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

General: Based on interview and review of documentation, the child care center did not have a State Fire Marshal inspection report on file for review.

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 and interview, there was documentation of one (1) staff meeting being conducted in 2024.

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, the following was found: 1) A staff member (DOH: 08/01/24) did not complete orientation training within the first three (3) months of employment. 2) A staff member (DOH: 05/03/22) completed thirteen and a half (13.5) of the required fifteen (15) hours of early care and education training during the subsequent year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, toilet paper was on the floor in the girls' restroom located across from the cafeteria.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the hot water temperature registered eighty-five (85) degrees Fahrenheit at three (3) sinks in the girls' restroom located across from the cafeteria, at three (3) sinks in the boys' restroom located across from cafeteria, at three (3) sinks in girls' restroom located across from room 202, and at three (3) sinks in boys' restroom located across from room 202.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, black mesh weed block was raised above the protective surface in several areas and presented a tripping hazard in the outdoor play area.

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 interview and review of documentation, the following was found: 1) A staff member (DOH 08/11/22) had a written annual plan for child-care staff professional development that was not dated. 2) A staff member (DOH 09/10/18) did not have a written annual plan for child-care staff professional development on file for review. 3) A staff member (DOH: 05/03/22) last written annual plan for child-care staff professional development on file was dated 10/19/22.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the following was found: 1) A staff member (DOH: 8/2/23) did not have a TB skin test on file. 2) A staff member (DOH: 5/12/22) TB skin test was dated 3/16/22.

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 and interview, a staff member (DOH: 5/12/22) was not CPR/first aid trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 review of documentation and interview, the following was found: 1) A staff member (DOH: 5/12/22) completed eleven (11) hours of training between July 1 and the following June 30 of the subsequent year of employment. 2) A staff member (DOH: 9/10/18) completed one and a half (1 12)) hours of Pediatric Abusive Head Trauma training on 11/8/18 and did not complete the training again within five (5) years. 3) A staff member (DOH: 5/12/22) completed one and a half (1 1/2) hours of Pediatric Abusive Head Trauma training on11/8/18 and did not complete the training again within five (5) years. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not Applicable 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, three (3) staff members (DOH: 10/3/16, 9/10/18, and 8/11/22) did not have a written plan for professional development. 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, a staff member with hire date of 8/11/2022 in supervisory power over minors, did not have high school diploma, GED, or Commonwealth Child Care Credentials on file at the time of review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with hire date of 9/6/2018 did not have fifteen hours of cabinet- approved early care and education training completed at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service 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 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 observation, there was no written schedule of staff working hours posted or on file at the time of the review. Posted Documentation In Compliance Animals 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 and interview, there were twenty-nine (29) children present with one (1) staff from 02:15 pm to 02:45 pm. Interview with the staff revealed the youngest age child was five-years-old. A second staff member arrived at 02:45 pm. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 6. License Issuance.

General: Based on interview and review of documentation, the staff in charge did not provide verification that a fire marshal report had been maintained for review. 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, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year.

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 interview and review of documentation, the staff in charge did not present verification that the employees with the hire dates of 10/20/2016,09/06/2018 and 11/06/2018 had an evaluation assessing the employee’s interaction with children in care and classroom performance . 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 interview and review of documentation the staff in charge did not present verification that the record for an employee with the hire date of 11/16/2018 had been maintained to include a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record for the employees with the hire dates of 09/06/2018 and 10/25/2018 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the records of the following employees with the hire dates of 10/20/2016,09/06/2018,10/25/2018 and 11/16/2018 had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during the last year of employment. Continued review revealed the employee with the hire date of 11/16/2018 had not updated their Pediatric Head Trauma Training Review of documentation in the ECE- TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the children were served chocolate milk during snack. In regulations only non-flavored milk is allowed to be served. 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 interview and review of documentation, the staff in charge did not present verification that a snack menu had been updated to reflect the current week or month. 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 interview and review of documentation, the staff in charge did not present verification that a child with the enrollment date of 08/12/2021 had a current immunization certificate. 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 interview and review of documentation, the staff in charge did not provide verification that the center had documented the names of the children who had participated in the fire and disaster drills for the months of March and April 2022. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the center had maintained written documentation that the center had been approved by the Office of the State Fire Marshal or designee.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center maintained a current copy of liability insurance coverage. The document presented expired in July of 2020. 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 and review of documentation, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last 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 interview and review of documentation, the staff in charge did not provide verification that the employee with a hire date of 01/25/2021 had a personnel file to include: Name, address, date of birth, and date of employment, proof of educational qualifications, child abuse and neglect check, criminal records check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record for the employee with the hire date of 01/25/2021 contained a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

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, interview and review of documentation. On 02/23/2021, observation revealed there were three (3) staff members present. The staff in charge did not provide verification verifying that at least one (1) staff member was certified in CPR and First-Aid. 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 2. Child Care Services.

General: Based on interview and review of documentation, the staff in charge not present for review that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child served in School Age classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises In Compliance 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

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the snack menu had been updated to reflect the current week. 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 interview and review of documentation, the staff in charge did not present verification that the child care center had maintained enrollment records to include a name of a physician for the four (4) children enrolled on 08/26/2020. Continued review revealed a preferred hospital was not listed for three (3) of the children, who were enrolled on 08/26/2020. 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 interview and review of documentation, the staff in charge did not provide verification that the child care center had maintained a current staff schedule. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, interview and review of documentation, as established in 922 KAR 2:410e, the background section requirements, the staff in charge did not provide verification that the background check CAN (Child Abuse Registry) and CRC (Criminal Record Check) had been submitted for the employee with the hire date of 01/25/2021. The employee was not observed working.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that at least one (1) staff member employed was on duty that was certified in CPR and First-Aid. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the employee with the hire date of 07/17/2019 had completed orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Upon request, the staff in charge did not present verification that the first aid supplies included a CPR mouthpiece protector. 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

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation revealed a staff member standing at the cafeteria door to supervise a child going to the restroom while also supervising the remainder of the children in her group who remained in the cafeteria; however, when the staff member who had been standing in the doorway alternated positions with another staff member, the staff member was not informed as to who or how many children were in the restroom and expected to return back to the cafeteria. As the surveyor was leaving the center at approximately 4:30 P.M., two (2) female children who had been observed in the cafeteria as enrolled children, were observed in the bathroom. As the surveyor turned around to notify a staff member about the female children, a male child was at the water fountain and returned to the group in the gym. The male child was observed passing a custodial closet containing multiple container of cleaning products, and was also in close proximity to an exit door located within feet of where the child was observed. Staff members in both the gym and the cafeteria were unaware the children had left their designated area. The amount of time the children were unsupervised is unknown. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, and observation, the child care center failed to maintain staffing ratios in accordance with regulatory requirements. Upon entering into the gym, the staff in charge was asked how many children were in her care "at that moment". The staff in charge replied 51 children. An additional staff member stated "all" of the children were in her care; however, she was unsure how many children were in the gym at that time. The staff in charge was asked multiple times how many children were in care to which each time she replied 51. The maximum group size for a mixed age group with the youngest child aged 4 years is 28. Observation revealed 43 children were in attendance "at that moment". 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 6. License Issuance.

General: Based on review of documentation, the child care center failed to comply with regulatory requirements. A review of documentation failed to reveal a current liability insurance policy that was effective 12/11/18. The documentation presented had expired in 07/2018. An interview with the staff in charge revealed the documentation was not available 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 2. Child Care Services.

General: Based on observation, and interview. the child care center failed to assure compliance with regulatory requirements. Observation revealed 43 children in the gym. Interview with the staff in charge and an additional staff revealed they were responsible for "all of the children" until the children were divided into groups. The children were not separated into groups for approximately 15-20 minutes. 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, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal evidence that a staff meeting had been conducted, managed and documented in writing. The documentation was not presented after multiple requests. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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, and interview, the child care center director failed to assure compliance with regulatory requirements. Upon entering into the program, the staff in charge stated there were 51 children in care. Multiple times the staff in charge was asked how many children to which she rerpeatedly stated 51. The surveyor requested the staff in charge to gather the children to get an accurate account. Due to the lack of authority, and chaos observed, the approximate time it took to gather the children for an accurate count was 15-20 minutes. The children failed to follow the directives given and were running and ignoring the authority of the staff. Observation revealed little to no control creating an unsafe environment for the 43 children who were in attendance at the time. Also when returning from the playground approximately 30 yards away, into the cafeteria, there was not a count taken to assure all children had remained in the group and returned to the cafeteria from each separate group of children. Additionally, a person entered the program to pick up a child. A staff member instructed another staff member to check the ID as she did not recognize the person. The staff member reviewed the person's ID, but failed to review the file to verify the person was a listed pick-up person. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain the employee records in accordance with regulatory requirements. A review of documentation revealed a staff member with a hire date of 12/15/14 failed to have negative results of a tuberculin test or a written statement from a health professional staing the individual is free of tuberculosis. Interview with the staff member indicated the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation revealed that a staff member with a hire date of 10/05/15 failed to have documentation verifying 15 hours of cabinet approved training had been completed for the current year. A review of ECE-TRIS records failed to reveal the training hours also. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed an unsupervised child in the hallway having access to a custodial closet with an open door containing a multitude of cleaning products, which were accessible to the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Observation revealed children were allowed to use the restroom when requested; however, not all of the children went to the restroom. The children who did go to the restroom were observed entering back into the program without washing their hands prior to or following, eating a snack. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Of ten children's files which were reviewed, 9 of the files failed to contain a current immunization certificate. Two (2) children's files failed to contain information to enable a person in charge to contact the child's physician. 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 review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a current evacuation plan in the event of a fire, natural disaster or other threatening situation which may pose a health or safety hazard for a child. The plan submitted was dated 9/19/14.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of files failed to reveal written policies regarding staff policies, an organizational chart, and other procedures necessary to ensure implementation of KRS 199.898, 922 KAR2:120 and 922 KAR 2:280. Additionally, three (3) chain of command documentations reviewed failed to be consistent with the information listed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

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 child care center failed to maintain written documentation in accordance with regulatory requirements. The daily attendance records were incomplete as the staff in charge was not able to determine the number of children in care when referring to her attendance record. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and observation, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed that the program's staffing ratios are listed as 1 staff member for 12 kids. Observation of the cafeteria revealed one staff member working alone with 15 kids from 3:31pm- 3:40pm. Therefore, the center's policies were not implemented.

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, interview and observation, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 12/4/17 that did not contain a criminal record check. Upon request, the staff in charge did not present a criminal record check for the aforementioned staff member at the time of the survey. Observation of the cafeteria revealed the staff member working alone with 15 children ranging in age from 5-6 years of age from 3:31pm-3:40pm. 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, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 12/4/17 that did not contain a criminal record check. Upon request, the staff in charge did not present a criminal record check for the aforementioned staff member at the time of the survey. Observation of the cafeteria revealed the staff member working alone with 15 children ranging in age from 5-6 years of age from 3:31pm-3:40pm.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 12/4/17 that did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the staff in charge did not present educational documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 9. Food and Meal Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The menu posted on 1/11/18 was no longer current as it was dated 8/1-8/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed a child’s file with enrollment date 1/5/17 did not contain the name of the family physician. Upon request, the staff in charge did not present the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 4/24/16, had an immunization certificate dated 11/21/16. Also, a child enrolled on 7/24/16, had no immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired 8/17/15, did not have an annual written performance evaluation on file. Employee Records Not In Compliance

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, two (2) staff hired 4/28/16 and 1/4/17, did not have education verification 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, a staff hired 8/24/92, TB documentation was dated 3/17/14. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired 4/28/16, had not completed orientation training. Also, staff hired 10/5/15, completed orientation training on 1/9/16, which was not within the first three (3) months 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 3. General Requirements.

General: Based on Observation, a bottle of Clean on the Go Tribase was on a desk and accessible to the school age children in care in the cafeteria. The bottle stated "To Keep Out of the 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, a light fixture was not covered above the three (3) sinks in the boys' restroom across from the cafeteria. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, weed block was raised above the rubber mulch in several areas near the rock climbing wall and slide in the outdoor play area. Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a child enrolled on 4/24/16, did not have contact information for the physician listed and no preferred hospital. 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, the center's written evacuation plan was last reviewed on 10/26/15. Documentation indicated the plan would be reviewed by August 30th of each year,

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, staff hired 8/17/15 and 4/28/16, 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, staff members with hire dates of 10/18/13 and 08/01/13, failed to have written documentation of an annual staff evaluation located in the file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center director failed to assure compliance with regulatory requirements. Based on a review of staff records, a staff member with a hire date of 09/30/15 failed to have completed CRC results contained in the file. Based on observation, the staff member was observed supervising school-aged children alone when the other staff member was observed taking a group of children to the restroom.

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, and observation, the child care center failed to maintain emloyee records in accordance with regulatory requirements. Based on a review of employee records, staff members with hire date of: 08/17/15 and 09/30/15 failed to have documentation contained in the file revealing a completed CRC. Based on observation, staff member with a hire date of 09/30/15 was observed alone, with children under his supervision.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of all staff files, staff members with hire dates of : 08/17/15, and 09/30/15, failed to have documentation contained in the file verifying a high school diplomas, GED, or other qualifying comparable education entity, or a Commonwealth Child Care Credential, and was hired after 01/01/09. Based on an interview with the staff in charge, the documents were at the central office, but copies had not been sent the the site.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records according to regulatory requirements. Based on a a review of staff files, employees with hire dates of: 03/12/12, and 07/30/13 failed to have documentation of negative tuberculin test results, or a statement from a health care profession stating the individual is free of tuberculosis. Based on interview with staff in charge, she was unaware that the results were no longer acceptable.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of files a staff member with a hire date of 08/24/1992, failed to have documention revealing 15 hours of cabinet approved training. Based on continued review, a staff member with a hire date of 09/30/15 failed to have documentation showing completion of six hours of cabinet approved training completed within the first three months of employment. Based on interview with staff in charge, the documentation had not been sent from the central office to verify completed hours of training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of ten children's files, children with enrollment date of 08/17/15, and 11/16/15, failed to have current immunization certificates contained in the file. Based on interview with staff in charge, she was unaware the certificates were expired. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of ten children's files, a child with an enrollment date of 04/16/15 failed to have information enabling a person in charge to contact the child's physician. Based on interview with the staff in charge, she was unaware that the physician information was not complete.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, staff members with hire dates of: 10/18/13 and 08/01/13 failed to have written documentation of a profession development plan contained within the personnel file. Based on interview with staff in charge, revealed there were no professional development plans available for review on these aformentioned staff members.

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 determined the center failed to comply with regulatory requirements regarding director requirements, specifically regulation copy. The center director failed to provide documentation for review at time of survey, verifying staff are provided with a current copy of 922 KAR 2:110, 922 KAR 2:090, and 922 KAR 2:120.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically staff evaluations. The center failed to provide documentation for review at time of survey verifying a completed annual written performance evaluation for two (2) staff members. 265 - Health, Safety, Comfort Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (l) Provide for the health, safety, and comfort of each child;

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. The center failed to provide documentation for review at the time of survey verifying the completions of fifteen (15) hours of annual cabinet-approved early care and education training for two (2) staff members with the following hire dates: 8/24/92 and 11/3/12.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding first aid supplies. Observation revealed the center failed to include a cardiopulmonary resuscitation mouthpiece protector with the first aid supplies.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. The center failed to provide documentation for review at time of survey verifying a current immunization certificate within thirty (30) days of the child’s enrollment for one (1) child enrolled 4/18/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically professional development. The center failed to provide documentation for review at time of survey verifying a written annual plan for child-care staff professional development for each staff member.

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 determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. The center failed to provide documentation for review at time of survey, of practiced fire drills conducted at least monthly during the hours of operation. Review of the fire drills practiced revealed no fire drill was practiced for the months of October and November 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 3

General: Based on review of documentation of ten (10) children’s file, five (5) children all with the same enrollment date of 08/05/2012 did not have current immunization certificates on file. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 37 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation of a staff member's (date of hire 08/24/1992) personnel file revealed the absence of a current TB skin test on file. The person in charge stated during interview that she would address the issue. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II 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. 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 of a staff member's (hire date of 08/24/1992) personnel file revealed the absence of documentation of having completed the required fifteen (15) hours of annual training. The person in charge stated during interview she was unaware the required documentation was not present. 317 - Driver requirements 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 In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 Not In Compliance Findings: School Age Room: Based on observation in the cafeteria revealed children were given a blank sheet of paper, a pencil, and crayons and were told to draw and color a picture while other children were completing homework. Further observation revealed the absence of a posted list of daily activities for staff to follow. The staff person in charge acknowledged the finding and stated that she would address the issue. 2) Followed Not In Compliance Findings: School Age Room: Based on observation in the cafeteria revealed children were given a blank sheet of paper, a pencil, and crayons and were told to draw and color a picture. Further observation revealed the absence of a posted list of daily activities for staff to follow. The staff person in charge acknowledged the finding and stated she would address the issue.

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 of a staff member's (hire date of 08/24/1992) personnel file revealed the absence of an annual evaluation on file. The person in charge stated during interview she was unaware the required documentation was not present.

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 upon arrival at approximately 3:00 p.m. revealed twenty-seven (27) school age children with two (2) staff members outside on the outdoor play area. Further observation revealed twenty-four (24) backpacks and twelve (12) coats directly lying on the ground. The person in charge stated during interview she was unaware the children’s backpacks and coats were directly lying on the ground.

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 of a staff member's (date of hire 08/24/1992) personnel file revealed the absence of a professional development plan. The person in charge stated during interview that she would address the issue. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.