable 922 KAR 2:120 - Section 8 (8) The following shall be clean and sanitary: (a) Eating and drinking utensils; (b) Kitchenware; (c) Food contact surfaces of equipment; (d) Food storage utensils; (e) Cooking surfaces of equipment; and (f) Nonfood contact surfaces of equipment. 1) Eating and drinking utensils Not Applicable 2) Kitchenware Not Applicable 3) Food contact surfaces of equipment Not Applicable 4) Food storage utensils Not Applicable 5) Cooking surfaces of equipment Not Applicable 6) Nonfood contact surfaces of equipment Not Applicable 260 - Single Service Article 922 KAR 2:120 - Section 8 (9) A single-service article shall be: (a) Stored; (b) Handled and dispensed in a sanitary manner; and (c) Used only once. 1) Stored Discussed 2) Handled Sanitary manner Discussed 3) Used once Discussed 261 - Bottles Not Applicable 922 KAR 2:120 - Section 8 (10) Bottles shall be: (a) Individually labeled; (b) Promptly refrigerated; and (c) Covered when not in use. 1) Individually labeled Not Applicable 2) Promptly refrigerated Not Applicable 3) Covered when not in use Not Applicable 262 - Meal Schedule Discussed 922 KAR 2:120 - Section 9 Food Requirements. (1) There shall be at least a two (2) hour lapse, but no longer than three (3) hours lapse, between each meal or snack. 263 - Child Present Served Discussed 922 KAR 2:120 - Section 9 (2) A child present at meal or snack time shall be served. 273 - Individual Portion Discussed 922 KAR 2:120 - Section 9 (12) An individual portion of food served to a child or adult shall not be served again. 275 - Drinking Water Discussed 922 KAR 2:120 - Section 9 (14) Drinking water shall be freely available to a child. 277 - Parent provided formula/breast milk 922 KAR 2:120 - Section 9 (16) A parent who provides formula or breast milk to the center for the child shall prepare the liquid and label its container. 1) Prepared Discussed 2) Labeled Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 40 Web site: http://chfs.ky.gov/ Inspection Report Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 1) Identification Information Discussed 2) Parent Contact Information Discussed 3) Physician Contact Discussed 4) Designated Pick-up Discussed 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History Discussed 2) Emergency Authorization Discussed 98 - Immunization Certificate Discussed 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (3) Except as provided in KRS 214.036, a current immunization certificate showing that the child is immunized pursuant to 902 KAR 2:060, placed on file within thirty (30) days of enrollment; 99 - Documentation for Off Premise Trip Discussed 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; Written Documentation 27 - Notification of changes 922 KAR 2:090 - Section 5 (12) Changes to a child-care center as listed in 922 KAR 2:110, Section 6(4), (5), and (6) shall be: (a) In writing to the cabinet or its designee; and (b) Signed by each owner listed on the license. 1) In Writing Discussed 2) Signed by each owner Discussed 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 37 of 40 Web site: http://chfs.ky.gov/ Inspection Report 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Discussed 2) Departure Discussed

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.