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

General: Based on observation and interview, the surveyor found exposed screws protruding from a wooden picnic table on the outdoor playground. This presented a potential hazard; therefore, the equipment was not safe or in good repair. Staff-in-charge stated he would discard of the wooden picnic table. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. One (1) staff’s (DOH: 05/16/23) file contained no documentation to verify if the staff completed orientation training. The staff’s Individual Training Record Report from ECE-TRIS did not indicate that the staff completed orientation training; therefore, the surveyor could not confirm if this staff completed the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 2. One (1) staff (DOH: 05/16/23) completed eight (8) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 05/16/24- 06/30/24. 3. One (1) staff (DOH: 08/01/20) completed fourteen (14) of the require fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23—6/30/24. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 and interview, the surveyor found several areas in which the protective mulch covering was depleted. Animal feces was on two (2) areas of the mulch- covered play area near play equipment as well as in two (2) areas of the grass-covered area on the playground; therefore, the playground was not well-maintained or safe from foreseeable hazards. Staff-in-charge stated he would replace the mulch ground cover and ensure that the animal feces was removed from the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found one (1) child’s (DOE: 06/25/24) file contained an immunization certificate that was no longer current after 10/16/24; therefore, the licensee failed to maintain a current immunization certificate on file for the child. Staff-in-charge stated he would contact the child’s parent for an updated immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) missing electrical outlet in the wall located by an air conditioner unit in the Big Kids Classroom. The surveyor observed a hole in the wall where the electrical outlet would be and observed cables in the back of the hole. Therefore, the health, safety, and comfort of the children was compromised. Staff-in-charge stated that the cables did not have any electric to them and she would have the hole repaired. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 05/06/06) obtained two and one-half (2 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 05/06/06) obtained one and one-half (1 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22 3. A staff (DOH: 06/15/13) obtained one and one-half (1 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. During interview, staff-in-charge stated that the staff mentioned completed the required fifteen (15) hours of training; however, the trainings were not showing in ECE-TRIS. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A black/brown purse placed on a shelf in the Toddler Classroom. The purse strap was observed to be hanging down the front of the shelf. Through interview with staff, the surveyor learned that the purse belonged to a staff person. The surveyor observed staff to move the purse to out of reach of the children. 2. A red purse placed in the floor beside a highchair and near the back exit door in the Big Kids Classroom. Through interview with staff, the surveyor learned that the purse belonged to a staff person and the purse typically stays in the laundry room. The surveyor observed staff to move the purse to out of reach of the children. The items mentioned were observed to be within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a small hole in the wall next an electrical outlet plate located under a white board in the Big Kids Classroom; therefore, the wall was not in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. An exposed dryer vent hole in the side of the child-care center building located next to an exit door on the playground. 2. Two (2) bottom corners on the child-care center building located by the exit door used by the children to go to the playground were observed to be broken/chipped exposing jagged edges. 3. The flat end of a nail that was protruding outward located at the top of a set of wooden steps on the playground that lead through an exit door to the Big Kids Classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A small section of the fence roll located at the back of the playground by the mulched area was observed to not be secured at the bottom and pushed out slightly; therefore, the fence was not in good condition. 2. Small branches sticking through the side fence roll; therefore, the fence was not in good condition. 3. One (1) large hole in the bottom of the white wooden fence located at the front of the playground by a set of steps; therefore, the fence was not in good condition. The surveyor observed a purple/yellow child gate placed in front of the hole; however, the gate was observed to not be secured to the fence. 4. One (1) large hole in the top of the white wooden fence located at the front of the playground by a set of steps; therefore, the fence was not in good condition. During interview, staff-in-charge stated that they were planning to replace the white fence. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 02/28/22) file did not contain the name of the child’s preferred family physician or contact telephone number.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found documentation for a parent involvement activity that consisted of the children, staff, and parents walking to Southeast College for a Christmas program. During interview, staff-in-charge stated that the college was one (1) block away from the child-care center. The surveyor found one (1) permission form for one (1) child only. Staff-in-charge stated that eight (8) children between the ages of three-years-old and four-years-old attended and she had obtained parent permission for each child; however, staff-in-charge stated that she did not know that she had to keep the documentation on file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, upon arriving at the child-care center, the surveyor found that a staff person was inside the Toddler Classroom and no children were present. The surveyor walked into the Infant Classroom and found three (3) children that were asleep in cribs and one (1) child placed inside a mamaroo that was located beside a half wall. The surveyor did not observe a staff person inside the Infant Classroom; therefore, the children were not within scope of vision. The Toddler Classroom and Infant Classroom were observed to be divided by a half wall. During interview, staff-in-charge stated the children ranged in age from approximately six-months-old to two-years-old. Staff-in-charge stated that she had to send staff home due to sickness and she had to open the door for the surveyor that is located in the Toddler Classroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor found a staff’s (DOH: 08/01/20) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to 10/01/21. During interview, staff-in-charge stated that the staff person had submitted to fingerprints. Staff-in-charge provided a document to verify that the staff person submitted to fingerprints on 01/08/19. Staff-in-charge stated that she was unsure why the staff person was not showing on KARES and would contact KARES to resolve the issue. The surveyor observed the staff person to be supervising children alone on the playground. The staff’s file contained a completed Child Abuse/Neglect Background Check dated 09/03/20 and a completed Criminal Records Background Check dated 06/05/20. 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, the surveyor found the following: 1. The following staff (DOH: 01/25/19 and 06/15/13) files contained an annual written performance evaluation dated 2020 only; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 05/06/06) file contained an annual written performance evaluation dated May 2020; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 08/01/20) file did not contain an annual written performance evaluation; therefore, the surveyor was not unable to determine that the evaluation was completed annually.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 08/01/20) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to 10/01/21. During interview, staff-in-charge stated that the staff person had submitted to fingerprints. Staff-in-charge provided a document to verify that the staff person submitted to fingerprints on 01/08/19. Staff-in-charge stated that she was unsure why the staff person was not showing on KARES and would contact KARES to resolve the issue. The surveyor observed the staff person to be supervising children alone on the playground. The staff’s file contained a completed Child Abuse/Neglect Background Check dated 09/03/20 and a completed Criminal Records Background Check dated 06/05/20. 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 and ECE-TRIS, the surveyor found the following: 1. The following staff (DOH: 01/25/19, 06/15/13, 05/06/06) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. 2. A staff (DOH: 08/01/20) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 08/01/20 – 08/01/21. 3. A staff (DOH: 05/06/06) obtained one (1) hour of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. During interview, staff-in-charge stated that the staff mentioned completed the required fifteen (15) hours of cabinet-approved early care and education training; however, the training may have not been uploaded to ECE-TRIS. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found a loose blanket to be placed on a child that was asleep in a crib in the Infant Classroom. The surveyor observed what appeared to be a kick and play mat placed inside the crib and the child laying on top of the mat. Through interview with staff, the surveyor learned that the child was approximately six (6) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, the surveyor found a bottle of QT-TB, disinfectant spray, and hand sanitizing alcohol wipes placed on a small desk by the exit door in the Big Kids Classroom. The items mentioned stated "Keep Out of the Reach of Children" on the back labels and were observed to be accessible to the children. During interview, staff-in-charge stated that the items mentioned are usually stored on the wall shelf in the classroom where they are out of reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a missing electrical outlet in the wall underneath the air conditioner unit in the Big Kids Classroom. The surveyor observed a hole in the wall where the electrical outlet would be and did not observe any wires. During interview, staff-in-charge stated that there were no live wires where the missing electrical outlet was located. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the playground, the surveyor found the following: 1. A loose garden hose hanging over the fence roll located at the back of the playground. 2. A loose garden hose placed on the ground beside the child-care center building and near a set of concrete steps on the playground. 3. A bottle of Wasp Hornet Killer placed on the ground beside a a set of steps that stated "Keep Out of the Reach of Children" on the front of the bottle.

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 surveyor found the following: 1. Tree limbs sticking through the fence roll located on the side of the playground; therefore, the fence was not in good condition. 2. A piece of white lattice used on the fence roll near a set of steps appeared broken at the bottom exposing a gap/hole in the fence. Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that there was not a thermometer in the mini refrigerator located in the Kitchen; therefore, the surveyor was unable to determine if the refrigerator was maintained at forty (40) degrees Fahrenheit or below. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 05/14/18) file contained an immunization certificate that was no longer current as of 11/20/19. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following staff (DOH: 01/25/19, 06/15/13, 08/01/20, 05/06/06, and 05/06/06) files contained a professional development plan dated 2020 only; therefore, the plans were not completed annually.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. No documentation of fire drills conducted during the months of January, February, March, April, May, June, July, October, November, December 2021 and January, February 2022. During interview, staff-in-charge stated that the fire drills were completed; however, she was unable to locate the documentation. 2. No documentation of earthquake and tornado drills conducted during the first, second, and fourth quarter of 2021. During interview, staff-in-charge stated that the earthquake and tornado drills were conducted; however, she was unable to locate the documentation. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found two (2) staff supervising nine (9) children on the playground. The surveyor observed one (1) staff member go inside the building to get drinks for the children leaving one (1) remaining staff to supervise nine (9) children for approximately three (3) minutes. During interview, staff reported the youngest child on the playground was one-year-old; therefore, the staff-to-child ratio was exceeded by three (3) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the Big Kids Classroom, one (1) electrical outlet located underneath the air conditioning unit was missing one (1) electrical cover. 2. A shovel, two (2) brooms, and a concrete block were on the playground accessible to the children. Therefore, the health, safety, and comfort of the children were compromised. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 8/1/2020) negative tuberculin result was no longer current as of 1/9/2021. 2. A staff’s (DOH: 6/15/2013) negative tuberculin result was no longer current as of 3/15/2021. 3. A staff's (DOH: 1/25/2019) negative tuberculin result was no longer current as of 1/7/2021. Therefore, the child-care center failed to show proof that the employees are free of active tuberculosis or provide a copy of a negative tuberculin result.

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 interview, staff reported that she and two (2) additional staff members were certified in First Aid / CPR. When reviewing documentation, the surveyor found that the staff’s First Aid / CPR certification expired on 4/30/2021; therefore, the child care center failed to ensure that at least one (1) person on duty and present with the children had cabinet – approved certification in CPR / First Aid. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and ECE – TRIS, the surveyor found the following: 1. A staff’s (DOH: 8/1/2020) personnel file did not contain documentation to verify that the staff completed six (6) hours of cabinet-approved orientation training. During interview, staff stated that the employee completed the training; however, the staff lost the documentation after the fire occurred at the child-care center. Staff has been in contact with ECE – TRIS regarding an issue with the staff’s information in ECE – TRIS; however, until the issue is resolved, the staff’s information is not available in ECE – TRIS. Therefore, the child- care center failed to provide documentation verifying that the employee completed six (6) hours of cabinet-approved orientation within their first three (3) months of employment. 2. A staff’s (DOH: 8/1/2020) personnel file did not contain documentation that the staff completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. During interview, staff stated that the employee completed the training; however, the staff lost the documentation after the fire occurred at the child-care center. Staff has been in contact with ECE – TRIS regarding an issue with the staff’s information in ECE – TRIS; however, until the issue is resolved, the staff’s information is not available in ECE – TRIS. Therefore, the child-care center failed to provide documentation verifying that the employee completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. 3. Three (3) staff (DOH: 5/6/2006, 6/15/2013, 5/6/2006) completed pediatric abusive head trauma training on 4/16/16. During interview, staff was not aware that the training needs to be obtained once every five (5) years; therefore, the child-care center failed to ensure that staff complete one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training once every five (5) years. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found bleach spray, bug spray, and Pure Bright Cleaner on the playground and accessible to the children. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A staff member did not wash a child’s hands after changing the child’s diaper in the Little Kids Classroom. 2. Children from the Little Kids Classroom and the Big Kids Classroom did not wash their hands prior to eating lunch. During interview, staff stated that the staff forgot to have the children wash their hands as the surveyor’s presence made them nervous; therefore, staff failed to wash the children’s hands with liquid soap and warm water as required. 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

Open / not marked corrected.

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

General: Based on observation, a staff failed to wash her hands after changing a child’s diaper in the Little Kids Classroom. During interview, staff stated that the staff forgot to wash her hands as the surveyor’s presence her nervous. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a child’s (DOE: 8/30/2019) immunization certificate was no longer current as of 12/17/2019; therefore, the child-care center failed to maintain a current immunization certificate for the child. Staff interviewed stated that she would get the immunization certificate from the child’s parent. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that 9/2/2020 was the last date that the center documented monthly fire drills and quarterly earthquake/tornado drills. During interview, staff reported she thinks the drills were conducted after 9/2/2020; however, staff could not locate the documentation of the drills during the surveyor’s visit. Staff reported since the child care center reopened in July, no drills have been completed. Therefore, the child-care center failed to maintain a written record of practiced earthquake, tornado, and fire drills. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that an employee (DOH: 01/29/19) record presented for review contained cabinet-approved orientation dated 07/02/19, which was not completed within the first three (3) months of hire as required by regulations. During interview, the director stated they encountered issues in trying to access ECE-TRIS until recently. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records 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 and interview, the most recent immunization certificate presented for surveyor review for one (1) child (DOE: 05/14/19) was no longer current after 07/15/19. During interview, the director stated that the child's parent had taken the child to the doctor on 07/18/19; however, no updated record was presented during survey visit. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the surveyor found that an infant was sleeping in a swing in the nursery. Staff reported that the infant was four months old and there was no documentation from a physician recommending an alternative sleep position. 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 and interview, the surveyor found that a toddler age child was sleeping in an infant swing under the window in the nursery. Staff stated that the child is fifteen months old and just prefers to sleep in the swing over a nap mat or cot.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on observation, the surveyor found that on 05/07/17, the Type II childcare center provided care for thirteen (13) children. Through interview with the director, she stated that a parent had an emergency and was late returning to pick up a child. She stated that one (1) child exceeded the center’s capacity for only four to five (4-5) minutes prior to the arrival of the parent. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 surveyor found that the wooden bases of a Corn Hole game were propped against the wall in the school-age room; thus, causing a safety hazard to the children. 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 and ECE-TRIS, during the renewal survey conducted on 05/07/18, the surveyor found that a staff (DOH: 03/01/17) had not completed pediatric abusive head trauma training within the first year 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 4. Premises Requirements.

General: Based on observation during a tour of the preschool area, the surveyor found that a light fixture had an exposed socket as one (1) bulb was missing. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the playground, the surveyor found that a metal frame, car tire, wooden table top, paper plates and wooden pallet were on the playground. The playground was not maintained in a clean condition. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the childcare home, the surveyor found the following: 1. Dark brown stains and baked-on food particles were observed in the oven that is used to prepare the children’s meals. The oven was not maintained in a clean condition. 2. A dark dried-on substance was observed in a tray and on the interior base of the refrigerator. The refrigerator was not maintained in a clean condition. 3. A significant amount of food crumbs was observed on the interior base of the freezer. The freezer was not maintained in a clean condition. 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: nutrition. 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 the liability insurance policy was dated 5/3/16; therefore, it was not current. Staff reported the center has liability insurance coverage. A copy of the updated policy could not be provided during the surveyor's visit. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that staff's (DOH: 3/1/17) file did not have documentation of a high school diploma, GED, or commonwealth child care credential. Through interview, staff confirmed graduating high school and is currently enrolled in college. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the surveyor found that the staff's (DOH: 5/6/06) file contained a copy of a tuberculin skin test result that is no longer current as of 4/18/16. Staff confirmed through interview that the test is no longer current. 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 3. General Requirements.

General: Based on observation, the surveyor found a cup of soda from Dairy Queen located on a low table in the Toddler Classroom. Upon interview, staff reported a parent had given the soda to their child upon arrival to the center.

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 toilet the children use had dried urine stains on the rim of the toilet; therefore, the toilet was not kept in a clean condition. Upon interview, staff reported a child must have urinated on the toilet rim on the morning of the surveyor's visit. 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

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the refrigerator located in the Preschool Classroom had a thermometer reading of 45 degrees fahrenheit, which is above the recommended 40 degrees fahrenheit or below. Children's Records In Compliance 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the surveyor was presented with documentation of only one (1) staff meeting that occurred within the past year. Upon interview, the director reported they have staff meetings frequently but she does not always document them.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, an electric heater was located on the floor inside the infant classroom, the heater was unplugged and the cord was accessible to the children creating a strangulation hazard. Upon interview, the director acknowledged the risk that the unplugged heater posed to the children and stated she had intended to put it away.

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, review of ECE-TRIS Training website, and interview, the surveyor found that three (3) staff files presented for review (DOH: 6/15/13, 5/6/06, 5/6/06) did not contain documentation showing the completion of Pediatric Abusive Head Trauma training within the past five years. Upon interview, the director stated that all three (3) staff had completed the training online through the TRIS Training website but she was unsure of the dates and could not locate the certificates. 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 3. General Requirements.

General: Based on observation and interview, the following was found: (1) There was a half-full bottle of Mountain Dew located on a low shelf to the left of the School-Age classroom door, the mountain dew was accessible to the children. Upon interview, staff reported a parent had given it to their child. The child that the mountain dew belonged to was not present at the time of the survey. (2) There were multiple loose plastic bags under the restroom sink which is not locked, the bags were accessible to children. Upon interview, the director reported that the bags are utilized to place soiled clothing in to send home with the children. (3) A broom and dust pan were located in the corner next to the restroom door in the Infant classroom, the broom and dust pan were accessible to the children. Upon interview, the director reported the broom and dust pan are typically kept in the utility room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following were found: (1) There were trash bags containing trash hanging on the back door in the school-age classroom and on the utility room door in the infant classroom rather than in trash cans. Staff reported they were getting ready to take the trash out. (2) There were chocolate donuts on the floor in the school-age room next to the table. The director reported the donuts were from a child dropping them while eating.

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 and interview, the surveyor found the ceiling vent and surrounding ceiling in the restroom to have a significant build up of dust. Upon interview, the director reported she had recently cleaned the ceiling vent.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that soiled diapers were being kept in a trash bag hanging on the utility room door inside the infant classroom, therefore the diapers were not in a covered container. Staff reported they were getting ready to take the trash out.

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 and interview, the surveyor found the playground area to be soiled with dog feces in multiple places. Upon interview, the director confirmed that she did have a dog and plans to make changes to the playground in the future.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the faucet inside the pink/blue playhouse located on the playground to be damaged creating sharp edges and points. Upon interview, the director acknowledged the playhouse faucet needed to be repaired.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor could not locate a thermometer inside the freezer and therefore could not determine if the food was being maintained at a temperature of zero (0) degrees fahrenheit or below. Upon interview, the director explained she usually keeps the thermometor on the top shelf but she had recently had the freezer worked on so the thermometer must have been moved.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor found a plastic bag filled with garbage located inside the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the outdoor play area, the surveyor found one (1) climbing and sliding structure that did not contain a protective surface; the structure was placed on grass.

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 surveyor found tears in the vinyl covering on three (3) mats and three (3) mats that were less than two (2) inches thick.

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 during a tour of the school age classroom, the surveyor found one (1) playpen used by the school age children for dramatic play that had a large rip in the mesh section of the playpen. The playpen was not in good repair.

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 during a tour of the nursery classroom, the surveyor found tape that was peeling off of the covering of the diaper changing pad; therefore, the diaper changing pad was not in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and a review of the ECE-TRIS website, the following was found: (1) The file presented for review for a staff member (DOH: 6/15/13) contained evidence of only six (6) hours of training for the current training year 6/15/13 through 6/15/14. (2) The file presented for review for a staff member (DOH: 5/6/06) did not contain any evidence of training for the current training year 5/6/13 through 5/6/14. (3) The file presented for review for a staff member (DOH: 5/6/06) did not contain any evidence of training for the current training year 5/6/13 through 5/6/14. 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 during a tour of the school age classroom, the surveyor found a section of broken wood which created a sharp edging around the ledge of one (1) window. The area around the ledge of the window was not in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the restroom, the surveyor found a section of a metal vent protruding out from the wall. The protruding metal vent was accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. 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 no staff person that was present and on duty had current first aid and CPR training.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation available during the renewal inspection, the surveyor found that the identified substitute staff person's qualifications did not meet the requirements for this administrative regulation. There was no evidence of a TB evaluation, professional development plan, record of training, and evaluation.

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, the surveyor found that the liability insurance policy on file at the child care center had an expiration date of 05/03/13. A current liability insurance policy was not available for the surveyor to review.

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 the file for a staff (DOH: 04/01/13) did not contain an annual written performance evaluation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the identified substitute staff person for the Type II child care center does not meet the qualifying requirements of this administrative regulation. Missing items include: TB test documentation, training, evaluation and professional development plan.

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 during a tour of the child care center, the surveyor found the following: 1. A toilet brush was observed in an unlocked cabinet located under the sink in the restroom used by the children. The toilet brush was accessible to the children. 2. Two (2) uncovered electrical outlets were observed in the School-age Room and two (2) uncovered electrical outlets were observed on the wall over the sink located in the restroom that is used by the children. 3. Plastic crates that were located in the Preschool Room were being used to store the children’s personal items. Multiple crates were stacked, unsecured and easily moved; thus, presenting a safety risk. 4. Plastic crates that were located in the Preschool Room were being used to store the children’s personal items. The side of a crate was broken and had sharp edges. 5. An unsecured television was found to have been placed on a table in the Preschool Room. The unsecured television presents a safety risk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A staff member has been employed greater than 90 calendar days, and there was no evidence of a completed child abuse or neglect (CAN) check. The staff member was not alone with children. Note: This was previously cited for SEB 25884.

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 the files for two (2) staff (DOH: 05/06/06 and 04/01/13) did not contain verification from a health professional that the individuals are free of active tuberculosis or have a copy of a negative tuberculin result. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and of ECE-TRIS, the surveyor found the following: 1. Three (3) staff’s (DOH: 05/06/06, 05/06/06 and 04/01/13) files did not contain verification that any cabinet-approved early care and education training hours had been obtained during the review period. 2. Two (2) staff's (DOH: 04/01/13 and 06/15/13) files did not contain verification that cabinet-approved orientation training had been obtained. 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 and interview, the surveyor learned that rest time is not provided nor was it offered during the renewal inspection to the four (4) preschool-aged children that were in attendance for more than four (4) hours.

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 surveyor found the following: 1. A utility closet, located on the left side of the hallway between the Preschool Room and the School-age Room, was observed to be unlocked and contained paints, chemicals, tools and debris. The items were accessible to the children. 2. An unlocked closet, located on the right side of the hallway between the Preschool Room and the School-age Room, contained storage items, boxes, blankets and debris. The items were accessible to the children. 3. The surveyor found that a staff's purse had been left on the stairs between the child care center and the provider's living quarters. The purse was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation the surveyor found the following: 1. A wall vent's cover had been removed exposing an opening in the sheet rock located in the restroom that is used by the children. 2. The surveyor found dirt build-up in the corners of the floor and on the base boards located in the hallway between the Preschool Room and the School-age Room. 3. The surveyor found that large bags of garbage were piled-up beside the house next to the entrance door and pizza boxes had been left on the front door landing. 4. The surveyor found a bag of garbage located in the Preschool Room near the restroom door. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation and interview, the surveyor could not verify that the land line phone was working as the provider indicated that the phone's battery was not charged. Attempts to contact the provider via the land line phone on 04/09/14 and 04/10/14 were unsuccessful.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. A broken bulb was observed in the light fixture of the ceiling fan located in the Preschool Room. 2. Three (3) bulbs were missing in the light fixture located in Preschool Room, exposing three (3) open lamp sockets. 3. The light fixture located in the ceiling fan in the School-age Room had a missing bulb. 4. A space heater was observed to be in use in the School-age Room. The space heater had been placed on the floor and was not protected; therefore, it was accessible to the children. 5. A thick layer of dust was observed to be on the metal vent cover that is located on the wall beside the crib in the infant area. 6. The slats on the mini blinds located in the School-age Room were broken and hanging down within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the child care center, the surveyor found that ants were crawling on the toilet seat and on the sink located in the restroom that is used by the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 27 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 4. Premises Requirements.

General: Based on observation, the surveyor found that the unscreened window located over the sink in the kitchen had been opened. As there is no door that closes the living quarters from the child care area, the open window provided access to the entry of vermin.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the child care center the surveyor found that the Duct Tape that had been used to cover the areas of joined carpeting in the Preschool Room had come loose. Also, torn carpeting was observed on the steps between the Preschool Room and School-age Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that large plastic bags of garbage had been piled beside the exterior of the house near the child care entrance, numerous pizza boxes had been left on the exterior front door landing of the home, and a large garbage can full of debris and trash as well as plastic bags of garbage were found in the playground area of the child care center.

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 dust and dirt on the floors and base boards located in the restroom used by the children. Additionally, a thick coating of dust was observed on the metal vent covering on the wall and on the air vent and plaster on the ceiling.

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 toilet contained a dark substance and the toilet seat was not securely attached to the toilet bowl. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a brown substance located on the interior bowl of the potty training chair indicating that the chair had not been sanitized.

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 during a tour of the playground, the surveyor found the following: 1. Wood ash from a bonfire had been left in the playground area. 2. Plastic bags and a trash can, both filled with garbage, had been left in the playground area.

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 and interview, the surveyor found that concrete blocks that had been used for a bonfire had been left in the playground area. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the playground, the surveyor found that a large area of wooden lattice had been broken from the back side of the fence giving a direct opening to the outside. The fence was not stable or in good condition. 705 - Infant/Toddler Outdoor Space Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (4) If a child-care center provides an outdoor play area for an infant or toddler, the outdoor area shall be: (a) Shaded; and (b) A separate area or scheduled at a different time than an older child. Equipment

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 surveyor found that the crib mattress was not in good repair as evidenced by the multiple tears in the vinyl covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor learned that only three (3) two inch (2") thick waterproof mats were available to meet the nap time requirements for four (4) children in attendance at the child care center. 740 - Twelve Inch Spacing Not Applicable 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (6) Cots, equipment, and furnishings used for sleeping and napping shall be spaced twelve (12) inches apart to allow free and safe movement by a person.

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 that plastic crates that were being used to store the children's personal items were broken and had sharp edges.

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 the freezer did not contain a thermometer; therefore, the temperature could not be determined.

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 during a tour of the child care center, the surveyor found that the interior top, sides and bottom of the oven contained dark-colored stains and baked- on food particles.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during lunch time, the surveyor found that pasteurized two (2) percent milk was served to children who were three to four (3-4) years of age. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that four (4) of the children's enrollment files did not contain information to enable a person in charge to contact the preferred hospital. 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, the surveyor found that the files for two (2) staff (DOH: 05/06/06 and 04/01/13) did not contain a written annual plan for child care staff professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, the surveyor found that child care center was not licensed to provide transportation services prior to transporting three (3) children on 03/04/14. 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 interview, the surveyor found that the child care center director is employed in another position during the child care center's hours of operation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report Employee Records

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, the surveyor found that a staff (DOH: 06/13) person has no criminal records check or child abuse and neglect background check on file. Through interview, the surveyor learned that the staff person has been alone while providing care to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the child care center did not maintain a personnel file for a staff (DOH: 06/13).

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 a staff (DOH: 06/13) does not have a copy of a High School Diploma, GED or Commonwealth Child Care Credential on file. 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 tears in the vinyl covering on the diaper changing pad. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report Equipment

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, the surveyor found that child care center was not licensed or approved by the cabinet or its designee prior to transporting three (3) children on 03/04/14. Children's Records

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that two (2) children's (DOE: 02/01/11 and 06/03/13) ) files contained immunization certificates that were no longer current as of 02/21/14 and 11/07/13 respectively.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that three (3) children in attendance at the child care center on 03/04/14 had no enrollment files. Through interview, the surveyor learned that the child care center had not obtained contact information, medical information and emergency authorization from the children's parents.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, the surveyor found that strips of wooden lattice had been used for a small section of the playground enclosure. A strip of the wooden lattice was loose and falling, down resulting in an opening of the enclosed area.

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

Room #1: Based on observation, the surveyor found that a staff did not disinfect the diaper changing pad after a child was diapered.

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 (1)

Based on observation, the surveyor found that an electrical outlet did not have a face plate. The electrical outlet is located on the wall behind the crib and within reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the files for three (3) staff did not contain documentation of a Professional Development Plan. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 43 Web site: http://chfs.ky.gov/ Inspection Report 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 5 Staff Requirements.

General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 01/23/12) did not contain documentation of a High School Diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room #1: Based on observation, the surveyor found that a seven-month-old infant was being provided care along with three- and four-year-old children for more than one (1) hour. 282 - Toilet Training Not Applicable 922 KAR 2:120 - Section 10 (5) Toilet training shall be coordinated with the child's parent. Premises - Classroom

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 Equipment.

Room #2: Based on observation during a tour of Room #2, the surveyor found that of the five mats that were available for the children's use, four (4) were only one (1) inch thick. 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 2) Meets Standards Not In Compliance Findings: Room #1: Based on observation, the surveyor found that the crib was not in compliance with 16 CFR 1219 or 1220. 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided Not In Compliance Findings: Room #1: Based on observation and interview, the surveyor learned that sheets are not provided for the children's use. 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 2) Laundered Not Applicable 3) Sanitary Storage Not Applicable 240 - Twelve inch spacing Not Applicable 922 KAR 2:120 - Section 6 (5) Cots, other equipment, and furnishings shall be spaced twelve (12) inches apart to allow free and safe movement by a person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room #2: Based on observation, the surveyor observed that the vinyl covering on five (5) of the children's mats were encrusted with a dark brown substance. Room #1: Based on observation, the surveyor found that the vinyl covering on a red-colored mat located under the crib was dirty to include an unidentified white flaky substance.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room #2: Based on observation, the surveyor found a tear in the vinyl covering of a child's mat. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean Not In Compliance Findings: Room #2: Based on observation, the surveyor observed a dark sticky substance on the table being used by the children. 4) Meets needs Not In Compliance Findings: Room #2: Based on observation during a tour of the child care center, the surveyor observed nine (9) children in Room #2. The surveyor observed that only a small table was available for the children's use. A folding table was propped in the corner of the room; however, it had not been set-up to accomodate the children. Additionally, only five (5) chairs were available to meet the needs of the children in attendance. 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 2) Safe In Compliance 3) Good repair In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 29 of 43 Web site: http://chfs.ky.gov/ Inspection Report 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the file for a child (DOE: 03/01/13) did not contain documentation of a current immunization certificate. The file for a child (DOE: 10/22/12) contained an immunization certificate that was no longer current as of 03/21/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was sand paper on the sink and a toilet bowl brush on the floor of the restroom used by children. Premises - Classroom 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: Back Classroom: Based on observation, there was a can of Lysol kitchen cleaner, glass cleaner, Spic and Span cleaner, and spray paint located in the classroom. All the items were accessible to the children when the surveyor arrived. There was not a gate at the door when the surveyor arrived at the center. 2) Knives and sharp objects Not In Compliance Findings: Back Classroom: Based on observation, there were sharp tools located in the classroom accessible to children when the surveyor arrived. There was not a gate at the door when the surveyor arrived at the center. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 2) Walls smooth/good repair Not In Compliance Findings: Front Room: Based on observation, there was a vent in the restroom that had been pulled out away from the wall. 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 2) Toilet Paper Not In Compliance Findings: Front Room: Based on observation, there was no toilet paper located in the restroom when the surveyor arrived at the child care center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 6 Web site: http://chfs.ky.gov/ Inspection Report 3) Clean/Sanitized Not In Compliance Findings: Front Room: Based on observation, the sink in the restroom was dirty. 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 5) Equipped with liquid soap and single use disposable hand drying material Not In Compliance Findings: Front Room: Based on observation, there were no paper towels located in the restroom when the surveyor arrived at the child care center. 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean Not In Compliance Findings: Front Room: Based on observation, there was feces and urine located in the commode in the children's restroom. 2) Good repair Not In Compliance Findings: Front Room: Based on observation, the commode seat located in the restroom was broken. General Premises 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 3) Not in the presence of children In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: General: Based on observation, there was a strong odor present when the surveyor arrived at the child care center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 6 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 7) Stairs Not In Compliance Findings: General: Based on observation, the child care center had steps going into the home and the steps were not gated. Hygienic Practices 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 3) Handwashing before eating/handling food and after eating/handling food Not In Compliance Findings: Front Room: Based on observation, a staff member used a baby wipe to wash the children's hands before they ate snack. 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 6) Handwashing after wiping nose Not In Compliance Findings: Front Room: Based on observation, a staff member did not wash her hands after wiping a child's nose. 283 - Diapers/Clean clothing supply 922 KAR 2:120 - Section 10 (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 2) Clean clothing In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 6 Web site: http://chfs.ky.gov/ Inspection Report Food Service 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk ** Must select two from the list In Compliance 2) Protein ** Must select two from the list In Compliance 3) Bread ** Must select two from the list In Compliance 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance 268 - Lunch/Dinner Requirements 922 KAR 2:120 - Section 9 (7) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d) 1. Two (2) vegetables; or 2. A fruit and one (1) vegetable. 1) Milk In Compliance 2) Protein In Compliance 3) Bread In Compliance 4) 2 Vegetables or Fruit and Vegetable In Compliance Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 1) Identification Information In Compliance 2) Parent Contact Information In Compliance 3) Physician Contact In Compliance 4) Designated Pick-up In Compliance 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History In Compliance 2) Emergency Authorization 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 and interview, the file for a staff member (DOH: 01/23/12) did not contain a copy of the employee's GED.

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 Equipment.

Infant/Toddler: Based on observation and interview, a child (DOE: 11/01/10) uses a play pen provided by the child's parents for resting. Although the child's parents have given written permission for the use of the play pen, a play pen cannot be used as a sleep furnishing per the regulatory requirement. 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 2) Meets Standards In Compliance 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided In Compliance 2) Laundered In Compliance 3) Sanitary Storage 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, the immunization certificates on file for two (2) children (DOE: 10/31/11 and 10/22/09) are no longer valid. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 40 of 43 Web site: http://chfs.ky.gov/ Inspection Report 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 2) Departure Not In Compliance Findings: General: Based on review of documentation, the departure times for three (3) children were not documented on 04/23/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.