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

General: Based on observation, the child care center failed to maintain state regulations. In Room Two (2), the lesson plan was not dated and therefore could not be determined to be current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. Three (3) employee files (DOH: 07/01/20, 09/01/20 and 07/01/22) did not contain evidence of an annual performance evaluation.

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, the child care center failed to maintain state regulations. In the restroom, the wall directly above each of the three (3) sinks was in disrepair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Room One 1.) The classroom refrigerator did not contain a temperature measuring device and therefore the temperature could not be determined to be within regulations. Room Two 1.) The classroom refrigerator did not contain a temperature measuring device and therefore the temperature could not be determined to be within regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. Three (3) employee files (DOH: 07/01/20, 09/01/20 and 07/01/22) did not contain evidence of an annual professional development plan.

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, proof of current liability insurance was provided at the time of the survey. 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, one staff member with a hire date of 11/20/17, did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation made available at the time of survey regarding a current liability insurance policy. The one on file expired on 12/31/21. 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, three staff did not have evaluations on file at the facility. Hire dates for these staff are 7/1/15, 1/1/20, and 7/15/15. 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, four staff did not have proof of education on file at the facility. Hire dates for these staff are 4/2/21, 11/5/21, 11/3/21, and 3/1/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff hired on 1/1/20, did not have updated documentation of a negative TB test or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility. The TB test on file for this staff expired on 1/20/22.

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 review of documentation, one staff hired on 9/1/20, did not have the required 15 hours of annual training for the year. A review of ECE-TRIS confirmed this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 09/01/2020, did not have documentation on file that the required Orientation I and II had been taken within 3 months of hire date. This information was verified through ECE-TRIS. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a container of Clorox Wipes sitting on a shelf where the coats are stored in Room #3. This item was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the floor edges in the reading area of Room #2 were dirty with dust and debris. 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 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, two children had expired immunizations records on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found that one staff person did not have the date of employment listed in their file. The staff person in charge called the assistant director at home, reviewed information on her computer and then verbally identified the date 8/1/19 as the hire date. However, the date of hire was not maintained in the personnel 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, this regulatory requirement was not met. One staff person (hire date: 8/1/19) did not have T.B. documentation on file. The staff person stated that she thought she had obtained this documentation; however, she was not able to locate it during the visit. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication 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, this regulatory requirement was not met. An inspection of the facility’s first aid kit found that it did not contain medical tape. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The surveyor entered the facility at 10:10AM and observed 17 children present; however, only 13 children had an arrival time documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory requirements with regard to notification of changes. Observation of the child care center during a renewal inspection on 11/16/18, revealed eight (8) children present and in care. Interview with staff revealed the youngest child in the classroom was two-years-old. Review of the child care center’s license revealed the child care was not licensed to care for toddler age children. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable 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 and interview, the child care center failed to maintain childrens records in accordance with regulatory requirements. Upon request the child care center director failed to provide documented evidence of a current immunization certificate for a child with an enrollment date 08/16/18. The document received was certified in the state of Ohio. In addition, the certificate did not indicate if the child's immunizations were current, as the certificate contained no expiration date. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence that the child care center conducted quarterly earthquake and tornado drills detailing the date, time and children who participated for the 1st, 2nd, and 3rd Quarters of 2018. In addition, the director failed to provide documented evidence that monthly fire drills were conducted detailing the date, time and children who participated for the months of August 2018 and September 2018.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence that they conducted monthly fire drills for the months of August 2018 and September 2018. 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, this regulatory requirement was not met. One person identified as a volunteer did not have evidence or results of a criminal records check (CRC) on file. His start date was identified as 8/12/15. The staff person in charge stated that this person is only at the facility a couple times a year and indicated that he is never alone with the children. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, this regulatory requirement was not met. An inspection of the facility refrigerator found that apple juice was the only drink present to serve to the children at lunch. The staff person in charge acknowledged the finding and stated that she was not aware that milk had to be served. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and observation, this regulatory requirement was not met. The surveyor entered the facility at 9:53PM and observed six (6) children present; however, only five (5) children had an arrival time documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, this regulatory requirement was not met. The statement of deficiencies and plan of correction from a 11/15/16 relicensure inspection was not posted.

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, this regulatory requirement was not met. The facility had a diagram posted; however, it did not include a written emergency plan. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the boys' restroom, located in the hallway, used by the preschool children, contained two (2) uncovered electrical outlets. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a substitute staff member hired on 8/17/16 listed that she lived in Ohio on her CAN check within the last five (5) years. The facility did not have written evidence of completing an out of state background for this staff member. This staff member was not present at the facility; therefore, not working alone with the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the director and another staff member had current CPR training, but there was no written evidence of current first aid training. The CPR cards on site only listed current CPR training. The facility operates from 7:45 AM until 3:15 PM Monday through Friday. There is no one present with current first aid training during the facility's operational hours. 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

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the facility had a Fisher Price climber with a slide sitting on a wooden plank floor in the outdoor shelter. The staff in charge indicated that the children use this space for outdoor gross motor activities. The climber was approximately 4.5 feet tall. The climber was not sitting on protective surfacing. Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Observation, it was found that a note regarding medication administration was posted in the classroom. The note contained a child's name and the name of the medication to be administered.

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, it was found that the file for a volunteer did not contain evidence of submission for or a completed criminal records check. This volunteer was not observed to be left alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for two (2) employees did not contain a date of hire.

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, it was found that the files for two (2) employees hired on 8-19-14 did not contain evidence of a high school diploma, GED or Commonwealth Childcare Credential.

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, it was found that the file for an employee hired on 8-19-14 did not contain evidence of a TB skin test or screening conducted by a health care professional.

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, it was found that the files for three (3) employees did not contain evidence of the six (6) hour cabinet-approved orientation training being completed. These employees have been employed by the facility for longer than ninety (90) days. 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, it was found that a bottle of Lysol All-Purpose Cleaner was being stored in an unlocked closet on a low shelf. The label bore the warning "store in area inaccessible to children." The closet also contained a container of wet Swiffer Sweeper mopping refills. This container bore the label "Keep Out of Reach of Children." In addition, a pair of sharp scissors was found to be stored in a pencil holder on a low shelf in the classroom.

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, it was found that the permission form obtained from the parent to administer the penicillin was not dated. It also did not designate a dosage amount or the times to be administered. The form only said to give the medication every three (3) hours.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, it was found that the facility does not keep a written record of when medications are administered. The staff person in charge stated that a note is sent home to the parents stating that the medication was given.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that a bottle of penicillin was being stored in an unlocked refrigerator in the classroom. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) children's files out of ten (10) files reviewed did not contain current immunization certificates.

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, it was found that the documentation for fire drills did not contain the names of the children who participated.

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, it was found that a fire drill was not conducted during the month of November 2014.

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, the facility failed to meet this regulatory requirement. An initial inspection was conducted at this facility on 8/19/14. Two (2) days later (8/21/14) the DRCC office received written notification that the person named as the director had resigned from the position. The facility does not meet the requirements to qualify for a preliminary license without a director. 95 - Allow Access Discussed 922 KAR 2:090. Section 6. License Issuance. (12) A child-care center shall allow the cabinet or its designee, another agency with regulatory authority, and a parent of an enrolled child unannounced access to the child-care center during the hours of operation. 100 - Plan of Correction/10 days Discussed 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans. (2) Except for a violation posing an immediate threat as handled in accordance with KRS 199.896(5)(c), a child-care center shall submit a written corrective action plan to the cabinet or its designee within ten (10) calendar days of receipt of the statement of deficiency to eliminate or correct the regulatory violation. 105 - Amended Plan of correction Discussed 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans. (6) A child-care center notified of the unacceptability of its plan shall: (a) Within ten (10) calendar days of notification, submit an amended plan; or 110 - Report to Licensee Discussed 922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation. (3) A director, employee, volunteer, any person with supervisory or disciplinary control over, or having unsupervised contact with, a child shall report to the licensee if: (a) Convicted of, or entered an Alford or guilty plea to: 1. a violent crime or sex crime in accordance with KRS 17.165; or 2. A crime specified in Section 6(5) of this administrative regulation; (b) The subject of a cabinet child abuse or neglect investigation; (c) Found by the cabinet or a court to have abused or neglected a child; (d) Convicted of, or entered an Alford or guilty plea to, a drug-related felony, and five (5) years have not elapsed since the person was fully discharged from imprisonment, probation, or parole; (e) Placed on the Sex Offender Registry; or (f) Determined by a physician to have a health condition that renders the person unable to care for children. 115 - Reports to Cabinet Discussed 922 KAR 2:110. Section 6. Reports. (1) The following shall be reported to the cabinet or designee and other agencies specified in this section within twenty-four (24) hours from the time of discovery: (a) Communicable disease, which shall also be reported to the local health department pursuant to KRS 214.010; (b) An accident or injury to a child that requires medical care; (c) An incident that results in legal action by or against the child-care center that: 1. Affects a child or staff person; or 2. Includes the center’s discontinuation or disqualification from a governmental assistance program due to fraud or abuse; (d) An incident involving fire or other emergency, including a vehicular accident when the center is transporting a child receiving child care services; or (e) A report of child abuse or neglect that: 1. Has been accepted by the cabinet in accordance with 922 KAR 1:330; and 2. Names a director, employee, volunteer, or person with supervisory or disciplinary control over, or having unsupervised contact with a child in care as the alleged perpetrator. 125 - Confidential Information Discussed 922 KAR 2:110. Section 2. General. (3) Information concerning a child or the child's parent shall be kept in strict confidence by child-care center staff, except as otherwise required by law. 130 - Volunteer/Board Member Compliance Discussed 922 KAR 2:110. Section 2. General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 2. General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

Open Not marked corrected in the state record

Open / not marked corrected.