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

General: Based on interview, the staff person stated that she did not have a copy of the liability insurance because it was located in the church office. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff person hired on 8/3/2020, did not have proof of education on file. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found two water stained ceiling tiles upstairs, one in the hallway, and one in Classroom 202. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a diaper pad located in Classroom 102 in disrepair. The pad had exposed foam around the edges. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found numerous weeds throughout the toddler playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following furnishings and toys not clean or in good repair in Classroom 104: 1. Excessive tape residue on top of a shelving unit located in the block center. 2. Five sections of chipped paint on the front doors of a storage cabinet. 3. Eight torn cardboard blocks in the block area. 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 Emergency Regulation In Compliance

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 interview and review of documentation, the child-care center failed to meet this regulation as follows; 1. A review of staff files and the Ky. National Background Check Service found two (2) staff did not complete background checks prior to becoming a child-care staff member. One staff hired on 1/21/19 did not submit fingerprints until 1/31/19 and did not become eligible for hire until 2/1/19. The second staff hired on 6/3/19 did not submit fingerprints until 6/11/19 and did not become eligible for hire until 6/12/19. 2. Additionally, file review found a person hired on 5/29/19 to work with school-agers has yet to submit fingerprints. The staff person in charge stated this person is a public school teacher and hired as “summer help”. A criminal records check processed by the public school system was in this person’s file. The staff person in charge stated that she thought the document would suffice because it listed “FBI search results” on the document. The surveyor found this person not listed in the Ky. National Background Check Service. It is important to note this person was not present on the day of the inspection. However, this person has worked alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found two (2) uncovered outlets in the two-year-old classroom and one (1) uncovered outlet in the preschool classroom. 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, two (2) staff hired on 5/29/19 and 63/19 did not have proof of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff person hired on 7/1/19 had TB skin documentation on file that was no longer current as of 2/22/19.

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, a staff person hired on 1/21/19 has yet to complete the orientation training as required by the regulations. 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 brown water residue stains on ceiling tiles located in the activity room and school-age room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found an excessive amount of black and green stains inside a toilet and a buildup of grime underneath the toilet seat. 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 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found excessive stains on the ABC area rug located in the two-year-old classroom. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found no indicating thermometer in the refrigerator used to store milk. Therefore, the surveyor could not determine the temperature of the refrigerator.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found sticky spills and dried milk in the refrigerator and freezer. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 6/11/12 did not have a current written annual performance evaluation on file. The last evaluation on file for this staff member was dated 9/2015. Based on interview, this staff member is the cook, but she does work in the classrooms when needed. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, one (1) staff member did not have proof of education on file. This staff member was hired on 4/30/18. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the toilet in the Toddler II bathroom contained a green build-up around the hinge on the back of the toilet seat. 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 3. General Requirements.

General: Based on Observation, a staff member in the two (2) year-old room changed a child's diaper and did not wash the child's hands. The staff member changed the child's diaper on the diaper changing table and then placed the child down in the classroom without washing his hands. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the following items were unclean or in disrepair: 1) The inside of the doors that lead into the Toddler II bathroom contained areas of chipped paint. 2) The vent/fan unit in the ceiling of this bathroom was rusted. 3) The alphabet carpet in the Toddler II room contained black stains and spills around the letters. 4) The round metal climber on the playground contained areas of chipped metallic paint and areas of rust that were exposed under the chipped paint. Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the staff in charge indicated that the two (2) year-old children and the preschool age children are served two (2) percent milk for lunch. A gallon of two (2) percent milk was observed in the refrigerator in the hallway. Pasteurized low fat one (1) percent or fat-free skim milk shall be served to the children ages twenty- four (24) months to school-age. Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Infant Room (Room 101 C) contained a posted food allergy sheet listing the children's first and last names and each item that the child is allergic to next to their name.

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 facility staff could not locate an orientation policy that specifies that the procedures that were taught at the orientation training will be implemented by each child-care center staff member. 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 2. Child Care Services.

General: Based on Observation, it was found that a five-year-old child walked from the Four/Five Year Old classroom to the bathroom down the hall by herself. The child was in the bathroom for approximately three (3) minutes and then she walked back to her classroom. The director stated that the teacher should have been standing in the doorway of the classroom so she could watch the child walk to the bathroom, however, the teacher was not. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility's policy instructing staff on what to do when abuse or neglect is suspected stated that the staff must report to the director, assistant director or child protective services. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for four (4) eligible employees did not contain evidence of annual evaluations being completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that in the bathroom shared by the Two and Three Year Old classrooms, a plunger was accessible to the children. In addition, a seven- week-old child and a four-month-old child were observed to be sleeping in cribs while propped up on boppy pillows. The facility did not have documentation stating that the children were required to sleep on these devices. Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that a four-month-old child was asleep in a crib while her head was resting on a boppy pillow. The child was also covered in a large fluffy blanket and the pacifier in her mouth had a stuffed animal attached. A seven-week-old child was also observed to be sleeping in a crib on a boppy pillow. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that 1) an unlocked cabinet in the School Age classroom contained a roll of orange plastic garbage bags; 2) an open shelf under the television in the School Age classroom was being used to store a can of Glade air freshener, a can of Great Value disinfecting spray, a pair of sharp scissors and a roll of orange plastic bags. The air freshener and disinfecting spray bore the label "Keep Out of Reach of Children;" 3) in the Two Year Old classroom, a pair of sharp scissors was found to be stored in an unlocked drawer of a green cabinet; 4) an unlocked drawer of a green cabinet located in the Three Year Old classroom was found to contain Bic Cover-It correction fluid which bore the label "Extremely Flammable; Keep Away from Children;" 5) the door to the furnace room located in the hall across from a preschool classroom was found to be unlocked. The room was found to contain the air conditioning unit, a toilet brush, a long extension cord, a ladder, a dirty mop, bleach, glass cleaner, Raid ant killer, carpet cleaner, Comet and Array Bacterial Odor/Grease Digestant. All of the chemical containers bore the label, "Keep Out of Reach of Children."

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that scissors and empty plastic bags were accessible to the children in the School Age classroom. Scissors were found to be accessible to the children in the Two Year Old classroom. These items were not being used as part of the planned programming.

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, it was found that 1) the walls throughout the facility were marred with excessive tape residue. The tape residue was discolored with an accumulation of grime and debris; 2) the blue paint on the doors and door frames of Room 105 and the Two Year Old classroom was peeling in multiple places; 3) the floors of the bathrooms were found to be streaked with grime. The floor near the walls of the bathrooms was found to have an accumulation of what appeared to be dried dirty mop water; 4) the metal door frame of the bathroom shared by the Two and Three Year Old classrooms was found to be rusty. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that there were multiple dead insects in the light fixtures located in two (2) of the bathrooms. 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, it was found that the teachers caring for children who were not yet toilet trained sprayed the mouth contact toys with disinfectant spray on a daily basis. This procedure does not meet the regulatory requirements. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the first aid kit located in the School Age classroom was being stored on an open shelf under the television. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

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 Review of Documentation, it was found that the administration record for the medication Ranitidine did not contain the dose administered, the time administered or the signature of the staff person who administered the medication.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that the medication box in the unlocked refrigerator located outside the Infant classroom was unlocked. The box was found to contain a prescription bottle of Amoxicillin. The unlocked medication box located in the Infant classroom was found to contain a bottle of Ranitidine. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that the paint on the building that serves as one (1) side of the playground for the children ages two-years-old and under was peeling in multiple places, especially along the bottom portion. It was also found that a piece of plywood covering a door on the side of the building that serves as one (1) side of the playground for the children ages three-years-old and over was rotting and splintering along the bottom portion, Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that four (4) of the crib mattresses in the Infant classroom were covered with sheets that were loose and wrinkled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the paint on green cabinets located in the Three Year Old classroom and the Two Year Old classroom was peeling in multiple places. The paint on the yellow cabinets and shelves located in the Four/Five Year Old classroom was found to be peeling in multiple places. A highchair located in the Infant classroom was found to be missing the safety straps. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the thermometer in the refrigerator located in the Toddler classroom did not have any indicator fluid in it, therefore the temperature could not be determined.

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, it was found that the teachers wash cups and sippy cups in the handwashing sinks in the classrooms. The cups are then used by the children in the classroom. In addition, the refrigerator located in the area outside the Infant classroom was found to have multiple spills and scattered debris in it.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, it was found that there was one (1) unlabeled bottle in the refrigerator located outside the Infant classroom.

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 Interview, it was found that the parents of the infants bring the bottles filled with pre-measured amounts of water. The teachers measure the formula, which is provided by the parents, and then mix the bottles. Children's Records Not 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 3. Records.

General: Based on Review of Documentation, it was found that three (3) children's files out of ten (10) children's files reviewed did not contain information regarding the parents' preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility has not yet established their emergency preparedness plan according to KRS199.8982.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that only thirty (30) of the forty (40) children present were signed in to the facility. It was also found that one (1) parent had already signed the end of the week verification.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview, it was found that the facility did not have a policy specifying that the staff must implement the procedures taught during the cabinet-approved orientation training at the facility.

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, it was found that the documentation of the facility's fire drills did not include evidence of a drill being conducted in the months of March and May 2017.

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, it was found that the documentation of the facility's earthquake and tornado drills did not include evidence of a drill being conducted during the first quarter of 2017. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the statement of deficiencies issued and the plan of correction submitted for the relicensure survey conducted in 2016 was not posted in the facility. It was also found that the statement of deficiencies issued and the plan of correction submitted for an allegation investigation conducted on 2-27-17 was not posted in the facility. Animals Not Applicable

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 facility there were four (4) children ages one to two (1-2) years in the Toddler I room. An interview with staff found that the child was a two-year-old had been in the room all day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a four year old child went to the bathroom that is located outside of the classroom. The staff person in the classroom gave the child permission to go but did not supervise the child while they went to the bathroom. The child was out of the room for less than two (2) minutes.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, there were three (3) outlets that were missing the protective covers on them in the School Age Room.

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, an employee with a hire date of 5/5/16 did not have a criminal records check in their personnel file. The staff person in charge stated that she knew they had done a background check but she was unable to locate it. The employee was observed by this surveyor working alone in the Infant Room.

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, an employee with a hire date of 5/5/16 did not have a criminal records check in their personnel file. The staff person in charge stated that she knew they had done a background check but she was unable to locate it. The employee was observed by this surveyor working alone in the Infant Room.

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 Interview, the staff person in charge stated that an employee hired on 5/5/16 did not have proof of education in their file. The staff person in charge stated that the employee has a diploma they have just forgotten to bring a copy in. After reviewing the file no proof of education was found.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was a pair of adult scissors on a shelf in the Preschool Room. The shelf was accessible to the children. Also, in the Toddler Room 1, there was a bottle of bleach underneath the sink. The cabinet did not have a lock on it where this bleach was located. Additionally, in the girls' bathroom that the school age children use there was a can of Oust air freshner on the sink, and a can of Lysol disinfectant spray was on the sink in the boys' bathroom.

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 ceiling tile in the Two Year Old Room had a dark brown water stain on it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the CPR mouthpiece was missing from the First Aid Kit located in the main office. The staff person in charge stated that she knows they purchased one but was unable to locate it.

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, there were several weeds throughout the playground area on both the toddler and older childrens sides. Also, on the toddler playground area there were nails exposed on a roof of a shed that belongs to the lumber company next door. The side of the shed backs up to the playground and has a low roof which is where the nails are.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) child's file that contained an expired immunization sheet. Their immunizations had expired in May of this year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the emergency evacuation plan had not been submitted to the proper emergency personnel for 2015.

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, the facility did not have a diagram posted showing the course of action during an emergency situation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 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 4. Director Requirements and Responsibilities.

General: Based on Observation, there was not a daily acitivities sheet posted in the Infant Room. The staff person in charge stated that the teacher had been out for a few days last week and had just returned and had not put this weeks up yet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the documentation presented for review regarding the facility's liability insurance had an effective date of 8/19/14- 8/19/15. There was no documentation available for review to verify the facility had a current liability insurance policy.

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, there was an uncovered outlet on the wall behind the table in the Enrichment room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff with hire dates of 4/17/00 and 5/26/99 who had T.B. skin tests dated 7/24/13. These T.B. skin test results exceeds the two (2) year time-frame. There was one (1) staff person with a hire date of 7/1/15 who did not have the results of a T.B. skin test read until 7/3/15. In addition there was a staff person with a hire date of 8/22/15 who did not have the results of a T.B. skin test read until 8/24/15 and another staff person with a hire date of 8/5/15 who did not have the results of a T.B. skin test read until 8/7/15. The results of these T.B. tests were completed after the staff person's hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 8/22/14 who did not complete orientation training until 2/8/15. This exceeds the ninety (90) day period of obtaining orientation 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 2. Child Care Services.

General: Based on Observation, during a tour of the orange and white infant room, the Enrichment room, the two (2) year old room and the school age room there was not a planned program of activities posted. In addition at the time of the survey the staff person in the four (4) and five (5) year old room could be heard telling the children to "stop" and "don't do that" repeatedly from down the hall. The staff person was also heard telling two (2) children they would be put in "time out" when they returned from breakfast. An interview with the staff person in charge found that the regular teacher was out and the staff person working usually works in the afternoon.

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 orange and green infant room there was a drawer in the cabinet where the sink is located that did not fit properly in the opening and appeared to be broken. In addition the sink in the same room had an accumulation of dirt and grime. In the bathroom located outside of the infant area the sink had an accumulation of dirt and grime as well as the baseboards. The light switch located outside of the door to the bathroom did not have a switch plate cover. During a tour of the one (1) year old room two (2) of the drawers to the cabinet under the sink were missing handles

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, during a tour of the two (2) year old room the plastic cover over one (1) of the flourescent lights was broken.

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, in the bathroom located in the space outside of infant area a large hole was found in the ceiling that had been covered with white tape. In addition there was a large hole in the ceiling in the bathroom located between the four (4) and five (5) year old room and the two (2) year old room that had been covered with white tape. During a tour of the one (1) year old room there was a stained ceiling tile that had a large water stain.

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 Observation, during a tour of the one (1) year old room a staff person was observed changing a child's diaper. The staff person washed her hands after changing the diaper. However, the staff person then cleaned off the changing table and did not wash her hands after cleaning the table. The second to the last step listed on the diapering procedure posted by the changing area indicates to spray the changing mat with disinfectant and wait two (2) minutes and then wipe off. The step after that states to wash your hands.

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, it was found that first aid supplies did not include a CPR mouthpiece and a flashlight.

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, during an inspection of first aid supplies packets of burn ointment, sting relief, asprin and non-asprin medication were found in the first aid kit. This was in a kit in an unlocked room in the office which was not locked. The packets of medication were not labeled for an individual person. In addition there was a box of prescription ADVATE which is used as a rescue medication in an unlocked refrigerator in a room in the office. Neither the room or the office were locked. An interview with the staff person in charge found that the child that required this rescue medication last day was 8/14/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, during a tour of the two (2) year old room there was a purple plastic container that had cloth bags with the children's blankets and sheets used for nap. Although there were individual bags some of the items were observed hanging out of the bags and touching other items that were not secure in the each bag.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the orange and white infant room there was a rug with numbers and letters that had several stains and areas that were soiled. In the Enrichment room there was a number rug under the window that was soiled and stained as well as a wooden activity table that had numerous areas of chipping and peeling paint. In the two (2) year old room there was a multi-colored rug that had several areas that were stained and soiled. In addition there was a wooden play stove in the dramatic play area that was missing knobs and was dusty. There were several dolls in the dramatic play area that had areas that were soiled and stained. In the book area there was a Little Tikes rocking chair that had an accumulation of dirt and grime. During a tour of the one (1) year old room there was a Little Tikes plastic kitchen that had an accumulation of dirt and grime. During a tour of the school age room there were numerous toys and shelves throughout the room that had a large accumulation of dirt, dust and grime. These toys included but are not limited to: a Little Tikes vanity, rocking chair and vaccum cleaner, a Fisher Price car garge and aircraft carrier, a plastic doll house and black plastic shelves used to store materials. There was a brown rectangular table that at numerous areas of the laminate that had come off of the table top. There was a low round table that had tape residue with an accumulation of dirt and grime and dried paint on the table top.

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, in a cabinet under a sink located in an area outside of the one (1) of the infant rooms there was a dish pan with sippy cups that had been stored with old paint rollers, paint brushes and paint paints.

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, out of ten (10) children's files there was one (1) whose immunization certificate was not on the Kentucky immunization form. It could not be determined if the immunization certificate was current.

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, a review of ten (10) children's files found two (2) children's files that the name of the child's family physician had been listed but there was not a phone number listed. In addition there was another child's file that did not contain information regarding the preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation to verify that earthquake drills had been conducted quarterly with the date, time and names of children who participated from January 2014 to July of 2015. In addition the names of the children who particiapted in a tornado drill conducted on 7/10/15 was not documented.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation to verify that fire drills were conducted monthly with the date time and names of children who participated from August 2014 to December 2014 and February 2015 to May 2015. In addition it was found that monthly fire drills were conducted for June and July of 2015 but the names of the children who participated were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation to verify that a fire drill had been conducted from August 2014 - December 2014 and February 2015 - May 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation to verify that earthquake drills had been conducted quarterly from January 2014 to July of 2015. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, information on the Kentucky Consumer Product Safety Program and the program's website were not posted.

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, interviews, and review of documentation, it was confirmed that a seventeen (17) year old staff person has been working alone with children. On the day of the investigation, this staff person was observed working alone with five (5) infants. The staff person stated she was still in high school and that she was seventeen (17) years old. She stated her birthday was in April 1998. File review found that this staff person was hired September 9, 2014. She stated she occasionally started working alone in January 2015 but started working alone every day in the infant classroom since March 2015. The staff person just turned seventeen (17) years old April 10, 2015. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the facility failed to maintain staff-to-child ratios. A review of the school age daily roster revealed the school age classroom was over ratio ten (10) days during the month of June 2015. The classroom was over ratio the following days: 6/9, 6/10, 6/11, 6/12, 6/16, 6/17, 6/18, 6/23, 6/24, and 6/25. Based on interviews and written documentation there were at least two (2) to three (3) five (5) year olds present on these days. Therefore, the school age classroom was over ratio by two (2) children at the least and over ratio by seven (7) children at the most. Furthermore, based on observation a seventeen (17) year old staff person was working alone with five (5) infants. Based on interview, the staff person has been working alone in the infant classroom since March 2015. This staff person did not turn seventeen (17) until April 10, 2015. It is important to note that a person under the age of eighteen (18) can not be counted as staff for staff-to-child ratio. Employee Records

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff (hire dates: 4/17/15 and 7/1/15) did not have proof of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person (hire date: 7/1/15) did not have documentation of being free of TB on file. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed bottles in each of the cribs lying next to the three (3) infants who were sleeping and next to one (1) infant who was awake and standing in her crib. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Premises

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 observed twelve (12) ceiling tiles located in the upstairs hallway that contained brown water residue and black stains. The staff person in charge stated the ceiling tiles were in the process of being replaced. Food Service

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 observation, at approximately 10:00 a.m. a female infant was observed sleeping with a bottle in her mouth. She was drinking from the bottle as she slept.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the surveyor observed a tear in the diaper changing pad located in the nursery.

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.

Based on Observation, in the nursery the surveyor observed a nine (9) month old male lying in a Fisher Price Take Along Swing drinking a bottle at approximately 10:35 a.m.

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 Interview, it was found that on 11/24/14 a parent came to pick their child up at approximately 4:00 p.m. When the parent entered the facility she reported loud voice was heard coming from one (1) of the classrooms. When the parent approached their child's classroom the parent stated they observed the staff person in the room bend down and backhand their child in the face. The parent reported this observation to assistant director who was in charge at the time. The parent was informed the director would be made aware of the incident and the staff person would be removed from the classroom. Further interviews found that the director was notified by the assistant director later that afternoon. It was also found that the director spoke on the phone with the parent later that evening and the parent was informed the incident would be reported to the facility's Day Care Board. However, the incident was not reported by the facility to the cabinet as required by KRS 620.030. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the facility failed to meet this regulatory requirement. A current copy of the regulations was not on file and available for staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, four (4) staff (hire dates: 7/9/99, 5/26/99, 4/17/00 and 11/12/12) eligible for an annual performance review did not have documentation of a review on file in the facility.

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, interview and observation, the following was found: 1. One (1) staff person (hire date: 5/5/14) had a criminal records check (CRC) that was dated 5/12/14. A second staff person (hire date: 9/10/13) had a CRC that was dated 9/25/13 and a third staff person (hire date: 10/8/13 had a CRC that was dated 10/24/13. There was no documentation to verify that these CRC's were submitted within the regulatory timeframe. 2. During a tour of the facility the staff person in charge identified an adult male reading a story to the children in the preschool classroom as a volunteer that reads to the children one (1) day a week. The staff person in charge stated that she did not have a CRC and a child abuse/neglect check (CAN) on file for this person and stated that this person is never alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person (hire date: 5/5/14) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person did not have evidence of a negative T.B. skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The staff person was hired on 5/5/14; however, did not have a T.B. skin test until 5/12/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were no culture materials available to the children in the toddler classroom (one (1) year olds).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to provide opportunity for children to practice developmentally appropriate self-help procedures in respect to hand-washing. During a tour of the toddler classroom the surveyor observed the staff person working in the classroom having to lift each child up to the sink individually so that children could wash their hands prior to eating lunch because the children could not reach the sink. This process appeared to be uncomfortable for the children and the staff person because of the size of 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, and interview the facility failed to ensure that toddlers not participate in an activity with an older child longer than one (1) hour a day. The surveyor observed the staff person working in the toddler classroom caring for a group of six (6) children. Four (4) of the children were identified as one (1) year olds and two (2) of the children were identified as two (2) year olds. The staff person in charge stated that this group of children is combined all day due to low enrollment and indicated that she was not aware of this regulatory requirement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to meet this regulatory requirement. During a tour of the playground the surveyor observed an unlocked storage area that contained a push mower, two (2) gas cans, several rakes and shovels, a leaf blower, a weed eater, three (3) sledge hammers, a tree trimmer and a container of Weed B Gon Max labeled "Keep out of Reach of Children". The lower glass/plexiglass panel on the door to the storage shed was missing which created a large hole and the door was unlocked; therefore, these items were all accessible to the children. Children were observed playing on the playground during the survey.

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 following was found: 1. During a tour of the children's bathroom in the two (2) year old classroom (Room 104) the surveyor observed a large hole in the ceiling from what appeared to be a missing exhaust fan. The staff person in charge acknowledged the hole and stated that it has been in the ceiling for a long time. 2. The hallway in the upstairs level contained thirteen (13) ceiling tiles with dark stains. One of the ceiling tiles was sagging down and contained a black substance. The facility office contained six (6) ceiling tiles with dark stains and the toddler classroom contained one (1) stained ceiling tile.

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, this regulatory requirement was not met. A tour of the playground found sparse mulch/dirt at the base of three (3) slides. Two (2) of the slides were approximately six (6) feet tall and the other one (1) was approximately eight (8) feet tall.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the following was found: 1. A floor pillow in the toddler classroom contained numerous spots and stains. 2. Two (2) metal folding chairs on the playground contained numerous areas of rust.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to meet this regulatory requirement. During a tour of the toddler classroom the surveyor observed several books that were in dis- repair in the children's book area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the facility failed to ensure that drinking utensils be clean and sanitary. During a tour of the toddler classroom staff stated that they wash the children's plastic reusable sippy cups by hand in the classroom between each meal. This process does not meet the requirement of the regulation because the items are not sanitized.

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, the following was found: 1. One (1) child (enrollment date: 6/5/14) did not have an immunization certificate on file. 2. Two (2) children (enrollment dates: 4/15/13 and 3/7/11) had immunization certificates on file that were no longer current as of 5/28/14 and 6/29/14.

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 following was found: 1. Four (4) children's files (enrollment dates: 9/20/13, 7/8/14, 12/28/12 and 3/7/11) did not contain information for the family's preferred hospital. 2. Two (2) children's files (enrollment dates: 9/20/13 and 12/28/12) did not contain contact information for the child's physician. 3. During the inspection the surveyor observed an adult male working with a school age child one (1) on one (1) in an empty room in the facility. The staff person in charge identified the adult male as a "physical therapist" that works with the child one (1) day a week at the facility and stated that the child also has a speech therapist that works with him one (1) day a week at the facility. The physical therapist stated during interview that he and the speech therapist are both employed by Wedco Home Health Care. The staff person in charge stated that she had not obtained permission from the parent for third-party professional services in the child care center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview this regulatory requirement was not met. An interview with the staff person in charge revealed that children occasionally go on walking field trips and stated that the school age children walked to a local bakery recently. The staff person in charge presented a general permission slip that is signed by the parents; however, the permission slip does not contain specific information (dates and times) about the field trips. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the Children and Parent's rights document was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a Civil Penalty that was issued to the facility on 2/24/14 was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no evidence presented at the time of the survey of staff meetings conducted in the last licensure year. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, five (5) out of eight (8) staff eligible for an annual evaluation did not have evidence of an evaluation on file in the facility.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff hired 7/18/12, 11/12/12 and 6/11/12 did not have the results of or evidence of the application for a criminal background check or a CA/N check on file in the facility. The staff persons hired 7/18/12 an 11/12/12 were observed alone in seperate classrooms supervising children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff persons hired 7/18/12 and 11/12/12 did not have evidence of proof of education on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, 1. Staff persons hired 7/18/12 and 11/12/12 did not have evidence of completing the required orientation training in the first three (3) months of employment. 2. Eight (8) out of eight (8) staff that have been employed for more than one (1) year did not have evidence of fifteen (15) hours of annual training on file for the last full year of employment. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the finish on the toilet seat in the bathroom in the Twos classroom was worn off down to the brown plastic base. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was a three (3) ring binder that contained the children's "Daly Sheets" and a pen being stored on the changing table.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, 1. Two (2) of the cribs in the Infant classroom used by the children for sleep did not have documentation to indicated that the cribs meet the revised Federal Safety Guideline outlined in CPSC 16CFR 1220. 2. There was one (1) crib found in a storage room that did not meet the revised Federal Safety Guideline outlined in CPSC 16CFR 1220.

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, there was no menu posted in the facility at the time of the survey.

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, 1. Two (2) children that were siblings were both listed on one (1) enrollment form. Each child did not have an individual enrollment form. This was found in two (2) other children's files during the review. 2. None of the children's file presented for review included the preferred hospital for the child as requested by the parent. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on Review of Documentation, there was no disaster plan presented at the time of the survey that included the requirements listed in KRS 199.895.

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, eight (8) out of eight (8) staff eligible for a professional development plan had no evidence of a current plan on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, 1. The statement of deficiencies and plan of correction from the previous re-licensure survey was not posted in the facility. 2. There was no information from the Kentucky Consumer Product Safety Program as specified in KRS 199.897 posted in the facility. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 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 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, a schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the Threes & Fours classroom and the School-age classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were no diapering procedures posted in the diaper changeing areas in the Infant classroom and the Twos classroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.