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

General: Based on observation, interview and review of documentation, the facility reported that on 11/15/24, a child in the infant room was pulled up by his arm, placed on the floor, and then began to act "fussy". The child's guardian sought medical attention for the child and nursemaids elbow was diagnosed. Director Requirements 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 interview and review of documentation, a staff member failed to administer an antibiotic to a three-year-old child as requested by the child's parent on 08/16/24. The staff member stated that she was working in a classroom and forgot to administer the medication.

Open Not marked corrected in the state record

Category: ratio. 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 member (DOH: 01/17/11) 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 11. Staff Requirements.

General: Based on review of documentation, a staff member (DOH: 06/24/24) did not have proof of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. Documentation presented for a substitute staff member (DOH: 01/15/21), included the most recent TB skin test dated 11/10/21, which was no longer current. 2. No TB documentation was presented for staff member (DOH: 06/24/24).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a substitute staff member (DOH: 01/15/21) did not have written evidence of completing CPR or First Aid training. A review of ECE-TRIS verified this information.

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 substitute staff member (DOH: 01/15/21) did not complete any of the fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. A review of ECE-TRIS verified this information. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, Room C2-2A contained a section of baseboard trim that was not attached to the wall under the window. The glue was exposed where the trim was coming off of the wall. The staff in charge indicated that this classroom was not being used during the renewal survey, but wil be used in August. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the first aid supplies did not contain a CPR mouthpiece protector. 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, the two (2) and under outddor play area contained a red and tan Little Tikes slide and a red and blue slide that were located on the grass. A protective surface shall be provided for equipment used to slide. Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 Drink Requirements for All Child-Care Centers.

General: Based on observation and interview, the facility had only one (1) percent milk in the kitchen to serve to the children for lunch during the renewal survey. The staff in charge indicated that the company that delivers the milk did not bring the whole milk, so they would have to serve the one (1) percent milk to all of the children. The facility was caring for children 12-24 months old. Pasteurized unflavored whole milk shall be served to children ages twelve (12) months to twenty-four (24) months. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the facility did not have posted, for public inspection, the statement of deficiency and plan of correction from the renewal survey conducted on 06/05/23 or the statement of deficiency and plan of correction from an investigation conducted on 12/28/23. 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 interview, a one-year-old child received a cartlidge fracture of the radial head of her elbow after being lifted up from the floor by a staff member. Based on video surveillance, the child was laying on her on back with her knees up when the staff member came over to the child. The staff member took hold of the child by her hands and lifted her up to her feet and then the child goes limp and goes down to her knees while the staff member is still holding on to her hands. The staff member pulls the child back up to a standing position again while still holding on to her hands. The child is now standing and immediately starts crying and appears to grab her arm. It should be noted that at no point in the video does the staff member become angry or aggressive with the child. The child was taken to the emergency room for examination. Director Requirements In Compliance Employee Records 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, two (2) areas of weed guard were exposed on the playgrounds and presented a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation: Staff member hired 9/7/2021 was hired when under the age of 18 and had a CAN check completed on file. However, the staff member turned 18 and did not complete an FBI fingerprint-based background check via the KARES portal. This staff member was working alone with eight (8) two-year-old children during the inspection process. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

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 review of documentation, a staff member hired 5/9/2023 had evidence of living in Pennsylvania in 2020 and California in 2019. A criminal records check, sex offender check, and child abuse and neglect (CAN) check were not completed for this individual for the previous states of residency. California and Pennsylvania do not participate in the National Fingerprint File Program. This staff member was working alone in the K-Prep classroom with ten (10) students during the inspection process. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, the State Fire Marshal documentation on file was dated 1/31/2019; a more current inspection was not available. 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, nine (9) staff members eligible for an annual evaluation did not have a 2022 evaluation in their personnel files. The surveyor found that the most current evaluation was dated 2021.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation: 1.) Staff member hired 9/7/2021 was hired when under the age of 18 and had a CAN check completed on file. However, the staff member turned 18 and did not complete an FBI fingerprint-based background check via the KARES portal. This staff member was working alone with eight (8) two-year-old children during the inspection process. 2.) Based on review of documentation, a staff member hired 5/9/2023 had evidence of living in Pennsylvania in 2020 and California in 2019. A criminal records check, sex offender check, and child abuse and neglect check were not completed for this individual for the previous states of residency. California and Pennsylvania do not participate in the National Fingerprint File Program. This staff member was working alone in the K-Prep classroom with ten (10) students during the inspection process. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel file for a staff member hired 5/9/2023 did not contain proof of educational qualifications. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel files for staff members hired respectively on 8/30/2020 and 4/21/2021 contained negative tuberculin skin results that exceeded two years, which are no longer current. Additionally, the file for a staff member hired 5/9/2023 did not contain a negative tuberculin skin result or a physician’s statement clearing them of active tuberculosis.

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, the personnel file for a staff member hired 1/15/2021 did not contain evidence of being trained in CPR and First aid administration.

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: 1.) Staff members hired respectively on 1/3/2011, 8/1/2017, and 5/23/2016 had a Pediatric Abusive Head Trauma training record that exceeded five (5) years, and therefore is no longer current. 2.) Staff member hired 9/7/2021 did not have evidence of completing Pediatric Abusive Head Trauma training, which is required within the first year of employment. 3.) Staff member hired 1/15/2021 completed seven (7) out of fifteen (15) hours of Cabinet-approved early care and education training for the July 1, 2021 – June 30, 2022, training year. 4.) Staff member hired 5/18/2022 completed thirteen (13) out of fifteen (15) hours of Cabinet-approved early care and education training for the 5/18/2022 – 5/18/2023 training year. 5.) Staff member hired 5/18/2022 did not have evidence of completing Cabinet-approved Orientation training. This training is required within the first 90 days of employment. 6.) Staff member hired 9/7/2021 had zero (0) out of fifteen (15) hours of Cabinet-approved early care and education training for the July 1, 2021 – June 30, 2022, training year. A review of ECE-TRIS supports these findings. 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 staff member's purse was placed on the floor in the K-Prep classroom; the purse and its contents were accessible to the 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: 1.) The wall within the Infant 1A classroom had large areas of chipping/ peeling paint. 2.) The paint was chipping and peeling near the baseboard in the Preschool classroom. Additionally, three (3) ceiling tiles appeared to be water stained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing pad used within the Preschool B classroom was torn exposing the interior foam, which renders the pad unable to be properly sanitized. 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, the facility’s first aid supplies did not include a CPR mouthpiece. 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, two (2) small slides were placed on the grass on the Toddler playground. The slides did not have protective surfacing underneath the fall zones. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were two (2) bottles stored in the Infant B classroom refrigerator that were not labeled with a child’s name. 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

Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence to indicate that the Emergency Preparedness plan had been updated and submitted to the proper emergency management authority since 2019.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the Earthquake, Tornado, and Lockdown drills were documented as occurring at the same time; these drills require different actions and should be documented individually. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following staff did not have proof education available for review. The dates of hire for these staff are 2/14/22 (still in high school), 3/7/22, 5/7/22, 5/18/22, 9/7/21, 11/1/21, 11/13/21, 11/15/21, and 11/22/21.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) One staff person hired 5/31/22, did not have TB documentation available for review. 2.) One staff person hired 5/23/16, had TB documentation on file that was no longer valid as of 6/14/21. 3.) One staff person hired 8/12/21, had TB documentation on file that was no longer valid as of 6/20/21. 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 review of documentation and ECE-TRIS, the surveyor found three staff have not completed the cabinet-approved Orientation training. The dates of hire for these staff are 1/12/22, 2/14/22, and 9/7/21. 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.

Based on observation in the school-age building, the surveyor found a large Gator Amplifier Case that contained numerous cords, a music amplifier on top of the case, an outlet tower, and a SQS Personal Mixer Hub on the stage. These items were accessible to the school-age children ages five-to-nine years old.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The Toddler B room (C-9) had four small holes (0.5 mm in diameter) in the wall next to the entrance. 2. The Two-Year-Old room (C-4) had a large section of peeling paint on the wall next to the entrance. The staff person stated that the children keep peeling the paint, making the area worse. 3. The Infant room (C-6) had a large section of drywall primer on the wall. A few pieces of the primer were on the floor against the baseboard. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found an accumulation of tape residue on children's cubbies located against the wall; next to the entrance of Infant Classroom B (C-8). 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the emergency preparedness plan on file had not been updated since 12/2019.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08/31/2021 AND AS OF 09/30/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 review of documentation, the facility's posted menus did not contain a date. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 review of documentation, observation, and interview, this regulatory requirement was not met. Two staff (hire dates: 4/26/21 and 4/21/21) did not have results of a criminal records check (CRC) on file. These staff had CRC applications in their files that had been filled out; however, there was no evidence that the applications had been submitted for processing and no results were on file. The staff person in charge stated that she submitted both records for processing and received a copy of the results; however, she must have forgotten to print the results and indicated that the results are only available online for 30 days. It is important to note that the surveyor observed the staff person with the 4/26/21 hire date working alone with children in the Toddler Classroom during the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. One teenage female present in the facility during the inspection was identified as a staff person's daughter that is used in the classrooms as a volunteer. The staff person in charge stated during interview that this person is used as an "extra set of hands" and as a "runner"; however, there were no policies/procedures on file for the surveyor to review regarding volunteers. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two staff eligible for an annual performance review did not have current documentation of a review on file in the facility. The documentation on file was dated 3/30/19.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. One staff person (hire date: 4/26/21) did not have results of a criminal records check (CRC) on file. This staff person had a CRC application in her file that had been filled out; however, there was no evidence that the application had been submitted for processing and no results were on file. The staff person in charge stated that she submitted the CRC for processing and received a copy of the results; however, she must have forgotten to print the results and indicated that it is only available online for 30 days. The surveyor observed this staff person working alone with children in the Toddler Classroom during the inspection. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. Two staff files (hire dates: 1/3/11 and 10/17/16) contained results of negative T.B. tests that are no longer current. The tests were dated 5/14/19 and 11/19/18, which exceeds the two year time frame. The staff person in charge stated that these two staff were not able to get a new T.B. test because they recently received the Covid vaccination; however, there was no documentation on file to verify this. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor observed two stained ceiling tiles in the Infant Classroom (C9) and three stained ceiling tiles in the Preschool Classroom (C1). Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, one employee file (hire date: 10/17/16) did not contain a current annual professional development plan. The last professional development plan that had been completed was dated 3/18/19. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, this regulatory requirement was not met. The following was found: 1. The Toddler Classroom (Room C6) did not have a schedule of daily activities posted. When asked about this document, the staff person working in the classroom pulled one out from a bottom cabinet next to the classroom sink. 2. The Kindergarten Prep Classroom (Room C4) did not have a schedule of daily activities posted. When asked about this document, the staff person working in the classroom stated that she only had one on the classroom electronic tablet. Animals Not Applicable

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, this regulatory requirement was not met. A review of the facility's liability insurance documentation on file found that the coverage dates were 4/1/17 through 4/1/20; therefore, the policy was not current. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found one staff person that did not have the date of employment listed in their file. The staff person in charge reviewed information on her computer and then verbally identified the date - 6/15/20 as the hire date. However, the date of hire was not maintained in the personnel 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 review of documentation, this regulatory requirement was not met. Three staff (hire dates: 11/22/19, 2/27/20, and 6/15/20) did not have educational documentation on file. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the facility the surveyor observed two large play structures with multiple steps, levels and slides, beside a small fenced playground on the back side of the building. The staff person in charge stated that the school age children play on the two large play structures and all other age groups play in the fenced play area. The area around the two large play structures is not fenced. The staff person in charge stated that she had obtained written permission from each child’s parent allowing the children to play in the unfenced 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 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. During a tour of Room #C3 (two-year-olds), the surveyor observed a red child-size chair that was in disrepair. The seam was ripped open on the side of the chair which exposed the foam filling. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The statement of deficiencies/inspection report issued as a result of the 7/30/19 renewal inspection was posted; however, the plan of correction statement was not included. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, review of documentation and the Training Records Information System (TRIS), one staff person (hire date: 6/15/20) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). In addition, the facility failed to submit a background check for one staff person (hire date: 6/15/20). The staff person's information had been entered in KARES; however, there was no evidence or results on file of a completed child abuse/neglect check (CAN) or a criminal records check. The staff person in charge stated that she had submitted these two forms for processing; however, did not keep a copy for her records and indicated that the results of these background check forms had not yet been obtained. The staff person in charge stated that this staff person does not work alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, after reviewing ECE-TRIS records it was found that employees with the following dates of hire did not have the required 15 hours of annual training - staff hired 10/16/2009 had 13.5 hours, staff hired 3/5/2018 had 9 hours, staff hired 8/1/2017 had 9.5 hours, staff hired 7/2/18 had 1.5 hours, staff hired 5/23/2016 had 12.5 hours, and staff hired 7/10/2017 had 9.5 hours. It is important to note that the director provided records for the following staff with dates of hire: 3/5/18, 7/2/18, 8/1/17, 10/16/09, as well as a Childcare Education Institute training certificate for a staff member hired 7/10/17. However, these trainings were not recorded in ECE-TRIS. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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, there was no evidence of multi-cultural materials located in the C9 classroom or the C3 classroom. 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, room C9 contained two locks under the sink that were not in working condition. Behind one unlocked cabinet door HSS observed a staff member’s purse; this item was accessible to the 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, room C7 had areas of chipped paint and scuff marks on the walls. The walls in room C9 contained scuff marks and wear behind the staff chair. Room C3 contained three (3) water-stained ceiling tiles. Room C1 contained several ceiling times with water-stains. Room C8 had chipping paint on the walls. 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 In Compliance 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 10. Director Requirements and Responsibilities.

General: Based on observation, Room C9 did not have a daily schedule available for review. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff person hired 5/21/18 did not have evidence of submitting fingerprints at an authorized collection site for NBCP. A review of KARES records supports the information found during the survey. In an interview with the Director it was found that the staff person was not present in the facility at the time of the surevy but had been working in the facility the previous day. The Director stated that the staff person was never left alone with any of the children. Supervision In Compliance 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

Open / not marked corrected.

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

General: Based on Review of Documentation, staff persons hired 3/5/18 and 5/23/16 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. 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, the following was found: 1. Staff persons hired 8/21/17 and 2/19/18 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. 2. Staff person hired 1/3/11 had evidence of only five (5) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. 3. Staff person hired 5/23/16 had evidence of only ten (10) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the following was found: 1. A staff person's purse was open and on the floor in the Toddler B classroom. The purse was accessible to the children in care. 2. There was a can of air freshener, a can of disinfectant and a bottle of bleach/water solution being stored in an unlocked lower cabinet in the Preschool A classroom. These items were accessible to the children in care. 3. There were two (2) bottles of correction fluid being stored in an unlocked lower drawer of a cabinet in Preschool A. The bottles were accessible to the children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the refrigerator in the eating area contained several areas of dried food/liquid spills and an abundance of food crumbs on the shelves and bottom of the appliance. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, there was a large open metal can of fruit cocktail being stored in the refrigerator in the eating area. The can of fruit was not covered. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, staff persons hired 10/16/09, 5/23/16 and 7/21/15 did not have evidence of an annual professional development plan on file in the facility. 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, the following was found: 1. There was not a current schedule of daily activities, including lists and dates of activities to be conducted with the children posted in the Preschool A classroom. The schedule of activities was dated for the week of 3/5/18. 2. There was not a current schedule of daily activities, including lists and dates of activities to be conducted with the children posted in the Preschool B classroom. The schedule of activities was dated for the week of 4/23/18. 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, staff persons hired 1/3/11, 1/17/11, 12/15/14, 8/10/15 and 6/25/12 did not have evidence of an annual evaluation on file in the facility. 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, the following was found: 1. Staff persons hired 5/28/17, 6/12/17 and 6/14/17 did not have the results of or evidence of the application for a criminal background check on file in the facility. 2. Staff persons hired 5/23/17, 5/28/17, 6/12/17 and 6/14/17 did not have the results of or evidence of the application for a CA/N check on file in the facility. None of these staff persons were observed alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, six (6) out of twenty-one (21) staff files presented for review did not contain a date of employment for the staff persons.

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 person hired 5/23/17 did not have evidence of negative T.B. results on file in the facility prior to employment. The results on file were dated 6/5/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. Staff person hired 2/14/17 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. 2. Staff person hired 1/17/11 had evidence of only thirteen (13) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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, there were no music or multicultural materials made available for the children in Room C6.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, there was a one (1) year old child (DOB 8/18/15) being cared for in Room C6 with three (3) two-year-old children. In an interview with the staff person in charge it was determined that the facility did not have a transitioning procedure in place for the child and the facility had not obtained the signature and approval from the child's parent for a transition plan. 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, there were several plastic garbage bags in an unlocked drawer under the counter by the sink. The bags were accessible to the 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 several areas of chipping paint and an accumulation of scuffs on the walls in Room C3 and Room C9. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the black liner under the mulch was coming up and visible in several areas of the playground. This poses a tripping hazard to staff and children. Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the attendance records being used by the Provider were not in accordance with 922 KAR 2:160 Section 13. The staff person in charge indicated that there are children enrolled in the facility that receive Child Care Assistance funds. The attendance records required for CCAP funds had not been filled out since April, 2017.

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, there was no record of practiced tornado or earthquake drills since 8/5/16 on file in the facility.

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, there was no record of practiced fire drills for April, 2017 and May, 2017 on file in the facility.

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, there was no record of practiced fire drills for April, 2017 and May, 2017 on file in the facility.

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, there was no record of practiced tornado or earthquake drills since 8/5/16 on file in the facility. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an eight (8) year old child left the school age bathroom to go to the restroom. The child was not supervised while she was out of the clasroom. The restroom is located in the hall near the school age room. The door to the classroom and the door to the restroom were closed. The school age staff were in the classroom engaged in activities with other children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, there was one (1) school age child in the hall bathroom unsupervised. When the school age group was observed the staff said there were thirteen (13) children present and that was the number of children present in the room. However, when the school age bathroom was inspected it was found that another child was in the bathroom. The bathroom was down the hall a short distance from the classroom and the doors to the classroom and the bathroom were closed. The child was not within range of voice to the classroom staff.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview, the center was using classroom 203. This classroom was not part of the center's approved licesensed space.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, there were no curruent staff evaluations. The staff person in charge stated that the evaluations had not yet been completed.

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, three (3) staff files did not include documentation of meeting the education requirement. The hire dates for these staff were 3/7/16, 5/23/16, and 9/14/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff files with more that a two (2) year time laspe between the negative TB documentation. A staff person hired 3/23/15 had documentation dated 8/20/13 and received new documentation on 1/26/16. A staff person hired 6/25/12 had documentation dated 1/20/14 and received new documentation on 3/1/16.

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 Review of Documentation, a staff person hired 12/1/15 did not have the required orientation training. A staff person hired 5/11/15 did not have the required orientation trainig or the pediatric abusive head trauma training. The ECE-TRIS database was referenced and confirmed the lack of training. 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, there were adult scissors in an accessible drawer in classroom C7. In the cafeteria there were adult scissors in an accessible drawer. In classroom C3 there was Ajax dish soap, Air Wick areosol spary, plastic bags, and adult scissors acessible to the children.

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, in classrooms C7 and C3 there were sunscreens stored unlocked and within reach of children. In classroom C2 threre was a container of Aquaphor diaper ointment stored in the changing table, it was not locked and accessible to the children in care. This diaper ointment was not labeled with a child's name. 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 8. Kitchen Requirements.

General: Based on Observation and interview, the parents of an infant in classroom C2 sent one (1) bottle that was reused for each feeding throughout the day. The staff person stated that the bottle was washed out in the classroom.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, in classroom C2 the staff was preparing an infant's formula bottle by measuring out the formula and water from larger containers. The parents provided the formula.

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 Observation, in classrooms C6 and C2 the daily plan of activities was dated for April. Also, in classrooms C7, C3, 102/103, and 201 the lesson plans were not posted.

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 and handwashing procedures were not posted at the diaper changing areas in the center. The posters with the procedures were in the office, ready to be posted. Animals

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, it was found that a staff person was re-hired (6/7/15) for the summer months. The background checks on file (criminal records check and child abuse/neglect check) were completed 5/23/13 and 5/14/13. The staff person in charge stated she has not requested new background checks. It is important to note that this staff person was not observed working alone with children on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff file (Hire date: 5/11/15) had TB skin documentation on file that was completed after his date of hire. The TB skin documentation on file was dated 5/21/15. A staff person (Re-hire date: 6/7/15) had TB skin documentation on file that was no longer valid as of 5/28/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff file (Hire date: 2/15/2011) contained zero hours of training. 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, numerous weeds were protruding through the mulch along the fence row and throughout the childen's play space/ traffic patterns.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, it was found the facility utilizes a third party agreement to charter bus services for field trips during the summer. The surveyor asked how the facility documents the times the children get on and off of the bus during field trips. The staff person in charge stated she takes the attendance book (where the parents sign in their children into the facility) and takes the charter price quote documentation (which notes the bus arrival and departure time) with her on the bus. This does not meet this regulation because the attendance book is documentation of the parents' signing their children into the facility not on the bus and the arrival and departure times on the charter bus document is a record of the bus arriving to and from the facility and it is completed by the company not a staff member.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) child (Enrollment date: 4/14/14) had an immunization certifcate on file that was no longer valid as of 3/10/2015.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found there is a calendar brochure of scheduled field trips for the months of June, July, and August given to the parents. The parents are also given a Summer Camp Registration form and are asked to place an "X" in each box to indicate which weeks of camp the child will be attending. Neither of these documents include/ contain verification of each parents' permission for each trip off of the premises. 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, one (1) staff person (Hire date: 4/2013) did not have an annual professional development plan on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the documentation presented for review contained the date of the drill and names of the children that participated in the drill; however, the time of the drill was not recorded. Furthermore, the documentation was labeled disaster drills. The surveyor could not determine if both Earthquake and Tornado drills are being practiced.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Review of Documentation, there was no written parental consent forms on file allowing fish and a turtle to be present around the children at the facility.

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 Review of Documentation, there was not a copy of the current licensing regulations on file.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, staff member hired on 08/19/13 did not have education 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, staff member hired on 08/19/13 had a TB skin test on file that exceeded the two (2) year time frame.

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 member hired on 11/23/11 did not have the required fifteen (15) hours of cabinet approved training on file.

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 pad was torn in room C3.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was not a written annual plan for staff members hired on 04/01/13, 10/16/09, 02/15/11 and 05/21/12.

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 facility's computer equipment was not equipped with a monitoring device to limit the children's access to inappropriate material.

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, 1. There were a pair of adult scissors and a roll of plastic bags being stored in an unlocked drawer under the sink in the Runners classroom. 2. There was a can of Air Wick air freshener spray and a bottle of Ajax dish soap being stored in an unlocked cabinet under sink in the Toddler classroom. There was also a roll of plastic bags being stored in an unlocked drawer under sink in the same classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were several small holes in the changing pad in the Early Runners classroom.

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, none of the staff eligible for an annual evaluation had evidence of an evaluation on file in the facility.

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, staff person hired 4/1/13 did not have evidence of proof of education on file in the facility.

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 person hired 10/29/12 did not have evidence of negative T.B. results on file in the facility.

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 person hired 10/29/12 did not have evidence of the completion of the required orientation training on file in the facility.

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 Observation, the attendance sheets being used by the facility were not the records that are required in accordance with 922 KAR 2:160, Section 13. The facility serves several children that receive services from the Child Care Assistance Program.

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, there were no diapering procedures posted in the Runners classroom. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, there were two (2) large fish tanks with fish in them in the facility. In an interview with the staff person in charge it was found that written parental consent for the fish had not been obtained.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, two (2) staff persons hired on 10/16/09 had TB skin tests that were more than two (2) years old. Staff person hired on 11/23/11 had a TB skin test on file that was dated 02/03/12. There was no negative skin test on file from when she was first hired. 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 In Compliance Findings: General: Based on Review of Documentation, staff member hired on 02/07/12 did not have proof of Orientation I & II on file within the first three (3) months of employment. 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. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 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 In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 317 - Driver requirements 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. 2) Background checks Not In Compliance Findings: General: Based on Review of Documentation, three (3) staff members listed as van drivers did not have a current background check on file. Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.