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

General: Based on review of documentation and review of ECE-TRIS, the surveyor found that one (1) staff (DOH: 07/24/19) completed nine and one-half (9 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23-06/30/24.

Open Not marked corrected in the state record

Category: recordkeeping. 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 09/05/2025 AND AS OF 10/11/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 10/28/2025 AND AS OF 11/26/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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documentation, the surveyor found that one child's (DOE: 10/14/24) file contained an immunization certificate that was no longer current as of 05/14/25. Therefore, the childcare center failed to maintain a current immunization certificate for this child. Staff-in-charge stated that she would have the parent bring in a current immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found crib railings leaned against the wall in the School Age Classroom that had four (4) screws exposed; therefore, the health, safety and comfort of the children was compromised. 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, the surveyor found a staff member’s (DOH: 03/25/05) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview with staff-in-charge, she stated that she would have the staff member obtain a new TB skin test as soon as possible. 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 In Compliance 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, the surveyor found a gallon of milk located in the kitchen's refrigerator that had a best by date of 02/28/24. The surveyor observed the gallon of milk to be half full; therefore, the child-care center failed to have food free of spoilage. During interview with staff-in-charge, she stated that she would have a staff member pour the milk out during the surveyor's visit. 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 a child’s (DOE: 6/19/23) file contained an immunization certificate that was no longer current after 02/20/24. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation of the playground, the surveyor found that the protective surface around a small play structure with two (2) slides was depleted; therefore, the play structure did not have an adequate fall zone. During interview, staff stated that they would put mulch around the play structure.

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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 03/25/2005) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 03/25/05) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A staff (DOH: 01/10/11) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 4. A staff (DOH: 08/18/14) obtained thirteen (13) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. One (1) hole in the chain link located on the bottom of the gate on the playground that was observed to be large enough for the surveyor to stick their arm through. The gate was located by the exit door to the child-care center. 2. A gap was located at the bottom of the chain link fence on the playground that was observed to be large enough for the surveyor to stick their arm through. The gap at the bottom of the fence was located beside the gate entrance that was near the exit door to the child-care center. Therefore, the fence was not in good condition. During interview, staff stated that they would repair the areas in fence. 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

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. The surveyor found no verification that a staff (DOH: 10/26/15) completed any cabinet-approved early care and education training hours during the review period of 10/26/18 – 10/25/19. 2. The surveyor found that a staff (DOH: 7/24/19) completed six (6) hours of cabinet-approved orientation training on 3/10/2020. The staff did not complete the six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found that pieces of plastic play equipment was on the ground and a car floor mat was hanging over the fence on the playground.

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 no protective surface under or around a slide located on the playground. Through interview, staff confirmed that the children play on the slide. Equipment In Compliance Transportation Not Applicable 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found the director provided transportation to the same child on two (2) different occasions without the center being approved to provide transportation. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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.) Staff (DOH: 3/25/05) obtained the one and one-half (1 ½) hours of pediatric abusive head trauma training on 10/3/13; therefore, the training needs to be taken again as it is required once every five (5) years. (2.) Staff (DOH: 3/25/05) obtained the one and one-half (1 ½) hours of pediatric abusive head trauma training on 10/7/13; therefore, the training needs to be taken again as it is required once every five (5) years. (3.) Staff (DOH: 1/10/11) obtained the one and one-half (1 ½) hours of pediatric abusive head trauma training on 12/3/13; therefore, the training needs to be taken again as it is required once every five (5) years. (4) Staff (DOH: 8/18/14) needs to obtain the one and one-half (1 ½) hours of pediatric abusive head trauma training. (5.) Staff (DOH: 8/18/14) obtained none of the required fifteen (15) hours of cabinet-approved early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the surveyor found that the director transported a child on two (2) different occasions without being licensed and approved by the cabinet prior to transporting the child. The director was aware that the center is not approved to provide transportation. The director stated she would not provide transportation again.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview, the surveyor found the director did not notify the cabinet in writing of the type of transportation offered or the type of vehicle used for transportation prior to transporting a child. The director reported on two different occasions, she transported a child in her personal vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview, the director did not notify the cabinet in writing with a plan for ensuring staff perform duties relating to transportation properly prior to transporting a child. The director confirmed through interview that she provided transportation to the same child on two (2) different occasions without being licensed to provide transportation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the surveyor found the director did not provide in writing to the cabinet documentation regarding full coverage insurance on the vehicle used to transport a child on two (2) different occasions. This documentation should have been provided to the cabinet prior to the center providing transportation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview, the director did not notify the cabinet in writing of the agency policies and procedures relating to an emergency plan for evacuating the vehicle prior to transporting a child. The director confirmed through interview that she provided transportation to the same child on two (2) different occasions without being licensed to provide transportation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview, the director did not notify the cabinet in writing of the safety procedures prior to transporting a child on two (2) different occasions. The safety procedures should address procedures for transporting a child, loading and unloading a child, and providing adequate supervision of a child. 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: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a child’s (DOE: 5/15/18) file contained an immunization certificate that was no longer current as of 2/28/19.

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, the surveyor found the following: (1.) Child’s (DOE: 2/27/19) file did not contain a physician’s contact telephone number. (2.) Child’s (DOE: 10/16/18) file did not contain a contact telephone number for the child’s physician or preferred hospital. (3.) Child’s (DOE: 10/16/18) file did not contain a contact telephone number for the child’s physician or preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the January 2019 and February 2019 fire drills were not documented. The director confirmed through interview that the two (2) fire drills were not conducted. 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 9. Records.

General: Based on review of documentation contained in a child’s (DOE: 05/27/16) file, the surveyor found that the immunization certificate was no longer current as of 04/05/18.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that there was a mattress and box springs leaning against the garage door inside the School- Age Classroom which presented a safety risk to the children. Upon interview, staff stated that the mattress and box springs had just been delivered and they had intended to move them before the school age children arrived from school; however, school had been canceled.

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 was not presented with documentation of a Parent/Family Involvement Activity completed with the past year. Upon interview, the Director stated that an Easter Egg Hunt had been held but the documentation of the event was on her computer which was not working. Employee Records In Compliance 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 and interview, the surveyor found the following: 1. The floors in the School-Age Classroom with soiled with debris and dirt. The Director stated that she had not been able to clean the floors since the previous day. 2. The floors in the Preschool Classroom were soiled with debris and dirt. The Director stated that she had not been able to clean the floors since the previous day. 3. The School-Age Classroom was cluttered with bags and boxes of daycare materials and disorganized making it difficult for the children to access various activities available to them. The Director reported that she planned to work on organizing the school-age classroom as new materials had been recieved. Staff stated that some of the items in bags and boxes were going to be donated. Hygienic Practices In Compliance 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 and interview, the surveyor found the following: 1. The First Aid Supplies did not include the required adhesive bandages or sterile gauze. Upon interview, the Director was not aware that the items were missing. 2. There were two (2) flashlights in the first aid supplies; however, neither flashlight worked. The Director was not aware that the flashlights were not working. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the following were found: 1. A child's file (DOE: 5/9/17) did not contain the name or contact information for the child's primary care physician. 2. A child's file (DOE: 5/9/17) did not contain the name or contact information for the preferred hospital. Upon interview, the Director was not aware that the information was missing from the file. 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 4. Premises Requirements.

General: Based on observation, the surveyor found that a space heater was being used to heat the School-age Classroom. The heater did not have a guard or barrier to prevent the children’s access.

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 child care center, the surveyor found the following: 1. An infant child was observed sucking on a pacifier connected to a strap attached to a small stuffed animal. The stuffed animal presents a safety risk in that it can fall over the child’s face and restrict breathing. 2. A television set, located in the Preschool Room, was easily moved; therefore, it was not properly secured and presented a safety risk. 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, the surveyor found that a staff’s (DOH: 01/10/11) file contained a copy of a negative tuberculin result that was no longer current as of 01/12/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 01/10/11) obtained only nine (9) hours of cabinet-approved early care and education annual training during the review period. 2. A staff (DOH: 08/18/14) obtained only thirteen (13) hours of cabinet-approved early care and education annual training during the review period. 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 during a tour of the child care center, the surveyor found that two (2) screwdrivers had been stored in an unlocked drawer located in the washer and dryer area. The screwdrivers were within reach and accessible to the children.

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 during a tour of the Infant and Toddler Room, the surveyor found that a nine-month-old child was being provided care. A staff person confirmed, through interview, that the child was able to crawl. There was not adequate crawling space as the area is very small and filled with a baby crib, high chair, chair and child’s play station. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 11. Toys and Furnishings.

General: Based on interview with a staff person in the Infant Room, the surveyor learned that the mouth contact toys are rinsed off with water rather than being properly sanitized as follows: Scrubbed in warm soapy water using a brush to reach into crevices, rinsed in clean water, submerged in a sanitizing solution for at least two (2) minutes and air dry. 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 during a tour of the playground, the surveyor found that a slide did not have a protective service. Equipment In Compliance Transportation 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the surveyor found that a child’s (DOE: 06/25/15) file contained an immunization certificate that was no longer current as of 01/07/17. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, the surveyor learned that a written schedule of staff’s working hours had not been completed. Posted Documentation In Compliance Animals Not Applicable

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 and interview, the surveyor found that two (2) staff files (DOH: 3/25/05, 3/25/05) did not contain negative tuberculin skin results completed within the past two (2) years.

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, review of ECE-TRIS Training website, and interview, the follow was found: (1) One (1) staff file presented for review (DOH: 6/26/09) did not contain documentation of the required fifteen (15) hours of annual training. (2) One (1) staff file presented for review (DOH: 1/10/11) contained documentation of only completing eleven (11) of the required fifteen (15) hours of annual training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following were found: (1) The surveyor found a broom located next to the entry door in the pre-school room, the broom was within reach of the children. (2) The surveyor found three (3) pairs of shoes next to the entry door in the pre-school room, the shoes were within reach of the children. (3) The surveyor found a curling iron and a hair dryer belonging to staff stored in two (2) unlocked drawers located in the bathroom, the curling iron and hair dryer were accessible to 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 and interview, the surveyor found that two (2) children's files presented for review (DOE: 12/7/15, 12/7/15) did not contain immunization certificates. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that one (1) child's file presented for review (DOE: 3/20/14) did not contain the preferred physicians telephone number.

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 following was found: 1) A bottle of Germ-X alcohol-based hand sanitizer was located on the sink between the washer and dryer in the room next to the restroom used by the children. 2) A package of Febreeze wax melts with a "Keep out of reach of children" warning was observed on a shelf accessible to the children by the steps leading into the school-age classroom.

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 observation, the file presented for review for a child-care center staff person (date of hire: 8/18/14) contained a criminal records check completed on 9/11/14. Verification that the criminal records check had been requested on or before the date of hire was not presented for review. During an interview, the child-care center director reported that the child-care center staff person had not been left alone with children until the results of the background checks were received.

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 observation, the file presented for review for a child-care staff (date of hire: 6/26/09) did not contain a current statement from a health care professional that the individual is free of active tuberculosis or a copy of current negative tuberculin results. The TB verifcation contained in the file was no longer current after 2/17/14.

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 file presented for review for a child-care center staff (date of hire: 6/29/06) and a check of the ECE-TRIS training record did not contain verification of the completion of fifteen (15) hours of cabinet-approved early care and education training during the most recent subsequent year of employment. Verification of the completion of thirteen (13) hours of cabinet-approved early care and education training was reviewed. 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, the following was found: 1) Personal belongings of the child-care center staff which included one (1) bottle of body wash, one (1) bottle of hair shampoo and one (1) bottle of hair conditioner were observed in an unlocked drawer under the sink in the restroom used by the children. 2) Two (2) bottles of shampoo belonging to child-care center staff were located on the sink between the washer and dryer beside the restroom used by the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a light bulb in the school-age classroom was not working.

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 ceiling between the infant/toddler and preschool-age classrooms is cracked; therefore, it could not be determined that it was in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, children over the age of twenty-four (24) months were served whole milk with lunch instead of one (1) percent or fat-free milk. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

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 following was found: 1) The time that the monthly practiced fire drill was conducted on 12/15/14 was not documented. 2) The individuals that participated in the monthly practiced fire drill on 12/15/14 were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, information about the Kentucky Consumer Product Safety Program including the program's website was not posted.

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 review of documentation, the child care center's food service permit expired 12/31/2013.

Open Not marked corrected in the state record

Category: nutrition. 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) There was hairspray and shaving cream in an unlocked drawer in the bathroom being used by the children; (2) There was a bottle of Windex glass cleaner and a box of laundry detergent within reach of the children in the area leading to the restroom.

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 child care center does not have written documentation of the center director having conducted staff meetings.

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 review of documentation, the child care center director had not completed annual written performance evaluations for four (4) staff persons.

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, the following was found: (1) A staff person (date of hire: 3/25/2005) did not complete fifteen (15) hours of cabinet-approved early care and edcucation training within the most subsequent year of employment. The ECE-TRIS training report showed only thirteen (13) hours of training. (2) A staff person (date of hire: 1/10/2011) did not complete fifteen(15) hours of cabinet-approved early care and edcucation training within the most subsequent year of employment. The ECE-TRIS training report showed only nine (9) hours of training. (3) A staff person (date of hire: 6/26/2009) did not complete fifteen (15) hours of cabinet-approved early care and edcucation training within the most subsequent year of employment. The ECE-TRIS training report showed only seven (7) hours of training. (4) A staff person (date of hire: 1/21/2010) did not complete fifteen (15) hours of cabinet-approved early care and edcucation training within the most subsequent year of employment. The ECE-TRIS training report showed zero (0) 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 3. General Requirements.

General: Based on observation, a child in the preschool classroom did not wash his hands upon arrival at the child care center.

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, children over the age of twenty-four (24) months were given whole milk instead of the required one percent (1%) or fat free milk. The provider reported that she had run out of one percent (1%) milk the previous day. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

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, the school-age children's lunch consisted of pepperoni pizza and milk. They were not served the required vegetable and fruit components. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the daily lesson plan posted in the school age classroom was not current as it was dated for September.

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, there was one (1) volunteer's (Start Date: 03/25/05) file that did not contain the results of a negative TB skin test or documentation that the volunteer was free from active TB. 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 In Compliance 2) 9 hours-first year In Compliance 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. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, there were two (2) staff (DOH: 06/26/09 and 01/21/10) files that contained documentation of only twelve (12) hours of annual training. 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 Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

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

General: Based on observation, there was one (1) staff person caring for seven (7) children when the surveyor arrival at the child care center on 01/18/13. The staff at the center stated that the children ranged from four (4) months of age to seven (7) years of age; therefore, the center was not meeting the staff to child ratio. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Preschool: Based on observation, there were eight (8) tubes of toothpaste located in an unlocked cabinet drawer in the restroom used by children. The tubes of toothpaste had a warning label that read "Keep out of Reach of children under the age of 6". An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

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922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation, there was one (1) child's (DOE: 08/16/10) file that contained an immunization certificate that was no longer current after 8/30/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on review of documentation, the surveyor found that there was no performance evaluation on file for a staff member (DOH: 1/21/10).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation, the surveyor found the professional development plans on file for two (2) staff members (DOH: 3/25/05), staff members (DOH: 1/21/10, 8/5/10, and 1/10/11) and volunteer (DOH: 6/26/09) were completed more than one (1) year ago. The volunteer works as a qualified staff member but is not paid. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 42 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not Applicable 4) Current State other than KY Not Applicable

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 there was no evidence of a high school diploma on file for a volunteer (DOH: 6/26/09). The volunteer works as a qualified staff member but is not paid.

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, the surveyor found the following: (1) The most recent TB skin test result on file for a volunteer (DOH: 6/26/09) was dated 2/20/09. The volunteer works as a qualified staff member but is not paid. (2) The most recent TB skin test result on file for a staff member (DOH: 1/21/10) was dated 1/22/10. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 In Compliance 2) 9 hours-first year In Compliance 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. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, the surveyor found that a staff member (DOH: 1/21/10) completed only twelve (12) hours of annual training. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance