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

General: Based on review of documentation, there were two (2) staff member (DOH 05/02/23 and 06/06/24) files that did not contain a negative TB skin test or a statement from a health professional that the individuals were free from active tuberculosis.

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 Facility License, Statement of Deficiency and Plan of Correction, Ratios, Parent Rights and Consumer Product Safety were not posted nor presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the Three-Year-Old Classroom, the surveyor found a staff member diapering a child in the classroom restroom, leaving twelve (12) additional children alone in the classroom. The staff member could not observe all the children in the classroom while changing a diaper in the restroom. There were no other staff present in the classroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation of the restroom for the four- and five-year-old children, the surveyor found a toilet cleaner brush had been placed next to a toilet. The brush was accessible to children in the classroom. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 review of documentation, the surveyor found six (6) staff member's (DOH: 09/09/24, 02/14/23, 02/22/22, 05/02/23, 08/25/22, 06/05/24) files that did not contain education documentation.

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 review of documentation, there were five (5) staff members (DOH 09/09/24, 02/14/2023, 01/24/2023, 08/25/22, 06/05/24) that did not have evidence of completing Cabinet-approved CPR training.

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 observation, 1) Staff members (DOH 09/09/24, 02/14/23, 08/25/22, 06/06/24) did not have evidence of completing Cabinet-approved Orientation training. 2) Staff members (DOH 02/14/23, 02/22/22, 08/25/22, 06/05/24, 04/19/14) did not have evidence of completing Cabinet-approved Pediatric Head Trauma training. 3) Staff members (DOH 09/11/11, 08/29/22, 02/14/23, 02/22/22, 01/24/23, 08/25/22) did not have the fifteen (15) hours of early care and education training recorded on ECE-TRIS for the review period of 07/01/23 – 06/30/24. A review of ECE-TRIS supports these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a wax warmer was in the Toddler Room restroom, the warmer was plugged into an outlet and accessible to the children.

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 wallpaper on the half wall in the Four- and Five-Year-Old Classroom was peeling and partially removed. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a child in the Infant Classroom was asleep in a carseat with a pacifier clip and bib was attached on the child. Staff stated that the infant had been in the carseat for five-to-ten (5-10) minutes. 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 review of documentation, 1) One (1) child's file did not list a preferred hospital. 2) One (1) child's file did not list a preferred physician. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of KARES and staff files, the surveyor found: 1. A staff member (DOH: 06/12/12) was not listed in the child care center’s KARES report; the KARES Applicant History Report stated “No records matched your search criteria” when the surveyor searched for the staff member by name. The staff member’s file contained a document titled KY KARES Final Results; the document read “The form can be printed and stored in the applicant’s foster and/or adoption file to verify the person’s registry results as of this date”. There was no evidence the individual completed background checks through the KARES system. 2. A staff member (DOH: 11/02/18) was not listed in the child care center’s KARES report; the KARES Applicant History Report stated “No records matched your search criteria” when the surveyor searched for the staff member by name and date of birth. The staff member’s file contained a document titled Administrative Office of the Courts; the document read “Courtnet Criminal History Report”; however, there was no evidence the individual completed background checks through the KARES system. 3. A staff member (DOH: 09/01/22) was not listed as a current employee in the child care center’s KARES report; the KARES Applicant History Report listed the application as separated on 10/10/23. The staff member’s file contained the results of a background check for a child care staff member; however, the Applicant History Report listed fingerprints taken on 09/02/22 and criminal history response received on 09/03/22. The individual became a staff member on 09/01/22, prior to receiving the results of the criminal background check. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/26/2024 AND AS OF 07/08/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 multiple interviews, the surveyor learned that an eight-month-old child was placed in a small wooden chair for children. The chair was located on the floor. The eight-month-old child was not buckled in the chair properly and slipped downward off the seat approximately six (6) inches. During interview, the staff confirmed that she either failed the strap the child into the chair or failed to properly strap the child into the chair. Therefore, the health, safety, and comfort of the children was compromised.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interviews and review of the documentation, the surveyor found that on 04/08/24, it was reported to child-care staff that a twenty-two-month-old child was lying on her cot, then a staff person allegedly flipped the child over, roughly, onto her stomach then spanked the child. The child care center staff conducted an “internal review” on 04/08/24 and 04/09/24 and determined that “the classroom in question will remain intact at this time.” The child care center failed to report the alleged abuse pursuant to KRS 620.030. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews and review of the documentation, the surveyor found: The individual designated to carry out the director’s duties in the director’s absence had not been named as a child care staff member; however, the individual was acting in the role of a child care staff member. Therefore, the director failed to designate an adult staff member to carry out the director’s duties in her absence. The director reported that the individual in-charge in her absence was her supervisor.

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 interviews, the surveyor found: 1. A staff member (DOH: 06/12/12) was left alone with children in care without the results of a background check. 2. A staff member (DOH: 11/02/18) was left alone with children in care without the results of a background check. 3. A staff member (DOH: 09/01/22) was left alone with children in care without the results of a background check. The three (3) individuals were on the leadership team for the child care center and were not named as staff members; however, the three (3) individuals have performed duties in the role of a staff member by being left alone with children including covering for breaks, lunch breaks, and restroom breaks for various staff members in each classroom of the child care center. The individuals have covered for staff breaks for at least three (3) years. Staff breaks vary from two (2) minutes to forty-five (45) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 review of staff files, the surveyor found that three (3) individuals (DOH: 06/12/12, 11/02/18, and 09/01/22) who were acting in the role of child care staff members did not have TB documentation. The files did not contain a statement from a health professional that the individuals were free of active tuberculosis, or a copy of negative tuberculin results dated within the last two (2) years. Based on interview, the surveyor learned that the staff members did not have TB documentation because they work for the foster care program owned by the entity that also owns the child care center, and TB documentation was not required. The three (3) individuals without TB documentation have covered bathroom breaks, and/or breaks and lunches for various staff members in each room of the center for at least three (3) years. Breaks vary from two (2) minutes to forty-five (45) minutes. Programming In Compliance Equipment Discussed

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The plungers were stored on the floor, beside the toilets in the children’s bathroom in the Four/Five's room. This method of storage promotes the spread of germs and bacteria. 2.) Chairs were stacked up in the Three's room posing a tipping and falling hazard for children in care. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 review of documentation, the following was found: 1.) Two staff members hired on 2/8/2017, and 2/7/2022, did not have evidence of completing 15 hours of annual early care and education training on file. 2.) A staff member hired on 10/24/2022, did not take orientation training within three months of employment. The course was taken 2/16/2023. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) A staff member's personal bag was on the floor in the Four/Five's room. The bag was open, and bottle of medication (Ibuprofen) was in it, at the top of the bag. This medication was visible and accessible to the children in care. 2.) The laundry room that is accessible from the Four/Five's room did not have a door and there was laundry detergent on the shelf that was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the wall was chipped and contained peeling paint in the Four/Five's room by the laundry 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, there were no paper towels in the bathroom that the children use in the Four/Five's room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the water temperature at the bathroom sink in the Four/Five's room was 64 degrees Fahrenheit. Children use this sink for hand washing. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a staff member's personal belongings, which included a bag and a keys/keychain, were on the changing table in the Two's room and were accessible to the children in care. First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, there was a wet towel on the ground on the Preschool playground. 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 cribs were not spaced 12 inches apart. Three cribs were lined up with no spacing between them while the infants were sleeping in them.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Shelves within the Three's and Four/Five's rooms had excessive tape residue that had accumulated dirt. 2.) The paint was peeling off of the changing table and a toy shelf within the Two's room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a wall mirror in the One's room was cracked on the upper left corner. Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the children bring their own lunch and facility did not have whole milk to substitute if children ages 12-24 months do not bring the appropriate milk. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the daily planned program of activities (lesson plan) without the dates was posted in the Three's and Infant rooms. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the mats being used in the toddler 1 classroom were in disrepair. The foam was exposed, which leaves to mats unable to be properly cleaned and sanitized. Transportation In Compliance Kitchen 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 observation, there was a set of stacked chairs in the preschool classroom. This poses a safety risk to the children in the classroom, as the chairs could tip over. 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 review of documentation, one staff hired on 2/7/22, did not have evidence of education on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a nine-month-old child was using a blanket at nap time in a crib. No loose bedding, such as a bumper or a blanket; and no toys or other items except the infant’s pacifier are allowed in a crib. 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 bathroom located in the Toddler 2 classroom had a lot of clutter in and around the sink. Children have to walk through the clutter in order to get to the toilet and could not use the sink for washing hands. Based on interview with the teacher, the children in this classroom are currently potty training. They did have another sink in the classroom to use.

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 following was found: 1.) The wall in the preschool bathroom was in disrepair and had areas of mold and dust. 2.) The ceiling in the preschool classroom had excessive dust around the ceiling fans. 3.) The walls in the toddler 1 classroom had excessive areas of spackling, which had not yet been painted over. Hygienic Practices 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 3. General Requirements.

Based on observation, the surveyor never witnessed the teacher in the preschool classroom wash her hands before or during food prep. The teacher was removing items from multiple lunch boxes and placing them on paper plates for the children, including but not limited to, opening a banana and removing the peeling before placing on a plate. It should be noted that the teacher was not wearing gloves while preparing meals. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment 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 8. Kitchen Requirements.

General: Based on observation, the refrigerator in the toddler 1 classroom was registering at about 45 degrees on the thermometer. The refrigerator is being used to store children's food and milk. 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 Drink Requirements for All Child-Care Centers.

General: Based on observation, the lunches for the preschool classroom were being prepared in the classroom on a cluttered, unclean countertop. The surveyor never witnessed the teacher disinfect the counter before preparing the lunches. 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 3 of 4 Inspection Report 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, one child enrolled on 8/14/18, did not have physician contact information on file at the facility. Written Documentation 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 review of documentation, there was no evidence of an orientation policy for staff on file at the facility. 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 10. Director Requirements and Responsibilities.

General: Based on observation, the posted daily activities in Infant Room #1 did not have a date and times of day the activities would be conducted. Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the copy of the regulations available for staff did not include 922 KAR 2:120. 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 review of documentation, and ECE-TRIS records, a staff person hired 9/28/2020, and staff person hired 10/5/2020, did not have evidence of having completed six hours of cabinet-approved orientation training within the first three months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 3. General Requirements.

General: Based on observation and review of documentation, the children in the Pre-K Room were observed watching television. A review of the posted daily schedule and the posted lesson plan did not show documentation that television viewing was part of the planned program of activities.

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, at the time of the survey, children in the Pre-K Room were observed watching television. One of the children was eating while he watched the program. An interview with the staff person in charge found that the child attends another program in the afternoon and must eat before he leaves the facility. Premises Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during a tour of the Pre-K Room, an electrical outlet was observed in the area located by the art easel. One of the receptacles did not have a plug cover.

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 during a tour of the facility, the following was found: 1) Chipping and peeling paint that exposed the drywall beneath was found in the bathroom located in the Pre-K Room. Several holes were also observed in the wall by the toilet. 2) Chipping and peeling paint that exposed the drywall beneath was found in Infant Room #2.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, a roll of toilet paper was observed stored on the top of the handicap rail beside the toilet in the bathroom located in the Toddler Room. This is an unsanitary method of storing toilet paper. Staff indicated that the children in the room are not toilet trained and do not use the toilet.

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 review of documentation, the toilet located in the bathroom in the Toddler Room had an accumulation of debris around the inside of the toilet bowl. Staff indicated that the children in the room are not toilet trained and do not use the toilet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 11. Toys and Furnishings.

General: Based on interview, it was found that not all staff follow the same process of cleaning and sanitizing toys mouthed by children not toilet trained. Some staff stated toys are put in bleach and sprayed with Lysol at the end of the day. These processes do not meet the requirement as specified in this regulation. 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 during a tour of the outdoor play area, there were two climbing structures with slides, steps and swings. The mulch underneath each of these structures was sparse and exposing the plastic ground cover beneath. 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 4. Premises Requirements.

General: Based on observation during a tour of the outdoor play area, a Little Tikes play structure with swings and a slide was found to be unstable and was not securely anchored in the ground.

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, two nap mats in Infant Room #2 were split down the side exposing the foam. This does not allow the mats to be cleaned and sanitized properly. It should be noted that the children enrolled in this room are one-year-old.

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, a blue vinyl chair in the Pre-K room had areas where the cushion was worn and torn exposing the mesh beneath. This does not allow the surface to be properly cleaned and sanitized. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Food Service/Food Program 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 interview and review of documentation, the posted snack menu for the week had Veggie Straws listed as the snack to be served the afternoon of the survey. Veggie straws do not meet the requirements as a component for snack. The first ingredient is potato starch. The label on the package does not state that the product contains a serving of vegetables. There were no other items listed to be served for snack. The staff person in charge indicated that 100% juice is served with snack. 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, the following found: 1) One child's enrollment information had the name of a clinic listed as the preferred hospital. The regulation specifies that a preferred hospital be listed. 2) One child's enrollment information did not include permission for emergency care, physician contact number, preferred hospital, medical history and an authorized pick-up list. 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 date of 1/4/2020, was listed on the front of the written evacuation plan. There was no documentation verify that the written evacuation plan had been submitted to local emergency management for approval. The staff person in charge indicated nothing had changed since the last time the plan was submitted. It was also found that there was no evidence that a plan had been submitted for the year 2021.

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 names of the children who participated in earthquake, fire and tornado drills conducted in portions of the year 2020 and the year 2021 was not documented. A note was written in the file that read, see attendance sheets. However, those attendance sheets were not attached to the document and not available for review at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the children's bathroom in the two-year-old classroom, the surveyor found that the roll of paper towels that the children use in the bathroom area is stored in a unsanitary manner; sitting on the sink counter. The surveyor observed a female child washing her hands in the bathroom during the visit. After the child washed her hands, she reached for the roll of paper towels and knocked it off onto the floor. The staff person in charge stated during interview that they typically use the paper towel dispenser on the wall; however, indicated that she currently did not have paper towels to fit the dispenser. Employee Records In Compliance Programming In Compliance 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, this regulatory requirement was not met. During a tour of the Preschool Classroom, the surveyor observed a small tear in the dry wall and purple crayon marks on the wall beside a window. 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: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the facility, the surveyor noted one toilet in the bathroom in the two-year-old classroom and one toilet in the bathroom in the room currently being used as an infant classroom. The bathroom in the room currently being used as an infant classroom was unusable because it was completely full of various items such as boxes, a child-size chair, and several vinyl climbing mats. This left only one toilet available for the children to use. Since the facility has a licensed capacity of 33 children, the facility is required to have a minimun of 2 toilets for children's use. The surveyor observed 22 children present at the facility during the visit. The staff person in charge stated during interview that the items being stored in the bathroom would be moved in a few days when the previous infant classroom repairs are finished. 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 Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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, this regulatory requirement was not met. Interviews with staff found that on 7/9/19 a five-year-old female child remained at the facility after 5:00 p.m. which is when the facility closes each day. One (1) staff person remained with the child and made attempts to reach the child's parents and other emergency contacts listed for the child. Additional staff who were not present at the facility also made attempts to reach the child's parents and emergency contacts. At approximately 5:57 p.m. the child's mother contacted the facility and stated she had fallen asleep and slept through her alarm. She also stated she could come and get the child and indicated she would notify the child's father she would be picking up the child. The child's mother arrived at the facility sometime between 6:40 and 6:45 p.m. The staff person stated she thought the mother’s breath smelled different and had a mint stench or smell. The staff person also stated the mother stumbled over some laundry baskets that were in the area. The mother then went out the door of the facility and left with the child. The staff person stated she did not look outside to see if the mother was driving the car or if someone was with her. The staff person admitted she had concerns with the behavior the mother exhibited while at the facility but allowed the mother to leave with the child. A review of the facility's policy for pick up found if there are concerns that a parent may be under the influence of drugs or alcohol staff cannot withhold a child from a parent but should delay the parent and contact another emergency contact to pick up the child. The policy also indicates that staff should notify the local police and Child Protective Services. A review of the pickup policy in the parent handbook found that the policy indicates that the facility can deny release of a child to an individual if the staff are concerned the individual is under the influence of drugs or alcohol. An interview with the staff person who stayed with the child found the only policy she was aware of was that staff could not keep a child from a parent regardless of their condition. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, this regulatory requirement was not met. An interview with staff found that the facility closes at 5:00 p.m. each day. Further interview with staff found that on 7/9/19 a five-year-old female child remained at the facility after 5:00 p.m. because no one had arrived to pick up the child. A review of daily attendance sheets documenting the time of arrival and time of departure for each child found there was no documented time of departure for this child. Therefore, it could not be determined how long the child remained in the care of the facility after 5:00 p.m. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, it was found that one (1) staff did not complete the required fifteen (15) hours of cabinet approved training. The date of hire for this staff is 02/16/2017. A review of ECE-TRIS confirmed this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, it was found during a tour of the toddler room that there was coffee pot and a jar of coffee grounds accessible to the children in care. These items were on a mini refrigerator in the classroom. There was also a travel mug with coffee in it on top of a shelf in the classroom that was accessible to the children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the following was found: 1.) There were two (2) holes in the wall in the bathroom of the toddler classroom. These holes were on the wall to the left of the handwashing sink. 2.) In the preschool room, there was an area of the wall next to the tree in the reading area that had peeled and chipping paint. 3.) The window sill in the infant two classroom had areas of missing and chipped 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, it was found that the toilet paper was being stored on top of a shelf in the bathroom in the toddler classroom. This is not a proper method of storage. 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, it was found that the playground did not have adequate ground cover at the time of the survey. 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 11. Toys and Furnishings.

General: Based on observation, the following was found: 1.) There was a white shelf in the library center of the preschool classroom that had contact paper on the top. The contact paper was peeling away from the shelf. 2.) There was a green padded mirror in the toddler classroom that was in disrepair. 3.) There was a green and blue padded climber toy in the infant two (2) classroom that was ripped and torn.

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, it was found that the trash can in the preschool bathroom was broken at the top where the hinges of the lid were. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found during a tour of the infant room that there was one (1) uncovered bottle. as well as two (2) unlabled bottles. 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, it was found that two children's files did not contain a preferred hospital on the enrollment paperwork. The dates of enrollment for these childre are 01/02/2018 and 04/06/2018. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that the handwashing procedure was not posted in the toddler bathroom. It is important to note that the handwashing procedure was posted in the classroom by the handwashing sink. HSS asked if that bathroom was ever used by the children and it was reported that it was sometimes. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) employee with a hire date of 12-7-2017 did not have the required out of state background checks completed. According to the CA/N check, the employee resided in California and Michigan but no criminal background checks for those states were found in the employee file. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Review of Documentation, it was found that one (1) employee with a hire date of 5-6-2016 did not have the required proof of education located in their employee file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of ECE-TRIS that two (2) staff members did not have the required hours of training. Employee with a hire date of 01-02-01 had three (3) hours of training for the required twelve (12) month period. Employee with a hire date of 1-28-94 had seven and a half hours (7.5) of training for the required twelve (12) month period. 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 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, it was found through a review of eight (8) staff files that two (2) staff files did not have evidence of a staff evaluation. Employee Records In Compliance 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, it was found that in the Infant classroom there were several areas of chipped paint along the walls and window sill. It was also found that there was several areas of chipped paint on the walls in the Toddler classroom. In the Pre-K 1 classroom there was observed to be dust hanging from the ceiling and stains on the bathroom door used by the preschool children for toileting and hand washing. In the restroom in the hallway used by the children for toileting and handwashing, there was observed to be a substantial amount of dust on the vent. 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: 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 found that the hot water temperature in the Toddler classroom registered 130 degrees Fahrenheit. 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, it was found that a child in the Pre-K 1 classroom did not have his hands washed after having his nose wiped.

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 found that there was dirt and debris under the diaper changing pad in the Infant classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, on 5/5/16 eight (8) children were not signed in or out with an arrival time or a departure time on the facility attendance sheets. The director acknowledged this information during interview.

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, staff hired on 06/09/14 had only eleven (11) hours of cabinet approved training on file. Staff hired on 04/29/14 and 04/11/15 had only thirteen and one half (13.5) hours of cabinet approved training on file. This information was confirmed through ECE-TRIS website.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there were several ceiling water stains found in the two (2) year old classroom.

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 black weed cloth was showing through the mulch in several areas on the playground. A wood plank on the deck leading out to the playground was not securely attached to the ground. The plank was sticking up approximately one (1) inch higher than the rest of the planks. Both observations could pose tripping hazards. The staff person in charge acknowledged this finding and stated repairs would be made.

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, a toddler slide and swing combo was sitting on grass up next to the building. There was mainly mulch under all of the swings on the playground. The staff person in charge acknowledged the finding.

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 registration for the daycare van could not be located at the time of the survey. The staff person in charge stated that the facility has the documentation and it would be sent in with the plan on correction.

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, there was no CPR mouthpiece in the first aid kit on the daycare van. The staff person in charge acknowledged this finding.

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 annual vehicle inspection documentation for the daycare van could not be located at the time of the survey. The staff person in charge stated that the facility has the documentation and will send it in with the plan of correction.

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, there was only 2% milk found in the refrigerator at the time of the survey. The facility is licensed for infants through school age children. The staff person in charge acknowledged the finding and stated that a change would be made.

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, there are fish present in the preschool classroom. Ther is no written parent pemission forms to allow the children to be in the presence of the fish. The staff person in charge stated that there is written permission slips but she was unable to locate them at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the individuals responsible for transporting the children for trips did not have evidence of a driver history record through the stae transportation agency that issued the driver's license. The dates of hire for the staff are 01/02/2001 and 09/14/2011. Programming

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 found that the vent on the ceiling in the infant classroom was caked in dust. It was also found that there were several dust webs hanging from the ceiling in the preschool classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there was no loading/unloading procedures for the vehicle used for transporting the children.

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, it was found that a child with an enrollment date of 01/19/2015 did not have evidence of a immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a child with an enrollment date of 12/14/2012 did not have a written records of the preferred hospital.

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, it was found that there was no Kentucky Consumer Product Safety form posted.

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 Review of Documentation, it was found that there was no diaper changing procedure in the toddler classroom. Animals

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 Review of Documentation, it was found that there was no evidence of a current copy of the regulations being available to staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that there were several areas of chipped paint around the bathroom door frame and bathroom door in the preschool classroom. It was also found that there were several areas of chipped pinat on the half wall in the toddler classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the center did not have a written plan that details the type of transportation, staff schedule or transportation routs used. It was also found that the facility did not have evidence of emergency procedures practiced monthly by staff that transport children.

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, it was found that the facility did not have evidence of staff duties for those who transport.

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 found that there was no written emergency plan for evacuating the vehicle.

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, it was found that there was no written safety procedures for transporting a child, loading and unloading and providing adequate supervision of a child.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Preschool: Based on Observation, it was found that upon arrival to the facility, one (1) staff person was supervising nine (9) children ages one (1) year to five (5) years old while they were eating breakfast. The classroom was observed to be out of ratio for approximately ten (10) minutes. Once the children finished eating breakfast, they were separated into the appropriate age groups and proper ratios were restored. The required staff to child ratio when a toddler is present is one (1) staff person for every six (6) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that the facility is washing dishes and heating the children's food in the microwave. The staff person in charge also stated that the facility will cook ravioli for the children if the parents forget to pack a lunch. These activities typically require a food service permit from the local health department. There was no documentation from the local health department indicating a food service permit was not required. 255 - Food preparation utensils Not Applicable 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 1) Sanitized Not Applicable 2) Provided Not Applicable 3) Used to Minimize Handling of Food Not Applicable 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 34 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 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 Not In Compliance Findings: General: Based on Observation, it was found that the facility is washing the dishes used by the children. The dishes are being washed in the hand-washing sink located in the eating area. The dishes are also not sanitized prior to being reused. 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. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 35 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 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. 5) Dinner Not Applicable 265 - Menu Not Applicable 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 Not Applicable 2) Dated Not Applicable 3) Posted Not Applicable 4) On File Not Applicable 5) Substitutions noted Not Applicable 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 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

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Preschool: Based on Observation, it was found that the handwashing procedure was not posted in the bathroom located in the preschool classroom. This bathroom is used as a diaper changing area. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance 2) Wild In Compliance 3) Exotic In Compliance C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.