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

General: Based on interview, staff advised the surveyor that they could not locate the current Fire Marshal Report. Staff stated that they had contacted the Fire Marshal and he was out of the office and unable to forward the report to them during the surveyor's visit. Staff advised the surveyor that they would email the report upon receipt from the Fire Marshal. Therefore the child-care center failed to provide documentation that they are in compliance and approved by the Office of the State Fire Marshal or designee. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Emergency Regulation 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 and interview, the surveyor found that there was not a thermometer in the refrigerator in the storage room. Staff stated that a new thermometer had been ordered. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the most recent negative TB skin test result presented for review for a staff member (DOH: 8/25/04) was dated 8/31/12 and was not valid after 8/31/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to equip one (1) sink with a hand-drying blower or a single use disposable hand drying material and also failed to equip one (1) sink with liquid soap.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview of staff the surveyor found that the toilets in both bathrooms that are used by the children had not been flushed and contained urine. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview of staff the diaper changing mat was found to be dirty and stained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, one (1) child care center staff member failed to use soapy water and a brush to reach into crevices during the toy sanitization process. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview of staff the child care center's thermometer located in the freezer indicated that the temperature was twenty (20) degrees Fahrenheit, therefore, the frozen food was not kept at a temperature of zero (0) degrees or below on the date of the surveyors visit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and review of enrollment documentation, one (1) child's file was missing the contact number for the physician an one (1) child's file was missing contact number for the preferred hospital.

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, each of the three (3) sinks used by the children had no hot running water because the water flow had been cut off at the valve below each basin; therefore, the sinks were not equipped with hot water at a minimum or ninety (90) degrees Fahrenheit as required by regulations.

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, as a staff person assisted the children with the task of tooth-brushing she dispensed the toothpaste directly onto each child's toothbrush; therefore, there was a possibility of cross-contamination to the children. 650 - Toy Sanitation Procedure Not Applicable 922 KAR 2:120. Section 11. Toys and Furnishings. (4) Toys and other items that are considered mouth contact surfaces by a child not toilet trained shall be sanitized daily by: (a) Scrubbing in warm, soapy water using a brush to reach into crevices; (b) Rinsing in clean water; (c) Submerging in a sanitizing solution for at least two (2) minutes; and (d) Air dried. First Aid/Medication

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 of the Maytag freezer was measured at twenty-four (24) degrees Fahrenheit. The contents (biscuits, waffles) were not frozen solid. Therefore, the temperature of the frozen food was not being maintained at a temperature of zero (0) degrees Fahrenheit as required by regulations.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, none of the ten (10) children's records presented for review on 08/27/14 contained completed preferred physician and hospital contact information required in the event of an emergency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a toilet seat was loose and not securely attached to the commode. Additionally, the surveyor observed that the paint had eroded in two (2) areas on the toilet seat; thus, the underneath surface was exposed. The toilet seat cannot be properly sanitized. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that on 10/23/13, two (2) children were being provided third-party services at the child care center. Based on review of documentation, the surveyor found that the two (2) children’s files did not contain parental permission for third-party professional services to be provided.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the arrival times for twenty-three (23) children had not been recorded.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on reivew of documentation, the following was found: (1) There was no evaluation on file for a staff member (DOH: 8/25/04). (2) The most recent evaluation presented for surveyor review for a staff member (DOH: 8/25/08) was dated 4/27/11.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the most recent professional development plan presented for surveyor review for a staff member (DOH: 8/25/04) was dated 8/2011. 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 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 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; 3) Previous State of Residence Not Applicable 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 3

General: Based on review of documentation, the immunization certificates on file for three (3) children (DOE: 8/16/12) were provided by the same licensed healthcare facility but did not include the name of the parent or guardian of the child or the address of the child, including street, city, state, and zip code. Also, the certificates were signed by a licensed practical nurse rather than a physician, an advanced practice registered nurse, a physician's assistant, a pharmacist, local health department administrator, or a registered nurse designee of a physician, local health department administrator, or other licensed healthcare facility. Lastly, the date of signature was not included on the certificates.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.