922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the sink in the girl's bathroom had drainage issues/slow drainage. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the first aid kit was missing scissors. Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation, one bed contained a crib sheet which was stained and loose fitting. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 09/23/20 and DOH: 08/19/96), did not have evidence of completing fifteen (15) hours of cabinet-approved training. A review of ECE-TRIS supports these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

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.) The Toddler room, contained a broken light fixture in the ceiling. 2.) The Nursery contained a broken light fixture in the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Three (3) children's files had immunization records that were not current. 2.) One (1) child enrolled longer than 30 days did not have an immunization record. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the children's jackets for the Toddler/Preschool room were hanging out of their cubbies and touching each other. This is not a proper method of storage as it promotes the spread of germs and bacteria. 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 8. General.

General: Based on observation, a copy of the updated regulations were not on file at the facility the day of inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, this regulation was not met. One staff hired on 9/23/20, did not complete the required Orientation training within three months or PAHT training within the first year of employment. 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 three small holes in the wall within the Infant room. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a tube of petroleum jelly on a shelf above the changing table that was not labeled with a child's name. It was not accessible to children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the thermometer in the freezer was registering around six degrees. A freezer should be at zero degrees or below in order to properly maintain frozen food. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, this regulation was not met. The following was found: 1.) Two children enrolled on 8/16/22, and 1/26/21, did not have immunization certificates on file at the facility. 2.) One child enrolled on 8/14/18, did not have an up to date immunization certificate on file at the facility. The certificate on file expired on 5/16/22. Written Documentation 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 2. Child Care Services.

General: Based on review of documentation, there was no evidence of an orientation policy for staff on file at the facility. 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 6. License Issuance.

General: Based on review of documentation, it was found that there was no documentation of a zoning certificate at the facility during the time of inspection.

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 review of documentation, it was found that there was no evidence of a fire marshal report at the facility during the time of inspection. Director Requirements 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 review of documentation, it was found that there was no evidence of staff meetings conducted at the facility during the last renewal year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) One staff person did not have a written date of hire in their personnel file at the facility. 2.) All five staff members did not have the results of the KARES background check on file showing that each staff is eligible for employment. The staff members were listed on the KARES report as cleared, but the facility did not have the written evidence in each of the staff member's file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that one staff member did not have proof of education on file at the facility. The date of hire for this staff member could not be determined as it was not written in the staff member's personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that two staff members did not have evidence of a negative TB screening on file that had been obtained within the last two years. The dates of hire for these staff are 08/27/2014 and 02/06/2017.

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.) It was found that four of the five staff members at the facility did not complete 15 hours of training from 07/01/2020 to 06/30/2021. The dates of hire for these staff members are 08/19/1996, 04/10/2014, 08/27/2014, and 02/06/2017. 2.) Two staff member hired on 08/27/2014 and 02/06/2017, completed PAHT training on 09/09/2015 and 11/06/2013. Both of these staff members have not renewed this training. A review of ECE-TRIS 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.) In the preschool classroom there was a hole in the wall between the mirror and the door to the indoor gross motor classroom. There was also areas of missing paint on the walls. In addition, there were stained floor tiles located by the block center. 2.) In the kitchen, there was an area of the baseboard that had fallen off the wall and was laying on the floor. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the indoor gross motor room, there was a large purple ball that was dirty and grimy. 2.) Also, in the indoor gross motor room, there was a vinyl covered floor mat that was ripped in certain areas, specifically around the edges. This left the foam padding exposed, due to this the mat was unable to be cleaned and properly sanitized. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, it was found that the food service permit posted at the facility was dated for 2016, therefore it is no longer current. It is important to note that the food is catered by the school system.

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, the following was found: 1.) There were four unlabeled bottles in the infant classroom. One of the bottles was sitting out on the countertop and the other three were in the refrigerator. 2.) In the infant room there was one uncovered bottle. This bottle was not in use while the surveyor was in the classroom. 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 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, it was found that one children's file did not contain a current immunization certificate. The certificate in the file expired on 10/31/2020.

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 one children's file did not contain authorization for emergency care. 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, it was found that one staff member did not have an updated professional development plan on file at the facility. The professional development plan on file was dated from 2019. The date of hire for this staff member is 08/27/2014.

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 interview and review of documentation, it was found that the writtren earthquake and tornado drills at the facility were labeled aas being completed at the same date and time each month. These drills cannot be completed at the same time. Upon speaking with the staff in charge it was found that there drills are completed in the same location of the building so they count the drills for both types. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two staff at the facility have not completed the required Pediatric Abusive Head Trauma training within the last five years. The dates of hire for these staff are 08/27/2014 and 02/06/2017. 2.) It was found that one staff member has not yet completed the required reopening after COVID-19 training. The date of hire for this staff is 08/27/2014. A review of ECE-TRIS confirmed these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, it was found that there was an unlocked closet in the indoor gross motor room. This closet contained numerous cleaning products such as hand sanitizer, disinfectant spray/wipes, and all purpose cleaner. There were also jumper cables in this closet.

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 preschool classroom, there was blue paint on the ceiling. 2.) In the infant classroom, there were brown stains on the ceiling. 3.) In the bathroom closet for the kitchen, there were two cracked ceiling tiles. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was found that there were numerous items of food laying on the floor of the kitchen area. This is not a proper method of storage for food. 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, it was found that three children did not have a current immunization certificate on file at the facility. 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, it was found that one staff person did not have an annual professional development plan on file at the facility. 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 review of documentation, it was found that there was no orientation policy on file at the facility at the time of the inspection. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that the handwashing procedure was not posted in the bathroom located in the infant classroom. It was found that the steps were located on the back of the toilet tank. Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 8/1/1990 did not have evidence of submitting fingerprints or background check through National Background check Portal. The staff was not present at the facility during the survey. A staff member hired 8/19/1996 verified that the staff in question is a current substitute. Review of KARES portal supports this finding.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, a staff member hired 8/1/1990 did not have evidence of submitting fingerprints or background check through National Background check Portal. There was no evidence that the staff member had signed the DCC-500 or the DCC-501. Review of KARES portal supports this finding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

General: Based on review of documentation, a staff member hired 8/1/1990 did not have evidence of submitting fingerprints or background check through National Background check Portal. Review of KARES portal supports this finding. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the last record of an inspection from a Fire Marshal was 7/31/15. This record is not recent enough to ensure on-going compliance. Director Requirements 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 interview and review of documentation, there was no written documentation of staff meetings conducted in 2019.

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 review of documentation, a staff member hired 8/1/1990 did not have a current evaluation on file. The last evaluation for this staff member was conducted 5/31/18.

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 and review of documentation, 1.) A toilet brush was located above the urinal in the boy’s restroom. 2.) There was an uncovered outlet located behind a rocker in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no documentation of any family involvement activities for 2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, 1.) An employee hired 8/27/14 had evidence of only fourteen (14) out of fifteen (15) hours of cabinet-approved early care and education training for the 2018-2019 year of employment. 2.) An employee hired 2/6/17 only had pediatric Head Trauma training that occurred more than five (5) years ago. The training record evidenced on ECE-TRIS was dated 11/6/2013. 3.) An employee hired 4/10/2014 had evidence of only twelve (12) out of fifteen (15) hours of cabinet-approved early care and education training for the 2018-2019 year of employment. 4.) An employee hired 8/19/1996 had evidence of fourteen (14) out of fifteen (15) hours of cabinet-approved early care and education training for the 2018-2019 year of employment. 5.) An employee hired 8/1/1990 had no evidence of completing any cabinet approved training hours for the 2018-2019 year of employment. Additionally, this staff member had a Pediatric Head Trauma training that occurred more than five (5) years ago. Training documented on ECE-TRIS was dated 4/18/2012. 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 review of documentation, the daily planned programming reviewed in the infant classroom and in the Two (2) to Five (5) classroom was not dated. Surveyor observed the classroom during gross motor play and was unable to determine whether the lesson plan was being followed. 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 was a fluorescent light cover that was cracked in the two (2) to five (5) year old room. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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, 1.) Several hula-hoops located in the indoor gross motor area were bent and not in good repair. 2.) The blue vinyl couch located in the infant room had a tear on the front preventing the equipment from being properly sanitized. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was one (1) unlabeled bottle in the infant fridge and three (3) unlabeled breast milk packets located in the infant freezer. 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, a child enrolled 1/23/19 did not have a record of current immunizations on file. The immunization record reviewed expired 5/14/19.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 3/5/19 did not have authorization by the parent for the provider to seek emergency medical treatment for the child in the parent’s absence. The child's file also did not contain a physician’s contact number. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 8/27/14 did not have a current professional development plan on file. The plan reviewed was dated 8/9/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the fire, earthquake, and tornado drills were documented with the same time. These drills require different actions; therefore, drills should be listed as being practiced at separate times. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that staff persons hired 08/27/2014 and 02/06/2017 had evidence of only fourteen (14) hours of annual training on file for the last full year of employment. It was determined a staff person hired 08/19/1996 had evidence of only nine (9) hours of annual training on file for the last full year of employment. It was determined a staff person hired 04/10/2014 had evidence of only eight (8) hours of annual training on file for the last full year of employment. A review of ECE- TRIS records supports the information found during the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a spray bottle labeled bleach and a spray bottle labeled soap were sitting in the sink being used by children for handwashing. The surveyor observed children washing their hands in the sink with the bottles easily accessible to them during the process. The surveyor observed both bottles to contain a clear liquid and were within reach of children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor found that there was not an indicating thermometer inside of the freezer located in the kitchen area. The freezer contained food items (chicken nuggets and Eggo Waffles). Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found an employee's file contained a child abuse/ neglect check (CA/N) that was signed and dated by the employee on 1/25/17 but it did not have any results noted at the bottom of the document. The director stated that the employee was hired through the school system last year as a substitute and then she started working at the day care part-time on 8/11/17. She stated that when she went to retrieve the employee's personnel file from the school; she found that the CA/N check was never requested. She stated that she has since requested the CA/N check again but she did not keep a copy of when she requested the document. It is important to note that this employee was working alone with three (3) pre-school children on the day of the inspection. She took three (3) children to the football field and then brought them back to the day care at approximately 11:30 a.m. The director stated that the employee has been working alone with the pre-school children all this week. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found an employee's file contained a child abuse/ neglect check (CA/N) that was signed and dated by the employee on 1/25/17 but it did not have any results noted at the bottom of the document. The director stated that the employee was hired through the school system last year as a substitute and then she started working at the day care part-time on 8/11/17. She stated that when she went to retrieve the employee's personnel file from the school; she found that the CA/N check was never requested. She stated that she has since requested the CA/N check again but she did not keep a copy of when she requested the document. It is important to note that this employee was working alone with three (3) pre-school children on the day of the inspection. She took three (3) children to the football field and then brought them back to the day care at approximately 11:30 a.m. The director stated that the employee has been working alone with the pre-school children all this week.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, an employee hired on 8/1/1990 had TB skin documentation on file that was no longer valid as of 10/1/14. The director stated that this individual has been on medical leave. A second employee hired on 7/28/2010 had TB skin documentation on file that was no longer valid as of 9/2/17. The director stated that she had already made the employee aware that she needed a new TB skin test.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and ECE-TRIS, one (1) employee hired on 8/1/1990 did not complete the required fifteen (15) hours of early care and education training and has not renewed the Pediatric Head Trauma Training. A second employee hired on 8/22/2014 only completed fourteen (14) hours of early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable Food Service 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 8. Kitchen Requirements.

General: Based on Observation, the surveyor noted that the refrigerator located in the infant classroom contained an indicating thermometer; however, the thermometer was in disrepair. Therefore, the surveyor could not determine the temperature of the refrigerator. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the surveyor found the following: (1) A child enrolled on 8/12/16 had an immunization certificate on file that was no longer valid as of 6/7/17. (2) A child enrolled on 8/12/13 had an immunization certificate on file that was no longer valid as of 5/27/16. (3) A child enrolled on 8/13/16 had a document on file that listed the immunizations and the date that he received them. Based on this document, the surveyor could not verify if the child was up-to-date on immunizations. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the surveyor found that the civil monetary penalty notice issued 8/2016 was not posted and had not been posted during the licensure year. The director stated that she was unaware of the document and that it was probably at the school office. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that three (3) staff had CPR and first aid cards on file that had a date of expiration listed as 8/7/16. A further review of records found there was no one on site at the time of the survey who is currently certified in infant, child and adult CPR/first aid training. An interview with the staff person in charge found she was aware that the CPR/first aid training was no longer current. The staff person in charge stated that school started back on 8/12/16 and she has not been able to schedule a training. This means there has not been anyone at the facility during all hours of operation who is currently certified in CPR/FA since 8/12/16.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and a review of ECE- Tris records, it was found that a staff person hired 8/1/90 and is used as a substitute had not completed fifteen (15) hours of cabinet approved training for the 2015-2016 training year. It was also found that this substitute's last T.B. skin test was read on 10/3/12. This exceedes the two (2) year time-frame for a T.B. test. An interview with the staff person in charge found that this substitute has been on medical leave for approximately two (2) years. However, there was not a break in employment. There was an additional staff person listed as a substitute with a hire date of 8/27/14 who only had evidence of having completed fourteen (14) hours of training for the 2015 - 2016 training year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and ECE-Tris records, there was one (1) staff person with a hire date of 4/10/14 who only had evidence of having completed eight (8) hours of training for the 2015-2016 training year.

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, during a tour of the room used for indoor gross motor activities there was a crack in the ceiling along with water stains. The crack had been repaired but the area had cracked again.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, during a tour of the room used for indoor gross motor activities there was a crack in the ceiling along with water stains. The crack had been repaired but the area had cracked again.

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 an unlocked cabinet in the unlocked office there was a clear plastic bag that contained a tube of Desitin diaper ointment, a bottle of Walgreen Children's pain reliever, a bottle of adult Family Dollar pain reliever and a bottle of infant Tylenol. Only one (1) of these medications, the bottle of Walgreen Children's pain reliever, was labeled for an individual child. All of the other items were not labeled. Outdoor Play Area 675 - Fence Requirement Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (a) Except for an after-school child-care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children; 680 - 60 Square Feet Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (b) A minimum of sixty (60) square feet per child, separate from and in addition to the thirty-five (35) square feet minimum pursuant to subsection (6) of this section; 685 - Playground Clean Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (c) Free from: 1. Litter; 2. Glass; 3. Rubbish; and 4. Flammable materials; 690 - Playground Conditions Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (d) Safe from foreseeable hazard; (e) Well drained; (f) Well maintained; (g) In good repair; and (h) Visible to staff at all times. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment. 700 - Fences Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (23) Fences shall be: (a) Constructed of safe material; (b) Stable; and (c) In good condition. 705 - Infant/Toddler Outdoor Space Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (4) If a child-care center provides an outdoor play area for an infant or toddler, the outdoor area shall be: (a) Shaded; and (b) A separate area or scheduled at a different time than an older child. Equipment

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 Observation, at the time of the visit there were eight (8) children in attendance. A review of records found that only seven (7) of the children had a documented time of arrival. During an interview with the staff person in charge it was indicated that she would talk to the parents about documenting the time their child arrives.

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, there was no documentation to verify that a fire drill was conducted for October 2015 that including the date, time and names of children who participated.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation to verify that a fire drill was conducted for October 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member with a hire date of 8/10/11 did not have a completed annual evaluation in their file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) employee with a hire date of 8/27/14 whose file did not contain evidence of submission for their Criminal Records Check. Additionally, this same employee had a CAN check that was submitted on 9/22/14, which is outside of the specified time range from date of hire.

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) employee with a hire date of 8/27/14 that did not have proof of education in their 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, there were two (2) employees who had no proof of current TB testing in their files.

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) employee who had not completed their orientation within the ninety (90) day specified time frame from date of hire. Also, there was another employee with a hire date of 10/18/14, who had not completed their orientation. Additionally, there was an employee with a hire date of 8/10/11 who had not completed the required fifteen (15) hours of annual training for their past 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 8. Kitchen Requirements.

General: Based on Observation, there was no thermometer in the freezer, therefore proper temperature could not be determined.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was not a current immunization certificate in the file for one (1) of ten (10) children's records that were reviewed.

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, there was no parent authorization for the facility to seek emergency medical care for one (1) of the children's files that was reviewed. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation indicating that this year's 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Observation, it was found that the statment of deficiencies from last year's inspection was not posted in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that food allergy information was posted in the infant/toddler classroom. The facility did not have written permission from the parents to post this information. 130 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110. Section 2. General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Not Applicable 922 KAR 2:110. Section 2. General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

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, it was found that the facility did not have a current copy of the regulations available for the staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that four (4) children were having a snack while seated in high chairs. None of the children were secured with the safety straps as recommended by the manufacturer. In addition, it was found that the children in the infant/toddler classroom had their hands and faces wiped with a washcloth after eating snack. Each child had their own individual washcloth. After wiping their hands and faces, the teacher used the same washclothes to wipe off the children's highchair trays. The washclothes were then rinsed out and placed over the backs of the highchairs. The teacher stated that each child used the same washcloth throughout the day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 4-10-14 did not contain evidence of submission for or a completed central registry check. This staff person was not observed to be left alone with the children. It was also found that a volunteer who serves lunch to the children and assists with handwashing did not have evidence of submission for or a completed criminal records check or central registry check on file. This volunteer was not observed to be left alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that the facility had only 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 the file for an employee hired on 4-10-14 did not contain evidence of the six (6) hour cabinet-approved orientation training being completed. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that after eating snack, the children in the infant/toddler classroom had their hands and faces wiped off with a washcloth. The children did not have their hands washed with liquid soap and warm running water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that the mouth contact toys in the infant/toddler classroom were sprayed daily with a bleach water solution and wiped with a rag. On Fridays, the toys are placed in a bucket of bleach water. This procedure does not meet the requirements of the regulation. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the facility is washing dishes and reusing them in the classrooms. The facility does not have a food service permit which would be needed in order to conduct this activity.

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, it was found that the children were eating cupcakes to celebrate a child's birthday. The staff reported that the cupcakes were made by the child's mother and not purchased from an established commercial food store.

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, it was found that the one (1) year old children were being served 1% or fat free milk. Whole milk was not available in 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 Review of Documentation, it was found that the files for three (3) children did not contain evidence of a current immunization certificate. The file for one (1) child contained an immunization certificate that did not have an expiration date, therefore, it could not be determined whether or not the child's immunizations were current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility has yet to update and distribute their emergency preparedness plan according to KRS 199.8982.

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 there was no written evidence of fire drills being conducted during the months of December 2013, February 2014 and April 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 2. General.

General: Based on Observation, it was found that the facility did not have the ratios posted. It was also found that a daily schedule was not posted in the infant/toddler classroom.

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 infant/toddler classroom.

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, staff person hired 8/10/11 did not have evidence of an annual evaluation on file in the facility.

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, staff person hired 7/28/10 did not have evidence of current negative T.B. results on file in the facility. The results on file were dated 9/18/10.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, 1. Staff person hired 7/1/12 did not have evidence of completing the required orientation training in the first three (3) months of employment. 2. Three (3) out of six (6) staff files reviewed did not contain evidence of fifteen (15) hours of annual training. All three (3) staff had been employed for more than one (1) year. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the changing pad in the Infant/Toddler classroom was torn on the corner leaving exposed foam.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there was no evidence presented at the time of the survey that two (2) of the cribs in the Infant classroom used by the children for sleep met the revised Federal Safety Guideline outlined in CPSC 16CFR 1220.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was one (1) bottle of formula in the refrigerator in the Infant/Toddler classroom that was not labeled with a child's name.

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 file for a child enrolled 4/30/13 contained an immunization certificate that did not have an expiration date listed on the form. It could not be determined if the certificate was current. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, none of the children's file presented for review included the preferred hospital for the child as requested by the parent. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff persons (hired 7/1/12 and 8/10/11) did not have evidence of a professional development plan on file in the facility. 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

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, two (2) staff had TB skin test that were current until 7/28/12. There was one (1) new staff, hired 7/1/12, who did not have documentation of a TB skin test on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, a staff person hired 7/28/10 had only ten (10) hours of training for her current training year. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

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 7/1/12 did not have evidence that she met the education requirement on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the children's files did not contain forms giving parent permission for trips off the premises. The staff person in charge stated that the football field is sometimes used for outdoor play. The football field is not part of the facility's licensed space. Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.