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

General: Based on observation, of the infant/toddler classroom, there was one (1) large bottle of Purex laundry detergent, and one (1) can of Febreze air freshener sitting on the floor under the hand washing sink, accessible to children. Review of the labels on the items revealed the statement “Keep out of the 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 review of documentation, the personnel file for a staff member (DOH: 10/16/23) did not contain an annual written performance evaluation. Upon request, the evaluation was not presented.

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 of the sinks, the following was found: Preschool Room 1) The hot water measured one hundred thirty-seven (137) degrees Fahrenheit. Boy’s Bathroom 2) The hot water measured one hundred twenty-five (125) degrees Fahrenheit.

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, of the outdoor play area, there was no protective surfacing under and around a small plastic climbing structure.

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, the personnel file for a staff member (DOH: 10/16/23) did not contain an annual written professional development plan. Upon request, the professional development plan was not presented for review.

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, current results of a negative tuberculin (TB) test or a statement from a healthcare professional verifying that a staff member (DOH: 10/01/07) was free from active TB were not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel record for a staff member (DOH: 10/16/23) did not contain documentation verifying completed training on first aid and cardiopulmonary resuscitation (CPR). Review of ECE TRIS did not verify that the training had been completed. 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 4. Premises Requirements.

General: Based on observation, the following was found: 1) The window within the Boy's restroom contained a lengthy crack and two (2) small areas of circular-shaped damage. 2) The window sill within the Boy's restroom contained an accumulation of cobwebs and other debris. 3) The ceiling-mounted vent within the Girl's restroom contained an accumulation of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the Galanz refrigerator within the Infant classroom contained a thermometer which read, "fifty (50)" degrees Fahrenheit.

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 Hotpoint freezer within the kitchen contained a thermometer which read "ten (10)" degrees Fahrenheit. Food Service In Compliance 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: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, a written professional development plan for a staff member (DOH: 04/10/18) was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

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: Documentation verifying that lockdown/shelter-in-place drills had been conducted quarterly was not presented for review upon request. The staff in charge reported that the drills had been conducted, but not documented. Posted Documentation 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on review of documentation, the proper method of diapering was not posted near the changing area within the Infant classroom. Animals 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, staff member with hire date of 4/10/2018, did not have record of a current annual performance evaluation on file at the time of review. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 1 of 2 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, two children with enrollment dates of 5/31/2022 and 7/25/2022, did not have a family physician or contact information listed on the enrollment form at the time of review. Five (5) children that had family physician listed, did not have contact information for the physician on the enrollment form at the time of review. 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 observation, a staff member with the hire date of 4/10/2018, did not have a written annual plan for child-care staff professional development at the time of review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, a caregiver hired on 06/02/22 did not have an out of state background check from Nevada. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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, a caregiver hired on 10/01/07 had TB documentation dated 07/19/18 which is no longer current. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance 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, two (2) children enrolled on 07/08/22 had an immunization certificate with no expiration date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) children enrolled on 07/08/22 did not have allergies and a physician 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 interview and review of documentation, two (2) caregivers hired on 09/24/18 and 10/20/19 respectively did not have a written annual professional development plan on file.

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, monthly practiced fire drills were conducted with the dates and times. However, the fire drill conducted on July 1, 2022 did not document the names of children who participated. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable

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 review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of staff files failed to reveal an annual performance evaluation assessing each staff member's interaction with children in care and classroom performance for staff members with hire dates of 10/20/19 and 4/10/18. Interview with staff in charge revealed the documentation was not available at the time of the survey. 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, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-Tris report failed to reveal verification of completion of Pediatric Abusive Head Trauma (PAHT) traiing for a staff member with a hire date of 10/20/19. Interview with staff in charge revealed the documentation was not available at the time of the survey. Further review failed to reveal that the staff member with a hire date of 10/20/19 had completed orientation training within the first three (3) months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, the child care center failed to comply with regulatory first aid requirements. Based on observation, the surgical tape was not maintained in a sanitary manner. The tape appeared dirty and discolored. 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 the outdoor play area. Observation revealed no protective ground covering. 922 KAR 2:120 section 4 requires a protective surface be provided for outdoor play equipment used to: climb; swing; and slide and have a fall zone equal to the height of the equipment. A review of documentation revealed surveys conducted on: 1/10/14, 1/22/15, 2/7/17 and 2/22/18 found the protective covering to be insufficient. 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 the equipment in accordance with regulatory requirements. A red shelving unit located in the preschool classroom revealed peeling red paint on the bottom of the unit. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 8. Kitchen Requirements.

General: The child care center failed to comply with regulatory food service requirements. Based on observation the child care center failed to have adequate ventilation to outside air in the kitchen.

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 review of documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. A review of documentation failed to reveal a current menu. The menu posted on the kitchen door was dated December 2020. Children's Records In Compliance 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 review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a current evacuation plan in the event of a fire, natural disaster, or other threatening situation which may pose a health or safety hazard for a child in care. Staff in charge could not locate the plan recently submitted to the emergency management.

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 and review of documentation, the child care center failed to maintain regulatory written requirements. A review of documentation failed to reveal a current chain of command. The chain of command presented revealed staff members who were no longer employed at the center, per interview with the staff in charge.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation including staff files failed to reveal an annual plan for professional development for all staff members. Interview with staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 interview and review of documentation, the child care center failed to comply with posting regulations. A review of postings failed to reveal the most recent statement of deficiency issued by the cabinet to the provider and the plan of correction submitted by the provider to the cabinet. The SOD/POC posted failed to be complete, only containing a partial report. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with emergency regulations in KAR 922 2:415E. Emergency regulations require facial coverings on all adults in the center. Staff members wore masks failing to cover their noses at all times.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that a copy of job descriptions had been maintained.

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. Upon entry into the two-year–old classroom there were eight (8) children present with one (1) staff. Interview with the staff revealed the children ranged in age from one to five years old. Therefore not maintaining the staff to child ratios. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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 interview and review of documentation, the child care center failed to comply with regulatory requirements.Upon request, the staff in charge did not present verification that the child care center maintained current liability insurance coverage.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 02/09/2020 AND AS OF 03/07/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 8. General.

General: Based on interview and review of documentation, the child care center staff in charge failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification of a current copy of the administrative regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center staff in charge failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year.

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 interview and review of documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of the evaluation assessing the staff person's interaction with children in care and classroom performance for the staff with the hire dates of 04/10/2018,07/20/2017 and 05/30/2015.

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 interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification that the child care center had coordinated at least one (1) annual activity involving parental or family participation. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge, did not provide verification that the employee with the hire date of 03/15/2019, had a personnel file to include: name, address, date of birth, and date of employment, and proof of educational qualifications. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employees with the hire dates of 10/20/2019 and 03/01/2019 contained a copy of a High school diploma, a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records for the employees with the hire dates of 10/20/2019 and 12/10/2019 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record for the child with the enrollment date of 09/30/2019 contained information listing the name of a 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 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employee with the hire date of 07/20/2017 reviewed had met the requirement of Fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment. Review of the ECE-TRIS training system indicated the above-mentioned employees had not met the requirement. Continued review revealed that the employees with the hire date of 03/15/2019 had not completed new employee orientation training within the required timeframe. Review of documentation in the ECE-TRIS training system revealed the above-mentioned staff members listed above had not met the requirement. 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 observation, the child care center failed to comply with programming requirements. Upon entry into the child care center, a school-age child was observed sitting at a table with his coat on waiting on his school bus to arrive. The child remained at the table with no activity for sixty minutes. Therefore, the child remained in a prolonged sitting position awaiting an activity. 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 premises in accordance with regulatory requirements. Observation in the school-age classroom revealed the wall near the doorway had a large area of paint that had chipped away. Continued observation in the two-year-old classroom revealed a large area where the paint had peeled away,exposing the drywall underneath. 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 3 of 6 Inspection Report 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Review of five (5) out of eight (8) sleeping mats revealed that the mats were worn with frayed edges, exposing the materials inside.

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 1999 Ford Van revealed that the front row seat had an armrest that was broken. 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 12. Transportation.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff in charge did not present verification that the child care center maintained policies and procedures to ensure staff’s duties for transportation. Food Service/Food Program In Compliance Food Service 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 9. Food and Meal Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that a menu had been completed and posted in a conspicuous place for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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 and observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that the daily attendance record for 12/09/2019 had accurately reflected the total number of children in care. The sign in sheet had one (1) child signed in. Observation revealed there were eight (8) children present.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that an annual plan for staff development had been completed for the employees with the hire dates of 04/10/2018, 07/20/2017 and 05/30/2015. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report 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 interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documents revealed the child-care center did not post the most recent statement of deficiency and the current plan of correction submitted by the child-care center to the cabinet during the current licensure year.

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 interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of a daily schedule that included the dates and times of activities are to be conducted with the children in the infant classroom. 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.

Based on review of documentation and interview with director, the child care center failed to maintain staff records in accordance with regulatory requirements. Review of staff files during renewal inspection revealed that none of the current staff members have completed the fifteen (15) required training hours verified through ECE-TRIS. 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/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals 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. Transportation.

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. The first aid supplies were dirty and failed to contain a flashlight.

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, the child care center director failed to assure compliance with regulatory requirements. In the girl's bathroom, a toilet plunger was observed next to the toilet, accessible to the children. 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 9. Records.

General: Based on review of documentation, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon review of a file for a staff member hired on 5-13-2008, the file failed to contain the second page of the two page child abuse and neglect check. Upon request, this document failed to be presented at the time of the survey. The director failed to assure that employee background checks were maintained in employee files. Observation revealed that this staff member was alone with a one year old child in the infant/toddler classroom. An employee file including a completed criminal records check, child abuse and neglect check or educational requirements for a staff member hired on 7-7-11 failed to be presented at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, verification of regulatory educational requirements for a staff member hired on 8-2-17 failed to be presented.

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. Upon request, current TB verification for a staff member hired on 7-1-11 was not presented.

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 observation, the child care center failed to maintain employee records in accordance with regulatory requirements. On the morning of 1-23-18 the child care center failed to have a staff member certified in CPR and First Aid present at the center when four children were present at the center. On 2-22-18, at the time of the center van inspection, the director was unable to present current First Aid or CPR certification for any staff members currently employed at the center.

Open Not marked corrected in the state record

Category: health medication. 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, orientation training for a staff member hired on 7-22-17 failed to be presented; therefore, verification that orientation training was completed within the first ninety days of employment was not presented. Upon request, fifteen annual hours of cabinet approved early childhood education training were not presented for staff members hired on 5-30-15, 5-13-08, 7-1- 11 and 10-1-07. Upon request, Pediatric Head Abuse Trauma Training documentation for a staff member hired on 5-30-15 failed to be presented at the time of the survey.

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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, current CPR and First Aid certification and annual driver history report for the staff member hired on 10-1-07, identified as the center's sole driver, failed to be presented. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, the child care center failed to maintain the premises in accordance with regulatory requirements. In the preschool classroom, a staff purse was observed on a bookshelf, easily accesible to the children in the classroom. In the infant room under the changing table in a crate was plastic bags, Lysol, Glade and Disinfecting Wipes all easily accessible to the one-year-old child observed in the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 an outdoor play area in accordance with regulatory requirements. On the playground there was litter and rubbish.

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 an outdoor play area in accordance with regulatory requirements. On the playground there was a wasp nest in the elevated wooden play house. In the back corner of the playground near the elevated wooden house, the chain link fence was elevated off of the ground at least eight inches as there was a partial hole under the fence. This resulted in a foreseable hazard of a child potentially getting under the fence or getting caught under the fence by the metal links. There was also a large gap at the fence that children can get through.

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 an outdoor play area in accordance with regulatory requirements. There was no protective surface at the end and surrounding the slide and surrounding the climber to the elevated wooden house. 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. The first row of child seating in the center's van used for transportation was not adequately secured to the vehicle to prevent it from easily moving back and forth. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, insurance for the center's transportation vehicle was not presented at the time of survey on 1-23-18 or 2-22-18.

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 review of documentation and interview, child child care center failed to comply with regulatory requirements regarding transportation. The center failed to have an annual Vehicle Inspection Report for the 1999 Fort Econoline E150 twelve passenger van.

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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, pre-trip inspection documentation failed to be presented on 1-23-18 or 2-22-18.

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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, children's transportation records failed to be presented on 1-23-18 or 2-22-18. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request a current food service permit was not presented as the presented permit had expired on 12-31-17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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, the child care center failed to maintain food service in accordance with regulatory requrements. In the kitchen, on the microwave, were thawed, room temperature containers of meat loaf, macaroni and cheese and peas. Per interview with assistant director and director, these items had been set out of the freezer to thaw that morning for lunch. This is not the proper method to thaw frozen foods. The food was not cool to the touch and was room temperature, indicating that it had been sitting out for a significant amount of time.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the toaster oven revealed it to be dirty with much splatter and spills. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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. Upon request, a current immunization record for a child enrolled on 12-7-17, failed to be presented at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. 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. Upon request, a preferred hospital was not identified for a child enrolled 7-23-15. Upon request, a parent or guardian's signature was not provided on a child's enrollment documentation, enrollment date 11-20-17. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Animals 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. Animals.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory requirements regarding animals. Observation in two classrooms revealed two wall mounted fish tanks containing clean water, but no fish. Interview with center staff revealed that the center did have fish in the tanks; however, they had passed away and the center had not yet bought any fish to replace the ones that had passed away. Review of documentation and interview with director revealed that the center does not have written permission from parents for their child to have contact with the fish.

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,Interview and Observation the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the child care director did not present verification that the criminal records check (CRC) had been completed for the employees with the hire dates of 05/30/2015 and 01/26/2017. The employee with the hire date of 01/26/2017 was observed working alone in the infant classroom from 10:40 a.m. to 12:45 p.m. The employee with the hire date of 05/30/2015 was not observed working alone. Continued review revealed the director did not present verification that the employee with the hire date of 12/28/2016 child abuse/neglect check (CAN) and criminal records check (CRC) had been completed. The employee was observed working alone from 10:40 a.m. to 12:45 p.m. in the three/four-year- old classroom. 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

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 and or medication. Upon request the child care director did not present a first-aid kit that included, a First-Aid book, gauze, flashlight, adhesive bandages, medical tape, cold pack or a thermometer. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation the childcare center failed to maintain premises in accordance with regulatory requirements. The second restroom located off the three/four-year-old did not contain a ventilation system to outside air. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication 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, Interview and Observation the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the child care director did not present verification that the criminal records check (CRC) had been completed for the employees with the hire dates of 05/30/2015 and 01/26/2017. The employee with the hire date of 01/26/2017 was observed working alone in the infant classroom from 10:40 a.m. to 12:45 p.m. The employee with the hire date of 05/30/2015 was not observed working alone. Continued review revealed the director did not present verification that the employee with the hire date of 12/28/2016 child abuse/neglect check (CAN) and criminal records check (CRC) had been completed. The employee was observed working alone from 10:40 a.m. to 12:45 p.m. in the three/four-year- old classroom.

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 employee records in accordance with regulatory requirements. Upon request the child care director did not provide verification that the center had maintained a personnel file for the employee with the hire date of 05/30/2015 to include: name, address, date of birth, and date of employment, proof of educational qualifications, Tb test results, child abuse and neglect check, criminal records check and training participation.

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’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the employees with the hire dates of 05/30/2015 and 12/28/2016 records were maintained to include a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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. Upon request the child care director did not to present verification that the employees with the hire dates of 05/30/2015 and 12/28/2016 records contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

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's records in accordance with regulatory requirements. Upon request the child care director did not present verification that the staff member with the hire date of 07/07/2011 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of the TRIS training system indicated the training had not been completed. 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 the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the window located in the three/four- year-old classroom revealed the window sill, along with the border of the wall connected to the window, contained chipped, bubbling and peeled paint.

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 an outdoor play area in accordance with regulatory requirements. The climbing apparatus located on the playground revealed there was not sufficient protective surface covering the areas under the slide. Equipment In Compliance 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 12. Transportation.

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. Upon request the child care director did not present verification that the child care center maintained a pre-trip inspection on a daily basis. The child care center did not present for review that a pre-trip inspection had been conducted for the months of March, October and November of 2016, to include that the following was working and in good repair; tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel, and that the vehicle was free of debris. 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 8. Kitchen Requirements.

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request the child care director did not present verification that the child care center had a current food service permit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

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, the child care center failed to maintain food service requirements. In the infant room, there was an infant’s bottle that was not properly labeled to identify for which child the bottle was to be given. Children's Records In Compliance 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 Review of Documentation and interview the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request the child care director did not present verification that the 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 had been updated and submitted to the local emergency management team within the last year.

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. Upon request the child care director did not present for review a complete written schedule of staff working hours that included the staff scheduled to work from 06:00 p.m. to 11:30 p.m.

Open Not marked corrected in the state record

Category: recordkeeping. 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 written documentation in accordance with regulatory requirements. Upon request the child care director did not present for review verification that an annual plan for staff development had been completed for the employees with the hire dates of 05/13/2008,07/07/2011, and 05/30/2015. Posted 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 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. Upon request the child care director did not present verification of a daily schedule for the school-age classroom. Animals Not Applicable

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed verification that the center was in compliance with KRS Chapter 186 in regards to having a current license plate and registration was not presented for review at the time of survey. Interview with owner/director revealed she recently purchased the vehicle and was still in the process of obtaining the KRS requirements.

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed verification of full insurance coverage for the child care center van was not presented for review at the time of survey. Interview with owner/director revealed this documentation was not available for review at the time of survey. 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

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 Interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van and interview with owner/director revealed the middle seat belt on the first row was not operational.

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 regulations. Review of staff files revealed the center failed to have a current annual professional development plan on file at the time of survey for two (2) staff members with hire dates of 5/13/08 and 7/7/11. Interview with owner/director revealed she could not locate this documentation at the time of survey.

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 regulations. Review of documentation revealed the center failed to post information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. During interview, owner/director acknowledged this documentation was not posted at the time of survey.

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 director failed to assure compliance with regulatory requirements. Review of staff files revealed the center failed to have a current annual written performance evaluation on file at the time of survey for a staff member hired 5/13/08. Interview with owner/director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. 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 regulations. Review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 7/7/11 is no longer current as it is dated 10/6/12. Interview with owner/director revealed current tuberculin test results were not on file at the time of survey for this staff member.

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 regulations. Review of staff files and ECE- TRIS records revealed the center failed to have fifteen (15) hours of cabinet approved training on file at the time of survey for a staff member hired 7/7/11 and the owner/director hired 10/1/07. Interview with owner/director revealed this documentation was not on file at the time of survey.

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 Interview and Review of Documentation, the center failed to comply with regulatory programming requirements. Interview with owner/director revealed the center provides care for school-age children ages five-years-old to ten-years-old. Review of documentation in the School-Age Room revealed the daily schedule posted indicated that the schedule was for children ages three-years-old to five-years-old. Continued review of documentation in the School-Age Room revealed the absence of a daily schedule for school- age children. During interview, owner/director acknowledged deficiency.

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 the premises in accordance with regulations. Observation of the Three, Four, & Five-Year-Old Room revealed (1) full ceiling light was not operational and one (1) of the bulbs of another ceiling light was not operational. During interview, owner/director acknowledged deficiency.

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 maintain the premises in accordance with regulations. Observation of the Three, Four, & Five-Year-Old Room revealed the sink in the room was not equipped with hot or cold water. Interview with owner/director revealed the sink had been repaired, but she forgot to have the water turned back on.

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the center’s transportation records revealed the center failed to have documentation of the staff schedule for drivers and monitors, transportation schedule, and transportation route on file at the time of survey. Interview with owner/director revealed this documentation was not on file at the time of survey.

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the center’s transportation records revealed the center failed to have a plan for ensuring staff perform duties relating to transportation properly on file at the time of survey. Interview with owner/director revealed this documentation was not on file at the time of survey.

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 and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the center’s transportation records revealed the center failed to provide written documentation of full insurance coverage for the child care center van at the time of survey. Interview with owner/director revealed she does not have full insurance coverage for the van, only liability.

Open Not marked corrected in the state record

Category: transportation. 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 regulations. Observation of the Infant Room revealed the mini-refrigerator was soiled with a substance which appeared to be dried milk.

Open Not marked corrected in the state record

Category: nutrition. 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 regulations. Review of children’s files revealed the written record for ten (10) children with hire dates of: 6/17/10, 10/5/10, 1/8/12, 1/9/16, 1/11/16, 2/16/16, two (2) children enrolled 6/11/14, and two (2) children enrolled 6/14/15 failed to contain the name of each person who is designated in writing to pick-up the child. Interview with owner/director revealed this documentation was not on file at the time of 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 Interview and Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Interview with owner/director revealed the children went on a field trip to the Muhammad Ali Center on 6/10/15, to the movies on 6/12/15, and also to the park in 2015. Review of field trip permission forms presented for review revealed the forms signed by the parents for the Muhammad Ali Center and for the movies failed to indicate both the date and location of the field trip. Continued review of documentation revealed the center failed to present the field trip permission forms for the park for review at the time of survey. Interview with owner/director revealed she could not locate the field trip permission forms for the park at the time of survey. During continued interview with owner/director, she acknowledged that the field trip permission forms for the other two (2) field trips were not properly filled out. Written Documentation

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 Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the evacuation plan presented for review revealed the plan was no longer current as it was dated 1/25/13. Interview with owner/director revealed the plan had not been updated.

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, it was determined the center failed to comply with regulatory requirements regarding general administration, specifically zoning. The center failed to provide documentation for review at time of survey, of written documentation from the local authority showing the child-care center is in compliance with local zoning requirements.

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, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically staff evaluations. The center failed to provide documentation for review at time of survey verifying a completed annual written performance evaluation for three (3) staff members with the following hire dates: 9/15/06, 5/31/08 and 7/7/11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, it was determined the director failed to provide for the health, safety and comfort of each child. Observation revealed a smoke detector located in the infant classroom, beeping intermittently.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. The center failed to provide documentation for review at time of survey verifying one of the following: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results for four (4) staff members with the following hire dates: 9/15/06, 5/1/08, 5/31/08 and 7/7/11.

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 it was determined the center failed to comply with regulatory requirements regarding premises, specifically building requirements. The center failed to keep light fixtures in good repair. Observation revealed four (4) light fixtures located in the Two's Classroom not working.

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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diaper changing surface. Observation revealed that the diaper changing surfaces located in both the Infant Classroom, contained several large holes exposing the absorbent material beneath the protective lining.

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, it was determined the center failed to comply with regulatory requirements regarding first aid supplies. Observation revealed the center failed to have any first aid supplies available for review at time of survey.

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, it was determined the center failed to comply with regulatory requirements regarding the outdoor play area. Observation revealed the center failed to keep the playground clean; litter, such as food wrappers, plastic cups and miscellaneous papers were observed on the playground.

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, it was determined the center failed to comply with regulatory requirements regarding outdoor play area, specifically protective surface. Observation revealed the center failed to provide an adequate amount of protective surface for the following: 1. Sliding. 2. A fall zone to surround the climbing apparatus.

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, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically crib mattress/sheets. Observation revealed the center failed to provide tight-fitting sheets for three (3) crib mattresses located in the Infant Classroom. Additional observation revealed a fourth crib sheet was severely stained.

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, it was determined the center failed to comply with regulatory requirements regarding transportation. Interview revealed the center's last transportation trip was 12/4/14; however, review of documentation revealed the center failed to provide documentation at time of survey verifying a complete written record to include each time each child gets on and each time each child gets off of the vehicle for the trip.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding food service, specifically bottles. Observation revealed a bottle that had been placed atop a highchair located in the Infant Classroom, failed to be covered and individually labeled.

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 Observation, it was determined the center failed to comply with regulatory requirements regarding posted documentation. Review of documentation revealed the center failed to post information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

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 Observation, it was determined the director failed to provide for the safety of each child. Observation revealed a smoke detector in the preschool room was "chirping" for the duration of the survey. Premises

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, it was determined the center failed to keep the premises in good repair. Observation revealed a door leading to the infant room would not open completely and was dislocated at the bottom hinge.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, it was determined the director failed to provide a current copy of this administrative regulation to the staff members.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to individually label one bottle discovered in the infant room.

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, it was determined the center failed to maintain minimum staff-to-child ratios. Upon arrival to the center at approximately 9:45 a.m. on 1/10/14, observation revealed the center director getting an item out of her vehicle in the front parking lot. Upon entrance into the center, observation revealed one staff member supervising nine children ages one-three years old. Further observation revealed the director walking in and out of the classroom, leaving one staff member to supervise nine children ages one- three years old, for approximately 15 minutes until the second supervising staff member returned from her break.

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, it was determined the center failed to provide documentation verifying proof of current liability insurance. Review of documentation revealed the provided copy of liability insurance for the center failed to contain an expiration date.

Open Not marked corrected in the state record

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

General: Based on Interview, it was determined the director failed to provide documentation verifying the completion of staff evaluations for four staff members with the following hire dates: 9/2/10, 5/13/08, 9/1/11 and 6/7/11.

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, it was determined the director failed to provide for the safety of each child. Observation revealed a smoke detector in the infant room was "chirping" for the duration of the survey.

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 Interview, it was determined the director failed to provide documentation verifying the coordination of at least one annual activity involving parental or family participation. Employee Records

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, it was determined the center failed to provide a statement from a health professional verifying that a staff member hired 9/1/11 is free of active tuberculosis.

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, it was determined the center failed to provide documentation verifying the completion of 15 hours of cabinet-approved annual early care and education training for a staff member hired 9/1/11.

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, it was determined the center failed to provide documentation verifying the following for a van driver hired 9/1/11: 1. An annual check of Kentucky driver's records. 2. A current driver's license. Programming

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, it was determined the center failed to provide a variety of the following creative activities in the following areas: 1. No art, music or blocks were observed in the school age room. 2. No blocks wer observed in the preschool room.

Open Not marked corrected in the state record

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

General: Based on Observation, it was determined the center failed to limit the viewing of electronic devices to a maximum of two hours daily. Observation revealed a group of preschool children started to watch a movie at approximately 9:45 a.m. and the movie ended at approximately 11:15 a.m. However the supervising staff member allowed the chidlren to watch another children's television program until lunch arrived at approximately noon.

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, it was determined the center failed to use an electronic viewing devices as part of the planned programming. Observation revealed preschool children watching a movie and children's program between approximately 9:45 a.m.-noon. However,the classroom's lesson plan did not reflect the movie, nor did the daily schedule.

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, it was determined the center failed to keep cleaning items inaccessible to children. Observation revealed a container of "Lysol" disinfectant wipes, labeled "Keep Out of Reach of Children", in an unlocked cabinet in the preschool room.

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, it was determined the center failed to keep the walls in good repair. Observation revealed several spots of chipped and peeling paint on the walls in the school age, two's and infant classrooms.

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, it was determined the center failed to meet regulatory requirements regarding the diaper changing surface. Observation revealed a large tear, resulting in a hole on the diaper pad in the infant room.

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, it was determined the center failed to keep the playground free of litter. Observation revealed several items of trash in the back corner of the playground closest to the building.

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, it was determined the center failed to provide and adequate amount of protective surface for sliding and swinging.

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, it was determined the center failed to provide a sufficient amount of developmentally appropriate materials in the school age room. The only activities or materials made accessible to the school age children were books and board games.

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, it was determined the center failed to provide tight-fitting sheets for each of the three cribs in the infant room.

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, it was determined the center failed to provide documentation verifying the existence of 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.

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 Observation, it was determined the center failed to post each current year statement of deficiency and each current year plan of corrections.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on observation, the smoke detectors in the school age classroom were beeping due to the batteries being low.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on interview, there were no signed permission to transport forms available for review. Written Documentation 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 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 Not In Compliance Findings: General: Based on review of documentation, children were not signed back into the center after returning from school. 2) Departure Not In Compliance Findings: General: Based on review of documentation, children were not signed out of the center when going to school.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on observation, there was no current staff schedule available for review at the time of the survey. The staff in charge provided a staff schedule for review that listed an staff that was no longer employed at the center. Interview with the staff in charge confirmed that there was no current schedule available. 104 - Earthquake/Tornado Drills 922 KAR 2:110 - Section 3 (9) A written record of quarterly, practiced earthquake and tornado drills detailing the date, time, and children who participated; 1) Earthquake - conducted quarterly In Compliance 2) Earthquake - includes date In Compliance 3) Earthquake - includes time In Compliance 4) Earthquake - includes children who participated In Compliance 5) Tornado - conducted quarterly In Compliance 6) Tornado - includes date In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 42 Web site: http://chfs.ky.gov/ Inspection Report 7) Tornado - includes time In Compliance 8) Tornado - includes children who participated In Compliance 105 - Fire Drills 922 KAR 2:110 - Section 3 (10) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated; 1) Date In Compliance 2) Time In Compliance 3) Children In Compliance 4) Conducted monthly In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation a staff member with a hire date of 10/2007 did not have a copy of a current TB skin test on file at the facility. During interview the director stated she was unaware that her current TB skin test was not in the file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 5) No accident causing death In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 4) No convictions for vehicle operation Not In Compliance Findings: General: Based on review of documentation one (1) of the drivers of the facility's van had not conducted a criminal background check within the last twelve (12) months; therefore, it was unable to be determined if there had been any convictions regarding moving violations in the last twelve (12) months. During interview the director stated she was one (1) of the drivers for the facility and she was unaware that criminal background checks were to be conducted every twelve (12) months on individuals driving the center's van. Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation the food service permit that was presented during the survey revealed a date of 12/31/10. During interview the director stated she had applied for a renewal of a food service permit in 2011 but she never received it. The director stated further that she failed to follow-up on the food service permit for 2011. 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 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 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 2) Thawed at refrigerator temperatures In Compliance 3) Thawed under water In Compliance 4) Quick thawed In Compliance 5) Thawed according to food safety standards In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 34 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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 In Compliance 2) Mid-morning snack In Compliance 3) Lunch In Compliance 4) Mid-afternoon snack In Compliance 5) Dinner In Compliance 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 35 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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

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

General: Based on review of documentation a staff member with a hire date of 8/22/11 did not have a copy of a high school diploma, GED or CCCC on file at the facility. During interview the director stated she was unaware that high school diploma was not in the staff's file.

Open Not marked corrected in the state record

Open / not marked corrected.