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

General: Based on review of ECE TRIS, the surveyor discovered that one (1) staff member (DOH: 09/16/22; first year start date: 10/04/17) had completed ten (10) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the timeframe of 07/01/22 thru 06/30/23. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 08/17/20) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. The staff's file contained documentation of a TB skin test with date of 08/04/20. During interview, staff-in- charge stated that the staff person did not have an up-to-date TB skin test. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the drywall was peeling/chipping behind the sink in the restroom that was located in Classroom A; therefore, the wall was not smooth or in good repair. During interview, staff-in-charge stated that the drywall was on the repair schedule. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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. One (1) gutter downspout that contained a sharp edge on the bottom of the gutter located on the edge of the child-care center building on the playground. 2. A puddle of water observed on top of what appeared to be a rubber black material used for a tricycle path located on the playground. The piece of rubber material appeared to contain a dip and the water did not appear to have a way to drain. During interview, staff-in-charge stated that the child-care center had a concrete bike track on order. Staff-in-charge stated that it had rained during the night and that was the cause for the puddle of water. 3. What appeared to be a long and slender tree branch coming over the top fence roll and sticking out located on the fence roll on the side of the playground by a building. 4. A tree that was observed to have fallen located by the back corner of the fence roll on the playground. A branch appeared to have been cut off; however, the branch was observed hovering over the top pole on the fence roll. The surveyor observed brush and vines around the tree branch and on top of the fence roll in the back corner of the playground. During interview, staff-in-charge stated that they were waiting on the vines to die to be able to cut the rest of the tree. 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 In Compliance 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 4. Premises Requirements.

General: Based on observation, the surveyor found the following: 1. A large square rug that contained debris in Classroom B; therefore, the rug was not kept clean. 2. A blue round rug that contained debris in Classroom B; therefore, the rug was not kept clean. 3. A blue square rug that contained debris in Classroom B; therefore, the rug was not kept clean. 4. A large square rug that contained debris in Classroom C; therefore, the rug was not kept clean. 5. A runner located in front of an exit door that contained stains and debris in Classroom C; therefore, the rug was not kept clean. 6. A black mat located in front of an exit door that contained debris in Classroom C; therefore, the rug was not kept clean. 7. The front facing of the cabinet under the sink appeared to be chipped and not in good repair in the restroom located in Classroom A; therefore, the cabinet was not kept in good condition. 8. The sink located in Classroom C contained stains; therefore, the sink was not kept clean. 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

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 surveyor found the following: 1. The underneath of a child's toilet seat located in the first stall of the restroom in Classroom A was soiled with what appeared to be urine. 2. The toilet in the second stall of the restroom located in Classroom A would not flush properly. 3. The first toilet in the restroom located in Classroom C contained a yellow stain that appeared to be a hard water stain. During interview, staff-in-charge stated that a work order has been put in to fix the toilet in the restroom located in Classroom A. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 of the kitchen, the surveyor found the following: 1. The stove top contained debris; therefore, the stove top was not clean. 2. The counter top around the stove contained stains; therefore, the counter top was not clean. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 08/11/20) file contained an immunization certificate that is no longer current as of 12/07/20. 2. A child’s (DOE: 08/20/20) file contained an immunization certificate that is no longer current as of 10/23/20. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the following was found: 1. There was a large bowl shaped table located on the playground which contained play sand that the children were using. There was no protective covering for the sand table. Staff reported that the sand in the table is not kept covered. This presents a health and safety risk to the children as the sand is not protected from vermin or other animals that may defecate in the sand. 2. There was approximately one (1) inch of standing water in the sink of the play kitchen located next to the play house on the playground. The water was accessible to the children playing on the playground. Staff reported that the playground is checked every morning for standing water. Review of the playground checklist for 10/17/17 revealed that staff had checked the playground and checked that the there was not standing water on the playground. Employee Records In Compliance 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

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that a roll of loose plastic trash bags were stored in an unlocked drawer next to the sink in Classroom A. The loose trash bags were accessible to the children. Staff were not aware that the loose trash bags could not be 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the surveyor found the following: 1. The floor was wet around the base of the toilet located in the first stall of the restroom located between Classroom A and Classroom B. 2. The toilet paper was on the wet floor beside the toilet in the restroom between Classroom A and Classroom B. Staff reported that the male children sometimes accidentally urinate in the floor. Staff stated that the restrooms are checked sporadically throughout each day for cleanliness but not after each time the restroom is utilized.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that one (1) toilet located in the restroom between Classroom A and Classroom B was not flushed. The toilet contained urine. Staff reported that the restrooms are checked and cleaned up sporadically through out each day but not after each use. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that a staff file (DOH: 8/12/02) presented for review contained an annual professional development plan that was last updated in June of 2016; therefore, the professional development plan had not been updated annually as required. Staff-in-charge reported that the staff member's professional development plan would be located at their central office; however, staff did not present the professional development plan at time of inspection. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 childcare center did not supervise staff conduct to ensure implementation of program policies and procedures: 1. The Child Abuse and Neglect Policy states, “ANYONE WHO KNOWS OR HAS REASONABLE CAUSE TO BELIEVE A CHILD IS NEGLECTED OR ABUSED MUST IMMEDIATELY REPORT IT TO THE OFFICE OF COMMUNITY BASED SERVICES AT 800-752-6200, STATE POLICE OR LOCAL POLICE”. On 04/25/17, at approximately 12:10 p.m., a staff person observed another staff upend a child’s cot and dump the child on the classroom floor. The staff person immediately intervened. The staff then reported the concern to supervisory staff that afternoon. According to the DPP – 115, the supervisory staff reported the incident to child protective services on the evening of 04/26/17 at approximately 5:00 p.m. Based on interview, the surveyor learned that the supervisory staff had “red flags” when learning of the incident; therefore, reasonable cause existed to believe that a child may be abused or neglected. Per the Head Start’s Policy, staff did not immediately report the incident to the proper authorities. 2. The TELECOMMUNICATIONS POLICY states, “PERSONAL CALLS AND PERSONAL CELL PHONE USE SHOULD BE LIMITED TO SCHEDULED BREAK TIMES AND SHOULD NOT INTERFER WITH STAFF JOB PERFORMANCE. EXCESSIVE USE CAUSING INTERRRUPTION TO JOB PERFORMANCE COULD LEAD TO DISCIPLINARY ACTION.” Review of video footage verifies that a staff person violated the Telecommunications Policy when she used her cell phone while supervising children during naptime on 04/25/17. 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

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation of video footage, the surveyor found that a staff person consistently scrolled through her cell phone while supervising the children during naptime. Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and multiple interviews, the surveyor found the following: 1. Classroom video footage recorded on 04/25/17, confirmed that a staff person was physically and verbally inappropriate with a three-year-old child and a four-year-old child that refused to lay quietly on their cots during naptime. The staff threatened to take away their outdoor playtime, toy bear and shoes. The staff person twisted the three-year-old child's wrist, foot and toes. She hit the three-year-old child on his leg using a cell phone and threw his shoes into the hallway narrowly missing a sleeping child. On five (5) occasions, she squeezed the backs of the two (2) children's necks. The children cried, rubbed their necks and asked the staff person to let go. The staff person repeatedly grabbed the children by their arms and aggressively shoved the four-year-old child's head to push him down onto his cot. She upended their cots; thus, dumping them onto the classroom floor. 2. Staff interviews conclude that a staff person assisted a preschool-age child over the playground fence to obtain a Frisbee. The playground fence is immediately beside a busy roadway; thus, placing the child at risk of harm. 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 of video footage, the surveyor found that a staff person used inappropriate discipline and loud, threatening language with two (2) preschool-age children that refused to quietly rest during naptime. Video footage recorded on 04/25/17 and multiple interviews, finds that a staff person used threats, intimidation and physical force in an attempt to make the two (2) children lay quietly on their cots. Video footage revealed that on five (5) occasions, the staff person squeezed the backs of the children's necks. The staff person repeatedly grabbed the children by their arms and aggressively shoved the four-year-old child's head to push him down onto his cot. The staff person hit the three-year-old child on his leg using a cell phone, twisted his foot, pinched his toes and threw his shoes into the hallway narrowly missing a sleeping child. She also threatened to flip the children off their cots onto the floor. She followed through with her threat by dumping both of the children onto the floor. Staff interviews conclude that the staff person has previously used a threatening tone of voice and has made the children lay on their cots in the classroom during playtime as punishment.

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 review of documentation and staff interviews, the surveyor found that on 04/25/17, a staff person used threats, pinched, hit, pushed and shoved two (2) preschool- age children who refused to lay on their cots during naptime. The staff did not offer the children the opportunity to play quietly.

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 the following: 1. A staff member’s (DOH: 10/3/16) file did not contain verification of educational requirements. 2. A staff member’s (DOH: 9/26/16) file did not contain verification of educational requirements.

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 the following: 1. A staff member’s (DOH: 9/30/16) file did not contain verification of a negative TB skin test result. 2. A staff member’s (DOH: 10/3/16) file did not contain verification of a negative TB skin test result. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the first aid medical kit located in Classroom A, the surveyor found that the flashlight was not working. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service 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 8. Kitchen Requirements.

General: Based on observation of a freezer located in the walk-in pantry, the surveyor found the temperature read at eight (8) degrees Fahrenheit. Frozen foods must be kept at a temperature of zero (0) degrees Fahrenheit or below. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the earthquake and tornado drills conducted on 9/26/16 were not documented as two (2) seperate drills. 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 6. License Issuance.

General: Based on review of documentation, an employee (DOH 10/23/15) record did not contain evidence of Central Abuse/Neglect (CA/N) check as required according to 922 KAR 1:470. During an interview, staff in charge stated that the CA/N check had been submitted by the central office. She stated that the staff had not worked alone with 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, a personnel file was not complete for an employee (DOH 10/23/15) as the record did not contain the following: date of birth, date of hire, Central Abuse/Neglect check results, educational verification, negative TB verification, During an interview with staff in charge, some required information was gathered. She stated that a copy of the employee's personnel record had been requested from the central office.

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, an employee (DOH 10/23/15) record was not complete and did not contain verification of educational qualification. During an interview, staff in charge stated that she had not received a copy of the employee's educational qualification from the central office.

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, an employee file (DOH 10/23/15) record was not complete and did not contain proof of negative tuberculin verification. During an interview, staff in charge stated that she had not received a copy of the employee's negative TB verification from the central office.

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, two (2) staplers were found in an unlocked cabinet drawer located in a high-traffic area of Classroom A. During an interview, staff in charge stated that she was unaware the staplers were located in the drawer and she instructed a staff person to remove 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 outdoor stair railing used for exiting to the playground was not in good repair. The wooden hand railing was split and splintering. During an interview, staff in charge was informed that the condition of the railing presented a risk to those children frequently using the stairs.

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 outdoor play area was not well-maintained as it was densely covered with an excess of fallen leaves from the trees overhanging the perimeter. The leaves covered the sand table; therefore, the play equipment could not be used as intended. Leaves were also piled on the climbing structures presenting a fall risk particularly when wet and packed due to the weather. During an interview, the staff in charge stated that staff had removed leaves yesterday, but the playground covered back over quickly.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) An employee (DOH 01/04/05) record contained a professional development plan dated 04/04/14 which was not updated annually as required. 2) An employee (DOH 08/14/07) record contained a professional development plan dated 04/11/14 which was not updated annually as required. 3) An employee (DOH 02/22/10) record contained a professional development plan dated 04/04/14 which was not maintained annually as required. During an interview, staff in charge stated that the center staff were in the process of completing professional development plans on all staff.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) Landscaping material is sticking up through the rubber mulch in several areas creating a fall risk. 2) There are eleven (11) metal spikes sticking up above the plastic barriers around the perimeter of the playground creating a risk of injury to a child.

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 file presented for review for an employee (date of hire: 1/4/05) did not contain a current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results. The most recent copy of negative tuberculin results contained in the file was dated 9/6/12. Based on interview, the employee has obtained the necessary TB verification but a copy was not available for the surveyor to review during the inspection visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the first aid supplies did not contain sterile gauze.

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)

Classroom B: Based on observation, the top of the fish tank was covered in a white residue accessible to the children. 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 In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff 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. 1) Suitable In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 3) Good repair In Compliance 4) Land-line phone accessible 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: Classroom A: Based on observation, the surveyor found the following: 1). The carpet that the children play on contained dirt and debris. 2). The foam mats that the children play on were stained and did not appear to be clean. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 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. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a volunteer (start date: 08/16/11) has not obtained a TB skin test. 94 - Resident Interference Not Applicable 922 KAR 2:110 - Section 2 (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program. 127 - Staff Conviction/Substantiation 922 KAR 2:110 - Section 5 (2) A child-care center shall not employ a person: (a) Convicted of a crime pursuant to KRS 17.165(5); or (b) Found by the cabinet to have abused or neglected a child, pursuant to 922 KAR 1:470. 1) CRC In Compliance 2) CAN In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the most recent performance evaluation on file for a staff member (DOH: 08/24/10) was dated 05/25/10.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the professional development plan on file for a staff member (DOH: 08/24/10) was dated 05/25/10. 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 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not Applicable 4) Current State other than KY Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

Classroom C: Based on observation, the surveyor found that the children's jackets were hanging on hooks; three (3) jackets were touching. Classroom B: Based on observation, the surveyor found that the children's jackets were hanging on hooks; two (2) jackets were touching. Classroom A: Based on observation, the surveyor found that the children's jackets were hanging on hooks; two (2) jackets were touching. 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 In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff 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. 1) Suitable In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 43 Web site: http://chfs.ky.gov/ Inspection Report 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 7) Shielded/shatter proof bulbs In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 6) Lights good repair Not In Compliance Findings: Classroom A: Based on observation, the surveyor found that one (1) light fixture was not working. 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. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 43 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 Applicable

922 KAR 2:120 · 922 KAR 2:120 - Section 7

Based on observation and record review, the surveyor found that the center did not have written permission to administer an Epi Pen to a child (date of enrollment: 08/29/11). An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 43 Web site: http://chfs.ky.gov/ Inspection Report 248 - Nonprescription medication protocol Not Applicable 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request Not Applicable 2) Administered according to label Not Applicable 249 - Administration Record Not Applicable 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time Not Applicable 2) Date Not Applicable 3) Amount Not Applicable 4) Staff name Not Applicable 250 - Medication Storage Not Applicable 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 1) Separate and locked In Compliance 2) Original Bottle In Compliance 3) Labeled 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, one (1) child's immunization certificate was no longer current after 10/07/11.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.