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

General: Based on interview and review of documentation, the most recent Fire Marshal inspection report was dated 03/09/21. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, a staff member (DOH: 10/12/12) had an annual written performance evaluation dated 06/23/23. Employee 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 11. Staff Requirements.

General: Based on interview and review of documentation, a staff member (DOH: 10/12/12) had TB documentation dated 08/02/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. Two (2) staff members (DOH: 01/21/15 and 07/25/23) did not complete any training hours during the subsequent year of employment. 2. A staff member (DOH: 05/15/23) completed one (1) hour of training during the subsequent 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 3. General Requirements.

General: Based on observation and interview, several loose white plastic trash bags were stored on a white cubby shelf in the two-year-old room. The trash bags were accessible to children and not a part of planned program of activities.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the following was found: 1. The hot water temperature registered seventy (70) degrees Fahrenheit at a sink in the toddlers’ and two-year-old's room. 2. The hot water was not operable at a sink in the nursery 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, a staff member did not sanitize the diaper changing station after diapering a child in the two-year-old's room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements 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 and interview, there was no thermometer in the refrigerator in nursery room. Milk was stored in the refrigerator. 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 interview and review of documentation, the following was found: 1. A child, enrolled on 10/06/23, had an immunization certificate that was valid until 06/14/24. 2. A child, enrolled on 08/05/24, had an immunization certificate that was valid until 06/02/24. 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 interview and review of documentation, a staff member (DOH: 10/12/12) had an annual professional development plan dated 06/23/23. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child (SD: 9/19/23) immunization certificate was valid until 3/22/24. Written Documentation 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 11. Staff Requirements.

General: Based on review of documentation and interview, a caregiver hired 5/15/23, did not have TB documentation available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 1/23/23, was not first aid/CPR trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 1/23/23, completed one and a half (1 1/2) hours of Pediatric Abusive Head Trauma (PHAT) training on 1/18/16, did not complete the training again. Three (3) caregivers hired 1/21/15, 10/12/12 and 5/10/22, did not complete any training between July 1 and the following June 30 of the subsequent year of employment. A caregiver hired 3/18/23, completed one a half (1 1/2) hours of training between July 1 and the following June 30 of the subsequent year of employment. 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 2. Child Care Services.

General: Based on observation, the program of activities was not developed and posted in the toddlers' room. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the water temperature registered eighty (80) degrees Fahrenheit at the sink in the infants' room. 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

Open / not marked corrected.

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

General: Based on observation, grass had grown through the mulch adjacent to the fence on the small and large outdoor.

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, dirt was under five (5) swings, three (3) slides, and a spiral bar climbing apparatus in the large outdoor play area. Dirt was under a playhouse with a slide attached in the small outdoor play area. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children, start dates 4/30/23 and 2/1/23, had an immunization certificate on file that was valid until 7/24/23 and 7/26/23.

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 and interview, a child start date 7/26/21, enrollment information did not list the child's preferred hospital. A child start date 8/7/22, enrollment information did not list the name of the child's physician. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 10/15/12, completed one and one half (1 1/2) hours of cabinet-approved early care and education training between July 1, 2021 and June 30, 2022. A caregiver hired 1/21/15, did not complete any cabinet-approved early care and education training between July 1, 2021 and June 30, 2022. Programming In Compliance Premises In Compliance 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, dirt was underneath two (2) slides on the toddlers’ playground. Dirt was underneath a yellow slide attached to a wheel barrel playhouse on the large playground. A sparse layer of protective surface was underneath a yellow double slide, two (2) additional slides that were attached to a large play apparatus and a red climbing bar on the large playground. 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 13. Toys and Furnishings.

General: Based on observation and interview, chipped paint was on a red Little Tikes slide on the toddlers' playground. Two (2) nails were raised on the wooden platform bridge attached to the large outdoor play apparatus on the large playground. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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 and interview, a child enrolled on 8/1/22, did not have information on file to enable the person in charge to contact the child’s physician. A second child enrolled 8/1/22, did not have health information on file and information to enable the person in charge to contact the child’s physician and emergency contact. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center failed to assure compliance with 922 KAR 2:415E. A caregiver hired on 10/13/20, did not have a name-based background check on file from Tennessee, which was a previous state of residence. 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 and interview, a caregiver hired on 7/9/19, had an annual written performance evaluation on file that was dated 10/23/19. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/9/19, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 7/9/19, did not have TB documentation on file. A caregiver hired on 3/1/18, had TB documentation on file that was dated 7/24/17.

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 interview, caregivers hired on 1/13/20 and 12/14/20, did not complete orientation training. A caregiver hired on 1/13/20, did not complete one and a half (1 1/2) hours of Pediatric Abusive Head Trauma training. A caregiver hired on 3/1/18, completed Pediatric Abusive Head Trauma on 3/22/15 and did not complete the training again within five (5) years. Programming In Compliance Premises In Compliance Hygienic Practices 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, five (5) children did not wash their hands after being diapered in the two-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver wiped a child's nose and did not use hand sanitizer or hand satizing wipes in the outdoor play area. In addition, the caregiver did not wash her hands with liquid soap and running water after returning inside the center. 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, two (2) Little Tike slides did not have protective surface in the two-year-olds' outdoor play area.

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, a twelve (12) foot section of the fence that separated the outdoor play areas was detached from the fence pole. Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, two (2) children were not offered a serving of milk with the lunch meal in the two-year-old's room. There was no dietary restriction documented on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, a temperature measuring device was not in the refrigerator in the infants' room. The thermometer was not working to indicate the temperature in a refrigerator in the two-year-olds' room. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 3/1/18, had an annual professional development plan on file that was dated 7/18/16. A caregiver hired on 7/9/19, had an annual professional development plan on file that was dated 10/30/19. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a caregiver hired 4/5/21, supervised six (6) children, in the nursery, from 9:30 am to 12:00 pm on 5/20/21. The age of the youngest child was five (5) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on record review and interview, a caregiver hired 4/12/21, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, a caregiver hired 2/19/19, had TB documentation dated 11/19/18.

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 interview, a staff, hired on 01/13/20, did not have education verification on file. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, and interview, the hot water temperature registered eighty-two (82) degrees Fahrenheit at the sink in the Infants classroom. The hot water temperature registered eighty (80) degrees Fahrenheit at the sink in the one-year-olds’ and two-year-olds' classrooms. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the diaper changing mat was torn in several areas in the infants' room. In addtition, the diaper changing mat was torn in the one-year- olds' room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, an excessive amount of ice was in the top freezer compartment of the refrigerator/freezer unit in the kitchen. Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, a child was not offered a serving of milk with the lunch meal in the preschool room. There was no dietary restriction documented on file. 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

Open / not marked corrected.

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

General: Based on observation, the temperature measuring device was covered by ice, which made it unable to be determined if the temperature was being maintained at zero degrees Fahrenheit or below, in the freezer in the kitchen. 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 and interview, two (2) children, enrolled on 11/05/18 and 07/06/14, did not information on file to enable staff to contact each child's physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center’s evacuation plan was last reviewed and updated on 05/01/2018, therefore, was not in accordance with KRS 199.895. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a schedule of daily activities was not posted in the preschool room. Animals Not Applicable Emergency Regulation 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 air conditioner cord and the infant swing cord were on the floor accessible to the mobile infants. The television cord and the DVD cord hung down the shelf in the preschool room. These cords were accessible 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 observation, interview and review of documentation, a caregiver hired 01/24/17, and a caregiver hired 10/17/16, each completed five (5) hours of annual training. A caregiver 01/21/15, a caregiver hired 03/18/13, and a caregiver hired 10/15/12, each did not completed any hours of annual training. A caregiver hired 04/02/18, completed orientation but the training was not documented through the cabinet-designated database. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report 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 2. Child Care Services.

General: Based on observation and interview, the program of activities was not posted in the infants' room. Interview and observation revealed the toddler children utilize the infants' room during the morning time. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a can of Febreze was on the handwashing sink in the hallway near the employees' restroom. The hallway door was wide open, which allowed the Febreze to be accessible to the two-year-old children and three-year-old children. The bottle indicated "Keep out of reach of 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 door that led to the playground, from the two-year-olds' room, had a one and half (1 1/2) inch gap along the bottom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 toddlers' caregiver did not wash her hands after she wiped toddler child's nose. The infants' caregiver did not wash her hands after she diapered an infant child. The second toddlers' caregiver did not wash her hands after each time she wiped the nose of three (3) children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the changing mat surface was torn in the infants' 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the infants' caregiver did not disinfect the diaper changing mat after she changed a child's diaper. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, two (2) cribs touched and two (2) cribs were less than three (3) inches apart in the infants' room. Interview determined the infants slept in cribs that were not twelve (12) inches apart.

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 blanket and sheets were on top of each other on the floor in the toddlers' room. Interview determined the sheets were washed once a week. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was an accumulation of thick dust on the floor vent in the two-year-olds' room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, infants' bottles were prepared and washed at the handwashing sink in the infants' room and not in the food prep area. The handwashing sink was used for handwashing before and after diapering. 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 observation, interview and review of documentation, a child enrolled 03/11/19, did not have her preferred hospital information and doctor information on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the center did not have a written volunteer policy. Observation and interviews determined the seventeen-year-old was a volunteer for the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, there were no documented departure times for seven (7) children on 05/17/19, and three (3) children on 05/15/19.

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 interview and review of documentation, a caregiver hired 0318/13, and a caregiver hired 10/15/12, did not have a written professional development plan on file. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the daily schedule was not posted in the infants' room. Interview and observation revealed the toddler children utilize the infants' room during the morning time. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation, a staff, hired on 5/14/19, did not initiate the background check process and was present at the center on 05/15/19. Supervision In Compliance Staffing Requirements In Compliance Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and observation, a staff, hired on 04/02/18, did not submit an out-of-state background check to Alabama, which was a previous state of residence. This staff member was left alone to supervise five (5) children from 9:00 am to 12:30 pm in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on Observation, a staff hired on 04/02/18, did not submit a background check to Alabama, which was a previous state of residence. This staff member was left alone to supervise five (5) children from 9:00 am to 12:30 pm in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Supervision In Compliance Staffing Requirements In Compliance General Administration 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 Review of documentation, interview and observation, a partially replaced five foot high chain link fence was along the perimeter of the toddlers' and two-year-olds’ outside playground and the preschool outside playground. The center’s zoning letter dated 07/13/18, stated the center must meet the Specific Use Standards, which required playground fencing to be no less than six (6) feet high. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation, a staff, hired on 01/21/15, had an annual written performance evaluation on file that was dated 06/29/17. A staff, hired on 10/14/16, had an annual written performance evaluation on file that was dated 07/10/17. A staff, hired on 01/24/17, and a staff, hired on 10/17/16, each did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a one-year-old child slept with Amber beads around her neck in the one-year-olds’ room. The manufacturer suggested amber bead necklaces be removed while sleeping.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a staff hired on 04/02/18, did not submit an out-of-state background check to Alabama, which was a previous state of residence. This staff member was left alone and supervised five (5) children from 9:00 am to 12:30 pm in the infants’ room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 03/18/13, had TB documentation on file that was dated 07/02/15.

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, there was no caregiver, who was currently certified in first aid and infant, child and adult CPR, present at the center on 07/13/18. The caregivers' certification in first aid and CPR expired on 03/31/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, a staff, hired on 04/02/18, completed six (6) hours of cabinet approved orientation training on 07/08/18, which was not within the first three (3) months of employment. A staff, hired on 02/23/18, completed six (6) hours of cabinet approved orientation training on 05/31/18, which was not within the first three (3) months of employment. A staff, hired on 12/27/17, completed six (6) hours of cabinet approved orientation training on 03/31/18, which was not within the first three (3) months of employment. A staff, hired on 04/02/18, and a staff, hired on 03/21/18, did not complete six (6) hours of cabinet approved orientation training. A staff, hired on 01/24/17, completed eight and a half (8 ½) hours of cabinet approved training during the first year of employment. 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 2. Child Care Services.

General: Based on Review of Documentation, the program of activities was not developed and posted in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, adult music, from the radio station 95.9, played and was not a part of the planned program of activities in the infants’ room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a caregiver’s purse hung on a hook on the wall behind the entrance door in the preschool room. A caregiver’s purse was on the top of the miniature refrigerator, which was located on the floor, in the one-year-olds’ room. These items were accessibe to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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, plastic bags were stored in an unlocked compartment under the sink and on the side of the diapering station in the two-year-olds’ room. Two (2) plastic bags, full of wadded up plastic bags, hung on the wall in the mop sink room. Plastic bags were stored on the side of the diapering station in the two-year-olds’ room. These items were not a part of the planned program of activities and were accessible to 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, two (2) brown circular stains were on the ceiling in the restroom in the two-year-olds’ 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the hot water temperature registered seventy-eight (78) degrees Fahrenheit at the sink near the science center in the preschool room. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the diapering surface was torn and exposed the cushion in the infants’ room and one-year-olds’ room. 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 Review of documentation, interview and observation, a partially replaced five foot high chain link fence was along the perimeter of the toddlers' and two-year-olds’ outside playground and the preschool outside playground. The center’s zoning letter dated 07/13/18, indicated the fence did not meet the Specific Use Standards, which required playground fencing to be no less than six (6) feet high. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, safety restraints were missing from a highchair in the infants’ room. Multiple dark stains were on a medium size rug in the preschool room. Transportation Not Applicable Food Service/Food Program 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on Review of Documentation, a staff hired on 03/18/13, a staff hired on 10/15/12, a staff hired on 01/21/15, a staff hired on 10/14/16, a staff hired on 01/24/17, and a staff hired on 10/17/16, did not have an annual written professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, quarterly, practiced earthquake and tornado drills were conducted in the second quarter of 2018, but the dates, times and names of children participants were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, quarterly, practiced earthquake and tornado drills were conducted in the second quarter of 2018, but were not documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center's plan of correction, during the current licensure year, was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

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 schedule of daily activities was not posted in the infants’ room. 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, three (3) caregivers hired on 6/7/16, 1/21/15, and 11/16/15, did not have an evaluation on file. Employee 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 6. License Issuance.

General: Based on Review of Documentation, a caregiver hired on 9/13/16, had a criminal records check dated 9/13/13, and a child abuse and neglect check dated 9/18/13 on file. Interview determined the caregiver was rehired and there were no other checks processed for the caregiver. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) caregivers hired on 1/24/17 and 9/1/16, had no documentation of education on file.

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, a caregiver hired on 9/13/16, had TB documentation dated 10/7/13. Also, a director hired on 10/15/12, had a TB documentation dated 4/2/15. 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 Observation, there was no posted daily planned program of activities in the two-year-olds’ room and the nursery. 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 floor was soft at the door entrance between the sink area in the nursery room and an adjacent restroom. Also, a four (4) inch long hole was in the wall near the window air conditioner located in the nursery.

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, a sink across from the kitchen and a sink in the restroom adjacent to the Pre-K room registered 130 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, two (2) small tears were in a diaper changing pad located in the toddlers' room. First Aid/Medication 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 7. First Aid and Medicine.

General: Based on Observation, a tube of Desitin Diaper Rash Ointment was not labeled in a medication box located in the two-year-olds’ room. A tube of Nystatin Ointment was not labeled located in a medication box in the toddlers' room. Outdoor Play Area 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 4. Premises Requirements.

General: Based on Observation, there was dirt at the end of a yellow side by side slide in the older children’s outdoor play area. Also, there was dirt at the end of a Little Tikes double slide in the younger children’s outdoor play area. 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, a fish print fitted sheet was loose on a crib mattress located in the nursery.

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, a Sesame Beginnings Highchair did not have safety straps. This highchair was located in the nursery. Transportation Not Applicable Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, two (2) caregivers hired on 1/21/15 and 11/16/15, had no professional development plan on file. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was no posted schedule of daily activities in the nursery. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, one (1) caregiver supervised nineteen (19) children, aged three (3) to five (5) years, in the preschool room when the surveyor arrived at 1:05 p.m. Interview determined the preschool caregiver supervised these children alone for ten (10) minutes while the second caregiver went to the store down the road. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, nine (9) children present were under the age of eleven (11) months. There were five (5) cribs in the infants' classroom; therefore, each infant was not provided a crib. Interview determined the additional cribs were on order.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a caregiver cared for twenty (20) preschool children in the preschool room. The youngest child was three (3) years old. Interview determined the caregiver was alone for less than a minute. A caregiver cared for nine (9) infants in the infants' room. The youngest child was two (2) months old and the caregiver was alone for approximately two (2) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, two (2) infants were each asleep in a swing in the infants' room. 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, nine (9) infants, ages two (2) months to eleven (11) months old were present in the infants' room. Interview determined the center had five (5) cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, staff hired 6/6/15, supervised eighteen (18) children, ages three (3) to five (5) years old in the preschool room. Interview with staff hired 3/18/13, confirmed he was the second staff in the room and had walked outside to smoke a cigarette in his truck at 12:50 p.m. Another staff arrived to the center at 1:20 p.m. and went to the preschool room. Therefore, staff hired 6/6/15, supervised eighteen (18), three (3) to five (5) year old children from 12:50 p.m. to 1:20 p.m. Staff hired 2/9/15, supervised six (6) infants, four (4) months to nine (9) months from 12:00 p.m. to 1:55 p.m. Staff hired 1/21/15, supervised twelve (12), one (1) year old children in the classroom from 12:00 p.m. to 1:00 p.m. Staff in charge confirmed staff/child ratios were not maintained on 8/25/16. 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: ratio. Open / not marked corrected.

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

General: Based on observation and interview, a staff hired 6/6/15, supervised eighteen (18) children from 12:50 p.m. to 1:20 p.m. The age of the youngest child was three years old. A staff hired 2/9/15, supervised six (6) infants from 12:00 p.m. to 1:55 p.m. A staff hired 1/21/15, supervised twelve (12) children 12:00 p.m. to 1:00 p.m. The age of the youngest child was one (1) year old. Staff in charge confirmed staff/child ratios were not maintained on 8/25/16. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a staff hired 8/10/16, did not have processed child abuse/neglect check and a criminal records check on file. Interview determined staff supervised ten (10), two (2) year old children in the classroom from 12:18 p.m. to 1:00 p.m. 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 6. License Issuance.

General: Based on Review of Documentation and observation, caregiver hired 8/10/16, cared for ten (10), two year old children in the classroom from 12:18 p.m. to 1:00 p.m. on 8/25/16. This caregiver did not have a processed child abuse/neglect check or a criminal records check on file.

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, caregiver hired 8/10/16, did not have education verification on file.

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, an accumulation of dust was on the window air conditioning unit in the front office area of the center.

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, a thermometer was not present in the refrigerator in the two year olds’ room.

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, a quarterly practiced earthquake drill and tornado drill were conducted in the first quarter of 2016, but the names of children participants were not documented.

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, a staff, hired on 10/15/12, had an annual written performance evaluation on file that was dated 03/17/15.

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, two (2) crib mattresses were torn in the infants’ room.

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, two (2) blue nap mats were torn in the toddlers' room 1. Four (4) nap mats were torn and four (4) additional maps each had tape covering the corners in the two year olds’ room. An interview with the director revealed the tape covered holes in each mat.

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, a staff, hired on 02/18/16; a staff, hired on 06/06/16, and a staff, hired on 06/07/16, each did not submit a criminal records check timely. A staff, hired on 04/06/16, did not submit a child abuse/neglect check timely and did not submit a criminal records check timely and surpassed the 90 day probationary period. A staff, hired on 11/16/15, did not submit a criminal records check to Tennessee, which is a previous state of residence, and this staff surpassed the 90 day probationary period.

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, a staff, hired on 06/07/16, did not have education verification on file.

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, a staff, hired on 04/06/16, did not have TB documentation on file.

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, a staff, hired on 06/06/15, completed seven and one half (7 ½) hours of cabinet approved training hours during the first year of employment. A staff, hired on 10/15/12, did not complete pediatric abusive head trauma training. A staff, hired on 02/18/16, did not complete six (6) hours of orientation training hours within the first three (3) months of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a planned program of activities was not posted in the toddlers' room #1.

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 hot water temperature registered seventy-two (72) degrees Fahrenheit at the sink in the toddlers' room 1 and in the preschool room.

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, a tear was in the diapering surface in toddlers' room #2.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a bottle of prescribed ferrous sulfate was stored on top of a chest of drawers in the infants’ room. A four (4) ounce tube of Desitin and an ounce tube of A and D ointment were each stored in an unlocked drawer in toddlers' room #1. Outdoor Play Area

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, a child, first date of attendance on 12/16/15, received services from First Steps, and did not have permission from the parent for third party professional services in the child care center. A child, first date of attendance on 12/21/15, did not have information on file to enable the person in charge to contact the child’s preferred hospital and authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence.

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 staff, hired on 06/06/15, and a staff, hired on 10/15/12, each did not have an annual professional development plan on file. A staff, hired on 03/18/13, had an annual professional development plan on file that was dated 06/12/14. A staff, hired on 10/15/12, had an annual professional development plan on file that was dated 07/23/14. A staff, hired on 10/15/12, had an annual professional development plan on file that was dated 07/25/14.

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, a monthly practiced fire drill was conducted in March 2016, but the names of children participants were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a daily schedule of activities was not posted in the toddlers' room #1.

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 proper methods of hand washing was not posted in the toddlers' room #2. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation of a parent or family involvement activity. Employee Records

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 record review and observation, the posted schedule of daily activities was not dated in the nursery and two (2) year olds' room. Also, there was no posted schedule of daily activities in the school age room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03 Sep 15 AND AS OF 08 Sep 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, a caregiver hired on 6/17/13, did not have a written performance evaluation.

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, a caregiver hired on 1/21/15, completed six (6) hours of orientation on 6/27/15. Also, a caregiver hired on 6/17/13, lacked ten (10) hours of training during her subsequent year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a light fixture had no shield or shatterproof bulb in a storage room in the two (2) year olds' room.

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 hot water registered eighty (80) degrees Fahrenheit at the sink in the toddlers' room.

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, two (2) sheets were loose on two (2) mattresses in the nursery.

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, an electrical outlet cover was broken near the air conditioner unit in the school age room.

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 child enrolled on 8/1/12, did not include a preferred hospital in the enrollment information. Also, a child enrolled on 4/14/14, did not include the contact information for a physician. 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, a parent did not provide their signature to verify accuracy of their child's attendance for the week of 4/13/15 - 4/17/15.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 10/15/12, did not have a written plan for staff professional development.

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, three (3) staff hired on 10/15/12 and a staff hired on 05/08/13 did not have an annual written performance evaluation on file.

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, a staff hired on 11/01/13 obtained six (6) hours of cabinet approved orientation on 02/28/14, which was not within the first three (3) months of employment. A staff hired on 10/15/12 obtained six (6) hours of cabinet approved training during the first year of employment. Two (2) staff hired on 10/15/12 and a staff hired on 03/18/13 did not have documentation of completing any training hours during the first year of employment. Also, a staff (hired on 05/08/13) completed one and a half (1 1/2) hours of cabinet approved training during the first year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the posted program of activities was dated 05/27/14 to 05/30/14, and was not followed in the two year olds' room. The posted program of activities was dated 05/19/14 to 05/24/14 and was not followed in the one year olds' room.

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 large container of Sani-hand wipes labeled, "Keep this out of reach of children" was in an unlocked cabinet under the sink in the preschool room. In addition, two (2) gallons of bleach were in an unlocked cabinet under the sink in the infants' room.

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) children did not wash their hands with liquid soap and warm running water after being diapered in the one year olds' room. Six (6) children did not wash their hands with liquid soap and warm running water after eating lunch in the two year olds' room. Six (6) children did not wash their hands with liquid soap and warm running water after eating lunch in the one year olds' room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water prior to putting on gloves to diaper a child in the one year olds' room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a caregiver did not clean three (3), one year olds' when she diapered them in the one year olds' room.

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 child enrolled on 08/13/12, a child enrolled on 08/01/12, and a child enrolled on 09/19/13 did not have information on file to enable the person in charge to contact the child’s 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation and interview, the center's written plan for evacuation in accordance with KRS 199.895, did not include an evacuation route to a designated relocation site; procedures for notifying parents of the relocation site and reunification; address the needs of individual children including children with special needs; staff training and reassignment of duties; coordination with local emergency management officials; a program for staff to be familiar with the plan's components; a copy provided to the local emergency management officials and to each parent upon child's enrollment.

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, two (2) staff hired on 10/15/12, a staff hired on 03/18/13, and a staff hired on 05/08/13 did not have a professional development plan on file.

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 date, time and names of children who participated were not documented in August, September and October 2013 practiced fire drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the schedule of daily activities did not include dates in the preschool room. The schedule of daily activities did not include dates in the two year olds' room. The schedule of daily activities did not include dates in the one year olds' room. The schedule of daily activities did not include dates in the infants' room.

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 and interview, the list of daily activities was not dated in the infants' room. The one year olds' room did not have a completed list of daily activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) caregivers, each hired 10/15/12, did not have professional development plans on file.

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 observation, the center provided care to schoolage children and failed to have a staff member with adult first aid and CPR training present at the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a ninteen (19) ounce spray can of disinfectant was located on the bottom shelf of a changing table, accessible to children in the infants' 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, a light in the infants' room would not turn on.

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 one year olds' caregiver did not wash a child's hands after a diaper change. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the one year olds' caregiver did not wash her hands after changing a child's diaper.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the one year olds' caregiver did not clean a child when changing his diaper.

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, a child's prescription eye drop medication was not labeled to identify the owner. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, one (1) foot tall weeds were growing through the mulch at the back of the playground near the fence.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, nine (9) nap mats were torn in the preschool room.

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 vinyl was torn on a child-size chair located in the preschool room.

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 baby sat in an infant rocker and drank from a bottle in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no thermometer in the refrigerator in the one year olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired 10/15/12, did not have education documents available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 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 (1)

General: Based on interview, staff hired 10/15/12, did not have TB documenation on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not Applicable 2) 9 hours-first year Not Applicable 3) 15 hours annually Not Applicable 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 40 Web site: http://chfs.ky.gov/ Inspection Report 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two (2) year olds: Based on observation, sixteen (16) mats were torn, cracked and repaired with tape. 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 In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs 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 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.