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

Based on observation and interviews, a thirty-four month old male was in the restroom by himself with staff supervising from the hallway. Interviews with staff determined that children do sometimes go to the restroom by themselves while staff supervise from the hallway.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed six (6) bottles in the Nursery Classroom's refrigerator that had no tops covering the bottles; therefore, the bottles were not covered while not being used. Food Service 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 the following: 1. A child’s (DOE: 02/14/24) file contained an immunization certificate that was no longer current after 03/07/25. Upon interview with staff-in-charge, she was unaware that the child's immunization form had expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surevyor found the following: 1. The following children's (DOE: 07/28/18, 01/07/20, 12/06/22, 12/27/23, 07/01/24, 08/19/24 and 03/18/25) files did not contain the contact telephone number for the child's preferred hospital. 2. The following children's (DOE: 07/28/18, 01/07/20, 12/06/22, 12/27/23, 07/01/24, 08/19/24 and 03/18/25) files did not contain the contact telephone number for the child's preferred physician.

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: 05/11/2016) file did not contain a professional development plan; therefore, the surveyor was unable to determine if the plan was completed annually.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 01/12/23) file did not contain a written performance evaluation; therefore, the surveyor was unable to determine if the evaluation was completed annually.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 11/09/20) file contained documentation of a negative tuberculin result that was no longer current after 02/27/25. During interview with staff, the surveyor found that a current tuberculin result was not available for the surveyor to review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, one (1) staff person (DOH: 11/09/20) completed nine and one-half (9 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 - 06/30/24.

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, the surveyor found the following: 1. A staff member’s (DOH: 06/24/24) file did not contain documentation of background checks submitted through KARES. Based on review of the child-care center's KARES report, the staff member was listed under "Pending Employees" and had a determination status of "Not Yet Requested"; therefore, the staff member was hired prior to clearance for employment. The surveyor observed the staff member working with an additional staff member in Classroom 110 on the day of the surveyor's visit. During interview with staff-in-charge, she stated that she was not aware that staff could not work prior to the completion of their fingerprints and thought that staff could work provisionally. The surveyor observed the staff-in-charge to send the staff person home while the surveyor was present. 2. A staff member’s (DOH: 04/29/24) file contained documentation of background checks submitted through KARES with an eligibility date of 05/13/24; therefore, the staff member was hired prior to clearance for employment. During interview with staff-in-charge, she stated that she was not aware that staff could not work prior to the completion of fingerprints and thought that staff could work provisionally. Staff-in-charge stated that the staff member did not work alone with children until her fingerprints were cleared with an eligibility through KARES. Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 that a staff member’s (DOH: 06/21/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview with staff-in-charge, she stated that the staff member did not have a current TB skin test. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Equipment In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the Two's classroom was too dark at nap time which prevented adequate vison. 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, two (2) staff members (DOH 02/14/17 and 11/18/10) did not have updated documentation of negative TB results or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility. Both expired on 06/24/23. 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 review of documentation, one (1) staff (DOH 01/10/22) did not complete the required fifteen (15) hours of annual training for the year. 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 regulation was not met. An infant was asleep in a crib that had an activity mat in place of a normal fitted sheet. 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 Preschool classroom had an area of chipping paint on a wall that was accessible to children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a freezer used to store children's food did not have a thermometer to allow a person to measure the internal temperature where food is stored.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, there was three (3) bottles in the refrigerator that did not have a protective covering over the top. 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 Drink Requirements for All Child-Care Centers.

General: Based on observation the regulation was not met. All children in care were being served 1% milk. One-year olds are to be served whole milk per state regulations. 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, one (1) child enrolled on 7/10/23 did not have an up-to-date record of immunizations on file at the time of inspection. The one (1) on file expired 10/30/23. One (1) child enrolled on 11/02/20 did not have an up-to-date record of immunizations on file at the time of inspection. The one (1) on file expired 02/22/23. One (1) child enrolled on 08/09/23 had a record of immunizations on file but it was not on the Kentucky form, and it didn't have an expiration date listed. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, no fire drill was documented for October 2023 at the time of survey. Posted Documentation In Compliance Animals Not Applicable

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 were areas of chipping paint on the walls in the Preschool classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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, this regulation was not met. The slide and swings did not have adequate protective surface under them. Also, the playground had excessive grass growth protruding through the mulch. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a chair used in the Infant classroom was heavily soiled with stains. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the temperature on the refrigerator thermometer in the Infant classroom was reading 50 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one bottle in the refrigerator was not labeled with a child's name and was not covered. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child enrolled on 10/19/20, did not have an up-to-date immunization record on file at the facility at the time of survey. The record in the file expired on 3/4/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. 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 3/28/22, 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, there was no evidence that the facility's emergency preparedness plan had been updated or submitted to the proper authority for review since 2020.

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, three staff with hire dates of 1/10/22, 1/13/22, and 11/9/20, did not have evidence of a current professional development plan on file at the facility. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the Infant classroom did not have an up-to-date lesson plan posted for the week. The lesson plan that was posted was for December. In addition, the Two's classroom did not have a lesson plan posted for the week.

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 Infant, Two's, and Four's classrooms did not have a daily schedule posted or made available at the time of survey. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation made available at the time of survey regarding a recent state Fire Marshal report. The report on file was dated 1/8/21.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there were stacked chairs in the One's classroom that pose a safety concern, as children were playing around them. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, four staff with hire dates of 5/19/19, 1/13/22, 11/9/20, and 2/14/17, did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports this finding.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Three staff with hire dates of 5/19/19, 1/13/22, and 11/9/20, did not complete the required pediatric abusive head trauma training. The staff members have been employed for more than one year. 2.) One staff hired on 11/9/20, did not complete the required 15 hours of annual training. 3.) One staff hired on 11/9/20, did not have documentation of completing the required orientation training. A review of ECE-TRIS records supports these findings. 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, an infant was asleep in a crib with a clip attached to their pacifier. 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 air vent in the School-Age classroom had excessive dust on it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, two staff hired 10/28/2021 and 11/1/2021, did not have proof of education on file. 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 review of documentation and ECE-TRIS, two staff hired 10/5/2015 and 11/18/2010, did not complete 15 hours of early care and education training between 7/1/2020 and 6/30/2021. 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 surveyor found a loose blanket in a crib with a 10-month-old child. Premises In Compliance 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 13. Toys and Furnishings.

General: Based on interview, the surveyor found the child-care center not adhering to the toy sanitation procedure. The surveyor found that toys and other items that encounter infant and toddler's mouths are sprayed with Lysol and are washed on a rotating basis. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found three uncovered bottles in the refrigerator located in the nursery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff person hired 10/5/2015, did not have an annual evaluation completed and on file. Employee Records 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 in the nursery, the surveyor found three children not in an appropriate feeding furnishing, (i.e., highchair) while drinking a beverage. The surveyor observed two 11-month-old children sitting in swings. One child was sitting in a Graco swing drinking from a sippy cup. The second child was sitting in an Ingenuity swing drinking from a bottle. The surveyor also observed a bottle in a crib with a 10-month-old child. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff person in charge 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 2. Child Care Services.

General: Based on observation, it was found that a 3-year-old child was in the hallway bathroom unsupervised. The bathroom was located appoximately 10 to 12 feet down the hallway from the Twos & Threes classroom. The only staff person in that classroom was standing in the door way to watch the child walk down the hall and supervise the remaining children in the room. Once the child was in the bathroom, the child was no longer in the staff person's scope of vision. The Surveyor was in the room next to the hallway bathroom and heard the child start to cry. The child was crying and complaining that she was having trouble going to the bathroom. The Surveyor alerted the Director to the situation. The Director went to supervise the child while she was in the bathroom. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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: supervision. Open / not marked corrected.

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

General: Based on observation and interview, there were a total of nine children ranging in age from two to three years being cared for in the Twos & Threes classroom and the Twos classroom. In an interview with staff, it was found that the children are grouped together the entire time they are present in the facility. In an interview with the Director it was determined that the facility did not have a procedure for transitioning toddlers or signed approval from the toddlers' parents on a transition plan. Premises In Compliance 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 there were numerous large areas of weed growth throughout the playground used by the children. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a large bowl of pineapple tidbits sitting on the bottom shelf of the large refrigerator in the kitchen. The fruit was to be served to the children at lunch. The fruit was not covered and not protected from contamination.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview, it was found that parents bring bottles with pre-measured water and cans of formula. Staff measure the powder and add it to the water in the bottles. The powder is not pre-measured by the parent. Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, there were numerous machine washable toys and materials in several classrooms. The items observed in the classrooms were stuffed animals, cloth books, dress-up clothes and cloth dolls.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have the results of each staff member's background checks in each of their personnel files. The staff in charge had a KARES summary sheet with all of the staff listed but the required documentation was not maintained in the personnel file. 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.

Based on record review, this regulatory requirement was not met. Three children's files did not contain immunization certificates. These children were enrolled on 2/03/2020.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there were numerous weeds found coming through the mulch on the playground. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written 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 5. Evacuation Plan.

General: Based on review of documentation, a current emergency preparedness evacuation plan was not on file. Posted Documentation In Compliance Animals Not Applicable

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, there was a large box fan was sitting on top of a tall book shelf in the preschool classroom #106. This fan was not attached to the wall or shelving unit. 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, staff hired on 02/02/15 did not have documentation on file from a health care professional stating she was free from active tuberculosis. 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 review of documentation, staff hired on 11/08/10 and 10/05/15 did not have the required fifteen (15) hours of cabinet approved training on file. This information was verified through ECE-TRIS. 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, two overhead lights had bulbs that were flashing in the preschool classroom #106.

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 several areas of chipping paint along the baseboards and walls in the two-year-old classroom #107. 2) There was a large water stain on a ceiling tile in the boys hallway bathroom. Hygienic Practices In Compliance 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, out of eight (8) staff files reviewed seven (7) of those staff had not had an annual evaluation completed since 10/17/17. All seven (7) staff have been employed for a year or more. The hire dates for these staff are as follows: 10/5/15, 2/2/15, 5/11/16, 3/9/09 and 3/19/12.

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 in the bathroom located beside Room #106, there was an area on the wall under the window above the baseboard that had been repaired with drywall tape. The tape was discolored and water stained. Hygienic Practices 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 9. Records.

General: Based on review of documentation in ten (10) children's files, there were four (4) children's enrollment information that did not include the child's physician's phone number. 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 observation, the following was found: 1) In Preschool Room # 106, a box fan was located on a low shelf. The fan was plugged into an electrical outlet located beside the shelf. The cord was observed hanging loosely. A doll house was in front of the outlet. The cord to the fan was accessible to the children. 2) The cord to a window air conditioner was also observed hanging loosely from the window in the same area as the doll house. 3) Wall mounted hooks were observed on the walls outside of each classroom. The children's back packs, coats and diaper bags were observed hanging on these hooks. There was no space between each child's belongings, allowing them to touch the items hanging on each side. 4) In addition car seats were observed on the floor across from the infant room. There was no space between each carseat allowing the sides to touch the car seat on each side. This method of storing the children's belongings and car seats is not sanitary and allows for cross contamination of germs. 5) In the bathroom located beside Room # 106, a changing table was observed in the corner of a small room connected to the area where the toilets and sinks are located. A black electrical cord was observed coming down from the the ceiling. An interview with staff in the two-year-old room found that she uses this changing table for the children in her room. The cord is accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, out of ten (10) staff files reviewed there was one (1) staff person with a T.B. test that was read on 5/17/16. The date read on the T.B. test exceeds the two (2) year time frame.

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 presented at the time of the survey and ECE-TRIS records, the following was found: 1) Out of ten (10) staff files reviewed, there were four (4) staff who had not completed fifteen (15) hours of annual training. Those staff hire dates are: 10/5/15, 2/5/15,5/11/15 and 3/9/09. 2) There were two (2) staff who completed one and one-half (11/2) hours of pediatric abusive head trauma training on 7/13/13 and one (1) staff person who completed the training on 10/9/13. The training had not been completed again after five (5) years as required. 3) There was one (1) staff person hired 6/4/18 who had not completed six (6) hours of required orientation training within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview with the director, it was found they have a volunteer who drives the van for field trips during the summer. The volunteer is not counted in staff to child ratios, does not supervise children and is never left alone. A review of documents presented for review at the time of the survey found that the driver history record on file was dated 6/13/17. 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 while in the infant room, a three-month-old child was observed sleeping in a crib. A blanket was up around the child's face. A four-month-old child, an eight-month-old child and a nine-month-old child were also observed sleeping with blankets up around their faces. The blankets were loose and not tucked securely away form the children's faces. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation while in the school age room, a short tan cabinet was observed against the wall. The doors to the cabinet were unlocked. Inside the cabinet on the top shelf a can of Lysol spray disinfectant and a can of Great Value brand spray disinfectant were observed. There was also a can of Windex multisurface cleanre. The labels on the containers of cleaners had warning labels indicating to keep out of the reach of children. Because these items are located in a short cabinet with no lock, they are 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 11. Toys and Furnishings.

General: Based on interview with staff in the infant room, it was found that the toys and other items considered mouth contact surfaces by a child not toilet trained are sanitized daily by putting them in an antibacterial cleaning solution. They are then rinsed and left to air dry. Staff in the one-year-old room indicated that toys are cleaned in the same manner as staff in the infant room descibed. This method of cleaning and sanitizing toys does not meet the requirements of this regulation. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the office on a shelf located where the director's desk is located three (3) bottles of medication were observed. There was a bottle of Pepto- Bismal, Crestor and eye drops. The door to the office was open. There is a bathroom located beside the office that is used by the children. The medication was not in a locked container or area and was accessible to the children. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation in the school age room, a long mirror on the wall had numerous fingerprints and smudges. There were two (2) tables against the wall that had a dried brown and white substance on the surface as well as numerous crayon and marker smudges. In the corner of the room there was a navy blue circle rug that had an accumulation of dirt and debris.

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 of the outdoor playground, a plastic Little Tikes picnic table was observed. The leg of the table was broken. The end of the plastic tunnel slide on the climbing structure had cracked at the bottom of the slide leaving sharp edges. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented at the time of the visit, it was found that the facility did not have a written plan that details the type of transportation that is provided. The information provided at the time of the visit included the routes, schedule and policies and procedures including emergency procedures practiced by staff who transport children. Based on interview with the director it was found that the facility only transports children on field trips during the summer months.

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 of the first aid kit on the vehcile used to transport children on field trips, it was found that there was no liquid soap available as part of the supplies on the vehicle. A bottle of Band-aid brand antiseptic wash was found as part of the supplies. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff in the infant room, it was found that she prepares bottles by measuring the water and powder formula. It was aslo found that the parents provide the formula. The staff person indicated during interview that two (2) of the children receive breast milk. However, the breast milk is frozen in premeasured pouches. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's 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 8. General.

General: Based on review of documentation presented at the time of the survey, it was found that the facility did not have a written policy for reporting suspected abuse or neglect. The document presented for review during the survey was a handout that read: Intent Statement Policy was developed to assist child care providers by providing guidelines for detecting and reporting suspected cases of child abuse and neglect. There was no other documentation presented for review to verify that the facility has its own written policy for reporting suspected abuse or neglect.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation at the time of the inspection, there were thirty-two (32) children present. A review of documentation used to record the time of arrival and departure of each child in attendance found only fifteen (15) children had a documented time of arrival recorded.

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, out of eight (8) staff files reviewed it was found that the last completed professional development plan was dated 10/17/17. All eight (8) staff have been employed for a year or more. 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 11. Toys and Furnishings.

General: Based on Interview, it was found that the toys in the infant classroom are cleaned with disinfectant spray. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of ten (10) children's file that one (1) child's file did not list the 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 Review of Documentation, it was found that there was not a current evacuation plan for the facility.

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 through a review of eight (8) staff files that none of the eight (8) files had documentation of an annual professional development plan. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the vent in the restroom was caked in dust. It was found that there were pencil markings on the walls in the Two to Three (2-3) year old classroom. It was also found that there was brown stains on the walls in the School age classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of eight (8) staff files that six (6) staff files did not have an annual staff evaluation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of eight (8) staff files that four (4) staff files did not have the fifteen (15) hours of cabinet-approved early care and education training. A review of ECE-TRIS confirmed this. The dates of hire for the staff were 05/11/2016, 11/08/2010, 07/17/2005 and 10/05/2015. 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 2. Child Care Services.

General: Based on Observation, it was found that there was no program of activities for the One (1) year old classroom or the Infant Classroom. 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, it was found that in the kitchen in an unlocked cabinet, there was observed to be a jug of Clorox bleach, a can of Comet, a bottle of class cleaner and a bottle of steel polish.

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, two (2) staff (hire dates: 11/8/10 and 3/19/12) had TB skin documentation on file that was no longer valid as of 12/9/16.

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 the ECE-TRIS, three (3) staff (hire dates: 8/10/05, 2/2/15, and 10/5/15) have not taken the Pediatric Abusive Head Trauma Training. Additionally, three (3) staff (hire dates: 11/8/10, 3/9/09, 3/19/2012) did not complete the required fifteen (15) hours of early care and education training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 2. Child Care Services.

General: Based on Observation, the posted plan of activities in the school age classroom was not dated and there was not a variety of creative activities listed. The posted plan indicated that children would have snack, do homework, go outside, and for a fine motor activity: Free choice. Based on the document that was posted, the surveyor could not determine what specific types of activities that would be implemented with the children. 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 In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) child's file (enrollment date: 10/2/15) had an immunization certificate on file that was no longer valid as of 11/30/16. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that a diagram of the facility was posted but a written plan outlining the course of action in the event of a Fire, Tornado, or Earthquake was not posted. 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: Based on Observation and interview, this regulatory requirement was not met. During a tour of the facility, the surveyor observed two (2) areas in the main hallway with water stained ceiling tiles. The director had indicated on a Plan of Correction submitted 11/22/16 that she spoke with the church about the tiles and they said they would replace them. The director listed 11/2/16 as the "date action was or is anticipated to be completed" on the Plan of Correction she submitted. The director stated during the 12/5/16 visit that the maintenance man that works for the church had been sick; therefore, the tiles had not yet been replaced.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. Upon arrival (4:40PM) the surveyor entered the nursery and observed two (2) staff caring for eight (8) children. Four (4) of the children were identified as one (1) year olds, two (2) of the children were identified as two (2) year olds, and two (2) of the children were identified as three (3) year olds. The three (3) year old children were picked up by there parents before 5:00PM; however, the one (1) and two (2) year olds remained co-mingled together after 5:00PM. An interview with staff revealed that these age groups were combined at 4:00PM due to low numbers; therefore, they were combined longer than one (1) hour. 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 2. Child Care Services.

General: Based on Observation and interview, this regulatory requirement was not met. Upon arrival (4:40PM), the surveyor entered the nursery and introduced herself to the staff person in charge. The surveyor then proceeded down the hall to tour the remaining classrooms and observed a staff person exit an empty classroom on the right side of the hallway and enter the preschool classroom directly across the hall on the left side of the hallway. The surveyor entered the preschool classroom and observed the staff person and eight (8) children (preschool and school age children) present in the room. There were no other staff nearby to supervise the children in the preschool classroom while the staff person was across the hall. The staff person stated that she went across the hall to get a book for a school age child that had a reading assignment and indicated that she was only gone a few seconds. Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the two (2) year old classroom the surveyor observed a small plastic slide (approximatley two (2) feet tall) positioned on top of foam puzzle piece mats that were less than one (1) inch thick. The surface under the mats was hard laminate. This type of surface material does not provide adequate cushioning for a fall. A review of Division of Regulated Child Care files found that this regulatory violation was previously issued as a result of a relicensure survey conducted on 11/12/14. The staff person acknowledged the finding and stated that she would remove the structure from the classroom. 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

Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, the following was found: 1. Preschool and school age children were observed watching a Chipmunks movie during the visit. Staff stated that children typically watch television on a daily basis. TV viewing was not listed on the daily schedule or lesson plan posted in the classroom; therefore, it is not being used an an educational tool. 2. Staff stated during interview that infants and toddlers sit on the Bye-Bye Buggy in the afternoon while watching cartoons and/or a movie in the Fellowship Hall. There are no other activities available to them during this time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. At the time of the visit, it was observed that younger children (three (3) and four (4) year olds) were grouped with the school-age children. An interview with staff found that the school-age children have a separate space to use on days they are out of school; however, they are cared for in the preschool classroom on school days. Staff stated that the school age children arrive a few minutes after 3:00PM each day and stay in the preschool classroom until their parent arrives to pick them up.

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, interview and review of documentation, this regulatory requirement was not met. Preschool and school age children were observed watching a Chipmunks movie during the visit. Staff stated that children typically watch television on a daily basis. TV viewing was not listed on the daily schedule or lesson plan posted in the classroom; therefore, it was not part of the planned 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 and interview, this regulatory requirement was not met. During a tour of the facility, the surveyor observed two (2) areas in the main hallway with water stained ceiling tiles. The staff person in charge acknowledged this finding during the tour and stated that she is not aware of any current roof leaks in the building. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the two (2) year old classroom, the surveyor observed an uncovered trash can sitting near the door that contained a soiled diaper. The staff person in charge acknowledged the finding and stated that diapers are changed in the bathroom across the hall from the two (2) year old classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, this regulatory requirement was not met. One (1) civil penalty notice that was issued to the facility on 4/12/16 was not posted. The staff person in charge stated that she was not aware of this regulatory requirement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, a bottle warmer was sitting on a small refrigerator unit in the infant room, and was within reach of children. The plug to the warmer was behind the refrigerator and the child was able to access the cord and pull it, which resulted in another child getting burned on the top of her legs. The warmer was unplugged but had been used within the last few minutes to warm a bottle. The staff person in the room stated that she was changing a diaper across the room, and was unable to reach the child as she observed her pulling on the cord. The child that was burned was seated beside the refrigerator in a bouncy seat. The burned child was twelve (12) months old and received first and second degree burns on her leg and thigh.

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, it was found that there was no evidence of an evacuation plan. The director stated that she would complete a new plan.

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 staff person with a hire date of 07/17/2005 did not have evidence of a professional development plan. In an interview with the director, she stated that the staff had not completed a professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff person hired 09/15/2014 did not have a completed child abuse and neglect check until 10/01/2014. It was also found that a staff person with a hire date of 10/05/2015 did not complete a child abuse and negelct check until 10/14/2015. These instances are not in accordance with 922 KAR 1:470 which states that a request for a central registry check must be submitted within five (5) working days after the date of employment of an individual.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff hired on 08/11/2004 and a staff person hired on 07/17/2005 did not have evidence of being free of TB. In an interview with the director, she stated that she would ensure that the TB skin test got completed. It was also found that a staff person hired 02/02/2015 did not have a TB skin test complted until 03/30/2015.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) staff files out of ten (10) staff files reviewed did not have evidence of proof of the fifteen (15) hours of cabinet- approved early care and education training. In an interview witht he director, she stated that she thought the staff were current and that she would ensure that they get the training that they need for next year.

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 that a staff peron in the toddler classroom was observed to wipe a child's nose and did not wash the child's hands afterwards.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was no medical tape in the first aid kit. The director stated that she would get some tape to put in the first aid kit.

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 08/24/2015 did not have evidence of physican contact information or a preferred hospital listed. In an interview with the director, she stated that the parents had not provided her with that information yet.

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, there was one (1) staff person with a hire date of 9/15/14 who had the results of a T.B. skin test read on 9/16/14. There were two (2) staff with hire dates of 3/19/12 and 11/8/2010 whose T.B. skin test results exceeds the two (2) year time frame.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff eligible for an annual performance evaluation who did not have evidence of having a current annual evaluation on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, during a tour of the school age room a container of Clorox disinfectant wipes was observed sitting on a metal cabinet. The label on the container indicated to "Keep out of the reach of children." Preschool children were in the room at the time. The Clorox wipes were 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, it was found that the door to the bathroom located beside the director's office did not have a door knob. There was a large hole where the doorknob was gone. This bathroom is used by the children.

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 boys' bathroom located at the end of the hall had two (2) water stained ceiling tiles. Black mold was also observed growing on one (1) of these tiles.

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, there were five (5) staff eligible for an annual professional development plan who did not a current plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a daily schedule was not posted in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was not a posted schedule of daily activities with the dates and times of activities to be conducted for the preschool children for the day of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found there is not an outdoor play area with appropriate gross motor equipment outdoors for the one (1) year olds. An interview with the director found that the one (1) year olds are taken on buggy rides and they have a room indoors that has equipment to slide and climb on. However, it was found that this equipment sits on one (1) inch thick interlocking mats. A small plastic slide was also observed in the one (1) year old room. The slide was sitting on a one (1) inch thick interlocking mat. The mats do not provide adequate cushioning for a fall. During a tour of the boys' bathroom located at the end of the hallway an uncovered outlet was observed. During a tour of the infant room all of the lights were out in the room. There were three (3) children and one (1) staff person in the room. An interview with staff found that the lights were out because one (1) child was alseep in a crib. However, the other children were awake. There was some natural light in the room but not much. A window air conditioner was observed over the bed of the infant sleeping. The air conditioner was on blowing cool air over top of the sleeping infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 9/15/14 who had the results of a criminal records check dated 9/18/14. There was an additional staff person with a hire date of 5/23/14 who had the results of a criminal records check dated 5/29/14. There was no documentation on file to verify that the application for the results of both these criminal records check had been submitted prior to or on the date of hire.

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, there was one (1) staff person with a hire date of 7/05 who only had documentation of having completed six (6) hours of training for the 2013-2014 training year. 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 2. Child Care Services.

General: Based on Observation, there was not a posted planned program of activities for the preschool children. An interview with the director found that the school age teacher has the preschool children in the school age room during the day until the schoolage children arrive in the afternoon. An interview with the teacher in the room found that she did complete a planned program of activities for the preschool children. During a tour of the one (1) year old room two (2) small plastic blocks were observed. An interview with the staff person in the room found that the children do not have access to any other blocks. During a tour of the school age room it was observed that there were no blocks accessible for the schoolage children. An interview with the school age teacher found that the school age children do not have access to blocks.

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, there was a television and DVD's in the school age room. Interviews with staff and the director found that during the day the school age teacher has the preschool children in the school age room until the school age children arrive. An interview with the staff person in charge of the preschool children found that the children watch the DVD's in the morning while they are cleaning up for breakfast. A review of the daily schedule found that television viewing was not part of the daily schedule. It was also found there was not a planned program of activities to verify if the television viewing was part of the planned program of activities for the day.

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, there was not a diapering procedure posted in the diaper changing area located in the girls' bathroom located beside the preschool room. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. 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 that one (1) staff file out of eleven (11) staff files reviewed did not have evidence of a current staff evaluation. The staff persons date of hire was 08/11/2004.

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 Review of Documentation, it was found that the facility did not have evidence of current earthquake and tornado drills. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the facility did not have the 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 13. Animals.

General: Based on Interview, it was found that the facility did not have written parental consent for a fish that was in the after school classroom.

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 Interview, it was found that there was not a current copy of the regulations at the facility.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that three (3) staff files out of eleven (11) staff files reviewed did not have evidence of the fifteen (15) annual required hours of training. The dates of hire for the staff were 09/05/2011, 03/09/2009 and 01/12/2009. 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 the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; 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 2. Child Care Services.

General: Based on Review of Documentation, it was found that there was no program of activities in the two (2) to three (3) year old classroom and the afterschool classroom. It was also found that there were no music materials in the afterschool classroom, three (3) to four (4) year old classroom and one (1) year old classroom nor was musical activities listed on the lesson plan.

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 there were two (2) cans of Lysol spray in and unlocked cabinet in the school age classroom as well as cleaning sanitizer and one can of foaming disinfectant spray.

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 in the two (2) to three (3) year old classroom there were brown food stains on the wall over top of the trashcan.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, it was found that the facility's emergency preparedness plan had not been submitted to emergency management for approval.

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 the facility did not have evidence of current earthquake and tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the facility did not have evidence of current fire drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have evidence of current fire drills.

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 (18)

General: Based on Observation, there were five (5) large thistle bushes and several areas of long dead weeds on the playground.

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

General: Based on Observation, two (2) staff person hired 9/5/11 and 1/12/09 did not have evidence of a professional development plan on file in the facility. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 41 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 4) Current State other than KY Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a volunteer observed in a classroom did not have evidence of negative T.B. results on file in the facility. In an interview with the staff person in charge it was determined that it is the policy of the facility that volunteers obtain negative T.B. results before working with the children. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Ones: Based on Observation, there was a two-year-old being cared for in the Ones classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for three (3) employees eligible for an annual professional development plan did not contain evidence of a current plan being completed. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 42 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for employees hired on 5-23-11, 8-22-11 and 9-5-11 did not contain evidence of a high school diploma, GED or child care credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for employees hired on 3-14-11, 5-23-11, 7-5-11, 8-22-11 and 9-5-11 contained statements from a health professional stating that they were free of signs and symptoms of active TB. These statements were dated 4-25-11, 6-8-11, 7-8-11, 9-12-11 and 9-23-11 respectively. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was found that the file for an employee hired on 1-12-09 contained evidence of only twelve (12) hours of annual training for the last completed training year. The file for an employee hired on 3-9-09 contained evidence of only ten (10) hours of annual training being completed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

One Year Old Room #124: Based on Observation, several of the mats were torn. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 2) Good repair Not In Compliance Findings: Younger Preschool Classroom # 108: Based on Observation, The little blue couch in the reading area has several torn areas exposing the foam underneath. 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 42 Web site: http://chfs.ky.gov/ Inspection Report 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the food service permit that was posted expired 10/31/10. Staff person in charge could not locate a current permit. 255 - Food preparation utensils 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 1) Sanitized In Compliance 2) Provided In Compliance 3) Used to Minimize Handling of Food In Compliance 256 - Refrigerator 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 1) Thermometer In Compliance 2) Safe environment In Compliance 3) 45 degrees or below In Compliance 257 - Frozen Food 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 1) Kept at zero degrees or below In Compliance 2) Thawed at refrigerator temperatures In Compliance 3) Thawed under water In Compliance 4) Quick thawed In Compliance 5) Thawed according to food safety standards In Compliance 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 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 259 - Kitchen Equipment clean and sanitary 922 KAR 2:120 - Section 8 (8) The following shall be clean and sanitary: (a) Eating and drinking utensils; (b) Kitchenware; (c) Food contact surfaces of equipment; (d) Food storage utensils; (e) Cooking surfaces of equipment; and (f) Nonfood contact surfaces of equipment. 1) Eating and drinking utensils In Compliance 2) Kitchenware In Compliance 3) Food contact surfaces of equipment In Compliance 4) Food storage utensils In Compliance 5) Cooking surfaces of equipment In Compliance 6) Nonfood contact surfaces of equipment In Compliance 264 - Meals Required 922 KAR 2:120 - Section 9 (3) The child-care center shall serve: (a) 1. Breakfast; or 2. A mid-morning snack; (b) Lunch; (c) A mid-afternoon snack; and (d) Dinner. 1) Breakfast In Compliance 2) Mid-morning snack In Compliance 3) Lunch In Compliance 4) Mid-afternoon snack In Compliance 5) Dinner In Compliance 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 1) Prepared In Compliance 2) Dated In Compliance 3) Posted In Compliance 4) On File In Compliance 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 5) Substitutions noted Not In Compliance Findings: General: Based on Observation, Fishsticks were listed on the menu for lunch the day of the survey but the staff person in charge of helping with lunch decided she was just going to order pizza instead. There was no substitution listed on the menu. 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 266 - Breakfast Requirements 922 KAR 2:120 - Section 9 (5) Breakfast shall include: (a) Milk; (b) Bread; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk In Compliance 2) Bread In Compliance 3) Fruit/Vegetable/Juice In Compliance 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk ** Must select two from the list In Compliance 2) Protein ** Must select two from the list In Compliance 3) Bread ** Must select two from the list In Compliance 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance 268 - Lunch/Dinner Requirements 922 KAR 2:120 - Section 9 (7) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d) 1. Two (2) vegetables; or 2. A fruit and one (1) vegetable. 1) Milk In Compliance 2) Protein In Compliance 3) Bread In Compliance 4) 2 Vegetables or Fruit and Vegetable In Compliance 269 - Food Requirements 922 KAR 2:120 - Section 9 (8) Food shall be: (a) Clean; (b) Free from: 1. Spoilage; 2. Adulteration; and 3. Misbranding; (c) Safe for human consumption; (d) Withheld from service or discarded if the food is hermetically sealed, nonacidic, or low-acidic food that has been processed in a place other than a commercial food-processing establishment; (e) Obtained from a source that is in compliance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217; (f) Acceptable if from an established commercial food store; (g) Served in a quantity reflecting the developmental stage of the child with additional portions provided upon request of the child; and (h) Protected against contamination from: 1. Dust; 2. Flies; 3. Rodents and other vermin; 4. Unclean utensils and work surfaces; 5. Unnecessary handling; 6. Coughs and sneezes; 7. Flooding; 8. Drainage; and 9. Overhead leakage. 1) Clean In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 42 Web site: http://chfs.ky.gov/ Inspection Report 2) Free from Spoilage In Compliance 3) Free from Adulteration In Compliance 4) Free from Misbranding In Compliance 5) Safe for human consumption In Compliance 6) No homemade food In Compliance 7) Source approved by Public Health In Compliance 8) Commercial Food Store In Compliance 9) Appropriate quantity/Additional portions In Compliance 10) Protected from contamination In Compliance 270 - Food Storage 922 KAR 2:120 - Section 9 (9) Food shall be stored on: (a) Clean racks; (b) Clean shelves; (c) Other clean surfaces; or (d) If maintained in a sanitary condition, food in nonabsorbent containers may be stored on the floor. 1) Food stored on clean racks, shelves, or other clean surfaces In Compliance 2) Food stored in nonabsorbent containers on the floor if maintained in a sanitary condition In Compliance

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

General: Based on Review of Documentation, it was found that the file for a child enrolled on 4-6-11 contained an immunization certificate that expired on 9-3-11.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.