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

General: Based on review of documentation, a staff member (DOH: 08/16/10) previously completed pediatric abusive head trauma training on 10/21/19; however, did not renew the training due by 10/20/24. A review of ECE-TRIS system verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the sink in the Pre-K Classroom used for handwashing was not draining properly, resulting in water pooling.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator in the kitchen did not contain an indicating thermometer. It could not be determined that the interior temperature of the refrigerator was forty (40) degrees or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 24 of 31 Inspection Report

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 temperature of the freezer could not be determined as was not indicating thermometer inside.

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 observation, a child's medical record, including their list of allergies, was posted in the Three-Year-Old Classroom, for public viewing. Therefore, confidentially of the child’s medical record was not maintained.

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, a staff member (DOH:11/21/23) did not complete Kentucky National Background Check Service (KARES) until 11/22/23. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH:11/25/23) did not have results of the required Child Abuse and Neglect Check (CAN) on file. This staff member is a minor and was not in the facility the day of the survey. 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

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH:11/21/23) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 08/16/10) did not have a current TB test or statement from a health professional on file. 2) A staff member (DOH: 11/21/23) did not obtain a TB test or statement from a health professional until 11/28/23. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the facility serves chocolate and strawberry flavored low-fat milk along with white milk to children in care. The children choose which one they want but all three are available as a choice. 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

Open / not marked corrected.

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

General: Based on review of documentation, three (3) children enrolled (08/22/23, 03/15/23, 06/21/23) did not have current immunization certificates on file in the facility. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, Media Room and Three's Rooms contained a posted lesson plan that was no longer current and was dated for the previous month 11/23. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. An electrical outlet that was missing one (1) outlet cover was located at the end of the hallway and by the entry way into the Three Year Old Classroom. 2. An unsecured cord was hanging down the wall from a pencil sharpener that was placed on a half wall ledge in the Three Year Old Classroom. 3. An unsecured cord was hanging down the side of a shelf from a pencil sharpener and leading to an outlet in the Four Year Old Classroom. 4. An unsecured cord was placed on the floor that belonged to a tall black lamp in the Four Year Old Classroom. 5. A black garbage bag was placed over a water fountain in the Media Classroom. 6. A small brown box placed on the floor beside a wall in the Four Year Old Classroom contained two (2) exposed screws/nails. 7. An unsecured black cord was hanging down the side of a tall black cart in the Gym and loose cords were placed on the middle shelf of the cart. Staff-in-charge stated that the Gym was utilized by the children only when they are unable to go to the playground due to the weather. The items mentioned were observed to be accessible to the children; therefore, the health, safety and comfort of the children was compromised. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 08/01/07) obtained fourteen and one-half (14 1/2) 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: 08/16/10) obtained fourteen and one-half (14 1/2) 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: 08/06/19) obtained seven and one-half (7 1/2) 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 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. A piece of door trim was peeling at the bottom of the trim in the Media Classroom; therefore, the door trim was not kept in good repair. 2. Approximately three (3) window ledges contained areas of peeling paint in the Three Year Old Classroom; therefore, the window ledges were not kept 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 4. Premises Requirements.

General: Based on observation, the surveyor found a hole that measured approximately one (1) inch across in the drywall beside an exit door in the Three Year Old Classroom; therefore, the wall was not in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a red metal balance beam that contained chipping/peeling paint and rust on the playground; therefore, the balance beam was not in good repair. 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 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

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. A child’s (DOE: 05/18/22) file did not contain a contact telephone number for the child’s preferred family physician. 2. A child’s (DOE: 04/14/22) file did not contain a contact telephone number for the child's 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, the surveyor found the following: 1. A tall brown box with a small box stacked on top of it placed beside a cabinet in an unlocked room located inside the Four Year Old Classroom. Staff-in-charge stated that the room was going to be a book room they will store books in. 2. A mouse trap placed by the door and several containers and items stacked on shelves in an unlocked storage room located inside the Four Year Old Classroom. 3. Six (6) long boards with exposed nails and push pin tacks and a white board with three (3) nails taped to the front of the board located inside an unlocked storage room in the hallway. 4. An unlocked storage room located in the hallway that contained several exposed pipes and cords to a heating unit, several gallons of paint, a long metal piece propped on the wall behind the door, and an extension cord dangling from a shelf on the wall. 5. Several exposed cords and power strip located on the floor under a smart board in the Media Classroom. 6. Art supplies stored on a tall purple shelf located in the Media Classroom that appeared to not be secured to the wall as the shelf was shaky when touched. During interview, staff-in-charge stated that she would put locks on the storage room doors to make the items mentioned inaccessible to the children, move the cords and boxes to make them inaccessible, and would secure the purple shelf to the wall. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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, the surveyor found that a staff’s (DOH: 08/16/10) 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. The staff's file contained a TB skin test dated 10/19/18. During interview, staff-in-charge stated that the staff person was scheduled to have a TB skin test in a few days.

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: 08/06/19) obtained one (1) hour of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. 2. A staff (DOH: 08/06/19) obtained three (3) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A small brown purse placed on a filing cabinet in the office beside the office door and a green floral purse placed on the floor in the office. The office is located inside the Four Year Old Classroom and the office door was observed to be open the duration of the visit from approximately 9:25 a.m. - 11:50 a.m. Staff-in-charge stated that the purses belong to a staff person. 2. Two (2) containers of disinfectant wipes placed in a purple container beside the sink in the Four Year Old Classroom. 3. Three (3) pair of scissors placed in a purple basket on a brown shelf in the Four Year Old Classroom. 4. Hand sanitizer and hand sanitizer gel placed on a brown shelf in the Four Year Old Classroom. 5. A brown Kate Spade purse placed on top of a water fountain in the Media Classroom. Staff-in-charge stated that the purse "probably" belongs to a staff person. 6. The kitchen door located beside children's cubbies and the Media and Four Year Old Classrooms was observed to be open the duration of the visit from approximately 9:25 a.m. - 11:50 a.m. and the following items were observed to be easily accessible to the children: One (1) white/brown purse and one (1) black purse placed on chairs inside the kitchen, bleach, primer, soap pads, All Purpose Cleaner, Fantastik Cleaner and other cleaning materials placed underneath the kitchen sink with no child safety lock, one (1) knife and other utensils, lighters, batteries, push pin tacks, wite out, cords and other items located inside drawers with no child safety locks. The Media Classroom and Four Year Old Classroom were observed to not have doors and the classrooms are located next to the kitchen. Staff-in-charge stated that the purses "probably" belonged to staff persons. The items mentioned were observed to be within reach and easily accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, the surveyor found what appeared to be a long red metal bench that contained peeling/chipping paint located on the playground. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children’s (DOE: 03/25/21, 09/09/21, 08/04/21, 08/17/20, 08/04/21, 07/08/21, 08/21/20, 03/12/21, and 11/10/20) files did not contain a contact telephone number for the child’s preferred hospital. 2. A child’s (DOE: 02/26/20) file did not contain the name of the child’s preferred hospital or contact telephone number. 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, the childcare center director failed to assure compliance with regulatory requirements. Observation of the three-and-four-year-old room revealed an outlet uncovered on the back right side of the room. Interview with the staff in charge revealed the outlet was uncovered. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff members hired 8/6/19. Interview with the staff in charge revealed the document was not there for review. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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 interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 8/16/10 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. A blue piece was broken off the toy pirate ship located in the outdoor play area, exposing sharp plastic pieces. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed two (2) children with enrollment dates 2/26/18 and 4/27/18 whose files did not contain the contact information for the family’s physician. 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff member’s files with the same hire date, 10/1/17, that did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present the educational documentation for the staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff member’s files with the same hire date, 10/1/17, that did not contain a statement from a health professional that they are free of active tuberculosis. Upon request, the director did not present a current statement for the staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff member’s files with the same hire date, 10/1/17, that did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Upon request, the director did not present the documentation for the staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was peeling yellow paint located in the hallway under the bulletin board. There were four (4) small holes located under the light switch in the Three-Year-Old Room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The two(2) bottom shelves located in the white refrigerator were dirty and soiled with food debris. 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: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed a child’s file with enrollment date 1/18/17 did not contain the contact information for the family physician. Upon request, the director did not present the documentation at the time of the survey. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to keep the outdoor play area safe from foreseeable hazards. Observation of the outdoor play area revealed a wooden shed had a board missing from the bottom front side exposing several long rusty nails. During interview, the director acknowledged the shed needed to be repaired. Equipment In Compliance Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for one (1) child with enrollment date 7/21/15 failed to contain preferred physician information. Interview with director revealed this documentation was not on file at the time of survey. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed the center failed to have a current annual written performance evaluation on file at the time of survey for two (2) staff members hired 8/1/12 and 5/15/13. Interview with director revealed this documentation was not on file at the time of survey.

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 and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the Criminal Records Check (CRC) presented for review for a staff member hired 8/1/12 was not a cabinet approved CRC as the document was not obtained thru the Administrative Office of the Courts (AOC) or the Kentucky State Police (KSP). Interview with director revealed this was the only CRC on file at the time of survey for the staff member hired 8/1/12. Continued interview with director revealed the staff member hired 8/1/12 has not worked alone with children in care.

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 Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to have a high school diploma, GED, or Commonwealth Child Care Credential on file at the time of survey for two (2) staff members hired 8/1/12 and 5/15/13. Interview with director revealed this documentation was not on file at the time of survey.

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 Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to have a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results on file for a staff member hired 8/1/12. Interview with director revealed this documentation was not on file at the time of survey.

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 Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS record revealed the center failed to have documentation of fifteen (15) hours of cabinet approved training on file at the time of survey for two (2) staff members hired 8/1/12 and 5/15/13. Continued review of staff files revealed the center failed to have documentation of pediatric abusive head trauma training (PAHT) on file at the time of survey for two (2) staff members hired 8/1/12 and 5/15/13. Interview with director revealed this documentation was not on file at the time of survey. 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 7. First Aid and Medicine.

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the playground revealed two (2) staff members sprayed at least six (6) children with sunscreen. Interview with a staff member revealed all twenty-three (23) children who were present were sprayed with sunscreen. Review of children’s files revealed the sunscreen authorizations signed by the parents failed to specify the type/brand of sunscreen to be administered to each child. Interview with director revealed the sunscreen authorizations reviewed at the time of survey were the only sunscreen authorizations on file at the time of survey.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the playground revealed two (2) staff members sprayed at least six (6) children with sunscreen. Interview with a staff member revealed all twenty-three (23) children who were present were sprayed with sunscreen. Review of the center’s medication log revealed the staff failed to document the administration of the sunscreen for all of the children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the kitchen revealed two (2) children’s Epipens lying on the counter, not in a locked place. Interview with director revealed she was aware that the Epipens were lying on the counter. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the immunization certificate on file for a child enrolled 8/1/14 is not valid as it failed to include a validation date. Interview with director revealed the immunization certificate presented for review was the only certificate on file at the time of survey for the child enrolled 8/1/14. 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 child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written record for a child enrolled 8/1/14 failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence. Interview with director revealed this documentation was not on file at the time of survey. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Observation of the child care center on 4/25/16 revealed twenty-three (23) children were present; however, review of attendance records for 4/25/16 revealed only twenty (20) children were signed in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed the center failed to have a current annual professional development plan on file at the time of survey for the director hired 7/20/12 and two (2) staff members hired 8/1/12 and 5/15/13. Interview with director revealed this documentation was not on file at the time of survey.

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 and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake and tornado drill logs revealed the center did not document an earthquake and tornado drill for the 3rd quarter 2015. Interview with director revealed an earthquake and tornado drill was not conducted in the 3rd quarter 2015. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, revealed the center failed to comply with regulatory requirements regarding general administration, specifically notification of changes in services for school age care and change in hours of operation. Review of the center's summary of licensed services provided and operating hours revealed the center is not currently licensed to provide school age care. Additionally, the center's current licensed hours of operation are 7:30 a.m.-4:00 p.m. Monday-Friday. Interview with the principal stated that the center has been caring for school age children following preschool services from 4:00-6:00 p.m. Monday-Friday, which is the reason a change of services application was submitted to the Division of Regulated Child Care. However, the center was providing these services and additional hours prior to approval of the Cabinet. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically CPR/First Aid Coverage. Review of documentation, revealed the center requested a change of services to include school age care; however, failed to provide a documentation at time of survey of at least one (1) person on duty at all times currently certified by a cabinet-approved training agency in adult cardiopulmonary resuscitation and first aid. Programming

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with regulatory requirements regarding first aid supplies. Observation in the center revealed the center did not maintain a working flashlight.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee with the hire date of 08/01/2014 records, did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

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 interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Based on review of the staff files presented it was revealed that the child-care child care center did not have available two (2) qualified substitute staff files for review. Interview with the director revealed that there was only one (1) qualified substitute that had been hired. 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 child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the staff members with the hire dates of 08/11/2007, 08/16/2010, 07/01/2012 and 05/15/2013 failed to verify that the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was not met.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation at 11:45 a.m. of the lunch being served in the cafeteria, revealed that not all of the required components of lunch were being served. It was observed that thirteen (13) of the eighteen (18) children that ranged in age from three-to four-year-old, had prepared sacks lunches. One (1) child’s lunch contained nachos, salsa, and a Capri juice. A second child was observed with a lunch of a turkey sandwich, Cheetos and a Gatorade. The staff present did not offer any supplements to meet the requirements of the following components of being served or offered milk, protein, two (2) vegetables or one (1) fruit and one (1) vegetable. Children's Records

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following children with the enrollment dates of 07/22/2014, 07/24/2014, 04/23/2014 and 08/01/2014, did not contain a current copy of an immunization certificate. 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 the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented revealed that ten (10) of the ten (10) children’s enrollment form's did not list a name of a preferred hospital. Continued review of documentation revealed the following child with the enrollment date of 08/01/2014 did not contain information listing their emergency contacts or emergency authorization.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and review of the policies provided by the childcare center, it was revealed that the center could not verify there was a current annual plan for child-care staff professional development for the staff with the hire dates of 08/16/2010,08/11/2007 and 05/15/2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of written documentation revealed the last Fire Marshal report on file and available for review was dated 2009. Therefore, current compliance with the fire marshal could not be verified.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center director failed to assure compliance with regulatory requirements. Review of records revealed that there was not documentation available for review of staff meetings. Interview with the director revealed that staff meetings were not formally held and not documented.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of the staff files revealed staff hired on 5/15/13 did not have documentation from a health professional available for review stating that the individual was free from active TB.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of the staff files revealed staff hired on 5/15/13 did not have documentation of completion of the required six hours of cabinet-approved orientation which is required to be taken within the first three months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed a fluorescent light bulb located in the computer room that was not shatterproof or shielded.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed that the refrigerator used to store children’s snacks and lunch boxes did not have an indicating thermometer or other appropriate measuring device to determine if the refrigerator was maintained at forty degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Review of daily schedule revealed morning snack scheduled from 10:15 – 10:30 a.m. while lunch was scheduled to be served from 11:40 a.m. to 12:15 p.m. failing to meet the requirement of meals being served every two to three hours. Interview with the director revealed that the schedule posted was the current schedule followed.

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, observation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records revealed thirteen children signed in on the morning of the survey. Observation revealed seventeen children to be in attendance. Interview with the director revealed that some of the parents failed to sign their children in as they entered the classrooms do to distractions.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of earthquake and tornado drills revealed that the names of the children who participated in the drills were not available for review at the time of the survey. Interview with the director revealed that the names of the children that participated in the drills were not recorded.

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 with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the fire drills revealed that the names of the children who participated in the drills were not available for review at the time of the survey. Interview with the director revealed that the names of the children that participated in the drills were not recorded.

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 review of documentation, the copy of the regulations provided for review were not the updated versions of the regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, fire drill logs do not have the names of the children that participated in the drill.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the proof of liability insurance provided for review expired 07/01/2012.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the licensee did not report the change of director within one week to the cabinet.

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, an employee with the hire date of 08/16/2010 did not have verification of a negative TB test on file for review.

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 center has only one substitute on payroll. 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, employees with the hire dates of 08/11/2007 (12 of 15) and 08/16/2010 (6 of 15) do not have the required 15 hours of cabinet approved 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 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; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the fence is broken at the entrance of the play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the meals were scheduled less than two hours apart.

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, children with the enrollment dates of 07/24/2012 and 07/24/2012 had expired 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, children did not have a documented preferred hospital or doctor on file for review.

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, no written emergency evacuation plan was given for review that included 1) method of transportation 2) plans to notify parents of relocation 3) plans of procedures for meeting the needs of the children during relocation 4) verification to show the plans were shared with parents and the local emergency official.

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, earthquake and tornado drill logs do not have the names of the children that participated in the drill.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center does not have a written policy stating that all employees with implement what was taught in orientation.

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, a fire drill has not been conducted since 01/11/2013, therefore, the drill has not been practiced monthly.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, earthquake and tornado drills have not been conducted quarterly. The last earthquake drill was on 02/02/2012 and the last tornado drill was on 04/30/2012. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the indoor play area(gym) contained twenty-six (26) uncovered electrical sockets 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

General: Based on review of documentation, a child (DOE 11/1/11) had an immunization certificate that was no longer current after 12/31/11.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.