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

General: Based on observation, the shared bathroom adjacent to the all day Three and Four-Year-Old Room contained a vent in the ceiling with a large accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of observation, the facility did not have written evidence of zoning on file.

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 following rooms did not have thermometers in the refrigerators: Two-Year-Old Room, Traditional Four- to-Five-Year-Old Room, the Four –to- Five-Year-Old Room A, the Four- to-Five-Year-Old Room B, and the Young Three-Year-Old Room. These refrigerators were used to store items for the children.

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 Two-Year-Old Room and the Young Three-Year-Old Room did not contain thermometers in the freezers; therefore, the temperature of the freezer could not be determined. These freezers were used to store items for the children.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, of the ten (10) children's files reviewed none of the files included a phone number for the preferred hospital.

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, a staff member (DOH: 07/07/21) did not have a current professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the facility did not have the statement of deficiency and plan of correction posted from the renewal survey conducted on 04/24/24.

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 last Fire Marshal inspection was conducted on 02/15/19 and was not requested prior to the survey.

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, the following was found: Young 3's Room 1) A plunger was stored on the floor, besides the toilet in the children’s bathroom. 2's Room Bathroom 1) A plug-in air freshener was plugged in next to the children's sink. 2) A vacuum was plugged in at the same outlet as air-freshener next to the children's sink. 3) A plunger was stored on the floor, beside the toilet. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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, a staff member (DOH: 08/08/16), completed Pediatric Abuse Head Trauma (PAHT) training on 07/28/16; however, did not renew the training due 07/28/21. ECE-TRIS was reviewed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: Young 3's Room 1) The wall in the bathroom, above the sink where mirror used to be, was not sanded nor painted. 3-4's Room 1) There was a large patch on the wall that was not sanded nor painted. 4-5's Room 1) There was a spot of peeled paint on the wall. Pre-K Room 1) The ceiling vent was very dusty. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the top of the toy shelf was dirty/dusty in the 4-5's Room. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Based on observation, children bring their own lunch, but facility did not have extra milk to substitute in case a child did not bring one. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired 02/23/23 and 09/08/22 did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

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) Staff hired 09/06/17, completed PAHT training on 10/24/17; however, the staff did not renew the training due 10/24/22. 2) Staff hired 08/08/16, completed PAHT training on 07/28/16; however, the staff did not renew the training due 07/28/21. 3) Staff hired 07/07/21 and 11/29/21 did not have the required fifteen (15) hours of cabinet approved training on file. The ECE TRIS was reviewed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff hired 07/07/21 did not have a current 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 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on observation upon arrival at the facility, children were on the playground. The surveyor noted that the gate to the playground was not attached and was lying on the ground next to the fence. Interview with the staff person in charge found that the playgrounds were new and had not been inspected by the Cabinet before being used. The staff person in charge stated that the fence gate was down so equipment could be brought in to spread the mulch around the area and had not been put back in place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) One staff member did not have a staff evaluation on file. 2) Staff evaluations on file were not dated so it could not be determined when the staff evaluation was actually completed. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the staff meetings reviewed did not list a roster of staff who had attended. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, 1.) There was urine in the toilet and on the floor in front of the toilet in the four- to five-year-old classroom. 2.) There was a plunger stored on the floor in the four- to five-year-old classroom restroom as well as the three-year-old restroom. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 1/6/19 had an immunization record that was no longer current; the inoculation record had expired 7/21/2020. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was not an orientation policy available for review indicating that staff members would implement what they have learned in Orientation I and II in the classrooms. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was not a daily schedule posted or available for review in the four- to five-year-old classroom. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three staff members hired 7/23/18, 9/2/16, and 10/28/2008, had an evaluation on file that was not dated. The surveyor was unable to determine if the evaluation was current. Additionally, one staff member did not have an evaluation on file.

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 observation and interview, on 7/24/2020, the surveyor attempted a visit to the facility. The surveyor observed one vehicle in the parking lot and attempted to enter the front of the building, but the doors were locked. A call was made to both numbers listed for the provider; however, there was no answer. The surveyor contacted the director via email. The director stated that the facility was open on the date listed above and was unsure of why there was no one in the office to answer the door.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was not an abuse or neglect procedure informing staff members of the laws pertaining to child abuse and neglect. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 9/6/17, had a tuberculin skin result that was no longer valid as of 8/12/2019. The ability to update the skin result would not have been impacted by COVID-19 emergency closures. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) There was one water-stained ceiling tile in the four- to five-year-old classroom. 2.) The vent in the three-year-old restroom had an accumulation of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, one of the napping mats in the four- to five-year-old classroom was torn in one area, rendering the mat unable to be properly sanitized. Transportation In Compliance Food Service/Food Program 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation and review of documentation, the following was found: 1. Five (5) out of ten (10) staff employed for more that one (1) year did not have evidence of completing fifteen (15) hours of annual early care and education training on file in the facility. 2. Staff person hired 5/20/13 did not have documentation of completing the pediatric abusive head trauma training within the past five (5) years. The training certificate on file was dated 8/29/13. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a container of Lysol Wipes and a bottle of Lysol Toilet Cleaner on a shelf in the bathroom used by the children in the Traditional Preschool classroom and the Fours Preschool classroom. These cleaners were accessible to the children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the white shelving unit in the Traditional Preschool classroom had several areas of chipping paint. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) out of the ten (10) children's files reviewed did not have documentation of a preferred hospital listed by the parent. 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, none of the ten (10) staff eligible for an annual professional development plan had evidence of a current plan on file in the facility. 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

Open / not marked corrected.

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

General: Based on observation, a schedule of daily activities including lists and dates of activities to be conducted with the children was not posted in the Toddler classroom. Animals Not Applicable

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 fire drills are being conducted quarterly and not monthly. It was also found that the names of the children who participated are not documented. An interview with staff in charge found that they were unaware that fire drills were to be conducted monthly and that the names of the children who participated must be documented.

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 fire drills are being conducted quarterly and not monthly. An interview with staff in charge found that they were unaware that fire drills were to be conducted monthly.

Open Not marked corrected in the state record

Category: physical safety. 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 8/5/16 who did not have the application for the results of a criminal records check submitted until 8/10/16. There was another staff person with a hire date of 9/19/16 who did not have the application for the results of a criminal records check submitted until 10/8/16. There was an additional staff person with a hire date of 10/19/16 who did not have the application for the results of a criminal records check submitted until 10/21/16. A staff person hired 8/2/16 had documentation indicating that the staff person lives in Ohio. However, the application for the results of a criminal records check from the state of Ohio had not been submitted. The staff person indicated during interview she is never left alone with the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person hired 9/19/16 who did not have a high school diploma, GED or other qualifying documentation on file. An interview with the staff person in charge found that this staff person is home schooled. There was no documentation on file to verify this staff person is home schooled.

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 10/28/08 who had the results of a T.B. test dated 3/18/15 and another staff person with a hire date of 4/5/10 who had the results of a T.B. test dated 3/22/14. This exceeds the two (2) year time-frame. There were three (3) staff (hire dates: 10/19/16, 6/13/16 and 9/2/16) who had the results of a T.B. test read after their hire date. Therefore the T.B. test was not completed prior to employment.

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 ECE-TRIS records there was one (1) staff person with a hire date of 8/29/14 who only had evidence of having completed 1.5 hours of training for 2015-2016. Staff in charge indicated this staff person is used as a substitute and had been on maternity leave. The staff in charge also stated that this staff person assured them she had completed the required number of hours of training. An additional staff person with a hire date of 8/8/13 who did not have evidence of having completed fifteen (15) hours of training for 2015-2016. There was another staff person with a hire date of 9/19/16 that did not have evidence of having completed six (6) hours of orientation training within three (3) months of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, during a tour of the 4's room a can of Lysol disinfectant spray and Lysol disinfectant wipes were sitting on the counter. In an unlocked drawer located under the counter a pair of adult scissors was found. In an unlocked cabinet two (2) purses that belong to staff were hanging from two (2) hooks attached on the inside back of the door. The purses had long straps which made the purses accessible to the children. The cabinet was not locked at the time. Hygienic Practices In Compliance 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 an unlocked cabinet over the toilet the bathroom located in the older 2's room there was a crate that contained several bottles of sunscreen. In the 4's room in an unlocked cabinet over the counter located in the classroom there were several bottles of sunscreen and an Epi-pen Jr. In the 3's room in the bathroom in an unlocked cabinet over the toilet there were bottles of sunscreen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written 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, found that there was no documentation to verify that a tornado drills had been conducted quarterly during 2016, There was documentation of a tornado drill conducted on 3/1/17 but the names of the children who participated were not documented. In addition there was no documentation to verify that earthquake drills had been conducted quarterly for 2016 nor was there evidence that an earthquake drill had been conducted in 2017. Therefore the date, time and names of children who particpated were not documented. During an interview with staff in charge it was found they were unaware that tornado and earthquake drills neede to be conducted quarterly and that the names of the children who participated needed to be documented.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, found that there was no documentation to verify that a tornado drills had been conducted quarterly during 2016, There was documentation of a tornado drill conducted on 3/1/17. In addition there was no documentation to verify that earthquake drills had been conducted quarterly for 2016 nor was there evidence that an earthquake drill had been conducted in 2017. During an interview with staff in charge it was found they were unaware that tornado and earthquake drills need to be conducted quarterly. 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 6. License Issuance.

General: Based on Review of Documentation, 1. Staff person hired 8/12/15 had the results of a criminal records check dated 8/20/15. There was no evidence on file that the application for the check had been submitted prior to employment as required. 2. Staff person hired 1/20/16 had the results of a criminal records check dated 1/27/16. There was no evidence on file that the application for the check had been submitted prior to employment as required. 3. Staff person hired 8/13/15 had the results of a criminal records check dated 8/20/15. There was no evidence on file that the application for the check had been submitted prior to employment as required. 4. Staff person hired 8/12/15 had the results of a CA/N check dated 8/24/15. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required. 5. Staff person hired 1/20/16 had the results of a CA/N check dated 2/1/16. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required. 6. Staff person hired 8/13/15 had the results of a CA/N check dated 8/24/15. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required.

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, staff persons hired 2/1/08, 8/13/15 and 9/11/13 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. The staff person in charge was not aware that their results were more than two (2) years old.

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, 1. It was determined that a staff persons hired 9/11/13 and 8/28/10 each had evidence of only six (6) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. 2. Staff person hired 1/20/16 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. 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 4. Premises Requirements.

General: Based on Observation, there were several areas of chipping paint and exposed drywall on the lower half of the walls in the Twos classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that the Fours class was using a a plastic wading pool outside for water play. Several of the children were observed in and out of the pool during the survey.

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 surface under the changing mat in the Infant classroom had an accumulation of sand and dirt.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the mulch on the playground was very thin and non-existant in some areas around the climbing/swinging/sliding structures. this resulted in the black liner underneath the mulch to come up and pose a tripping hazard. Also, a plastic climber/slide structure that was apporximately four (4) feet tall was positioned directly against a chain-link fence. No fall zone was provided for one side of the structure.

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, there was a bean-bag in the Threes classroom that was torn in two (2) places and repaired with duct tape. The tape was pulling away leaving exposed foam, dirty tape residue and styrofoam beads were falling out onto the floor.

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, there were three (3) bottles in the Infant classroom that were not individually labeled with a child's name.

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, three (3) out of the ten (10) children's files presented for review did not have documentation of a preferred hospital listed by the parent.

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 2013.

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 were no diapering/handwashing procedures posted in the changing area for the Twos classroom. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Review of Documentation, there was a small bowl of tadpoles observed in the Twos classroom. In an interview with the staff person in charge it was found that written parental consent for the animals had not been obtained.

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) employees who did not have completed annual evaluations in their file for the past year.

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, an employee with a hire date of 8/29/14, had no proof in their file that they had completed the required six (6) hours of orientation. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, there were two (2) mats in the One Year Old Classroom that were torn on the edges, exposing the foam inside.

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, there were mats in both the One Year Old Room and in the Two Year Old Room that were stacked on top of each other with the sheets on them. The bottoms of the mats were touching the sheets, where the kids would be lying for nap time.

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, there were five (5) children's records that did not contain a listing for a preferred hospital. Additionally, four (4) of those five (5) did not have authorization for emergency care consent from the parents. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the evacuation plan was dated for 2013, and had not been updated and resubmitted before December 31, 2014.

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, the current rates for the child care facility were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was not a copy of the current regulations on file in the facility at the time of the survey. The copy on file was from March, 2012.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, there was an uncovered electrical outlet on the back wall of the Threes Full Day classroom.

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, 1. Staff person hired 8/1/13 did not have the results of or evidence of the application for a criminal background check or a CA/N check on file in the facility. 2. Staff person hired 8/19/13 had the results of a CA/N check dated 9/3/13. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required.

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, 1. Staff person hired 11/1/12 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. 2. Staff person hired 8/19/13 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years.

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, 1. Staff persons hired 9/1/13, 8/1/13 and 8/19/13 did not have evidence of completing the required orientation training in the first three (3) months of employment. 2. Six (6) out of fifteen (15) staff files reviewed did not have evidence of fifteen (15) hours of annual training on file for the last full year of employment. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, there were nine (9) torn nap mats in the Toddler II classroom. The tears left exposed foam that cannot be properly sanitized between uses.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the blankets/pillows used for nap time by the children in the Fours All Day classroom were being stored in a pile inside a cabinet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a one (1) year old child was sitting in the floor of the Infant classroom feeding himself a bottle. The child was not seated appropriately for a meal.

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, four (4) out of ten (10) children's files reviewed did not have evidence of emergency medical authorization signed by the parent, the name of a preferred hospital or the name of each person designated in writing to pick up the child on file in the facility. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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, staff persons hired 9/14/12, 9/10/12 and 7/1/12 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 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that this facility had five (5) non-complaint cribs, pursuant to the Federal Crib Standards at 16 CFR 1219 and 16 CFR 1220.

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, the surveyor found that one (1) staff person (hire date: 8/26/2010) did not have an annual performance evalutation on file at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that one (1) staff person has resided outside the state of Kentucky within the last five (5) years. This staff person was hired on 7/2012.

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, the surveyor found four (4) staff files presented for review (hire dates: 9/14/12, 11/1/12, 1/14/13, 3/12/13) did not have proof of education on file at the time of the inspection.

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, the surveyor found that one (1) staff person (hire date: 9/15/10) had TB documentation on file that was no longer valid as of 8/27/2012.

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, the surveyor found that one (1) staff person (hire date: 1/14/13) has yet to take the required six (6) hour orientation class and it is past the ninety (90) day time frame. Four (4) staff (hire dates: 8/26/2010, 8/16/2010, 9/15/2010, 12/1/2011) did not complete fifteen (15) hours of early care and education training as required by the regulations. 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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 25 Web site: http://chfs.ky.gov/ Inspection Report 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 current program of activities in the two (2) year old classroom. It was also found that there were no musical materials available for the children in the four (4) year old half day program, three (3) year old all day program and in the two (2) year old classroom. Musical activites was not listed on the program of activities for each classroom either.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there were five (5) cribs in the infant classroom that did not contain evidence that the cribs met the new crib safety standards.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was no thermometer in the refrigerator in the preschool classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) children's files out of ten (10) children's file reviewed did not have evidence of a current immunization certificate. One child with an unknown enrollment date had an immunization certificate that expired on 11/15/2012 and one child who was enrolled on 02/07/2011 had an immunization certificate that expired on 01/09/2013.

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 one (1) child's file out of ten (10) children's files reviewed did not have evidence of medical history, emergency authorization, physican's contact and pick-up authorization. This child had an unknown date of enrollment.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, it was found that there was a frog in the three (3) year old classroom and a fish in the three (3) year old half day program. Staff in charge stated that neither classroom has parental consent for either animal to be in the classrooms.

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 file for an employee hired in December of 2011 contained the results of a TB skin test that was dated 5-2-12. This date is not prior to date of hire as required by the regulation. 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 Not In Compliance Findings: General: Based on Review of Documentation, it was found that the facility did not have a staff person who was certified in cardiopulmonary resuscitation (CPR) present and on duty with the children from 7:00 a.m. until 7:45 a.m. and from approximately 2:30 p.m. until 5:00 p.m. This scheduling pattern occured almost daily. 2) First Aid Not In Compliance Findings: General: Based on Review of Documentation, it was found that the facility did not have a staff person who was certified in first aid present and on duty with the children from 7:00 a.m. until 7:45 a.m. and from approximately 2:30 p.m. until 5:00 p.m. This scheduling pattern occured almost daily. 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 files for employees hired on 6-27-07 and 10-28-08 contained evidence of only ten (10) and twelve (12) hours of annual training being completed during the last completed training year. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 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 Not In Compliance Findings: Infant classroom: Based on Observation, there was not a lesson plan posted, therefore programmming was unable to be determined. 2) Followed Not In Compliance Findings: Infant classroom: Based on Observation, there was not a lesson plan posted, therefore, the list of activities was unable to be determined.

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 four (4) eligible employees did not contain evidence of an annual professional development 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

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 file for a child enrolled on 7-8-11 contained an immunization certificate that expired on 5-30-12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.