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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 05/09/24) had a cleared background check in KARES, but the eligibility date was 05/24/24, which was after the hire date. 2) A staff member (DOH: 09/23/24) had a cleared background check in KARES, but the eligibility date was 10/07/24, which was after the hire date. 3) A staff member (DOH: 12/04/24) had a cleared background check in KARES, but the eligibility date was 12/19/24, which was after her hire date. 4) A staff member (DOH: 11/07/14) did not have a cleared background check in KARES at the time of the survey. The status was listed as "eligible-expired" on the day of inspection with a date of 04/24/18. 5) A staff member (DOH: 08/21/18) did not have cleared background checks in KARES at the time of the survey. The status was listed as "eligible-expired" on the day of inspection with a date of 10/04/18. 6) A staff member (DOH: 07/14/23) had a cleared background check in KARES, but the eligibility date was 10/24/19, which has since expired. 7) A staff (DOH: 10/08/24) was not currently listed as eligible in KARES. She had an old application from 12/10/24 that was not eligible. The new application from 05/21/25 was still "In Process" in KARES on the day of inspection. The staff was present on the day of inspection but was not alone in the classroom. She has been working since October 2024 without a cleared background check.

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 background music being played in the Preschool Classroom during rest time was extremely loud and would make it difficult to hear the children in the classroom. This poses a potential safety hazard to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a current copy of the 922 KAR 2:120 regulations at the time of inspection.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 05/27/25) did not have documentation of education on file at the facility at the time of inspection. 2) A staff member (DOH: 11/07/14) did have a document of education on file; however, there was no name on the document.

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 during inspection: 1) A staff member (DOH: 09/23/24) had TB results on file at the facility; however, the results were dated 10/04/24, which is after the staff was hired. 2) A staff member (DOH: 10/08/24) had TB results on file at the facility; however, the results were dated 10/14/24, which is after the staff was hired. 3) A staff member (DOH: 12/04/24) had TB results on file at the facility; however, the results were dated 12/05/24, which is after the staff was hired.

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, on the day of inspection, the following was found: 1) Three (3) children were in their cribs on Boppy pillows drinking their bottles. 2) One (1) child had a sippy cup in her crib. 3) Two (2) children had blankets in the crib with them.

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 air vent that contained a build-up of dust.

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 Preschool Classroom contained a stained ceiling tile and an area of chipping paint on the wall.

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, several of the cots in the D102 Classroom were not spaced twelve (12) inches apart at nap time.

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 refrigerator in the D103 Classroom had a thermometer; however, it was broken so the temperature could not be determined.

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 interview and review of documentation, there was no evidence of staff policies and job descriptions on file at the facility on the day of inspection.

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, there were no names of children who participated in the drills conducted from May through December of 2024.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence of an orientation procedure stating that staff will implement what was taught during orientation training in the classroom on file at the facility on the day of inspection.

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, the center failed to conduct and document lockdown drills for the second through fourth quarter of 2024.

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 review of documentation, the facility did not have a current copy of the regulations on file. The facility had a copy of the 2018 Kentucky Standards of Practice (SOP) on file. This copy of the SOP was not current. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 12/18/23) did not have proof of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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. Documentation presented for a staff member (DOH: 11/11/21), included the most recent TB skin test dated 11/05/21, which was no longer current. 2. Documentation presented for a staff member (DOH: 08/21/18), included the most recent TB skin test dated 12/08/21, which was no longer current. 3. Documentation presented for a staff member (DOH: 03/15/22), included the most recent TB skin test dated 03/07/22, which was no longer current. 4. Documentation presented for a staff member (DOH: 08/12/19), included the most recent TB skin test dated 08/11/21, which was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 07/14/23) did not have written evidence of CPR and First Aid training. A review of ECE-TRIS verified this information. Programming In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the outdoor play area used by the older children contained a multi-colored climber that was located on the grass. Equipment that is used for swinging, sliding, or climbing shall be on a protective surface. 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, Room B12 and the Preschool Room did not have thermometers inside the refrigerators; therefore, the temperatures could not be determined. The refrigerators were used to store children's cups and milk. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Meal Planning/Center Provides 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, a posted snack menu, dated February 2024, did not meet the regulatory requirements for snacks on some of the days. The following was found: 1. On February 13th the menu listed graham crackers and water. 2. On February 15th the menu listed string cheese and water. 3. On February 16th the menu listed cheese puffs and water. 4. On February 20th the menu listed string cheese and water. Water does not count as a snack component. A snack shall include two (2) of the following components: (a) Milk; (b) Meat or meat alternative; (c) Bread or grain; or (d) 1. Fruit; 2. Vegetable; or 3. 100 percent juice.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the facility did not have a current snack menu posted for the week. 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, a child's file (DOE: 01/05/24) contained an immunization certificate that was no longer current. The immunization certificate was dated 02/04/24. 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 interview and review of documentation, the facility did not have written documentation of shelter in place/ lockdown drills. The staff in charge indicated that they have conducted shelter in place/ lockdown drills with the school, but they were not documented. Shelter in place/ lockdown drills shall be conducted quarterly and documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the facility did not have the information on the Kentucky Consumer Product Safety Program and the program's Web site as specified in KRS 199.897 posted for public inspection. Animals 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, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 2/8/21) was observed working alone with children in Room D101 during the inspection. A review of this staff person's file found a print out from KARES stating that a background check is "In Process"; however, the results had not yet been obtained. The staff person in charge stated during interview that she had not submitted a criminal records check (CRC) and a child abuse/neglect check (CAN) for processing on this staff person. 2. One staff person (hire date: 2/18/21) was observed working alone with children in Room D103 during the inspection. A review of this staff person's file found a print out from KARES stating that a background check is "In Process"; however, the results had not yet been obtained. The staff person in charge stated during interview that she had not submitted a criminal records check (CRC) and a child abuse/neglect check (CAN) for processing on this staff person. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 review of documentation, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 2/8/21) was observed working alone with children in Room D101 during the inspection. A review of this staff person's file found a print out from KARES stating that a background check is "In Process"; however, the results had not yet been obtained. The staff person in charge stated during interview that she had not submitted a criminal records check (CRC) and a child abuse/neglect check (CAN) for processing on this staff person. 2. One staff person (hire date: 2/18/21) was observed working alone with children in Room D103 during the inspection. A review of this staff person's file found a print out from KARES stating that a background check is "In Process"; however, the results had not yet been obtained. The staff person in charge stated during interview that she had not submitted a criminal records check (CRC) and a child abuse/neglect check (CAN) for processing on this staff person. Employee Records In Compliance 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 review of documentation and observation, this regulatory requirement was not met. The surveyor observed a television on in the Creeper Classroom (infants and toddlers) that was playing a Sesame Street DVD. A review of the posted daily schedule and lesson plan found that television viewing is not listed as part of the planned programming. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The bathroom door and trim in Room D101 (two year olds) contained a large area of chipped paint. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the facility failed to ensure children’s hands are washed with liquid soap and warm running water prior to eating. The surveyor observed children in two classrooms (D101 and Preschool) sitting at the table playing with toys when the kitchen staff person delivered lunch. The children remained at the table as the plates of food were placed in front of them and then they began eating. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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, this regulatory requirement was not met. The diaper changing mat in the Creeper Classroom had a fabric surface around the outter edges. Using this cloth cover does not provide a nonabsorbent, easily cleaned surface for the child. 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 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. A large blue toy shelf in the preschool classroom contained an excessive amount of chipped paint. Transportation Not Applicable 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 8. Kitchen Requirements.

General: Based on observation, this regulatory requirement was not met. A tour of Room D101 (two year olds) found that there was no thermometer in the freezer which contained pancakes. Therefore, it could not be determined that the temperature in the freezer was at zero (0) degrees Fahrenheit or below.

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 and interview, the facility failed to ensure that drinking utensils be clean & sanitary. While observing lunch in D101 (two year olds), the surveyor observed a staff person take plastic reusable sippy cups out of the refrigerator that were partially full of milk and serve them to the children eating lunch. Staff stated during interview that the sippy cups were initially filled with milk during breakfast time and then refilled after breakfast. The cups were stored in the classroom refrigerator between meal times. This process does not meet the requirement of the regulation because the cups were not cleaned and sanitized between uses. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

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, one bottle in the infant room refrigerator was not labeled with a child's name. 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, one staff member hired 8/12/2019, did not have proof of educational qualifications in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two staff members did not complete 15-hours of Cabinet-approved training. A review of ECE-TRIS supports these findings. 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 4. Premises Requirements.

General: Based on observation, one fluorescent light was not in working order near the front of the school-aged classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation: 1. The three-year-old classroom had several areas of chipping paint on the walls. Additionally, there were crayon marks on the door. 2. There was chipping paint on the wall near the dramatic play center and circle time space in the school-aged classroom. 3. There were several areas of chipping and flaking paint located in the book center of the one-year-old classroom; additionally, the paint on the classroom door was flaking. 4. There was one water-stained ceiling tile in the corner of the Creepers classroom. 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, the changing mat in the Creeper’s classroom was frayed in several areas, rendering the mat unable to be properly sanitized. 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 11. Toys and Furnishings.

General: Based on observation: 1. There was a dried, brown substance streaking a tan file cabinet in the school-aged classroom. 2. There was a brown, tacky substance on the shelf under the microwave in the one-year-old classroom. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 8. Kitchen Requirements.

General: Based on observation and review of documentation, the surveyor observed pizza being served to the children in care. One staff member stated that the children are served Giovanni’s pizza on Wednesdays. The facility did not maintain an agreement or contract stating what meals would be provided from the caterer, nor a copy of the food service permit for the caterer.

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 were three packets of frozen breast milk stored in the Creeper classroom freezer. The breast milk packets were not labeled with a child's name. 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 did not have a physician contact, preferred hospital, or emergency care authorization in their enrollment packet. Additionally, two children did not have a preferred hospital listed in their enrollment packet. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a power strip being used in the preschool classroom did not have protected outlet covers. 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 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, there were several torn mats in the preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable 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 3. General Requirements.

General: Based on observation, a one-year-old child was found drinking from a bottle while lying on a mat for nap time. 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 observation, a child's allergy list was posted on the refrigerator in the older infant classroom. This list was not kept confidential. 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, four (4) employees with hire dates of 11/05/1984, 11/01/1984, 09/07/2016, and 06/30/2006, did not have proof of completing fifteen (15) training hours in the prior calendar year in the files presented for review. The files had evidence of nine (9) hours, thirteen (13) hours, and two (2) files which contained zero (0) hours. A review of ECE TRIS confirmed this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the ceiling vents in the Three (3) year old room were very dirty and in need of cleaning. A layer of dust could be seen covering the outside of the vent. The vents in the PreSchool room were in the same condition. Those vents were also covered by dirt and dust and in need of cleaning. In the Toddler Room, Two (2) ceiling tiles in the back left corner of the room were discolored and stained. The tile was also not fitting correctly in the ceiling. In the PreSchool room, two (2) ceiling tiles near the air conditioning unit to the rear of the room were stained brown and looked to be damaged by water. The air conditioning unit in that room was also leaking and a plastic container was sitting under the unit to catch water. The container was full when observed and had leaked onto the surrounding carpet. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the playground area by the creek was sparsely covered with mulch. The grass could be seen growing through the mulch in several areas. The mulch was missing or not present on most of the play area used by children. 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 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 2. Child Care Services.

General: Based on Observation, room 200, the K-5 Room, did not have a lesson plan posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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, a gallon of paint was accessible under the hand washing sink cabinet in the girls' hall bathroom used by the K-4 and K-5 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, room 200, the K-5 Room, contained approximately four (4) ceiling tiles that were in disrepair over the teacher's desk. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 8. Kitchen Requirements.

General: Based on Observation, the milk cooler in the kitchen, used to store the children's milk, did not contain a thermometer; therefore the temperature inside the milk cooler could not be determined. Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, room D100, the Pre-Tot Room, did not have a daily schedule posted. 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 Review of Documentation, two (2) staff had TB skin test results on file that were done after their hire date. The staff hired on 7/22/15 had a TB skin test on file dated 7/27/15 and the staff hired on 8/7/15 had a TB skin test dated 8/11/15.

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, one (1) staff did not have fifteen (15) hours of cabinet-approved early care and education training during her completed training year. The staff member had a transcript on file from Ohio University with courses such as COM- Fundamentals of Human Communication and CON- Customer Service. These courses were not cabinet-approved early care and education courses. The ECE-TRIS and the on site staff file were both reviewed.

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 tiles around the toilet in the bathroom with the wash sink are cracked and stained. Based upon interview, the director stated that this had been pointed out to them before and the center was aware of the issue. Based on observation, the linoleum in the boys' restroom was pulling up away from from the base of the wall. There was also a chunk of molding above the sink gouged out and the vent cover missing.

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, there were tears in the changing table pads located in the Creeper room and infant room. Based on interview, the director stated she was aware and had just placed an order for replacements in each room that contained a diaper changing pad.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the right drawer on the changing station, below the diaper changing surface was broken and sagging. Based on interview, the director stated this has been an issues and has been fixed before in the past.

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 playhouse located on the toddler playground had a torn edge along the top causing a sharp piece of protruding plastic to hang down.

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) staff hired on 3/15/12 had a professional development plan on file that was not dated.

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 an employee with a hire date of 09/16/2014 did not have a child abuse and neglect check completed until 10/07/2014. This instance is 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. It was also found that an employee hired on 08/25/2014 who lived in Ohio did not have an out of state background check completed until 04/10/2015. These employees were not left unsupervised with the children.

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 an employee with a hire date of 01/20/2015 did not have proof of education.

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 an employee hired on 08/21/2014 did not have her TB skin test read until 10/25/2014.

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 person hired 10/03/2011 did not have evidence of the fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. It was also found that an employee with a hire date of 09/15/2014 did not complete their orientation training within the first three (3) months of employment. The training was not completed until 03/20/2015.

Open Not marked corrected in the state record

Category: recordkeeping. 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 enrolled on 11/09/2014 did not have a preferred hospital listed.

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, an eighteen (18) month old child was observed sitting in a high chair with no food or activity on the tray at 10:25 a.m., 10:33 a.m., 10:40 a.m. and 10:42 a.m. In an interview with staff it was determined that the child was placed in the high chair for lunch. The child was not served lunch until 10:44 a.m. Premises

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. Based on measurements taken by the surveyor on the day of the inspection, the Pre-tots classroom had a capacity of six (6) children. According to attendance records on 3/17/15 and 3/23/15 there were seven (7) children present and being cared for in that classroom. 2. Based on measurements taken by the surveyor on the day of the inspection, the Twos classroom had a capacity of ten (10) children. According to attendance records on 3/10/15 and 3/23/15 there were twelve (12) children present and being cared for in that classroom. On 3/9/15 there were thirteen (13) children present in the classroom. 3. Based on measurements taken by the surveyor on the day of the inspection, the Threes classroom had a capacity of seventeen (17) children. According to attendance records on 3/3/15 there were twenty (20) children present, on 3/9/15 there were twenty-two (22) children present and on 3/10/15 there were twenty-one (21) children present and being cared for in that classroom.

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, 1. The flushing handle on the toilet in the Boys' bathroom was missing. The toilet could not be flushed and, therefore, was not in operation. 2. The toilet seat in the Girls' bathroom was very loose. The seat moved from side to side and did not provide a stable surface for children to sit on when toileting. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Toddlers came from the Play Room to the classroom and went immediately to the tables for lunch. The children did not wash their hands before being served their lunch. Food Service

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 review of the facility's snack menu it was found that the menu only listed one (1) component. In an interview with staff it was found that snack normaly consists of a fruit, applesauce or yogurt. Staff indicated that they will sometimes serve water or juice with snack but not always.

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.

Based on observation; the lunch that was observed in the Toddler classroom consisted of sausage, hash brown, biscuit, yogurt and milk. The meal lacked a second vegetable or a fruit. Posted Documentation

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, a schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the Fours classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, and review of documentation the facility allowed children to be cared for in unlicensed space. An interview with administrative staff during an investigation revealed that the facility cares for thirty-four (34) children in three (3) classrooms (two (2) K-4 classrooms and one (1) K-5 classroom) that are not included in the facility's approved licensed space. Administrative staff stated during the visit that these classrooms are regulated through a school accreditation program; however, a review of the accreditation certificate revealed that the program only includes grades 1 - 12. Director Requirements

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, and interview, the facility failed to ensure implementation of program policies and procedures. Interviews with staff revealed that in November 2014 (exact date unknown) a preschool child (four (4) year old) was released to a person that was not listed on the child's approved pick-up list. The facility director was identified as the staff person working in the facility office on the day of the incident. The facility written policy regarding release of a child states, "Children are released only to those persons listed on the emergency authorization/information form. They must present a picutre I.D. until the staff is able to recognize them". Therefore, the facility director did not implement established policies and procedures.

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 Interview, the director failed to provide for the health, safety and comfort of each child. The following was found: 1. Interviews with staff revealed that on 3/9/15 a preschool child returned inside from playing on the playground with wet, muddy clothes and shoes. The child remained in these clothes until his mother arrived to pick him up. Staff stated that the child's mother took him to the bathroom to clean him up prior to exiting the facility. The exact length of time the child was in the wet, muddy clothes could not be determined; however, it was estimated through staff interviews as approximately two (2) hours. Administrative staff stated during interview that several other preschool children also had wet clothes that day as a result of playing on a playground that was extremely wet. 2. Interviews with staff revealed that in November 2014 (exact date unknown) a preschool child (four (4) year old) was released to a person that was not listed on the child's approved pick-up list. 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 Interview, the facility failed to meet this regulatory requirement. Interviews with staff revealed that on 3/9/15 a preschool child returned inside from playing on the playground with wet, muddy clothes and shoes. The child remained in these clothes until his mother arrived to pick him up. Staff stated that the child's mother took him to the bathroom to clean him up prior to exiting the facility. The exact length of time the child was in the wet, muddy clothes could not be determined; however, it was estimated through staff interviews as approximately two (2) hours. Administrative staff stated during interview that several other preschool children also had wet clothes that day as a result of playing on a playground that was extremely wet. Food Service

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, the facility failed to meet this regulatory requirement. During a tour of the facility the surveyor observed children eating chicken noodle soup, a grilled cheese sandwich and milk for lunch. No fruits and/or vegetables were served to the children; therefore, the lunch meal did not meet the nutritional requirements. A couple of the classrooms had individual containers of applesauce sitting on the counter; however, staff indicated that this would be served to the children later in the day during snack.

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.

Based on interview and written documentation, it was determined that a staff member has restrained children using her legs to hold them as a form of punishment. Multiple staff members revealed that they had witnessed this staff member restrain children for time periods ranging from one minute up to twenty minutes. Staff stated that the children being restrained varied in ages from two years to 4 years old. Programming

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 Interview and written documentation, it was determined that a child, age two years, is placed in a high chair for varying amounts of time throughout the day; times ranged from as long as two minutes minutes to over ten minutes. Staff members also stated that this occurs daily and more than once throughout a day. Staff members also confirmed that this is used as a form of punishment for this child to try to keep him in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and written documentation, it was determined that there are times when staff will wait to give children their milk until after they have eaten some of their food. One teacher stated that if there is a child that tends to drink their milk first, she will wait until they eat some of their food before giving them their milk. This teacher stated that this is because the child would fill up on milk and then not want to eat their meal.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the facility failed to maintain proper group size. On 10/28/14 the facility reported that a two (2) year old child was injured on the facility playground on 10/27/14 at 3:45PM when he fell off a teeter-totter and hit the back of his head on a landscape timber. During interview the staff person in charge identified three (3) groups of children that were present on the playground at the time of the incident (two (2) year olds, three (3) year olds and four (4) year olds). The staff person in charge submitted written documentation to the DRCC office during the investigation identifying twenty-five (25) children total that were present; therefore, the maximum group size was exceeded by five (5) children. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the surveyor observed a section of baseboard trim missing in the corner of the classroom located in room D100.

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 Observation, there was an unsanitary medicine box in the refrigerator located in classroom D101 (Toddlers). The surveyor found that the top of the medicine box contained a sticky substance. The surveyor opened the medicine box and found a medicine dropper inside that was stuck to a dried purple colored substance that appeared to be liquid medication that had spilled inside of the box. 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

Open / not marked corrected.

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

General: Based on Observation, the surveyor found that two (2) staff in classrooms D 103 and D 101 (Hire dates: 12/20/13 and 2/28/14) have resided outside the state of Kentucky within the last five (5) years (West Virginia and Ohio). Based on review of documentation, the staff did not have processed criminal records checks from their previous state of residence on file. Furthermore, during classroom observations, the surveyor observed these staff working alone with children. At approximately 10:20 a.m., the staff person working in classroom D 103 was alone with a total of eleven (11) children for approximately ten (10) minutes. At approxiamtely 10:45 a.m., the staff person in classroom D 101 was observed working alone with a total of six (6) children. This staff person stated that she had been working alone in the classroom since 7:15 a.m. The surveyor noted that an additional staff person went into the classroom at approximately 12:10 p.m. so that the staff person would not continue to be alone with the children.

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 Interview, the surveyor found that two (2) staff in classrooms D 103 and D 101 (Hire dates: 12/20/13 and 2/28/14) have resided outside the state of Kentucky within the last five (5) years (West Virginia and Ohio). Based on review of documentation, the staff did not have processed criminal records checks from their previous state of residence on file. Furthermore; during classroom observations, the surveyor observed these staff working alone. At approximately 10:20 a.m., the staff person working in classroom D 103 was alone with a total of eleven (11) children for approximately ten (10) minutes. At approxiamtely 10:45 a.m., the staff person in classroom D 101 was observed working alone with a total of six (6) children. This staff person stated that she had been working alone in the classroom since 7:15 a.m. The surveyor noted that an additional staff person went into the classroom at approximately 12:10 p.m. so that the staff person would not continue to be alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the surveyor found two (2) staff files(Hire dates: 3/5/12 and 5/14/12) that contained TB skin documentation that was no longer valid as of 3/10/14 and 5/1/14.

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, at the time of the inspection, the surveyor found that there was not any toilet paper in the boys' restroom.

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, at the time of the inspection, the surveyor observed standing water around the base of the toilet in the boys' restroom. The staff person in charge indicated that there may be a problem with the seal around the base of the toilet. Furthermore, the lever used to flush the toilet was cracked. 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, the surveyor found that the diapering surface on the changing table located in the restroom was a padded surface. However, the surveyor observed parchment paper on top of the padded surface. It was revealed that the toddler staff are changing children's diapers on top of the parchment paper.

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, there were approximately ten (10) mats located in classroom 106 that were in disrepair. The mats contained rips and tears. The staff person in charge stated that new mats have been ordered.

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 surveyor found large vinyl muli-colored blocks located in classroom D 101 that were thread bare. The surveyor noted that the foam was exposed in several areas.

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 that there was not an indicating thermometer in the refrigerator located in classroom D103. The surveyor observed juice, sippy cups, and milk in the refrigerator. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, ten (10) children's files did not contain preferred hosptial information. 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. Reports.

General: Based on Interview, on 8/8/13 a fifteen (15) month old child sustained an injury to her finger that required immediate medical care. The staff person in charge at that time accompanied the child's parent to seek medical attention. The facility did not report the incident to the cabinet.

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, on 8/8/13 a fifteen (15) month old child received an injury to the distal end of her fifth digit on her left hand while in care at the facility. The child's finger had been slammed in a door in the Toddler classroom. In interviews with staff present at the time of the incident it was found that the finger was bleeding and that the end of the finger was "barely hanging on". According to the classroom staff person the child was crying and there was blood on the child’s clothing, the staff person’s hands and down the front of the staff person’s leg. The staff person in charge gave the classroom staff person a paper towel to wrap around the child's finger. Both staff present were currently certified in First Aid, however, the paper towel was only treatment given to the child. The staff person in charge stated that she went to her office and called the child’s parent. She indicated that she did not call 911 because the child's mother worked close by and she thought the child's mother would get to the facility before emergency services. When the child’s mother arrived she told the staff person in charge to call 911 and let them know she was on her way with the child and what the injury entailed. The child’s mother asked the staff person in charge to accompany her to the hospital so she could ensure that the child did not pull off the end of her finger on the way. Due to construction and heavy traffic, the child’s mother pulled into a parking lot and called 911 because the child was still bleeding. Fire Department paramedics treated the child’s finger in the parking lot and an ambulance took the child to Kings Daughters Hospital in Ashland, KY. The child was transferred to Cabell-Huntington Hospital in Huntington, West Virginia for surgery. The child’s finger was completely severed between the first joint and the nail bed and could not be re-attached. An eleven (11) month old child was observed sleeping in a bouncy seat in a crib. The staff present stated that the child had a physician's statement indicating that the child was to be propped while sleeping due to acid reflux disease. The bouncy seat manufacturer's user's manual states that the seat is not to be placed on a soft or elevated surface. Employee Records

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, an eleven (11) month old child was observed sleeping in a crib with a loose blanket that had been placed over the child's head. The child had been wrapped in a separate blanket and the loose blanket had been placed on top. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Food Service

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, a nine (9) month old child was sitting in a reclined automatic swing drinking a bottle in the Infant classroom.

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, the staff person in the Creepers classroom stated that a fifteen (15) month old child is placed on her back in her crib, propped with a "Boppy" pillow when she takes her bottle. The staff person said that the child's mother told her to feed the child in that manner.

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, an infant in room N 102 was in a crib with a pacifier in her mouth. The pacifier was attached to a clip that was dangleing from the pacifier.

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 were four (4) staff with hire dates of 10/22/12, 9/13/12, 3/25/13 and 9/9/12 who had a T.B. skin test completed after their hire date.

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 Interview, it was found that art is only offered two (2) to three (3) times a week in the toddler room (Room 101). It was also found that in room N 102 there is a child who is one (1) year old and this child is only offered art approximately two (2) times a week. Further interviews with staff in room N 102 also found that children only have access to blocks approximately two (2) to three (3) times a week.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Wiggles was playing on the television in Room 102. A review of the daily schedule and the posted planned program of activities did not have television viewing or the Wiggles listed as part of the programming for the day or week.

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, the toddlers in Room 102 were observed watching television while they ate their lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, there were three (3) tubes of diaper ointment observed on a shelf under the changing table located in the bathroom downstairs. The diaper ointment had drug facts listed on the back. The ointment was not in a locked container or area. A bottle of prescription Bromfed DM was found in an unlokced box in a cabinet in Room 103. All of these items were accessible to the children. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. 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 several of the mats used for nap in Rooms 100 & 103 were torn.

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, the surveyor found that one (1) staff person (hire date: 11/15/2001) had a TB skin test on file that was no longer valid as of 5/5/12. Also, there was one (1) staff person (hire date: 2/28/12) that had a TB skin test read on 3/5/12. It was not completed prior to the staff person's hire date. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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, the surveyor found that one (1) staff person (hire date: 1/12/2010) did not have the required fifteen (15) hours of annual child development training. The staff person had eleven (11) hours. 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 3

Infants: Based on Observation, the surveryor observed a child sleeping in a bouncy seat. The staff person stated that the child had been sleeping for approximately twenty (20) minutes. The staff person also stated that the child had reflux. There was not any documentation on file from the child's pediatrician that would require the child to sleep in the bouncy seat.

Open Not marked corrected in the state record

Open / not marked corrected.