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

General: Review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that the center's employment roster contained the names of several staff that the staff in charge identified as no longer being employed at the center. The aforementioned former staff were still listed as "employed" on the KARES roster. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General:Documentation verifying that a staff member hired on 09/26/22 had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the Early Care and Education Training Records Information System (ECE-TRIS) revealed the following: 1) A staff member (DOH 06/13/16) had last completed Pediatric Abusive Head Trauma (PAHT) training on 06/20/17, which had passed its five (5) years renewal date at the time of the inspection. 2) A staff member (DOH 09/26/22) had last completed PAHT training on 02/16/16, which had passed its five (5) years renewal date at the time of the inspection. 3) An employee (DOH 10/01/22) had last completed PAHT training on 02/12/17, which had passed its five (5) years renewal date at the time of the inspection. 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 Children's Records In Compliance Written Documentation 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 interview and review of documentation, a current, written professional development plan for a staff member (DOH 06/13/16) was not presented for review upon request. Posted Documentation In Compliance Animals 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, the surveyor found that a staff’s (DOH: 05/03/16) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. During interview with staff-in-charge, she stated that she was not aware that she needed to keep a professional development plan on file for herself. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 06/13/16) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 05/03/16) obtained eleven and one-half (11 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3, A staff (DOH: 06/16/16) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 06/20/17; therefore, the training was not completed within the last five years. 4. A staff (DOH: 11/08/21) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 09/15/16; therefore, the training was not completed within the last five years. 5. A staff (DOH: 09/26/22) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 02/16/16; therefore, the training was not completed within the last five years. 6. A staff (DOH: 10/01/22) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 12/02/17; therefore, the training was not completed within the last five years. 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 Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children's (DOE:12/09/21, 08/10/21, 08/10/21, 11/11/20 and 01/28/19) files did not contain the contact telephone number for the child’s preferred hospital. 2. A child's (DOE: 08/10/21) file did not contain the contact telephone number for the child's preferred family physician. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, three (3) staff members hired 04/17/18, 04/04/16 and 11/05/19, did not have an annual written performance evaluation on file for review. 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 interview and review of documentation, staff member hired 04/04/16, completed five and one-half (5 ½) of the fifteen (15) hours of cabinet approved training hours during their subsequent year of employment. In addition, staff member hired 11/05/19, completed one and one-half (1 ½) of the fifteen (15) hours of cabinet approved training hours during their subsequent year of employment. Staff member hired 04/07/18, failed to complete the fifteen (15) hours of cabinet approved training hours during the subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 In Compliance Written Documentation 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 interview and review of documentation, three (3) staff members hired 04/17/18, 04/04/16 and 11/05/19, did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the outside of the child care center revealed there were two broken windows. The window located on the left of the building entry door had two (2) holes in the glass and it was cracked in numerous places. Continued observation of the outside of the building revealed a window on the right side of the building entry door that contained one (1) hole in the glass and the whole window was shattered on the outside. However, observation of the windows from the inside of the child care center revealed the damage to the windows did not effect the surface of the windows from the interior side.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation in the infant classroom, a small crock-pot that was utilized for warming bottles was sitting on top of a microwave with the cord plugged in. The cord was hanging loosely on the side of the small refrigerator, near an area where the toddlers were playing; therefore, making the item accessible and within reach of 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 11. Staff Requirements.

General: Based on interview and review of documentation, the staff in charge did not present verification that the record of the employee with the hire date of 06/03/2019 contained a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 staff in charge did not present verification that the staff members with the hire dates of 05/03/2016 and 08/20/2018 had met the requirement of completing one and one-half (1 ½) hours of pediatric abusive head trauma training. Continued review revealed the employees with the hire dates of 08/20/2018 and 06/13/2018 had not completed new orientation training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. 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 Food Service/Food Program In Compliance Food Service In Compliance 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 interview and review of documentation, the staff in charge did not present verification that the records for the two (2) children with the enrollment date of 06/04/2019 contained information listing 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the staff in charge 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. The plan presented was dated for 2018. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:400e. There were multiple plush and soft toys in the pre-school classroom.

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 regualtory requirements. Upon request, the director did not present fifteen (15) hours of cabinet approved training. Training could not be verified through ECE-TRIS. Interview with the director confirmed staff members employed for over a year including herself (hire date 5/3/16) and staff members with the hire dates 4/17/18 and 8/8/17, and 6/4/18 did not complete any training within the last year. Staff members with hire dates 9/12/18 and 6/4/18 did not complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 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 Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to assure compliance with background checks. Upon request, the child care director did not provide verification that the following staff members with the hire dates of 04/17/2018, 06/04/2018, 06/13/2018 and 09/08/2017 had completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. The staff members with the hire dates of 04/17/2018,06/04/2018 and 09/18/2017 were observed working alone. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Upon entry into the center at 09:00 a.m., observation in the infant classroom revealed there were six (6) children present, who ranged in age from six weeks to two years of age, with one (1) staff. In the two to three-year-old classroom, there were thirteen (13) children present with one (1) staff. At 09:15 a.m., an additional staff member arrived. The center then was in compliance with the staff to child ratios. General Administration In Compliance Director Requirements 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 8. General.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care center director did not present verification of a current copy of the administrative regulations. Employee Records 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 11. Staff Requirements.

General: Based on documentation review and interview, 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 record of the employee with the hire date of 09/08/2017, contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Upon completion of the diaper change in the toddler classroom, the staff member did not assist or prompt the child in hand washing procedures after the diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the child with an unknown date of enrollment had an enrollment record to contain identifying information, contact information, preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency. 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 submitted to the local emergency management team within the last year. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 premises in accordance with regulatory requirements. Observation of the new addition of space in the child care center revealed a room divided by a changing table, a gate and toy/book shelves. Interview with the child care center director revealed the section of the room farthest from the bathroom is the Infant classroom and the other side is the Toddler classroom. The diaper changing table in the Infant classroom was not observed to be adjacent to the sink of the closest area bathroom. It would be necessary for staff to touch surfaces, after each diaper change, in order to enter the bathroom to wash their hands. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the child care center entrance ways to the Toddler and Infant classrooms revealed gates used to prevent access to outside areas by the children in each classroom. The gates installed were not designed or positioned to guard against entrapment or situations that could cause strangulation. In addition, the white wooden fence, which lead into the Infant classroom, contained roughly edged and splintered surfacing, with large gaps between each connected piece of wood. The wooden gate which lead into the Toddler classroom was approximately six (6) to seven (7) inches above the floor. Each gate was determined to be an entrapment hazard for the children in each classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the temperature measuring device in the Infant classroom refrigerator revealed a temperature of forty-six (46) degrees Fahrenheit. Interview with the child care center director revealed bottles and milk for the children in care would be stored in the refrigerator.

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, a tuberculosis verification for a staff member hired on 4-23-15 was not presented.

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, fifteen (15) annual hours of cabinet approved early education training was not presented for review for the staff members with the following hire dates: three staff members hired on 5- 3-16 and one staff member hired on 6-13-16. Upon request, documentation of staff members hired on 6-13-16 and 6-21-16 completing cabinet approved orientation traininig within the first ninety days of employment was not presented. Upon request, documentation for staff member hired on 6-13-17 completing Pediatric Abusive Head Trauma training within the first year of employment was not presented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to assure programming in accordance with regulatory requirements. An infant was sleeping in a crib with a pacifier attached to her clothing with a pacifier clip. 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 on a shelf were bottles of All Purpose Cleaner, Comet and Febreze (all of which indicated Keep Out of Reach of Children). The cleaning supplies were within reach of the three and four year old children in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. In the toddler classroom, off of the infant room, there was one unprotected step. Upon request, the director did not indicate that when children are in the classroom any form of protection for the step was used.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The preschool bathroom toilet contained a feces. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, it was confirmed that the children were not served bread or a bread product with lunch. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 review of daily attendance records, four parents had signed for the entire week prior to picking their children up on Monday, the date of the survey. Posted Documentation In Compliance Animals Not Applicable

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 regulatory requirements. Review of record for staff with a hire date of 05/03/16 and two employees with dates of hire 06/13/16 revealed no documented evidence of six (6) hours of cabinet approved orientation within the first three (3) months of employment. Exit interview with the child care center director revealed acknowledgement of deficient practice. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the child care center's posted menu revealed the document was not dated to determine if the document was current. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of child care center fire drills revealed the child care failed to conduct their monthly drill for the month of August 2016. Exit interview with the child care center director revealed she thought the fire drills were conducted on a quarterly basis.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom located in the infant room revealed the ventilation fan was not in working order at the time of the survey. Hygienic Practices 595 - Child Personal Care/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (4) A child shall: (a) Be helped with personal care and cleanliness based upon their developmental skills; and (b) Wash his or her hands with liquid soap and warm running water: 1. a. Upon arrival at the center; or b. Within thirty (30) minutes of arrival for school-age children; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 600 - Staff Hygiene/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child’s or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 605 - Staff Communicable Disease Discussed 922 KAR 2:120. Section 3. General Requirements. (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 610 - Diapers/Clean Clothing Supply Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 615 - Training Chair Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (7) If a toilet training chair is used, the chair shall be: (a) Used over a surface that is impervious to moisture; (b) Out of reach of other toilets or toilet training chairs; (c) Emptied promptly; and (d) Sanitized after each use. 620 - Soiled Diapers/Clothing Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day.

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. Observation of the playground revealed nails and screws protruding from the fence. Continued observation of the playground revealed two (2) large holes that the surveyor tripped in; therefore causing a foreseeable hazard.

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. Observation of the playground revealed a wooden fence with two missing slates. Interview with the director revealed the deficiency is in the process of being addressed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed the ventilation was not in working order at the time of the survey. Interview with the director confirmed that the ventilation was not in working order at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.