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

General: Based on observation, an uncovered electrical outlet was found in the Infant Room. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, six (6) staff members DOH (01/03/23, 03/21/21, 02/27/23, 03/28/22, 05/30/23, and 04/18/16) did not have signed and dated evaluations on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff, (DOH 03/28/22) did not have documentation of a negative TB skin test. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance 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, a wall in Four-Year-Old room had multiple nails protruding outward, within reach of children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 review of documentation, the center did not have a current signed catering contract. If a catering service is used, the provider must have a contract/agreement that indicates what meals will be provided by the caterer, and a copy of the caterer’s food service permit must be obtained. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, two (2) children DOE (07/02/20 and 05/10/24) had expired immunization records. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, seven (7) staff members DOH (12/03/08, 01/03/23, 03/21/21, 02/27/23, 03/28/22, 05/30/23, and 04/18/16) did not have signed professional development plans. 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 9. Records.

General: Based on review of documentation, three children’s files reviewed had immunization records that were no longer valid. Each child had been enrolled for more than 30 days. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was one uncovered electrical outlet within the One’s and Two’s classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview, the provider reported that the facility no longer uses the Tan Pontiac Torrent and has since purchased a 2023 Toyota Highlander to transport children. This new vehicle was not reported to the cabinet. 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 review of documentation, three employee annual evaluations presented for review were not dated; therefore, the surveyor was unable to determine whether the evaluations were current. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 3/12/2021, only had twelve (12) out of fifteen (15) hours of cabinet-approved early care and education training for the July 1, 2022 – June 30th, 2023 training year. A review of ECE-TRIS supports this finding. 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, there were areas of chipped and scraped paint within the Three-Year-Old classroom. 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, one bucket seat within the One’s and Two’s classroom was not equipped with the manufacturer’s seat belt. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the provider stated that the facility is catered by Kate’s Catering; however, a catering contract or agreement was not available for review. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, four professional development plans reviewed in employee personnel files were not dated; therefore, the surveyor was unable to determine whether the plans were current. 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, this regulation was not met. When the surveyor walked in the center, a staff person was in the office eating her lunch. In the first classroom (one of two school-age classrooms), four toddlers who range in age from one-to-two-years-old were left unsupervised for an undetermined amount of time in cribs within the School-Age classroom. The staff eating her lunch was the staff person in charge of the classroom with the toddlers. Staffing Requirements In Compliance Premises 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 observation, there were two (2) staff present in the Preschool classroom with a total of thirteen (13) children ranging in age from three (3)-to-five (5)-years old. One (1) staff member left the classroom to get a spoon in another area of the facility leaving the one (1) staff member alone with the thirteen (13) children. The staff member returned to the Preschool classroom in less than one (1) minute. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/12/2022 AND AS OF 10/13/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there were no current staff evaluations on file at the facility. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 12/03/08, did not have current documentation on file from a health care professional stating she was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 09/20/18, did not have the required First Aid and CPR training. A review of ECE-TRIS was completed and confirmed this finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) There were no staff members that had the required fifteen (15) hours of cabinet-approved training on file. 2) Staff hired on 12/03/08, completed PAHT training on 09/24/16; however, did not renew the training due 09/24/21. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 following was found: 1) There were thirteen (13) preschool children and two (2) staff in the Preschool classroom. The capacity for the Preschool classroom is ten (10) children. The classroom was over capacity by three (3) children. 2) There were six (6) toddlers found in the Toddler classroom with one (1) staff member. The capacity in the classroom is seven (7) but due to there being five (5) cribs, a large u- shape lunch table, a cot, and a small table in the classroom there was barely enough floor space for the children. The staff person in charge stated that the toddlers were just moved into the room within the last three (3) days and the room was previously a part of the Preschool classroom. 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, after eating lunch the preschool children left the table and went straight to their cots for nap time. The children did not wash their hands before laying down on their cots. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the staff in the Preschool classroom were placing cots on the floor preparing for nap time. There were thirteen (13) children in the classroom and there was not enough space on the floor for each cot to be placed twelve (12) inches apart. Several cots were placed within a couple of inches of one another. The classrooms capacity is ten (10).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The light inside of the Infant room refrigerator was not working when the door was opened. 2) A smoke detector in the facility was beeping indicating the battery needed to be replaced. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the food service permit on file had expired and the updated one provided was illegible. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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, there was a gallon of 2% milk sitting out on the counter in the Preschool classroom. The preschool children were served the 2% milk for lunch. The staff person in charge stated that the children would not drink 1% or skim milk. It was also noted that there were two (2) more gallons of 2% milk found in the refrigerator. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there were no current staff professional development plans on file. 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 9. Records.

General: Based on review of documentation, it was found that the Child Care Assistance forms used for daily attendance did not contain weekly dates. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

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 interview and review of documentation, it was found that facility does not have two qualified substitutes available. 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

Open / not marked corrected.

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

General: Based on observation, the following was found in the Infant room: 1.) Broom and dust pan were stored in the reach of the children. 2.) Uncovered outlet was within the reach of the children. 3.) An electrical cord was plugged into the outlet while the children were playing in the room. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two staff members (12/03/208 and 11/18/2019) did not have evidence of completing 15 hours of annual early care and education training on file in the facility. A review of ECE- TRIS records supports the information found during the survey. 2.) A staff member hired on 11/18/2019, did not complete the required PAHT training. This staff member has been employed for more than one year. The ECE-TRIS system was reviewed. 3.) A staff member hired 3/12/2021, did not complete the required Orientation I and II courses. This staff member has been employed for more than three months. The ECE-TRIS system was reviewed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Daily planned program of activities was not posted in any classroom in the facility. 2.) In the Infant room, the children were playing with rice which is not developmentally appropriate activity and created a choking hazard.

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, television was on in the Toddler room. An interview with the staff found that the children watch television every day before lunch. The classroom did not have posted daily planned program activities and viewing television was not listed on the daily schedule. 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

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on observation, at the time of the survey, there were eight children in the Toddler room. An interview with staff found that the children in the room were ages two- years-old to five-years-old. A review of documentation and interview found there was no transition plan signed by the parent for a child that is two years old. A child that is two years old is defined as a toddler. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, during an inspection of the Infant room, the surveyour found a bottle of Tylenol on the shelf and staff's purse hanging on the wall hook. Both items were accessible to the children in care.

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.) In the Toddler room there were two shelves with the paint peeling off, and one shelf with a piece of wood chipped. 2.) In the School-Age Boys bathroom the handle on the hot water faucet was missing. 3.) In the Infant room there was a hole in the door next to the knob.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no evidence of job descriptions, chain of command and family involvement on file in the facility at the time of 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.) Ceiling tiles were bulged, and had holes and stains in the Infant and Toddler rooms, as well as School-Age Girls and Boys bathrooms. 2.) Walls had holes and chipped paint in the Infant and Toddler rooms, as well as School-Age Girls bathroom. 3.) The tiles were broken and there was a hole in the baseboard in the Infant room. 4.) Vinyl floor in the School-Age Girls bathroom was chipped in several places. 5.) The light switch cover in the School-Age Girls bathroom was cracked. 6.) In the School-Age room, there was a hole the size of a golf ball in the wall by the baseboard. An electrical cord was observed coming from the hole that was plugged into an outlet on the wall beside the hole. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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, this regulatory requirement was not met. During the inspection of the outdoor play area, the following was found: 1.) Large plants protruding through the fence. 2.) A hole in the concrete that is a tripping hazard for the children in care. Equipment In Compliance Transportation In Compliance Kitchen Requirements 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, there was a bottle in the refrigerator in the Infant classroom that was not labeled with a child's name, and did not have a lid on it. Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a weekly menu was not posted anywhere in the facility. 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 children enrolled did not have current immunization certificates on file in the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, it was found that a child enrolled in the center did not have a preferred hospital listed in their file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that last Evacuation plan was written 09/25/2020 but not submitted to the local Emergency Management organization. The staff person in charge was unable to provide documentation at the time of the survey to verify submission date to the local Emergency Management organization.

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 interview and review of documentation, the surveyor found no written evidence of Tornado or Earthquake drills being conducted during the current licensure year presented at the time of the survey. Posted Documentation 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 10. Director Requirements and Responsibilities.

General: Based on observation, a schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the School-Age and Infant classrooms. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/10/2021 AND AS OF 10/01/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 3/12/21) had documentation on file showing that she had been entered in the KARES fingerprint database on 3/4/21; however, this person did not have results of a criminal records check (CRC) on file. This staff person was observed working alone with children in the infant/toddler classroom during the inspection. 2. One staff person (hire date: 5/6/21) had documentation on file showing that she had been entered in the KARES fingerprint database on 5/27/21; however, this person did not have results of a CRC on file. This staff person was observed working alone with children in the school age classroom during the visit. The staff person in charge stated that she was not aware that she needed to submit a separate background check (CRC) for these two (2) staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 review of documentation, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 3/12/21) had documentation on file showing that she had been entered in the KARES fingerprint database on 3/4/21; however, this person did not have results of a criminal records check (CRC) on file. This staff person was observed working alone with children in the infant/toddler classroom during the inspection. 2. One staff person (hire date: 5/6/21) had documentation on file showing that she had been entered in the KARES fingerprint database on 5/27/21; however, this person did not have results of a CRC on file. This staff person was observed working alone with children in the school age classroom during the visit. The staff person in charge stated that she was not aware that she needed to submit a separate background check (CRC) for these two staff. 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 and interview, this regulatory requirement was not met. A review of staff files during the investigation found two staff that did not have the date of employment listed in their file. After reviewing facility staff time cards, the staff person in charge verbally identified the hire dates as 3/12/21 and 5/6/21. However, the dates of hire were not maintained in the personnel files.

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, this regulatory requirement was not met. At the time of the investigation, the staff person in charge identified herself as the only substitute staff person and indicated that she did not have a second staff person available.

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, upon entry into the facility at approximately 10:20 a.m., a 12-year-old child was observed alone in the room where people enter and exit the facility. In the adjoining room, there was a staff person and four children ages six- to nine-years-old. The staff person in charge stated that the teacher in the adjoining room was also supervising the 12-year-old child. She stated that she had been informed during last year’s renewal survey, that school-age children could be left alone in this room as long as the staff in the adjoining room could hear the school-age children who are not visually supervised. Due to the door to enter and exit the facility being located in the same room where the 12-year-old was observed not visually supervised, it is not a safe practice to leave children of any age not directly supervised in this space. 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 interview and review of documentation, there was one staff person whose personnel file did not contain a documented date of hire. An interview with the staff person in charge found that the staff person was recently rehired but she was unsure of the date. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that CPR/First Aid training had been completed through an on-line course conducted by the American Red Cross. It was determined through interview that the staff person in charge was the only staff person who had previously been certified in both CPR/First Aid and this was was a renewal. Further interview with the staff person in charge stated she works from 5:30 a.m. until 3:30 p.m. and will work later if needed. The facility is open from 5:30 a.m.-5:30 p.m.; therefore, it can not be determined that a staff person who is currently certified in CPR and First Aid from 3:30 p.m. to 5:30 p.m. is present daily. Programming 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 5. Infant and Toddler Play Requirements.

General: Based on observation at the time of the survey, there were seven children in the Preschool Room. An interview with staff found that the children in the room were ages two- to three-years-old. A review of documentation found there was no transition plan signed by the parents for each of the children who were two years old. A child who is two years old is defined as a toddler. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the facility, the following was found: 1) In the Toddler Room where the cots are stacked, there was an area of the wall where the paint had peeled away from the surface. 2) In the 2's Room, there were several nails holes on the wall by the diaper changing table. 3) In the School-Age Room lcoated beside the Preschool Room, there was a hole the size of a golf ball in the wall by the baseboard. An electrical cord was observed coming from the hole that was plugged into an outlet on the wall beside the hole. 4) The light switch cover in the girls' bathroom was cracked. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, an injury report had been completed on 9/14/2020, for a child who had fallen on the floor and injured themselves. The report stated that Neosporin Ointment and a Band Aid were applied. There was no documentation to verfiy the parent had given permission for Neosporin Ointment to be applied on their child's wound. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. 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 the first aid kit, a can of Lanacane First Aid Spray and a tube of hydrocortizone cream were found. Neither of the medications were labeled for an individual child. 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: health medication. Open / not marked corrected.

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

General: Based on observation during a tour of the Infant Room, a child was sitting at the table eating animal crackers. The animal crackers had been placed directly on the table. There was no plate, bowl, cup or napkin provided to contain the animal crackers. This is an unsanitary method of serving the children's food.

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, a weekly menu was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, two children's enrollment information did not include a preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the following was found at the time of the inspection on 9/29/2020: 1) Staff in the infant room was observed feeding a child a bottle without gloves. This regulation requires that gloves be worn while preparing meals and serving bottles. 2) Dolls with cloth bodies were observed in the infant room. This regulation requires that machine washable toys not be used. 3) Staff in the infant room and the staff person in charge did not wear their face masks properly. Both staff wore their face masks positioned beneath their noses. This poses a health risk for the spread of disease.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The staff in charge was unable to locate a current copy of the fire marshal inspection for the facility.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/11/2019 AND AS OF 11/18/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two (2) staff did not have current evaluations on file. These staff were hired on 8/16/16 and on 1/18/18. The staff member hired on 1/18/18 is a substitute staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following items were found: 1. The Infant/Toddler Room contained an electrical outlet that was coming out of the wall. The electrical box was not secure in the wall. 2. The Infant/Toddler Room contained a television cord that was hanging down in the back section of the room. The cord was not secured to the wall and draping down. 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 observation and review of documentation, this regulatory requirement was not met. One (1) substitute staff hired on 1/18/18 did not have documentation of completing the one and one-half (1.50) hour cabinet-approved pediatric abusive head trauma training. The ECE-TRIS system was reviewed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A staff hired on 12/03/08 had a driving record on file that was no longer current. The driving record was requested on 6/22/18 and is no longer current after one (1) year. Programming In Compliance 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.

Based on observation, this regulatory requirement was not met. The following areas were unclean or in disrepair: 1. The School-age Room contained an area of chipped paint on the wall next to a bookshelf and on the wall under the television. 2. The Older Preschool Room contained stained ceiling tiles in the back corner of the room. 3. The girl’s bathroom outside of the School-age Room contained streaked paint on the walls and a stained ceiling tile. 4. The Infant/Toddler Room contained a stained ceiling tile in the back of the room. 5. The Infant/Toddler Room contained areas of chipped paint near the gate in the back section of the room. 6. The Infant/Toddler Room contained some small holes in the drywall in the back section of the room. 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 4 Inspection Report 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.

Based on observation, this regulatory requirement was not met. The following toys and furniture were unclean or in disrepair: 1. The Young Preschool Room contained tape residue and areas of chipped paint on the white shelf that was storing dolls. 2. The Younger Preschool Room contained a white drawer by the diaper changing area that the white surfacing was coming off. 3. The Infant/Toddler Room contained a white drawer by the diaper changing area that the white surfacing was coming off. 4. The middle section of the Infant/Toddler Room contained a white shelf with some areas of chipped paint on the top of the unit.

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, this regulatory requirement was not met. The following items were in unclean or in disrepair: 1. The outdoor play area contained a sandbox with a torn tarp covering it. 2. The Infant/Toddler Room contained a yellow, sticky, spilled substance in the freezer. This freezer was used to store food for the children. Transportation In Compliance 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 review of documentation, this regulatory requirement was not met. The posted snack menu listed only one (1) component on Monday AM, Tuesday AM, Wednesday AM, Thursday AM, Friday AM, and on Monday PM. Snack shall include two (2) componets: milk, protein, bread; or fruit, vegetable or 100 percent juice. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The lunch menu was not dated and it was not posted in a conspicuous place. The lunch menu was posted in the kitchen, an area that is not readily available to the parents. 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 observation and review of documentation, this regulatory requirement was not met. One (1) child's file contained an immunization certificate that was no longer current. The immunization certificate was dated 7/28/19. The child had been enrolled in excess of thirty (30) days. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The staff in charge was unable to locate documentation that a current copy of the emergency preparedness plan had been submitted to the local emergency management officials.

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, this regulatory requirement was not met. One (1) substitute staff hired on 1/18/18 did not have a professional development plan on file. 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 through a tour of the infant classroom that there were eight (8) children with one staff person. The children in this classroom ranged from four (4) months to twenty-one (21) months old. While the surveyor was in the classroom, the director came into the room and brought two other children with her making the ratio in compliance. The director reported that she had been in the infant classroom most of the morning, but went into the preschool classroom a few minutes earlier when two other preschool children got off the bus, therefore making that classroom over ratio. The director reported that if she would have just thought to bring the two children into the infant room earlier both classrooms would have been within ratio. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the director stated that the facility had changed their entrance from the front door to the back door. She also stated they are now using the front entry area as more infant space and a storage room in the back as more school age space. This change was not noted on the disaster diagram that was posted throughout the facility. Animals Not Applicable

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, there were two (2) bucket seats missing from the table in the Infant classroom leaving large holes that could potentially become an entrapment for a child who climbed through the hole. There was an outlet missing a protective cover next to a crib in the Infant 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, staff hired on 08/21/18, 11/02/17 and 08/15/18 did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired on 11/02/17 had a tuberculosis skin test on file dated 11/29/17 and staff hired on 11/13/17 had a tuberculosis skin test dated 04/19/18. The tests were not completed prior to hire.

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 the following: 1. Staff hired on 04/18/16 and 12/03/08 did not have the required fifteen (15) hours of cabinet approved training on file. 2. Staff hired on 08/16/16 had not completed the required Pediatric Abusive Head Trauma class within the first year of employment. 3. Staff hired on 11/02/17 and 11/13/17 had not completed the required Orientation I and II within the first three (3) months of employment. This information was verified through ECE-TRIS. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Interview, the director stated that when children turn two (2) years of age they move to the preschool classroom where there are children ranging in age from two (2) years to four (4) years. She stated that she did not have a transition plan for the two (2) year old children and was unaware she would need to have one in place if she wanted to combine those age groups. 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, there were numerous flies found throughout the facility at the time of 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 surveyor found the following: 1. The linoleum was coming unglued around the toilet in the girls bathroom. 2. There were several areas of chipping paint in the Infant classroom near the cribs. 3. There were several areas of flaking/chipping drywall in the Preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 diaper changing pad was torn in the infant classroom. 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 11. Toys and Furnishings.

General: Based on Observation, the surveyor found the following: 1. There were two (2) bucket seats in the Infant classroom that did not have safety straps. 2. Two (2) of the bucket seats in the Infant classroom were missing from the table leaving large holes that could potentially become an entrapment for a child who climbed through the hole. 3. The gym mat in the Preschool classroom had several torn edges exposing the padding underneath the mat.

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 the following on the playground: 1. The corner of an adult size plastic picnic table was broken and had sharp edges that were accessible to the children. 2. There was a large hole found in the base of the Fisher Price basketball goal. 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 Interview, the director stated that she did not have a current copy of the food service permit at the time of the survey.

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, a freezer thermometer could not be located in the refrigerator in the Infant classroom nor in the kitchen. Both refrigerators house food served to the children at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, two (2) children enrolled on 01/21/17 and 09/24/17 did not have physician contact information on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was not a current emergency preparedness plan on site at the facility. The paperwork the director had was dated 2012. Posted 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 10. Director Requirements and Responsibilities.

General: Based on Interview and record review, it was found that the director was employeed in a postition outside of the child care center. This employment was not at another child care center and HSS spoke with the director at her place of employment outside of the child care center during the centers working hours. Further, on 7/12/18 the owner confirmed the director had been working at another job and indicated that it was an oversight.

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, it was found that the file for an employee rehired on 11-2-17 did not contain the results of a central registry check. The original request for the check was submitted on 11-2-17, however it was returned due to missing information. The missing information was added to the request, however, it was not sent back in to get the results. The director stated that it slipped her mind. Interview with the director and two (2) other employees found that this employee works alone with the school age children varying times during the week. It was also found that the file for an employee rehired on 1-18-18 did not contain evidence of submission for or the results of a criminal records check or central registry check. The director stated that she did not request a new criminal records check or central registry check for this employee. The director and the employee both stated that the employee works alone with children in the Infant/Toddler classroom Monday through Thursday from 8:00 a.m. until another staff person arrives at 9:00 a.m. or 9:30 a.m. depending on the day. The employee stated that if attendance is low, she works alone with the children in the classroom for her entire shift. Supervision In Compliance Staffing Requirements 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 Interview, it was found that an employee rehired on 11-2-17 works a varied schedule and fills in as necessary in the classroom. The director and two (2) staff reported that the employee works primarily with the school age children and has worked alone with the children on multiple occassions. This employee did not have the results of a central registry check on file. It was also found that an employee rehired on 1-18-18 works alone with children in the Infant/Toddler classroom Monday through Thursday from 8:00 a.m. until another staff person arrives at 9:00 a.m. or 9:30 a.m. depending on the day. The employee stated that if attendance is low, she works alone with the children in the classroom for her entire shift. This employee did not have the results of a criminal records check or central registry check on file. 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, it was found that the personnel files for four (4) employees did not contain a date of employment. 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 2. Child Care Services.

General: Based on Observation, it was found that at 10:14 a.m. on the day of the investigation, the children in the School Age classroom were watching television, playing on iPads and playing with craft items. The schedule of daily activities posted indicated that from 10:00 a.m. until 10:30 a.m. the children should be engaged in "circle time, talking, books." The director admitted that the schedule of daily activities was not being followed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

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 during the investigation, four (4) school age children were playing on iPads. Two (2) children were playing a skateboarding game, one (1) child was playing Minecraft and one (1) child was on YouTube. In addition, the television in the classroom was on and tuned to a Lego show. The electronic devices were not being utilized as an educational tool nor was their use discussed with the parents prior to use.

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 during the investigation, four (4) school age children were playing on iPads. Two (2) children were playing a skateboarding game, one (1) child was playing Minecraft and one (1) child was on YouTube. In addition, the television in the classroom was on and tuned to a Lego show. Use of electronic devices was not listed on the daily schedule or the schedule of daily activities.

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 during the investigation, four (4) school age children were playing on iPads. The director admitted that the electronic devices were not equipped with any type of monitoring program to limit access to inappropriate websites or items. 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, it was found that there were eight (8) bucket seats in the Infant/Toddler classroom that did not have the manufacturer required safety straps installed. Food Service/Food Program In Compliance Food Service In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, staff resisted answering questions, giving children's names, or assisting with obtaining written documentation. The owner was not in facility and the staff in charge was questioned on where the DRCC representative could access children's files. Staff replied that she would not answer any questions or assist the DRCC representative in finding any files or needed documents. Another staff person refused to respond when questioned by the DRCC representative about children being restrained while in the care of the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the DRCC representative was not allowed access to the facility for approximately eight to nine (8-9) minutes. When the DRCC representative arrived at facility, the door was locked. The DRCC representative knocked and no one answered. A phone number was posted on door along with a note stating the door would not be answered during nap time hours unless advance notice was given to the owner. The DRCC representative called the number on the door and reached the owner who stated that she was at a doctor's appointment and that she would be by later to give the DRCC representative access. The DRCC representative explained that access was needed so the owner responded that she would call staff. The DRCC representative waited to get access after knocking again after several minutes. The entry door was in close proximity to room occupied by a staff person who could have answered the door with no threat of the children's supervision being compromised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 Interview, the owner/director and two (2) staff admitted that at least three (3) children in the facility are being restrained in infant feeding table (bucket) seats as a form of restraint/punishment. One child was found by parent restrained by straps fastened under the child's seat with a table pushed in front of the bucket table to block the child away from other children and staff. There is a photograph of the child restrained in this method. One child was witnessed by the DRCC representative restrained in infant table with lights off during nap time. The staff in charge of the child reported the child is unable to sit in a chair and has Autism. The child was removed from the restraint and observed to sit, unassisted in a chair. Day care staff admitted a third child is also restrained on a regular basis. The children are reportedly restrained due to "disabilities" or behavior issues. 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 2. Child Care Services.

General: Based on Interview, the owner/director and two (2) staff admitted that at least three (3) children in the facility are being restrained in infant feeding table (bucket) seats as a form of restraint/punishment. One child was found by parent restrained by straps fastened under the child's seat with a table pushed in front of the bucket table to block the child away from other children and staff. There is a photograph of the child restrained in this method. One child was witnessed by the DRCC representative restrained in infant (bucket) table with lights off during nap time. The staff in charge of the child reported the child is unable to sit in a chair and has Autism. The child was removed from the restraint and observed to sit, unassisted in a chair. Day care staff admitted a third child is also restrained on a regular basis. The children are reportedly restrained due to "disabilities" or behavior issues. This does not promote the individual child's physical, emotional, social, and intellectual growth and well-being.

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 staff refused a child approximately two to three (2 - 3) years old access to use restroom. The child asked repeatedly to use the restroom and staff told him , "No, you have a diaper on, go in your diaper".

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, it was found that the facility only has one (1) substitute staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that on 8-2-17 the facility did not have a staff person who was certified in first aid present and on duty with the children from 5:00 p.m. to 5:30 p.m. The last child left at 5:30 p.m. that day. This same staff person was reported to close the facility by herself on other occassions. The staff person in charge stated that she could not remember the dates, but admitted the staff person was alone in the facility with the children. During interview, it was also found that over the summer, four (4) days a week, two (2) children are walked to a local elementary school by a staff person that is not certified in first aid.

Open Not marked corrected in the state record

Category: health medication. 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 facility did not have evidence of written proof of liability insurance. 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 file for one (1) eligible staff person did not contain evidence of an annual evaluation being completed.

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 there were ten (10) uncovered electrical outlets in the indoor gross motor area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 12-2-08 did not contain evidence of a TB skin test or screening.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the ECE-TRIS record and file for an employee rehired on 3-17-17 did not contain evidence of the six-hour cabinet- approved orientation training being completed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, it was found that a two-year-old child was present in the Infant/Toddler classroom. According to the teacher and the attendance record, the child arrived at the facility at 8:45 a.m. The teacher stated that the child, who turned two-years-old in January, is present in the classroom from the time he arrives until the time he is picked up. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the door to the laundry room, which is located in the School Age classroom, was unlocked. A bottle of Xtra detergent was found to stored on the dryer. The label on the bottle bore the warning "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 4. Premises Requirements.

General: Based on Observation, it was found that the cover for the four (4) flourescent light strips located in the green bathroom was missing. These bulbs were also not shatterproof.

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 the linoleum floor in the purple bathroom was ripped and curling up around the toilet, exposing the subfloor. There were also multiple small holes in the linoleum, one (1) that was covered with masking tape. In addition, it was found that a ceiling tile was missing in the indoor gross motor area. 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, it was found that the changing pad in the Infant/Toddler classroom was torn in multiple places. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, it was found that toys mouthed by children in the Infant/Toddler classroom are placed in a bucket of soapy bleach water, rinsed and dried. This procedure does not meet the requirements of the regulation. 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, it was found that the eight (8) bucket seats located in the Infant/Toddler classroom were missing the safety straps. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was not a thermometer in the freezer located in the Infant/Toddler classroom.

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 1) the teacher in the Infant/Toddler classroom washes dishes in the classroom hand washing sink. The dishes are washed in soapy bleach water, rinsed and allowed to air dry. The dishes are then reused by the children in the classroom; 2) the warming drawer under the oven contained pieces of insulation and multiple rodent droppings; 3) the microwave in the kitchen was found to have splattered food on the plate and all inner surfaces.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the posted menu was not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that three (3) children's files out of ten (10) children's files reviewed did not contain a physician's name or telephone number. Two (2) of the children's files did not contain information regarding the parent's preferred hospital. It was also found that during the survey a one-year-old child was receiving services from First Steps. The facility did not have written permission from the parents for the child to receive third party professional services at the facility.

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 Interview, it was found that four (4) days a week, a staff person walks two (2) school age children to a nearby elementary school and drops them off for a summer program. The facility did not have evidence of written permission from the parents to take these two (2) children off the premises and leave them at the elementary school. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) child was not signed in to the facility. It was also found that two (2) school age children who had left the facility were not signed out.

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, it was found that the files for three (3) eligible employees did not contain evidence of an annual professional development plan being completed. 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 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that a schedule of daily activities was not posted in the Preschool classroom. Animals Not Applicable

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 facility failed to adhere to the plan of correction that was submitted to the DRCC office on 10/14/16. Per the plan of correction that was submitted, each staff person was to complete training sessions during the month of September on 9/6, 9/7, 9/8, 9/9, 9/12, 9/14, and 9/15. The training was to be submitted to the Child Care support Network and reviewed by Ky. Credentialed Trainers and then entered into TRIS. The date of completion noted on the plan of correction was 9/16/16. However, a review of the Training Records Information System (TRIS) found that the facility failed to complete training hours by this deadline. The surveyor found the following: the director completed a 1.5 hour training (Pediatric Abusive Head Trauma for Child Care Providers) on 9/27/16 and the staff person in charge completed a 1.5 hour training (Pediatric Abusive Head Trauma for Child Care Providers) on 9/24/16 and a 1.00 hour training (Color Me Healthy) on 9/28/16. There is no documentation that the Director and Staff person in charge completed training on 9/6, 9/7, 9/8, 9/9, 9/12, 9/14, and 9/15. It is important to note that the Director and Staff person in charge have not completed the required fifteen (15) hours of training since 2011-2012 training year. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the facility failed to adhere to the plan of correction that was submitted to the DRCC office on 10/14/16. Per the plan of correction that was submitted, each staff person was to complete training sessions during the month of September on 9/6, 9/7, 9/8, 9/9, 9/12, 9/14, and 9/15. The training was to be submitted to the Child Care support Network and reviewed by Ky. Credentialed Trainers and then entered into TRIS. The date of completion noted on the plan of correction was 9/16/16. However, a review of the Training Records Information System (TRIS) found that the facility failed to complete training hours by this deadline. The surveyor found the following: the director completed a 1.5 hour training (Pediatric Abusive Head Trauma for Child Care Providers) on 9/27/16 and the staff person in charge completed a 1.5 hour training (Pediatric Abusive Head Trauma for Child Care Providers) on 9/24/16 and a 1.00 hour training (Color Me Healthy) on 9/28/16. There is no documentation that the Director and Staff person in charge completed training on 9/6, 9/7, 9/8, 9/9, 9/12, 9/14, and 9/15. It is important to note that the Director and Staff person in charge have not completed the required fifteen (15) hours of training since 2011-2012 training year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 upon entry into the pre-school room at approximately 10:15 a.m., the surveyor observed a female infant in an Ingenuity Rock and Dream Sleeper bassinette with a bottle in her mouth. The infant had her eyes closed and was sucking on the bottle. The staff person in charge who was sitting at a desk next to the bassinette stated, "You caught me." The individual stated that the two (2) month old infant was her granddaughter. Propping a bottle in an infant's mouth is not an acceptable practice.

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 thermometer inside of the refrigerator located in the infant/ toddler classroom had a reading of forty-eight (48) degrees. The staff person in charge stated that she has noticed that sometimes the refrigerator door does not get closed all the way.

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 at approximately 10:48 a.m., the surveyor opened the refrigerator located in the infant/ toddler classroom and noted that there were no bottles for the two (2) month old child that was present in the classroom. The surveyor inquired about the child's bottles. The staff person stated that she would have to "make" more bottles for the child. The staff person got a can of formula from the child's diaper bag. The staff person would not be able to prepare the infant's bottle unless the parent has pre-measured the formula and the water.

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, a four (4) year old child present in the pre-school classroom started saying that he was hungry at approximately 11:20 a.m. The surveyor noted that the daily schedule that was posted had lunch time listed at 11:30 a.m. The child repeatedly said, "I'm hungry, I'm really hungry.” The staff person in charge told the child that she was sorry but she could not serve lunch until another staff person came into work. At approximately 11:30 a.m., the surveyor asked the infant/ toddler staff person what time lunch is typically served in her classroom. She stated, "We eat at 11:00 a.m." The surveyor asked if the toddler that was present had been served lunch. She replied, "No." It is important to note that upon arrival at 10:15 a.m., the surveyor found that lunch had already been delivered to the facility. The surveyor observed the insulated lunch container in the floor of school age classroom. At approximately 11:48 a.m., an additional staff person arrived and started to serve lunch. The toddler came over to the pre-school classroom at that point and also ate lunch. The facility opens at 6:30 a.m. and offers a morning snack. The time that morning snack is offered is not known. Furthermore, the surveyor could not determine what time the children typically arrive because the attendance sheets were not completed for that day and had not been completed for three (3) weeks prior. In short, based on observation the children were made to wait for lunch to be served. The four (4) year old child expressed numerous times that he was hungry from approximately 11:20 a.m. to 11:48 a.m. It could not be determined how long the children had gone between meals without eating.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person hired on 12/2/08 did not have documentation that an annual evaluation had been completed.

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, one (1) staff file (hire date: 3/11/16) did not contain proof of education.

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 file (hire date: 8/1/16) had TB skin documentation dated 2/26/14 which is no longer valid. A second staff file (hire date: 12/2/08) had TB skin documentation dated 7/8/12. There was no current documentation presented for review. A third staff file (hire date: 3/11/16) did not have any TB skin 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; based on the staff schedule presented for review, only one (1) person (staff person in charge) is certified in CPR and First Aid. The staff person in charge stated that she works 6:30 a.m. until 5:30 p.m. every day and does not leave the facility to even take a lunch break. However, based on interview it was found that the staff person in charge leaves the facility every day at approximately 2:45 p.m. to walk two (2) blocks to pick up the school age children from school. The staff person in charge stated that she gets back to the facility by 3:00 p.m. Therefore, there is nobody on duty and present with the children certified in CPR and First Aid from approximately 2:45 p.m. until 3:00 p.m. each day.

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 and the Training Records Information System (TRIS), two (2) staff (hire dates: 3/11/16 and 4/18/16) have not completed the required six (6) hour orientation training. Also, The staff person in charge (hire date: 12/2/08) only completed one (1) hour of training which was CCAP billing basics. It is important to note per file review and TRIS, this staff person has not completed any cabinet approved early care and education training since April 6, 2012. Furthermore, the Director (hire date: 12/2/08) has not completed any cabinet approved early care and education training since April 6, 2012. It is important to note that the staff person in charge nor the Director have completed the Pediatric Abusive Head Trauma 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, there were no blocks or multi-cultural materials observed in the infant/ toddler classroom. The daily planned program of activities did not include block or multi-cultural activites. The staff person in charge stated that there should have been some African American dolls in the classroom. The daily planned program of activities posted in the pre-school classroom was not current. The document that was posted was dated 8/15- 8/19.

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 upon entry into the pre-school room at approximately 10:15 a.m., the surveyor observed a female infant in an Ingenuity Rock and Dream Sleeper bassinette with a bottle in her mouth. The infant had her eyes closed and was sucking on the bottle. At approximately 10:48 a.m., the surveyor observed that the bottle was still in the bassinette near the infant's feet. At approximately 11:15 a.m., the surveyor observed a fleece blanket covering the infant up to her neck as she slept in the bassinette. The blanket was not tucked.

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 surveyor found that a safety latch attached to a drawer was not working properly in the pre-school classroom. The surveyor observed loose grocery bags inside of the drawer. Futhermore, a spray bottle that contained a blue colored liquid was observed on a countertop located in 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 4. Premises Requirements.

General: Based on Observation, the following was observed during the inspection: (1) The surveyor observed two (2) ceiling tiles located in the pre-school classroom that were stained with brown water residue. In addition, the surveyor observed three (3) ceiling tiles located in the girls' restroom that were stained with brown water residue. (2) In the gross motor room, the surveyor observed approximately sixteen (16) small holes and two (2) large holes (rectangle and square shaped) in the wall. The staff person in charge stated that the rectangle and square shaped holes in the wall were there when they moved into the building. She stated that they have not used the gross motor space in awhile. Furthermore, the purple paint on the walls was scuffed and chipped in several areas. (4) When entering the building through the back door of the facility. The surveyor observed a hole in the wall where the wall meets the floor next to the door. The dry wall was exposed and a material that appeared to be insulation was coming out of the hole and onto the floor. The staff person stated that she was aware of the damage to the wall.

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 diaper changing pad located in the infant/ toddler classroom was torn in several areas.

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 Review of Documentation, a child's file (enrollment date: 2/3/16) contained a medication form completed by the child's parent on 6/10/16 requesting that her child be administered medication at 11:00 a.m. Based on the documentation, the surveyor could not verify if the child received the medication because there was no staff signature on the form. Furthermore, the first and last name of the staff person administering the medication was not included on other medication forms. These forms only had the staff person's initials.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, upon entry into the pre-school classroom at approximately 10:15 a.m., the surveyor observed a toddler standing in a crib and an infant in an Ingenuity bassinette. The staff person in charge stated that the toddler had just awakened from a nap. The staff person in charge stated that she brought the children to the pre- school classroom while the infant/ toddler staff person took the pre-school children outside to play. At approximately 10:48 a.m., the surveyor noted that the infant and toddler were back in their designated classroom with the infant/ toddler staff person. The surveyor noted that the two (2) month old infant was still asleep in the bassinette. The surveyor observed four (4) cribs folded and stacked in the corner of the office area. At approximately 11:15 a.m., the two (2) month old infant was still sleeping in the bassinette. In short, there was not a designated crib for the infant. The regulations require that an infant sleep in a crib that meets 16 CFR 1219-1220.

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 in the pre-school classroom, the surveyor found that a plastic strip that outlines the edge of a shelving unit was not secured to the surface. At 10:20 a.m, the surveyor observed a male toddler pulling on the plastic piece and putting it in his mouth.

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, one (1) child's file out of ten (10) files reviewed only contained an immunization certificate. The child did not have any enrollment information on file. The staff person in charge could not locate the child's enrollment form during the inspection. Based on the immunization certificate, the child is a school age child. Her date of enrollment is not known.

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 Interview, it was revealed that the staff person in charge walks two (2) blocks to the public school to escort school age children from the school to the day care facility. The school age children are in the care of the day care once they are released from the public school. The surveyor asked if the staff person in charge had permission to escort the school age children from the school to the day care. She indicated that this information was on the children's enrollment forms. During file review, the surveyor found a blanket "field trip" permission statement on each child's enrollment form that reads, "I hereby give Angels in Training child care staff permission to take my children on walks as deemed appropriate by Angels in Training Staff and Management throughout enrollment." The parent handbook reads, "We do not participate in off-site field trips." Any trip off of the premises requires a permission slip that includes the specific time and location and signed by each child's parent. 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 Review of Documentation, the surveyor found that the facility has eighteen (18) children enrolled that participate in the child care assistance program. The surveyor noted that the daily attendance record required by the child care assistance program was on a clip board on a desk. The surveyor noted that the document already contained parent signatures but there were no times in and out documented beside each child's name. The document appeared to be a copy and not an original signed document. The surveyor asked to review the attendance records. The staff person in charge stated that she was behind on completing the attendance records and said that they have not been completed for the past three (3) weeks. The surveyor then noted that there was a daily attendance record on the desk that was dated 8/1/16-8/5/16. The surveyor found that the document only had times in and out documented through Wednesday 8/3/16. There were no parent signatures on this form.

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, the staff person in charge had a professional development plan on file that was dated 12/3/11. In addition, the Director had a professional development plan on file also dated 12/3/11. Staff professional development plans are required to be completed annually.

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 and interview, the surveyor found that the statement of deficiencies issued by the cabinet in regards to a complaint investigation done on 5/2/16 was not posted. The staff person in charge got the document out of the filing cabinet. The plan of correction addressing the deficiencies issued was not posted as well. Furthermore, a daily schedule was not posted in the infant/ toddler classroom. The staff person stated that she was working on a new schedule.

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 staff person was in a classroom with three (3) three and four (4) year old children who were sleeping. The windows were covered and the doors were closed making the room pitch black. The staff person was unable to see the children while they were sleeping. The staff person in charge stated that they would uncover the window to allow some light into the classroom. Staffing Requirements

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 Review of Documentation, a staff person hired 2/16/15 had a criminal records check and a child abuse and nelgect check dated 1/3/13. The staff person had left employment with the center and returned but new background checks were not completed. This staff person was working alone with a group of preschool children. She is scheduled alone with this group daily. A staff person hired 7/20/15 did not have the results of a criminal records check or a child abuse and neglect check on file or evidence the checks had been submitted. She was working alone with a group of infants and toddlers. Another staff person was in the room with her to help occasionally.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 2/16/15 had a criminal records check and a child abuse and nelgect check dated 1/3/13. The staff person had left employment with the center and returned but new background checks were not completed. This staff person was working alone with a group of preschool children. She is scheduled alone with this group daily. A staff person hired 7/20/15 did not have the results of a criminal records check or a child abuse and neglect check on file or evidence the checks had been submitted. She was working alone with a group of infants and toddlers. Another staff person was in the room with her to help occasionally. A staff person hired 3/11/15 had a criminal records check dated 5/5/15 and a child abuse and neglect check dated 5/7/15. There was no evidence that the checks were submitted within the required time frame.

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, a staff person hired 7/20/15 did not have evidence on file of meeting the education requirement.

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 did not have current evidence of being free of TB. Their hire dates were 2/16/15 and 12/2/08. A staff person hired 3/11/15 had a TB skin test dated 4/30/15, not prior to employment.

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, a staff person hired 3/11/15 had no documentation of having completed orientation training. Also, two (2) staff, hire date for both was 12/2/08, did not have evidence of completing the required fifteen (15) hours of annual training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, in the preschool room there was a teacher's personal belonging stored in an unlocked drawer. The belongings included a pack of cigarettes. In the school age room the door leading to the laundry area did not lock and there was detergent labeled keep out of the reach of children stored on the washing machine.

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 boys' bathroom the covering over the ceiling light was missing the the light bulbs unshielded. The staff person in charge stated she did not know if the bulbs were shatter proof.

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 boys' bathroom there was an area where there were no tiles. It appeared as though the floor was in the process of being repaired and the tiles replaced.

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, in the school age room the door leading to the laundry area did not lock and there was a bottle of hydrogen peroxide stored on the washing machine. 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, none of the children's files reviewed had a preferred hospital listed. Also, a child enrolled on 6/8/15 did not have parent contact information on file. The child had siblings at the center but the parent contact information was not completed on her enrollment form.

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 emergency preparedness plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the staff schedule was written at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 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 3. Records.

General: Based on Review of Documentation, two (2) staff, hired 12/2/08, did not have professional development plans on file.

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, the consumer product safety information was not posted. 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 3. Records.

General: Based on Review of Documentation, it was found that ten (10) out of ten (10) children's files reviewed did not contain evidence of information regarding the parents' preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 16 Oct 14 AND AS OF 30 Oct 14, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 an infant was sleeping in a bouncy seat that had been placed in a crib. The manufacturer's specifications state that bouncy seats should never be used on an elevated surface and are for floor play only.

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 yet to update their emergency preparedness plan according to KRS 199.8982.

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 the files for two (2) eligible employees did not contain evidence of an annual professional development plan being completed.

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 facility did not produce evidence of a fire drill being conducted during August of 2014.

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 Observation, it was found that an infant was asleep in a bouncy seat that had been placed inside a crib. The facility did not have documentation from a doctor stating that the child was required to sleep in the bouncy seat.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for three (3) employees did not contain a date of employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for employees hired on 7-16-13 and 7-16-14 did not contain evidence of a high school diploma, GED or Commonwealth Childcare Credential. The staff person in charge stated that the employee hired on 7-16-14 had not yet completed her GED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 12-2-08 contained the results of a TB skin test that was read on 7-8-12. This is not within the two (2) year timeframe required by the regulation. It was also found that the file for an employee hired on 7-16-14 contained the results of a TB skin test that was read on 7 -23-14. This date is not prior to date of hire as required by the regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for two (2) employees hired on 12-2-08 did not contain evidence of fifteen (15) hours of cabinet-approved training being completed during the last completed training year. It was also found that the file for an employee hired on 7-16-13 did not contain evidence of nine (9) hours of additional training being completed during the first 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: 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 4. Premises Requirements.

General: Based on Observation, it was found that the paint on the wall by the block area in the preschool classroom was chipping, revealing the drywall beneath.

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, it was found that five (5) of the bucket seats in the preschool classroom and seven (7) of the bucket seats in the infant/toddler classroom were missing the safety straps.

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 2013 relicensure survey was not posted in the facility. It was also found that the information regarding the Kentucky Consumer Product Safety Program 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 Observation, it was found that a schedule of daily activities was not posted in any of the classrooms.

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 a six (6) month-old child was observed napping inside a bouncy seat that was placed inside a crib. According to the manufacturer, a bouncy seat is for active play and not for napping. Food Service

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 a six (6) month-old was napping inside a bouncy seat with a bottle propped up with a blanket and the bouncy seat was located inside a crib.

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 six (6) month-old was napping in a bouncy seat inside a crib with a propped bottle. After the staff member got the child out of the bouncy seat and took the propped bottle away she laid the infant down to sleep in the crib and placed the child to sleep on her stomach. There was no information in the infant's file in regards to an alternate sleep position required by a health professional. Equipment

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 walls in the entrance area located at the back of the facility had large areas of chipping and peeling paint. There were three (3) stained ceiling tiles in the girls' bathroom.

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 two (2) to five (5) year old room there were two (2) cans of spray disinfectant in a low unlocked cabinet. The label in the cans of spray disinfectant indicate to "Keep Out of the Reach of Children." The cans of spray disinfectant were accessible to the children.

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, there was one (1) staff person hired 5/16/13 who did not have the results of a criminal records check and child abuse and negelct check on file at the facility. There was no evidence on file to verfiy the application for both records check had been submitted. This same staff person was observed supervising a group of eight (8) children ages two (2) to five (5) years old alone.

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 hired 1/3/13 who did not have a copy of a high school diploma, GED or other qualifying documentation on file at the time of the visit.

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 hired 12/2/08 who did not have a current T.B. skin test or statement from a health professional indicating the individual is free from the symptoms of T.B. on file at the facility. There was an additional staff person hired 1/3/13 who had the results of a T.B. test read on 7/6/13. This was done after employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that from 4:30-5:30 p.m. Wednesday -Friday each week there is no one at the facility who is currently certified in adult/child and infant CPR/FA.

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, there was one (1) staff person hired 1/3/13 who did not have evidence of having completed six (6) hours of 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 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, a potty chair was observed sitting on the floor under the changing table in the two (2) to five (5) year old room. An interview with staff found that their is one (1) child in the room who is two (2) that has to use it sometimes. However, it was found that the potty chair is placed on the carpet in the classroom in an area where the child has some privacy.

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, it was found that the changing pad on the changing table in the two (2) to five (5) year old room had a tear down the middle. Also, at lunch time a loaf of bread and a container of orange slices were observed stting on the changing table in the two (2) to five (5) year old room. A portable laminator and a cloth storge container used to store a child's belongings was observed sitting on the changing table in the infant room upon arrival at the facility.

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, there was a red cabinet in the school age room that had large areas of chipping and peeling paint.

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, upon entry into the infant room an uncovered bottle of formula sitting on the counter was observed.

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, at the time of the visit lunch was observed being served. A loaf of bread and a container of oranges wedges were observed sitting on the changing table in the two (2) to five (5) year old room.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, at the time of the visit lunch was observed being served. A loaf of bread and a container of oranges wedges was observed sitting on the changing table in the two (2) to five (5) year old room. It was also that the staff person who was filling the children's plates set the plates on the counter beside the sink where the children were washing their hands. The plates were layed out and the staff person placed each item on the plates as they sat on the counter. There was another staff person helping the children wash their hands at the sink right beside the plates of food.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the facility serves an AM snack, lunch and a PM snack. There was not an AM snack menu posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant/Toddler: Based on Observation, : Upon arrival the surveyor toured the facility and found one (1) staff person caring for six (6) children (3 months - 1 year) in this classroom; therefore, staff-to-child ratios were not in compliance. The staff person in charge stated, "We are short a staff person because someone is on lunch break". Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on Observation, it was found that the facility erected several walls in the building located at 728 6th Avenue. The DRCC office and State Fire Marshal were not notified of this change prior to construction.

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 Review of Documentation, there was documentation for only one (1) staff meeting.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that the toilet paper in the girls' bathroom was being stored on the floor next to the toilet. The toilet paper holders were not being used.

Open Not marked corrected in the state record

Open / not marked corrected.

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

School Age: Based on Observation, it was found that a switch plate cover was missing from the light switch, exposing the wiring within. 2's: Based on Observation, it was found that one (1) electrical outlet on the wall by the washer and dryer was uncovered. Five (5) electrical outlets on the power strip by the washer were also uncovered. It was also found that the right side of a built in dishwasher was not covered, thus leaving the insulation exposed and accessible to the children. Infants & Toddlers: Based on Observation, it was found that an infant asleep in a crib was covered from head to toe with a fleece blanket. In addition, it was found that the crib sheets in two (2) of the cribs were very loose, posing a suffocation hazard. It was also found that two (2) of the cribs had nap mats in them for mattresses. One (1) mat was too short, leaving a gap of approximately five (5) inches between the mat and the end of the crib. The other mat was too long and was positioned along the headboard of the crib. Using mats in the cribs goes against the manufacturer's specifications which state that only a mattress made for the crib should be used. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: Preschool: Based on Observation, it was found that an unlocked cabinet that was accessible to the children contained Oxygen Power Spot Remover. This container bore the label "Keep Out of Reach of Children." 7) Personal belongings of staff Not In Compliance Findings: Preschool: Based on Observation, it was found that a Speedway cup of soda was on the counter and accessible to the children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 44 Web site: http://chfs.ky.gov/ Inspection Report 6) Bar soap In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 4) Land-line phone accessible In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Preschool: Based on Observation, it was found that the carpet was stained in several places. 2's: Based on Observation, it was found that the carpet was dirty and stained in several places. 3) Good repair Not In Compliance Findings: 2's: Based on Observation, it was found that one (1) of the switch plate covers was broken, creating sharp edges. It was also found that the baseboard was missing along the wall by the changing table. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 44 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 3) Stoves Not Applicable 7) Stairs Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

School Age: Based on Observation, it was found that a nap mat was torn, exposing the foam beneath. 2's: Based on Observation, it was found that all ten (10) of the nap mats were torn, exposing the foam beneath. Infants & Toddlers: Based on Observation, it was found that two (2) of the nap mats were torn, exposing the foam beneath. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 29 of 44 Web site: http://chfs.ky.gov/ Inspection Report 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 2) Good repair Not In Compliance Findings: Preschool: Based on Observation, it was found that the top drawer of a wooden dresser used to store dramatic play activities was in disrepair. The drawer was very loose and fell to the ground when pulled out. School Age: Based on Observation, it was found that a couch in the classroom was missing all of the cushions and was ripped in several places. Infants & Toddlers: Based on Observation, it was found that the cloth blocks were torn, exposing the foam beneath. In addition, the large red vinyl mat used for play was found to be torn and worn in several places. The fabric beneath was exposed and the mat can no longer be sanitized. 3) Free from peeling, flaking, chalking paint Not In Compliance Findings: 2's: Based on Observation, it was found that the paint on both sides of a grey shelf used for storing books and toys was chipped and peeling. The paint on a red cabinet used for dramatic play was also found to be chipped and peeling. 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, there was not a written staff schedule prior to the survey. The director wrote out a schedule during the exit conference. 104 - Earthquake/Tornado Drills 922 KAR 2:110 - Section 3 (9) A written record of quarterly, practiced earthquake and tornado drills detailing the date, time, and children who participated; 1) Earthquake - conducted quarterly In Compliance 2) Earthquake - includes date In Compliance 3) Earthquake - includes time In Compliance 4) Earthquake - includes children who participated In Compliance 5) Tornado - conducted quarterly In Compliance 6) Tornado - includes date In Compliance 7) Tornado - includes time In Compliance 8) Tornado - includes children who participated In Compliance 105 - Fire Drills 922 KAR 2:110 - Section 3 (10) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated; 1) Date In Compliance 2) Time In Compliance 3) Children In Compliance 4) Conducted monthly In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.