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

General: Based on interview and review of documentation, a staff member (DOH: 08/12/24) was hired prior to completing required background checks. The staff member's determination date was 08/18/24 on the center's Kentucky Applicant Registry Employment (KARES) 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 interview and review of documentation, a staff member (DOH: 08/15/19) had an annual written performance evaluation dated 03/30/23.

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, the following was found: 1) A staff member (DOH: 11/12/24) had TB documentation dated 07/07/22. 2) A staff member (DOH: 03/27/24) had TB documentation dated 11/11/22.

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) A staff member (DOH: 08/12/24) had not completed the six (6) hours of cabinet-approved orientation required within the first three (3) months of employment. 2) A staff member (DOH: 08/15/19) last completed pediatric abusive head trauma (PAHT) training on 11/19/19.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1) The hot water temperature registered eighty (80) degrees Fahrenheit at a sink in Room 2 restroom. 2) The hot water temperature registered sixty-four (64) degrees Fahrenheit at a sink in Room 2.

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, a staff member (DOH: 08/15/19) had a written annual plan for child-care staff professional development dated August 2023 through May 2024.

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, interview and review of documentation, the most recent Fire Marshal Inspection report, on file, was dated 11/01/21. 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: 08/15/19) did not have an annual written performance 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 11. Staff Requirements.

General: Based on interview and review of documentation, staff member (DOH: 11/06/19) did not have education verification on file. 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 presented for a staff member (DOH: 08/15/19) did not include a negative TB skin test result or a physician’s statement indicating the staff member was free of active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, three (3) staff member's (DOH: 8/22/16, 08/22/16 and 12/01/16) who transported children, had annual driver’s history records dated 01/12/23. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, the center did not have a written transportation route on file for a field trip taken from the center to Chuck E. Cheese and Game venue on 12/13/23.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, the center failed to notify the cabinet and obtain prior approval to use a van to transport children. The van had not been inspected and approved by the cabinet and was used to transport children on a field trip from the center to Chuck E. Cheese and Game Venue on 12/13/23.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, a pre-trip inspection to inspect the vans tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel and free of debris was not conducted and documented on 12/13/23. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, each child's name and the time each child got on and off the center's vehicle were not documented when the center transported thirteen (13) children from the center to a restaurant on 12/13/23. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the following was found: 1. A child enrolled on 06/12/23, did not have a preferred hospital listed in the enrollment information. 2. Three (3) children enrolled 03/14/23, 08/14/23 and 06/12/23, each did not have the phone number for the child's physician listed in the enrollment. 3. A child’s first date of attendance on 06/12/23, enrollment form did not have authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a written staff schedule was not developed and available for review.

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 staff member (DOH: 08/15/19) did not have a professional development plan on file. Posted Documentation In Compliance Animals 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 and interview, three (3) areas duct tape hung downward from the ceiling and exposed large cracks in the surface of the ceiling in the gym. Written Documentation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a gallon bottle of hand sanitizer and a sixteen-ounce bottle of hand sanitizer set on a table in the gym beside the entrance and exit door to the cafeteria. These bottles were each labeled "Keep out of reach of children" and were accessible to children. 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 interview and review of documentation, a caregiver hired on 08/22/16, did not have an annual written performance 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 11. Staff Requirements.

General: Based on interview and review of documentation, a caregiver hired 06/14/21, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 08/22/16, had TB documentation on file that was dated 11/03/2020.

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, a caregiver hired 08/22/16, completed one and one half (1 1/2) hours of training between July 1 and the following June 30 of a 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, a caregiver’s jacket hung on a chair in room #5. A caregiver's drink set on a table in the cafeteria. These items 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 and interview, the plastic surface was torn and exposed insulation in twelve (12) areas on the ceiling in the gym. Several areas of chipped, flaked and peeled paint were on the walls in the gym. A piece of discolored dark wood was exposed on the wall in the gym.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, seven (7) preschool children were combined with seven (7) children, who were not a part of the licensed child care program, in the gym. The other children were enrolled in a program through the local school system. Interviews revealed the children were combined each day for at least thirty (30) minutes in the gym and for lunch in the cafeteria. 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 3. General Requirements.

General: Based on observation, three (3) children in room #3, and three (3) children in room #4, each did not wash their hands with liquid soap and warm running water after they played with Play-Doh for during indoor play time. A preschool child did not wash his hands with liquid soap and warm running water after he wiped his nose in room #5.

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 after she assisted a child who wiped his nose in room #5. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 14. Transportation.

General: Based on interview and review of documentation, staff, who transported children on field trips, did not practice emergency procedures in September 2022, October 2022, and December 2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, the center did not document a time on and time off for fourteen (14) children, who were transported on 09/29/22. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: transportation. 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 on 08/22/16, did not have a 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 8. General.

General: Based on interview and review of documentation, each statement of deficiencies and plan of correction for the current licensure year were not posted. The statement of deficiencies and plan of correction posted were dated 2021. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 8/22/16, had TB documentation on file that was dated 1/11/19. A caregiver hired 8/1/19, had TB documentation on file that was dated 8/19/19. A caregiver hired 8/16/21, did not have TB documentation 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 8/1/19, completed twelve (12) hours of training during a subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 hot water temperature registered sixty (60) degrees Fahrenheit at two (2) handwashing sinks in preschool room #1. The hot water temperature registered fifty-nine (59) degrees Fahrenheit at two (2) handwashing sinks in preschool room #3. The hot water temperature registered eighty-three (83) degrees Fahrenheit at two (2) handwashing sinks in preschool room #4. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver’s cup half full of a liquid set on a desk. Two (2) caregiver's coats each hung over a chair. These items were accessible to children in the preschool room #2.

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 (80) degrees Fahrenheit at two (2) handwashing sinks in the preschool room #2. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation 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 interview and review of documentation, the written evacuation plan was not provided to each child's parent/guardian when the plan was updated each year in accordance with KRS 199.895. In addition, the plan was last updated on 08/27/19. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center's statement of deficiency and plan of correction during the current year were not posted. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, interview and review of documentation the center failed to: 1). Assure all child care staff, directors, owners, and operators shall complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922KAR2:410E Section 9. Two (2) caregivers each hired 08/22/16, a caregiver hired 12/01/16, a caregiver hired 08/15/17, a caregiver hired 05/15/17, and a caregiver hired 10/09/18, did not have documentation of completing the mandatory training prior to the center reopening. 2). Assure all new staff hired shall take the mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting within ninety (90) days of their hire date, in accordance with 922KAR 2:405E Section 9. A caregiver hired 06/15/2020, did not have documentation of completing the mandatory training within ninety (90) days of hire. 3). Create and post a cleaning and sanitizing plan in specific to the individual child care center or family child care home and outline the addition cleaning and sanitizing requirements from the Centers of Disease Control and Prevention for the child care during the a pandemic, in accordance with 922 KAR 2:410E Section 6. The center did not post the cleaning and sanitizing plan. 4). Assure a child who is between three-years of age and first grade may wear a face mask if the provider and the parent or guardian complete the DCC-410, Child Care Face Mask Permission Form, to be kept on site at the facility. Surveyor observed a four-year child wore a face mask in the preschool room #5. Documentation and interview revealed the child did not have a DCC-410, Child Care Face Mask Permission Form completed and on site.

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, staff member hired 08/16/18, did not have an annual written performance 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 11. Staff Requirements.

General: Based on review of documentation and interview, one (1) staff, hired 08/26/18, had TB skin test documentation on file that was dated 04/13/16. One (1) staff, hired 05/15/17, had TB skin test documentation on file that was dated 08/01/17. 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 review of documentation and interview, staff members hired 06/24/19 and 10/09/18 did not complete six (6) hours of orientation training with in the first three (3) months of their employment. In addition, staff member hired 08/18/18, completed pediatric head trauma training (PAHT) on 02/11/13 but did not repeat the course every five (5) years. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a staff member’s keys were placed on a table in the four-five year old's classroom. A pair of adult size scissors were observed on a table in the four-five year old's classroom. These items 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the hot water registered seventy-eight (78) degrees Fahrenheit at the sink in classroom #5. The hot water registered eighty-three (83) degrees Fahrenheit at a sink in classroom #4. The hot water registered eighty (80) degrees Fahrenheit at two (2) sinks in class #2. The hot water registered seventy (70) degrees Fahrenheit at two (2) sinks in class #1. 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 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 documentationand interview, fifty (50) children were present on 12/09/19 and forty-six (46) had a documented arrival time.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, staff member hired 08/16/18, did not have a written professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 10. Director Requirements and Responsibilities.

General: Based on Observation, an electrical outlet was not covered next to the blue foam blocks. A second electrical outlet was not covered next to the Christmas tree. Two (2) electrical outlets were not covered next to a green and blue cushioned bench. All of these outlets were located in the gym. In addition, two (2) electrical outlets were not covered in the cafeteria. 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 caregiver hired on 10/9/18, did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 8/22/16, had TB documentation dated 8/15/16. Also, a caregiver hired on 8/26/18, had TB documentation dated 4/13/16.

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 caregiver hired on 5/15/17, lacked seven and a half (7.5) hours of training. Also, a caregiver hired on 8/22/16, lacked one and a half (1.5) hours of training. 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, there was no posted daily planned program of activities in the four-year-olds’ room and the older three-year-olds’ 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 white cellphone, an open bag of hot chips, a bottle of water and a gold tumbler cup belonged a staff member and were on a table in the gym. A gold and black purse was on the floor in the four-year olds’ room. Also, a red opened purse was in a cubby in three-year olds’ room. All of these items were accessible to children in care.

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, there were three (3) soiled ceiling tiles in class #1. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: 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 registered one hundred thirty (130) degrees Fahrenheit at two (2) sinks in the women’s restroom and at two (2) sinks in the men’s restroom located in the cafeteria. The hot water registered seventy-six (76) degrees Fahrenheit at a sink in class #4. The hot water registered at eighty (80) degrees Fahrenheit at two (2) sinks in class #2. Also, the hot water registered at seventy (70) degrees Fahrenheit at two (2) sinks in class #1. 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 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, three (3) children, enrolled on 7/20/18, 8/20/18, and 8/8/18, did not include a preferred hospital in their enrollment information. Also, a child enrolled on 7/20/18, did not include the name and contact number for their 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 9. Records.

General: Based on Review of Documentation, a written record did not include the time a fire drill was conducted on 5/21/18 and 10/28/18. A written record did not include the time a tornado drill was conducted during the second and third quarters of 2018. Also, a written record did not include the time each earthquake drill was conducted during the first, second, and third quarters of 2018. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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, a teeter-totter was missing a seat on the outdoor playground. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the posted food service permit was valid until 12/31/17. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staffs, hired 7/26/17 and 8/17/16, did not have verification of their 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, two (2) staffs, hired 7/1/15 and 1/5/17, TB verification was dated 8/12/15 and 4/24/15. 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, staff hired 8/17/16, had not completed any training during her first year or employment. Staff hired 8/17/16 and 7/26/17, failed to complete six (6) hours of orientation training within the first three (3) months of employment. Staff hired 8/17/16, did not complete the required one and a half (1 1/2) hours of pediatric abusive head trauma training within the first year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a testing of the water temperature determined the hot water registered sixty-five (65) degrees Fahrenheit at two (2) sinks in classroom #4, and the hot water registered 85 degrees Fahrenheit at two (2) sinks in classroom #3. 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, a flashlight was not available in the first aid supplies. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) children enrolled 8/14/17 and 7/27/17, immunization certificates were valid until 8/2/17 and 12/9/17, respectively. Child enrolled 7/6/17, did not have an immunization certificte on file.

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 enrolled 8/14/17, did not have signed authorization by the parent for the child-care center to seek emergency medical care in the absence of the parent. 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, staff hired 9/21/17, did not have a professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child's allergy information was posted, for public inspection, on the wall in classroom #4. 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 2. General.

General: Based on Observation and interview, the statement of deficiency/plan of correction for the current licensure year was not posted. Animals Not Applicable

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 to the outside playground area was not screened and the door was left open for over two (2) hours.

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 three (3) year old child was allowed to go to the restroom in the back of the classroom, out of the scope of vision of both staff for approximately two (2) minutes during nap time in Class 4. The restroom has unsecure doors going to Class 2 and Class 3. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 8-11-16 listed North Carolina as an address of residency within the last five years on their central registry check but an out-of-state criminal records check was not conducted for North Carolina. This employee has been employed past the 90 day probationary period. 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 a review of documentation, there was no verification of educational on file for staff member hired 8-22-16.

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 a review of documentation, staff member hired 3-7-16 TB verification was dated 10-1-14. Staff member hired 11-7-16 did not have TB 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 a review of documentation, two (2) staff members hired 11-2-15 failed to complete four and a half (4.5) hours of the nine (9) required hours of training for their first year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and using a thermometer to measure the temperature of the water in the sinks, the hot water was eighty-six (86) degrees Fahrenheit in the sink in Class 3. The hot water was seventy (70) degrees Fahrenheit in the sink in Class 1. The hot water was eighty-two (82) degrees Fahrenheit in the restroom sink in Class 1. The hot water was seventy (70) degrees Fahrenheit in the restroom sink in Class 2. The hot water was eighty-four (84) degrees Fahrenheit in two sinks in the men's restroom and in two sinks in the women's restroom, adjacent to the cafeteria. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, the glider rocking chair had a three (3) inch tear in the seam of the seat cushion. This chair was located in Class 4. Transportation 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, the thermometer registered the temperature at 43.2 degrees Fahrenheit inside the refrigerator. Interview with staff determined that was the same reading twenty (20) minutes later when rechecked by the staff member and surveyor. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation, children enrolled 9-12-16, 8-11-16, 4-26-16, 5-19-16, 5-14-16, 5-4-16 and 4-26-16 did not have contact information for their preferred hospital on file. Children enrolled 8-18-16 and 7-25-16 did not list a preferred hospital, and a child enrolled 8-18-16 did not have contact information for their physician listed. 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 a review of documentation, the earthquake/tornado drill documentation for drills conducted in the third quarter of 2016 did not include a list of children who participated in the drills. Interview with staff determined the center stopped keeping a record of the children who participated in drills.

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 a review of documentation, the fire drill documentation for drills conducted in August 2016, September 2016 and October 2016 did not include a list of children who participated in the drill. Interview with staff determined the center stop keeping a list of children who participated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview with staff, fire drills were not conducted in June and July 2016 while the center operated the summer camp program. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a staff, hired on 10/12/15, did not submit a criminal records check and child abuse/neglect check which surpassed the 90 day probationary period. Also, a volunteer, start date 11/02/15, and a volunteer, start date 11/30/15, did not submit a criminal records check and child abuse/neglect check.

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 09/21/15, a staff hired on 10/12/15, and a staff hired on 11/02/15, each 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 10/12/15, did not complete six (6) hours of cabinet approved orientation training 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 3. General Requirements.

General: Based on Observation, a caregiver’s purse was on top of a three (3) foot high wooden shelf and was accessible to children in the four year olds’ room. A caregiver’s cell phone was on the top edge of a three (3) foot high wooden shelf and was accessible to children in the three year olds’ room. Two (2) large containers of disinfecting wipes were on top of the four (4) foot high wooden cubbies and were accessible to children in the three 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 140 degrees Fahrenheit at two (2) sinks in the school-age room. The hot water registered 84 degrees Fahrenheit at one sink and registered 80 degrees Fahrenheit at another sink in the four year olds’ room. Also, the hot water registered 80 degrees Fahrenheit at a sink in the three year olds’ 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, nine (9) children were not provided a sheet and a child was not provided a sheet and a blanket at nap time in the three 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, two (2) children, first date of attendance on 10/12/15, did not have immunization certificates on file. Instead, each child had an immunization record. Also, a child, first date of attendance on 10/12/15, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, two (2) children, first date of attendance on 10/12/15; two (2) children, first date of attendance on 01/04/16, and a child, first date of attendance on 01/12/16, each did not have information on file to enable the person in charge to contact the child’s preferred hospital. A child, first date of attendance on 10/12/15, did not have the name of each person who is designated to pick-up the child and the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. A child, first date of attendance on 01/04/16, did not have any enrollment information 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, three (3) children did not have a documented arrival time in the four year olds’ room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.