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

General: Based on review of documentation, the surveyor found no verification of a High School Diploma, GED, or Commonwealth Child Care Credential for a staff (DOH: 03/11/20) in the staff's file. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. An oval rug that contained stains in the Preschool Classroom; therefore, the rug was not kept clean. 2. A rocking chair with pink cushions that contained stains in the Nursery; therefore, the rocking chair was not kept clean. 3. An oval rug that contained stains in the Two Year Old Classroom; therefore, the rug was not kept clean. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. One (1) gutter downspout that contained a sharp edge at the bottom of the gutter located beside the gate entrance on the playground. 2. A brick placed beside the building near a storage container on the playground. 3. A black iron gate separating the playground from another area of the playground that had broken zip ties and was not secure. Several stacked bricks were placed on the ground on the other side of the black iron fence. 4. A picnic table that contained a piece of broken wood underneath it with several exposed nails located on the playground. 5. An exposed line dangling from the soffit of the child-care building and going into a hole on the side of the building located beside a storage container on the playground. 6. An exposed line coming down the side of the building and going into a hole on the side of the building beside the gate entrance on the playground. 7. A black line dangling down from the soffit of the child-care building beside a wooden ramp leading into the child-care building. 8. A black line dangling down from the soffit of the child-care building on the side of the building beside the end of a wooden ramp that leads into the child-care building. 9. A black iron gate located beside a storage building on the playground that was not secure and was observed to be easily pulled down. The black iron gate separated the playground from an area of the playground that goes beside and behind a storage building. A silver metal object/pipe going into the ground was located behind the storage building. During interview, staff-in-charge stated that the lines were old television lines and they would have them removed. Staff-in-charge stated that she would have the black iron gates repaired and would remove the picnic table from the playground. Staff-in-charge stated that the silver metal object/pipe in the ground was a gas or water meter.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Brush in the bottom of the fence roll along the side of the storage building on the playground. 2. The top part of the fence in the corner of the fence roll beside the storage building was no longer attached on the playground. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the gate to the kitchen to be open when first arriving at the child-care center. While completing a walk through of the child-care center, the surveyor observed a staff person and child walk out of the kitchen as the surveyor came from the After School Classroom. During interview, staff-in-charge stated that the gate leading into the kitchen was not very secure and they are planning on buying a new gate. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 04/15/21) file contained an immunization certificate that was no longer current as of 09/30/21. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the surveyor discovered that no staff had evaluations completed since May 2019. Staff reported that they forgot about evaluations with everything else that has been going on with COVID. Employee Records In Compliance 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 Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the center, the surveyor found the changing pad in the nursery was ripped. Therefore, it is not in good repair. Staff reported that she would have it replaced. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the crib by the window in the nursery had a rip in the mattress. Therefore, it was not in good repair. Staff reported that she would have the mattress replaced. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and ECE-TRIS, the surveyor found the following: 1. Two staff (DOH 05/1/2012) did not obtain five (5) of the fifteen (15) hours of required training. 2. One staff (DOH 09/12/2016) did not obtain nine (9) of the fifteen (15) hours of required training. 3. One staff (DOH 12/1/2015) did not obtain six (6) of the fifteen (15) hours of required training. During interview, staff stated that she thought that all staff had their required training completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the files for two (2) children (DOE: 3/28/2019) presented for review did not contain the name of the preferred hospital or the telephone number for the preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the Preschool Room, the surveyor found a bottle of hand sanitizer on a desk. The hand sanitizer was within reach and accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and the KARES program, the surveyor found no verification that a staff (DOH: 12/01/15) has submitted to or completed background checks in accordance with 922 KAR 2:280. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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, the surveyor found that the childcare center’s policies state “Staff members must also be trained in CPR and emergency First Aid”. The surveyor found no verification that three (3) staff have received training in first aid and CPR. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation during a tour of the Preschool Room, the surveyor found that a television was placed on a desk and was within reach of the children. The television was easily moved and unsecured; thus, it presented a safety risk to the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found that the Type I childcare center has two (2) identified substitute staff. Only one (1) of the individuals meets qualification for a substitute staff based on cabinet-approved early care and education annual training.

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 the following: 1. A staff (DOH: 5/1/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 9/28/13, thus, it was not within the past five (5) years. 2. A staff (DOH: 9/12/06) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 5/6/13, thus, it was not within the past five (5) years. 3. A staff (DOH: 6/11/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 10/23/13, thus, it was not within the past five (5) years. 4. A staff (DOH: 5/1/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 9/28/13, thus, it was not within the past five (5) years. 5. A staff (DOH: 7/21/15) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 5/6/13, thus, it was not within the past five (5) years. 6. A staff (DOH: 5/11/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 9/28/13, thus, it was not within the past five (5) years. 7. A staff (DOH: 5/14/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 2/19/13, thus, it was not within the past five (5) years. 8. A staff (DOH: 5/1/12) completed one and one-half (1 ½) hours of pediatric abusive head trauma training on 9/28/13, thus, it was not within the past five (5) years. 9. Review of documentation found that a staff (DOH: 12/1/15) completed only nine (9) hours of cabinet-approved early care and education annual training. 10. Review of documentation found that a staff (DOH: 2/4/16) completed only two (2) hours of cabinet-approved early care and education annual training. 11. Review of documentation found that a staff (DOH: 5/1/12) completed only two (2) hours of cabinet-approved early care and education annual training. 12. Review of documentation found that a staff (DOH: 9/12/16) completed only three (3) hours of cabinet-approved early care and education annual training. 13. Review of documentation found that a staff (DOH: 5/1/12) completed only one (1) hour of cabinet-approved early care and education annual training. 14. Review of documentation found that a staff (DOH: 5/14/12) completed only eleven (11) hours of cabinet-approved early care and education annual training. 15. Review of documentation found that a staff (DOH: 7/21/15) completed only eight (8) hours of cabinet-approved early care and education annual training. 16. Review of documentation found that a staff (DOH: 5/1/12) completed only two (2) hours of cabinet-approved early care and education annual training. 17. No documentation was found to verify that a staff (DOH: 2/4/16) has completed six (6) hours of cabinet-approved orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

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

General: Based on review of documentation during a tour of the Infant and Toddler Room on 11/13/18, the surveyor found that the planned program of activities was dated 11/5/18. Therefore, the planned program of activities was not current. 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 during a tour of the childcare center, the surveyor found water damage to the bottom shelf and sides of an unlocked cabinet located under the sink in the girls' restroom. The bottom shelf was heavily soiled and the cabinet smelled musky. The area between the bathroom cabinet and the wall was heavily soiled and contained debris. The unlocked cabinet was accessible to the children. 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 11. Toys and Furnishings.

General: Based on interview during a tour of the Infant and Toddler Room, the surveyor learned that staff spray the mouth contact toys with a bleach solution rather than submerging the toys in a sanitizing solution for at least two (2) minutes. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that of twelve (12) staff files reviewed, only two (2) had verification of a written plan for professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a medication authorization form, complete with a child’s full name, date of birth and medications, was posted in the Infant and Toddler Room. Staff did not maintain the child’s information in a confidential manner. Posted Documentation In Compliance 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 review of documentation and interview, the surveyor found that a staff file (DOH: 5/1/12) presented for review contained an annual evaluation that had not been dated. The last annual evaluation that had been dated was from 5/1/15; therefore, the annual evaluation had not been updated annually as required. Upon interview, staff in charge was not aware that the annual evaluation had not been dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records 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 5. Staff Requirements.

General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. A staff file (DOH: 2/4/16) presented for review did not contain any training documentation for 2/4/16 - 2/3/17. Review of ECE-TRIS, revealed that the staff member had only obtained one and a half (1.5) hours of training for 2/4/16 - 2/3/17. 2. A staff file (DOH: 2/4/16) presented for review did not contain documentation of the six (6) hours of cabinet-approved orientation. Review of ECE-TRIS revealed that the orientation training had not been completed. Staff-in-charge stated that the staff member had completed the orientation training when a trainer came to the child care center to provide the training. 3. A staff file (DOH: 5/1/12) presented for review did not contain any training documentation for 5/1/16 - 4/30/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/1/16 - 4/30/17. 4. A staff file (DOH: 5/1/12) presented for review did not contain any training documentation for 5/1/16 - 4/30/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/1/16 - 4/30/17. 5. A staff file (DOH: 5/11/12) presented for review did not contain any training documentation for 5/11/16 - 5/10/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/11/16 - 5/10/17. 6. A staff file (DOH: 7/21/15) presented for review did not contain any training documentation for 7/21/16 - 7/20/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 7/21/16 - 7/20/17. 7. A staff file (DOH: 7/22/15) presented for review did not contain any training documentation for 7/22/16 - 7/21/17. Review of ECE-TRIS, revealed that the staff member had only obtained two hours (2) hours of annual training for 7/22/16 - 7/21/17. 8. A staff file (DOH: 5/1/12) presented for review did not contain any training documentation for 5/1/16 - 4/30/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/1/16 - 4/30/17. 9. A staff file (DOH: 5/14/12) presented for review did not contain any training documentation for 5/14/16 - 5/13/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/14/16 - 5/13/17. 10. A staff file (DOH: 12/1/15) presented for review did not contain any training documentation for 12/1/15 - 11/30/16. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 12/1/15 - 11/30/16. 11. A staff file (DOH: 12/1/15) presented for review did not contain documentation that the cabinet-approved orientation training had been completed within the first three (3) month of employment. Review of ECE-TRIS, revealed that the staff member had not obtained the orientation training. Staff-in-charge reported that the staff member had completed the orientation training when a trainer came to the child care center to provide the training. 12. A staff file (DOH: 12/1/15) presented for review did not contain documentation that the Pediatric Abusive Head Trauma (PAHT) training had been completed within the first year of employment. Review of ECE-TRIS, revealed that the staff member had not obtained PAHT training. 13. A staff file (DOH: 5/1/12) presented for review did not contain any training documentation for 5/1/16 - 4/30/17. Review of ECE-TRIS, revealed that the staff member had obtained zero (0) hours of annual training for 5/1/16 - 4/30/17. Staff-in-charge stated during interview that they thought all staff had obtained the required annual training. 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, the surveyor found that there was a black and brown substance splattered onto the wall underneath the cubbies located in the Nursery Classroom. The substance was dry. Staff stated that the substance must be from the current week as she had not noticed it on the wall the previous week. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that there was no liquid soap available in the restroom located off of the School-Age Classroom. Staff reported that there would not be any children in the school- age room until the afternoon. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following were found: 1. There was a significant amount of dirt, food, and debri underneath the changing mat located in the Two's Classroom. Staff reported that they try to clean under the mat but do not do so after each diaper change. 2. The changing mat located in the Nursery Classroom contained multiple tears in the vinyl lining exposing the foam filling. Staff reported that the tears were recently made and that the center has extra mats available. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the playground was not well maintained as the plastic barrier underneath the mulch was exposed in multiple areas creating a tripping hazard for the children. Upon interview, staff stated that they were aware that the plastic barrier was exposed. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the following were found: 1. The high chair located by the dining area doorway had Cheerios and pretzels in the seat. Staff reported that the children had scrambled eggs and toast for breakfast; therefore, the Cheerios and pretzels must have been left in the chair the previous day. 2. The exersaucer located by the window in the Nursery Classroom had crumbs and a sticky substance on the plastic surface where the toys are located. Staff stated that the exersaucer is wiped down one (1) time per week. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the thermometer located in the freezer was reading at ten (10) degrees Fahrenheit rather than the required zero (0) degrees Fahrenheit. Upon interview, staff was not aware that the thermometer was reading above zero (0) degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the mini refrigerator located in the Nursery Classroom had a sticky pink substance and brown substance on the shelves inside and on the outside of the refrigerator door. Staff reported that the refrigerator was last cleaned approximately one and a half (1.5) months ago. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the following were found: 1. One (1) child's file (DOE: 2/16/17) presented for review did not contain the preferred physicians name or telephone number. 2. One (1) child's file (DOE: 2/16/17) presented for review did not contain the preferred hospital name or telephone number. Staff in charge was not aware that the information was missing from the file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that the emergency preparedness plan was last documented to have been reviewed and updated on 7/10/15. Staff in charge reported that they were aware that the emergency preparedness plan had not been reviewed or updated annually by 12/31/16 as required. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 observation during a tour of the Infant and Toddler Room, the surveyor found that a nine-month-old child was sitting in a high chair; however, the child's safety straps were not secured. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation contained in an employee file, the surveyor found that the negative tuberculin result was no longer current as of 07/01/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the Infant and Toddler Room, the surveyor found that a staff person's purse was placed on top of a two-drawer cabinet. The purse was within the reach of the children. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation contained in a child's enrollment file, the surveyor found that the immunization certificate was no longer current as of 11/04/16.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, child care center staff failed to report two (2) separate incidents of suspected abuse or neglect of a child. One (1) parent reported concerns in August of 2016 to the center Director in regards to one (1) staff member (DOH: 09/21/15) "squeezing" a four-year-old child's hand. Another parent reported concerns to the center Director in regards to one (1) staff member (DOH: 09/21/15) allegedly "hitting" a two-year-old child on the legs and arms. Upon interview, the Director reported that she did not report the allegations due to there being no marks or bruising on the children. The Director did not provide any documentation concerning either allegation. Director Requirements In Compliance Food Service 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 located in the kitchen had a temperature reading of forty-two (42) degrees Fahrenheit.

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, there was no evidence presented for review that the child care center had conducted at least two (2) staff meetings within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following things were found: 1) There was one (1) uncovered electrical outlet located on the wall by the desk in the pre-school room. 2) There was one (1) plunger located on the floor of the bathroom in the pre-school room. The plunger was within reach and accessible to the children. 3) The plug to the radio was lying on the floor of the two-year-old room. The plug was within reach and accessible to the children. 4) There was one (1) outlet plate cover located on the back wall of the two-year-old room that had a piece broken off of it. The broken plate cover was within reach and accessible to the 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, one (1) staff's file (DOH: 10-8-15) did not contain a completed child abuse and neglect (CA/N) background check, i.e., the CA/N form was present in the file but the results section was not completed. Based on observation, the staff member was working alone in the two-year-old classroom during the surveyor's visit. Based on interview, the director stated the staff member has been left alone with children at the child care center. The director further stated that the staff member is the only teacher present in the two-year-old classroom Monday-Friday from 6:00am until 11:00am.

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, there was no documentation presented for review that the child care center had conducted at least one (1) parent and/or family involvement activity within the last year. 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, one (1) staff's file (DOH: 10-8-15) did not contain a completed child abuse and neglect (CA/N) background check, i.e., the CA/N form was present in the file but the results section was not completed. Based on observation, the staff member was working alone in the two-year-old classroom during the surveyor's visit. Based on interview, the director stated the staff member has been left alone with children at the child care center. The director further stated that the staff member is the only teacher present in the two-year-old classroom Monday-Friday from 6:00am until 11:00am.

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 of staff files, one (1) staff's file (DOH: 10-8-15) did not contain a completed child abuse and neglect (CA/N) background check, i.e., the CA/N form was present in the file but the results section was not completed. Therefore, the personnel file was not being maintained as required. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation of staff files, it was found that the three (3) individuals identified as substitutes (DOH: 5-1-12, 5-11-12, 5-1-12) did not meet qualifications based on lack of cabinet approved early care and education annual training hours.

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 of staff files, it was found that the three (3) individuals identified as substitutes (DOH: 5-1-12, 5-11-12, 5-1-12) did not meet qualifications based on lack of cabinet approved early care and education annual training hours.

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, of ECE-TRIS and staff files, the following was found: 1) Staff with DOH: 2-4-16 has not completed the required six (6) hours of orientation. 2) Staff with DOH: 5-1-12 completed twelve (12) of the required fifteen (15) hours of annual training for the training year 5-1-15 to 4-30-16. 3) Another staff with DOH: 5-1- 12 completed thirteen (13) of the required fifteen (15) hours of annual training for the training year of 5-1-15 to 4-30-16. 4) Staff with DOH: 7-22-15 completed one (1) of the required nine (9) hours of annual training for the training year of 7-22-15 to 7-21-16. 5) Staff with DOH: 7-21-15 completed six (6) of the required nine (9) hours of annual training for the training year of 7-21-15 to 7-20-16. 6) Staff with DOH: 5-11-12 completed twelve (12) of the required fifteen (15) hours of annual training for the training year of 5-11-15 to 5-10-16. 7) A third staff with DOH: 5-1-12 completed twelve (12) of the required fifteen (15) hours of annual training for the training year of 5-1-15 to 4-30-16. 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 of the after-school classroom, there was not a current lesson plan posted, i.e., the lesson plan that was posted was for the week of 8-29-16. Premises In Compliance 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

Open / not marked corrected.

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

General: Based on observation of the infant/toddler classroom, the changing table pad had one (1) tear in it, exposing the inside padding; therefore, it cannot 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 of the after-school classroom, there was one (1) green backpack that contained one (1) bottle of over-the-counter Ibuprofen in the side pocket. The backpack was located on a shelf and was accessible and within reach of the children. Based on interview, the director stated that all of the children in the child care center eat breakfast in the after-school classroom and had access to the backpack. Furthermore, the director stated this is the child's first week and they did not realize the medication was in the backpack. The child care center has not administered this medication to the child. 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 of the playground, there was an insufficient amount of mulch under the areas of the climbing structures, i.e. the black plastic lining underneath the mulch was visible in several areas of the playground. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezer located in the kitchen had a temperature reading of four (4) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 8. Kitchen Requirements.

General: Based on observation of the infant/toddler classroom, there was one (1) uncovered bottle located on a shelf by the door. The bottle was not being used and contained a small amount of milk. 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 of staff files, the following items were not present: 1) Staff with DOH: 5-1-12 did not have a completed annual performance evaluation. 2) Staff with DOH: 7-21-15 did not have a completed annual performance evaluation. 3) Staff with DOH: 5-11-12 did not have a completed annual performance evaluation. 4) Another staff with a DOH: 5-1-12 did not have a completed annual performance evaluation. 5) A third staff with a DOH: 5-1-12 did not have a completed annual performance evaluation. 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor was unable to verify that five (5) staff's (DOH: 05/01/12, 05/11/12 and 05/14/12) annual written performance evaluations had been completed.

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 surveyor was unable to verify that a staff's (DOH: 10/08/15) Child Abuse and Neglect and criminal records background checks had been submitted. Through interview with the Director, the surveyor learned that the background checks had been submitted; however, she had no copies for verification purposes. The staff person has not been left alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 05/01/12) file contained a copy of a negative tuberculin result dated 10/07/13; therefore, the result was no longer compliant with regulatory requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the two (2) individuals identified as substitute staff persons did not meet qualifications based on lack of cabinet- approved early care and education annual training hours, annual performance evaluations and annual plans for professional development. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 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 5. Staff Requirements.

General: Based on review of documentation, the surveyor found that the two (2) individuals identified as substitute staff persons did not meet qualifications based on lack of cabinet- approved early care and education annual training hours, annual performance evaluations and annual plans for professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. Five (5) staff (DOH: 05/01/12, 05/11/12 and 05/14/12) had obtained only three (3) hours of cabinet-approved early care and education annual training. 2. One (1) staff (DOH: 05/01/12) had obtained only four (4) hours of cabinet-approved early care and education annual 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 5. Infant and Toddler Play Requirements.

General: Based on observation, the surveyor found that two (2) twenty-three-month-old children were being provided care along with four (4) two-year-old children. Review of the children’s files revealed that one (1) twenty-three-month-old child did not have a Transition Plan and the other child’s Transition Plan did not include specific dates and times that the child had been in either age group.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that metal clamps secured the plastic piping that surrounded the mulched area of the playground. The clamps were protruding upward from the pipe creating a safety hazard for children that may play in the area.

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 contained in ten (10) children’s files, the surveyor found the following: 1. Seven (7) files did not contain contact information to enable a person in charge to contact the preferred hospital. 2. One (1) file did not contain contact information to enable a person in charge to contact the child’s physician. 3. One (1) file did not contain contact information to enable a person in charge to contact the child’s physician or preferred hospital.

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 surveyor was unable to verify that five (5) staff's (DOH: 05/01/12, 05/11/12 and 05/14/15) annual written plans for professional development had been completed.

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 interview with staff, the surveyor found that some preschool-age require diapering. The surveyor learned that the children are diapered on a mat that has been placed on the restroom floor. Through observation, the surveyor found that the proper methods for diapering had not been posted in the restroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.