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

General: Based on observation, interview and review of documentation, the center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed on 04/14/25 and determined a staff member (DOH:01/17/25) completed background checks on 01/21/25. Interview with director determined the staff member’s first day at the center was on 01/17/25. The staff member completed training and did not supervise children while at the center. Therefore, the staff member had not received the results of required background checks prior to first day of employment.

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, TB documentation presented for a staff member (DOH: 01/17/25) was dated 01/21/25, which was not prior to employment.

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, a staff member (DOH: 06/03/22) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. A review of ECT-TRIS verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, two (2) staff members' jackets were placed on an adult size chair in room #5. These items were accessible to 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 and interview, black fabric weed block was raised two (2) inches above the mulch and presented a tripping hazard throughout the big children's outdoor playground.

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 and interview, a white crib sheet was soiled and appeared to have circles of a wet white liquid in Room #8.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, rust was visible on the seat and backrest of a gray adult-size metal chair located on the big children's outdoor playground.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation and interview, nine (9), two-year-old children did not receive a serving of bread with the lunch meal served in classroom 2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview and review of documentation, the childcare center reported a staff member tripped while holding an 8-month-old child. The child hit their head on a desk and sustained an injury. Director Requirements In Compliance Employee Records 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 and interview, dead bugs were in six (6) light shields in the room six. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on interview and review of documentation, dark brown baseball sized stains were on two (2) ceiling tiles in room one

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, using a thermometer, the hot water temperature registered seventy (70) degrees Fahrenheit at the sink in room eight. Hygienic Practices In Compliance 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 interview and review of documentation, the following was found: 1). A child’s Auvi-Q 0.15mg epinephrine injection was not properly labeled to indicate to whom it belonged to in room three 2). A child’s Auvi-Q epinephrine injector USP 0.1mg auto injector was valid until 7/2/23 in room one. 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 13. Toys and Furnishings.

General: Based on observation and interview, the chain was broken and not attached to a swing on the school-age playground. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was no thermometer in the refrigerator where milk was stored in room six and room eight. 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 interview and review of documentation, staff member (DOH: 05/15/23) did not have education verification on file.

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 interview and review of documentation, two (2) staff members (DOH: 05/15/23 and 07/03/23) did not have first aid/CPR training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area 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 and interview, the black fabric weed block protruded above the pea gravel in several areas in the outdoor pre-k/school-age children's playground. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation and interview, nine (9) pre-k children were served barbecue ribs, macaroni-n-cheese, sliced oranges, bread and milk for lunch in the lunchroom. None of these children were offered a serving of a vegetable. 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 13. Reports.

General: Based on interview and review of documentation, a twenty-seven-month-old child sat on the floor and a caregiver extended her hands to the child for the child to stand up while in the transitional room on 1/5/23. The child held onto the caregiver’s hands, stood up, and then forced himself back down to the floor while the caregiver held the child's hands. A few minutes later the child cried, complained his right arm hurt, and the right arm became discolored. The child was taken for medical treatment, and it was determined the child had a nursemaid elbow on 1/5/23. In addition, interviews determined the same twenty-seven-month-old child fell from the steps at a sink in the transitional room on 10/20/22. A review of the center’s report of unusual occurrence indicated a staff noticed the child’s wrist was swollen and notified a parent. The child had an x-ray taken of his right arm on 10/20/22, and it was determined he had a broken right arm. A cast was placed on his right arm on 10/21/22. The center was made aware the child received medical care on 10/21/22. The center failed to notify the cabinet, within twenty-four hours from the time of discovery, that a child received medical care from injuries which occurred at the center on 1/5/23 and 10/21/22. 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

Open / not marked corrected.

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

General: Based on interview, a twenty-seven-month-old child sat on the floor and a caregiver extended her hands to the child for him to stand up in the transitional room on 1/5/23. The child held onto the caregiver’s hands, stood up, and then forced himself back down to the floor. A few minutes later, the child cried and complained his right arm hurt. Staff noticed the right arm became discolored. The child was taken for medical treatment, and it was determined the child had a nursemaid elbow on 1/5/23. Therefore, the child’s safety and comfort were compromised.

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 and interview, a caregiver supervised six (6) children in the transitional room on 2/23/23. The caregiver was named as an alleged perpetrator in a report accepted by the cabinet. Interview determined the center was made aware of the allegation report and the named perpetrator on 2/16/23, but the alleged perpetrator was not removed from direct contact with 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: Interview with multiple sources revealed on 12/05/2022 there were four (4) classrooms that did not have heat. The classrooms temperatures were measured between fifty- eight (58) degrees Fahrenheit to sixty (60) degrees Fahrenheit. Therefore, the four (4) classroom’s temperatures were not maintained between sixty-five (65) degrees Fahrenheit and eight-two (82) degrees Fahrenheit.

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, a caregiver hired 6/3/22, did not have TB documentation on file. 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 Not Applicable Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 and interview, four (4) caregivers hired 1/12/22, 2/23/22, 10/17/14 and 9/20/21, did not have a professional development plan on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the foyer area revealed five (5) children sitting on the floor looking at books. When children would get up to move around a staff member would keep redirecting them to sit back down. Observation of the front hallway revealed two (2) children who were not offered books or any activity sitting on the floor. When either of the two (2) children would get up he/she was directed to sit down by a staff member. The children were observed getting up and the staff redirecting them to sit back down for approximately twenty (20) minutes. Interview with a staff member revealed the ages of the children in the front hallway were two and three-years-old. Continued interview revealed children are required to sit in the foyer and hallway until their teacher arrives.

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: Review of documentation and multiple interviews revealed the child care center did not maintain staff-to-child ratios at the child care center on multiple occasions. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation 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 9. Records.

General: Upon request, a current staff schedule was not presented for review.

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: Interviews with multiple sources and review of documentation revealed the child care center did not maintain staff-to-child ratios on multiple days. In the afterschool classroom there were twenty (20) children with one (1) staff member. The youngest age child in the room was five-years-old. In the Pre-K classroom, there were fifteen (15) children with one (1) staff member. The youngest age child in the room was three-years-old. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 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 a staff member with the hire date of 11/30/2021 had written documentation from a health care professional that the individual was free from active TB. 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

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 staff members with hire dates of 11/12/2020; 8/3/2020; 9/14/2018; and 11/26/12 had completed the required fifteen (15) annual hours of cabinet approved early care and education training from June 2020 to July 2021. Review of presented staff files revealed an employee’s file with the hire date of 4/5/2021 that did not contain documentation that six (6) hours of cabinet-approved orientation training required within the first three (3) months of employment had been completed. Review of ECE-TRIS report could not verify the trainings had been completed. 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/Food Program 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 8. Kitchen Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in the infant room had a thermometer reading of fifty (50) degrees Fahrenheit at the time of the survey. Interview with the director confirmed the thermometer reading indicated the temperature was too high. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the child care staff in charge did not provide verification that the staff member with the hire date of 07/29/2019 had submitted the child care staff member's fingerprints at an authorized collection site for NBCP. The above-mentioned staff member was not observed working alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the staff in charge did not present verification that the record for the employee with the hire date of 09/22/2016 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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: The wall near the sink in the two-year-old classroom and the wall located behind the feeding table in the one-year-old classroom revealed small areas where the paint had chipped away; the paint flaked away when touched. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation revealed a child had used the restroom prior to lunch; before sitting down to the table for lunch the staff did not prompt or assist the child in handwashing procedures. 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: Observation, revealed six (6) toddlers sitting at a bucket seat table for lunch in the one-year-old classroom. Observation revealed the seats did not contain straps. Therefore the toddlers were not securely fastened in the seats. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The refrigerator unit located in the one-year-old classroom revealed no thermometer or other appropriate temperature-measuring device present. 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: Upon request, the staff in charge did not present verification that the record for the child enrolled on 04/01/2019 contained a current immunization record. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Upon request, the child care staff in charge did not present verification that the monthly fire drill had been conducted for March 2019. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General:Upon request, the staff in charge, did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the entire day that included the activities that are individualized and developmentally appropriate for the infant and two-year-old classroom. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations for background checks. Review of presented staff files and the KARES surveyor report revealed that two (2) staff members with the hire dates of 10/15/2018 and 03/01/2019 were not found. Interview with the director revealed the request for a determination of clearance from the Kentucky National Background Check Program, (NBCP) has not be initiated. Interview with the director revealed the requested documentation was unavailable at the time of survey. It was observed that the staff member with the hire date of 10/15/2018 was the sole caregiver for seven (7) two-year-old children in the Two’s room on the date of survey. Further observation revealed the staff member with the hire date of 03/01/2019 was working alongside a qualified staff member in the infant room with eight (8) infants in the age range from four-months-old to nine-months-old on the date of survey. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation, the child care center failed to comply with regulations for staffing requirements. Observation in the infant room revealed a qualified staff member entered the room carrying an eleven-month-old child. The aforementioned staff member handed the eleven-month-old child to another staff member and then walked out of the infant room and proceeded to walk back down the hallway into the one’s room. Observation of the one’s room revealed seven (7) one-year-old children in the sole care of a staff member upon the aforementioned qualified staff member’s return, making the one’s classroom non-compliant for staff-to-child ratio, with one (1) staff member and seven (7) one-year-old children for a determined amount of time of two (2) minutes. General Administration In Compliance Director Requirements In Compliance 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for seven (7) staff members with the hire dates of 12/02/2014, 11/26/2012, 07/05/2016, 01/03/2012, 09/22/2016, 09/24/20085, and 10/17/2014. Interview with the director revealed this information was unavailable at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding the outdoor play area. The small playground revealed there was not enough protective surface under the swing or slide, evidenced by exposed ground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. Upon the surveyor's arrival in the infant room at 10:45am, three (3) infants of the age of four-months-old, seven-months-old and eight-months-old were observed sleeping in swings. Upon return in the infant room at 11:05am, the same three (3) infants were still asleep in swings. 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 interview and review of documentation, child care center failed to maintain children’s records in accordance with regulatory requirements. The records for two (2) children with the enrollment dates of 09/07/2018 and 09/07/2018 did not contain a preferred hospital. Interview with the director revealed the requested documentation was unavailable at the time or survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, child care center failed to maintain written records in accordance with regulatory requirements. Review of attendance records revealed one (1) child was signed in on 03/13/2019, but was not signed out on 03/13/2019. Continued review of attendance records on 03/14/2019 revealed this week’s attendance had been verified in advance for two (2) children on the DCC-94E form.

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 child care center failed to maintain written documentation in accordance with regulations. The center failed to present fire drill logs within the year for review at the time of survey. Interview with the director revealed the requested documentation was unavailable for the time of survey. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/29/2018 AND AS OF 01/07/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on the facts obtained in the complaint investigation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. The investigation disclosed that a student whose file contained information regarding an allergy to eggs was allowed to participate in an annual egg-toss contest. As a result of participating in the egg-toss contest, the student had an allergic reaction to being exposed to the content of the eggs, which required medical attention.

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 records in accordance with regulatory requirements. Children's enrollment forms included updated enrollment dates as well as original dates. Upon request the director did not present valid immunization documentation for child with the enrollment date 3/29/17. Further review of documentation, revealed a sports form stating it was only valid for one year from authorization date which was 3/9/17. Children's files with the enrollment dates 3/24/17, 4/14/17 and 3/27/17 all had expired immunization records. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interviews, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal the implementation of the center's policy regarding the Chronic Disruptive Behaviors. The policy states that children displaying chronic disruptive behavior that has been determined to be upsetting to the physical and emotional well-being of children or themselves may require the following actions: 1. Initial Consultation. 2. Second Consultation. 3. Suspension or Discharge. Further documentation and interviews reveal the chronic disruptive behavior including biting and scratching had continued for at least three (3) months in the One and Two year old rooms, without the implementation of a resolution, a consultation, or suspension, as stated in the center's Handbook. Interview with staff in charge revealed the Two Year Old room was divided to assist with the issue.

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 interview and review of documentation, the child care center failed to assure the health, safety and comfort of children in care in accordance with regulatory requirements. Interviews reveal staff stated they are ill-equipped to handle a child who is frequently biting and incurring physical injuries including bruising and scratching, sometimes resulting in bleeding. Staff members revealed the center director has failed to provide assistance to eliminate the problem when requested. Staff members also revealed a daily curriculum cannot be implemented due to the constant attention needed by the child who bites. Multiple Reports of Unusual Occurrences reveal that children were physically injured by other children in the class, several of which resulted from one child who has displayed a history of aggressive behaviors that has resulted in injuries to his peers, some of which were evidenced by exposed blood on the victim. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with the regulatory programming requirements. A review of two (2) posted schedules failed to reveal a daily planned program of activities that are individualized and developmentally appropriate for each child served, and that provides experience to promote the individual child's physical, emotional, social and intellectual growth and well-being and that offers a variety of creative activities including: art, music, dramatic play, stories and books, science, block building, tactile activity, culture, indoor and outdoor play in which a child makes use of both small and large muscles, and a balance of active and quiet play. Interview with a staff member revealed that she does not use a planned daily schedule and does not use either the Toddler Two's Schedule or the Twos Plus Daily Schedule, which were posted in the room. Staff members also stated it is very difficult to conduct activities throughout the course of a day when one child requires constant monitoring to prevent biting. The activities listed on the Toddler Twos Schedule reflected free play from 6:30-8:00 A.M., 8:30-10:00 A.M., 11:00 A.M. to 12:00 P.M. and 2:00-3:30 P.M..

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, the child care center Director failed to assure compliance with regulatory requirements. There was a plunger located by the changing table in the Women’s Bathroom in the basement. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented staff files revealed the following: 1. An employee with hire date 11/18/16 did not complete the six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Upon request, the staff in charge was not able to locate the documentation at the time of the survey. 2. An employee with hire date 10/25/00 did not complete the one and one-half (1 ½) hours of pediatric abusive head trauma training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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 child care center failed to maintain the premises in accordance with regulatory requirements as follows: 1. The toilet paper roll dispensers in four (4) of the stalls located in the Women’s Bathroom in the basement were broken exposing sharp metal pieces. 2. All the sinks located in the Men’s Bathroom located on the 1st floor had brown stains indicative of rust around the drains inside the sinks. 3. The first stall located in the Women’s Bathroom on the 1st floor had a broken toilet roll dispenser exposing sharp metal pieces.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements as follows: 1. The baseboard located by the sink in the Women’s Bathroom in the basement was no longer attached to the wall. 2. There was a missing ceiling tile located behind the hanging television in the Four’s Room. 3. There was a water stain on the ceiling tile located above the gray filing cabinet in the One’s Plus Room. 4. There was a water stain on the ceiling tile located above the third stall in the Men’s Bathroom on the 1st floor. 5. There was a hole in the wall behind the door entering into the Two’s 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, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. There was A&D ointment and maximum strength diaper rash cream located in the cubbies in the 1’s Room. This medication was not stored in a separate and locked place. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The top of the metal fence was no longer attached to the metal pole located on the big outside play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements as follows: 1. The metal swing set located on the small outside play area was not secured to the ground, it was wobbly. 2. The sandbox located on the small outside play area had a lid that had blown off and the sandbox was filled with water and sticks.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the 1’s Room revealed the following: 1). Two (2) yellow feeding seats that were cracked exposing sharp plastic pieces located by the stars wall, 2). Two (2) red, yellow and blue vinyl blocks with attached mirrors in the gross motor space were torn and 3). Several red and blue mats were torn exposing the absorbent material. Observation of the Infant Room revealed the following: 1). A torn animal print cover on the boppie pillow and 2). The green multi-colored cushion located in the highchair was dirty. The red and blue mats located in the One’s Plus Room were torn exposing the absorbent material. The gray cover on the pillow located in the book reading area in the Two’s Room was torn. The alphabet rug located in the Two’s Room was dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements as follows: 1. The red, purple and yellow trike located on the outside play area was missing the petal cushions exposing rusted metal. 2. The red and yellow metal swing set was missing one of the swings located on the big outside play area. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in the Infant Room was dirty and soiled with food debris. The white mini-fridge located in the One’s Plus Room was dirty and soiled with food debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:110 · 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 files revealed a child with enrollment date 3/7/16 did not have the name of the family’s preferred hospital listed. Upon request, the staff in charge was not able to locate the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities posted in the Three’s Room on 5/24/17 was no longer current as it was dated 5/8-5/12. 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 directory failed to assure compliance with regulatory requirements with regard to staff evaluations. Review of employee records for staff with hire dates 01/03/12 and 02/01/12 revealed no documented evidence that an annual evaluation had been conducted within the last twelve months. Interview with the child care center office manager revealed staff supervises children.

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, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with hire dates 02/01/12, 08/01/06, 01/03/12, 09/24/08, 02/01/12, 08/21/13, and 10/25/00 revealed no documented evidence of a current statement from a health professional that each individual reviewed was free of active tuberculosis or a copy of a negative tuberculin result. Exit interview with the child care center director revealed acknowledgment of deficient practice.

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 employee records for staff with hire dates of 10/08/13, 01/03/12, 08/21/13, 10/25/00 and 02/16/12 revealed no documented evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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 6. Sleeping and Napping Requirements.

General: Based on Observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the four (4) to five (5) year-old room revealed a five (5) year old child asleep on a cot intended for toddlers. Further observation revealed the child’s legs hang from the cot as his/her legs would not adequately fit. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 a child’s record with enrollment date 06/15/15 revealed enrollment documents with no evidence of signature by the child’s parent or legal guardian. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 written documentation in accordance with regulatory requirements. Review of record for an employee with a hire date of 08/21/13 revealed no documented evidence of a written annual plan for child-care staff professional development. Further review revealed the child care center had individualized plans for each staff. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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, the Director failed to maintain daily activities requirements. Review of documentation in the two (2) Three-Year-Old classrooms, the Toddler Classroom, the Two-Year-Old Classroom and the School Age Classroom revealed the lack of a current schedule of daily activities, to include dates and times of activities to be conducted with the children in each 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, the Director failed to maintain the staff evaluations requirements. Review of documentation revealed that staff members that were employed by the center in 2014 did not receive a staff evaluation that assessed each staff person's interaction with children in care and classroom performance. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the Director failed to maintain the health, safety and comfort of all children in care. Observation of the Infant Classroom revealed that an infant was in a bouncy seat that has flipped backwards and landed on his head. Continued observation revealed that the fallen infant was pointed out to staff before they realized that he had fallen backward. Further observation of the Infant Classroom revealed that an infant was placed onto a boppy pillow (pillow shaped like a U) with his head too far back on the pillow resulting in the infant's head being on the floor with his neck fully extended and upside down.

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, Interview and Observation, the Director failed to obtain all required background checks prior to allowing staff members to work alone with children. Review of staff files revealed the absence of an out of state background check from Georgia from a staff member hired on 12/02/2014 as the CAN check listed a Georgia address and the staff member's Kentucky driver’s license was not issued until 10/23/2013. Interview with the staff member with the hire date of 12/02/2014 revealed that she has lived in Kentucky for "almost two years." Observation of the Toddler Classroom revealed that the staff member with the hire date of 12/02/2014 was alone with six (6) children prior to the director receiving the results of the out of state background check.

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 childcare center failed to maintain all background check requirements. Review of staff files revealed that a Child Abuse and Neglect (CAN) check presented for review for the staff member hired on 10/14/2015 was not requested by the childcare center as the listed Name of Employer/Agency was not the childcare center. Continued review of staff files revealed the absence of an out of state background check from Georgia from a staff member hired on 12/02/2014 as the CAN check listed a Georgia address and the staff member's Kentucky driver’s license was not issued until 10/23/2013. Interview with the staff member with the hire date of 12/02/2014 revealed that she has lived in Kentucky for "almost two years." Observation of the Toddler Classroom on 04/06/2015 revealed that the staff member with the hire date of 12/02/2014 was alone with six (6) children prior to the Director receiving the results of the out of state background check. Continued review of staff files revealed the absence of an out of state background check from Georgia for a staff member with the hire date of 08/27/2014 as her application stated that she moved out of state and her CAN check listed a Georgia Address. Observation of the childcare center revealed that she was not working at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member hired on 03/30/2015 did not have a high school diploma, GED or Commonwealth Care Credential 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, the childcare director failed to ensure all staff completed the required annual state approved training hours. Review of documentation revealed that the staff members with the following hire dates did not complete the required training: 10/14/2013 (12 of 15 hrs.), 10/08/2013 (0 of 15 hrs.), 01/03/2012 (10 of 15 hrs.), 09/24/2008 (6 of 15 hrs.) and 08/21/2013 (6 of 15 hrs.). Continued review of documentation revealed that a staff member with the hire date of 12/02/2014 completed Orientation on 04/01/2015, exceeding the ninety (90) day period. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all ceiling requirements. Observation of the Toddler Classroom revealed that several ceiling tiles were stained with large water spots.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all child hand washing requirements. Observation of the Toddler Classroom revealed that a staff member assisted a child in wiping his nose and the child did not wash his hands after wiping his nose.

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 childcare center failed to maintain all child hand washing requirements. Observation of the Toddler Classroom revealed that a staff member assisted a child in wiping his nose and the staff member did not was her hands after wiping the child's nose.

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 childcare center failed to maintain all soiled diaper requirements. Observation of the upstairs Girls Bathroom revealed that a used pull up diaper was in an uncovered trashcan.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all medication requirements. Observation of the Toddler and Infant Classrooms revealed that the medications (Aquaphor, Desitin, Petroleum Jelly) were not stored in a separate and locked place and out of the reach of a child as they were on the changing table in a basket. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all outdoor play area requirements. Observation of the Preschool Outdoor Play Area revealed that there were several pieces of litter inside the fenced area of the play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all outdoor play area requirements. Observation of the preschool playground revealed that the black ground covering was protruding through the mulch causing a tripping hazard. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all protective surface requirements. Observation of the toddler outdoor play area revealed a swing without an adequate amount of protective surface covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all mat requirements. Observation of the Toddler Classroom revealed that several mats were torn with small pieces of plastic hanging from the mats.

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 center failed to maintain children's immunization records. Review of a child's file with the enrollment date of 12/01/2014 revealed the immunization certificate provided for review expired on 01/05/2015.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all tornado and earthquake drill requirements. Review of documentation revealed that the childcare center failed to document the times that the earthquake and tornado drills were practiced.

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 childcare center failed to maintain all fire drill requirements. Review of documentation revealed that the childcare center failed to document the names of the children that participated in the fire drills in December of 2014 and January of 2015 on the fire drill log. Continued review of documentation revealed that the childcare center failed to document the times in which the drills were practiced.

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, the childcare center failed to maintain all fire drill requirements. Review of documentation revealed that the childcare center failed to document completed monthly fire drills for August of 2014 and February of 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all earthquake and tornado drill requirements. Review of documentation revealed that the childcare center failed to document completed earthquake and tornado drills for the last quarter in 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all posting requirements. Review of documentation in the School Age Classroom revealed that the posted daily schedule was only from 2:30 p.m. to 6:00 p.m. and did not include a schedule for full day school age care.

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 comply with regulatory programming requirements. Observation of the Infants' Room revealed a radio was turned to a local country music station playing music while three (3) infants were sleeping. Further observation revealed the song being played was title "Baby Girl" by the country music group called Sugarland. Interview with the staff in charge revealed she was unaware that country music was being played in the Infants' Room while infants slept. 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 and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the sign in and sign out sheets for 06/10/2014 revealed the arrival time was not documented for one (1) child and the departure time was not documented for seven (7) children. Further review of the sign in and sign sheets for 06/11/2014 revealed the arrival time was not documented for two (2) children and the departure time was not documented for five (5) children. Interview with the staff in charge revealed the center was not aware the arrival times and departure times were not being documented.

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 Interview and record review a one year old child sustained three injuries to her head and face while attending the child care center on May 2, 2014. Interview revealed that a one year old child enrolled in August 2013 received a bump on her head at approximately 9:30 am on May 2, 2014 when another child pushed her and she fell to the floor hitting her head while playing in the toddler classroom. This same child received a second injury leaving a bruise on her chin at approximately 1:30pm while playing in the infant classroom and she fell hitting her chin on a bouncy seat. A third injury was sustained at approximately 4:30 pm when the same one year old child was again playing in the infant classroom and fell cutting her eye on a toy piano. The director acknowledged in interview that although the parent of the child insisted that she be placed in the one year old classroom upon turning one year old, the director had reservations regarding this decision based on her observation of the child’s abilities. Record review revealed an incident report on file dated May 2, 2014 describing a head injury to the child enrolled August 2013. Additional incident reports for injuries sustained on May 2, 2014 were not available for review at the time of the investigation.

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, the child care center director failed to assure compliance with regulatory requirements. Based on a review of documentation the center director failed to assess each staff person's interactions with children in care and classroom performance through an annual written performance evaluation. Based on an interview with the child care center director, staff evaluations have not been conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 11/26/12 did not have a copy of a high school diploma, GED or qualifying documents from a comparable educational entity or a Commonwealth Child Care Credential contained in the personnel 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, the child care center failed to maintain employee records in accordance to regulatory requirements. Based on a review of documentation, a staff member with a hire date of 02/16/12 failed to have a copy of negative tuberculin results or a statement from a health professional that the individual is free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, the center did not have at least one person on duty certified by a cabinet approved training agency in CPR and First Aid at all times.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of: 10/12/98, 02/16/12, 01/03/12, 08/13/12 had not completed 15 hours of cabinet approved early care and education training during each subsequent year of employment. Based on an interview with the staff in charge, she was aware that staff were not up to date with their training hours.

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 child care center failed to comply with regulatory programming requirements. Based on a review of documentation the Infant classroom and the one year old classroom, failed to provide a daily planned program posted in a conspicuous location of activities that are individualized and developmentally appropriate for each child that provides experience to promote the individual child's physical, emotional, social and intellectual growth and well-being and that offers a variety of creative activities including: art, music, dramatic play, stories and books, science, block building, tactile activity and culture. Based on a posting in the infant classroom there were no activities listed within the schedule.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation in the One Year Old classroom, a wall adjacent to the back wall, next to the shelving and cabinet units, was a cable-type screw protruding about one inch out from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with hygenic practices in accordance with regulatory requirements. Based on an interview with a staff person in the infant room, toys are not sanitized daily by scrubbing in warm, soapy water, rinsing in clean water, and submerging into a sanitizing solution for at least two (2) minutes. The staff member stated the toys and surfaces are sprayed with Lysol. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the child care center failed to maintain a written annual plan for child-care staff professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatroy requirements. Based on a review of the employee handbook, there was not a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Based on a review of documentation, the center failed to have a current written plan and diagram outlining the course of action in the event of a natural or manmade disaster, posted in a prominent place.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation.

General: Based on interview with director on December 18, 2013, Child Protective Services had been to the center on December 10, 2013, conducting an investigation regarding allegations of abuse and neglect to a child in the center’s care by a staff member and the center failed to report this investigation to Division of Regulated Child Care. Director Requirements

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 interview, it was determined that the center routinely used physical restraint as a behavior management intervention for a three year old child. The child (enrolled on 8-22-13) had been physically restrained routinely and on numerous occasions between the months of September 2013 and December 2013, by at least two staff members hired on 8-13-12, 1-30-12 and the director hired on 10-12-98. Staff members routinely held the child on their lap with child facing away from them. The staff members held their arms around the child’s arms and chest preventing the child from getting off of their lap as the child was struggling to get off of their laps. Based on interview with staff member hired on 8- 13-12, she has restrained three year old child as he is trying to get away. Based on interview with director, she has restrained the same child in response to unpreferred behavior displayed by the child. The director contended during interview that she thought these routine physical interventions were an appropriate manner for managing the three year old child's behaviors. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, it was determined that the center routinely used food as a form of discipline in that food was withheld from a child. On December 9, 2013, a three year old child enrolled on 8-22-13 threw his breakfast plate on the floor and stood on it. A staff member (hired on 1-30-12) stated to the child that as a result of his behaviors, he would not receive breakfast. Based on interview with several staff members, this has occurred on several other instances between September 2013 and December 9, 2013, in which the same child threw his food onto the floor and the same staff member stated to the child that he would not be allowed to eat as he had thrown his food onto the floor. Based on interview with director, she contended that it is an appropriate “natural consequence” for this child to not receive food if he throws his plate or his food onto the floor. Based on interview with staff member hired on 1-30-12, she did inform the three year old child that he would not get to eat breakfast as he threw his plate on the floor and stepped on it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was determined the director failed to provided written documentation verifying the completion of staff evaluations.

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 15 personnel files, four files failed to contain educational requirements; i.e. High School Diploma, GED or CCC for staff members with the following hire dates: 12/10/12, 2/16/12, 11/26/12 and 2/7/12.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff member's (doh 10/12/98 file failed to contain the results of a negative TB 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 of 15 personnel files, it was determined the facility failed to provide written documentation verifying the following: 1. Orientation training for one staff member hired 12/10/12. 2. Completion of 15 hours annual training for six staff members with the following hire dates:1/30/12, 2/26/12, 2/7/12, 10/12/98, 8/18/11, 5/1/11 and 1/30/12. 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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ Inspection Report Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, it was determined the facility failed to post a current plan of programmed activities. Observation on 4/19/13 revealed, lessons plans posted in the Toddlers 2 Room in Building 1 and the upstairs Fours Room in Building 2 were dated "March 3013". Additionally, observation revealed the facility failed to provide the following curriculum areas in the Toddler 2 Room in Building 1: Tactile Activity, Music, Culture and Art.

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 throughout Building 1 revealed several marks, scuffs, peeling and chipped paint on the walls. Additionally, a hole was discovered in the wall in the Toddler Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, at approximately 9:00 a.m. on 4/19/13, revealed two children arrived without washing hands before entering the program.

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 facility failed to follow the proper hygenic practices for diaper changing procedures. Review of posted diaper changing procedures states staff members will wash hands OR wear gloves before changing a diaper.

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 facility failed to provide a diaper changing surface free of holes. Observation revealed two holes in a diaper pad located in the Boys Bathroom in Building 1.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was determined the facility failed to provide a sufficient amount of appropriate equipment and supplies for the Toddler 2 Room in Building 1.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined the facility has been found to have six non-compliant cribs, pursuant to the Federal Crib Standards at 16 CFR 1219 and 16 CFR 1220.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined the facility failed to provide tables and chairs suitable for children within the Toddler 2 Room in Building 1. Transportation 775 - Maintain Records Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (l) A written record of transportation services provided in accordance with 922 KAR 2:120, Section 12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 26 Web site: http://chfs.ky.gov/ Inspection Report 780 - Transportation Compliance Not Applicable 922 KAR 2:120. Section 12. Transportation. (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff that transport children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.285 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. Food Service

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

General: Based on review of documentation, it was determined the facility failed to provide documentation verifying the completion of staff professional development plans.

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 determined the facility failed to provide written documentation verifying a policy stating the procedures taught in the required Kentucky State Orientation training will be implemented in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined the facility failed to post handwashing procedures in the diaper area of the Boy's Bathroom in Building 1. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Review of documentation revealed three (3) staff that did not have a current T.B. 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 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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: Review of documentation of staff files revealed Staff with a hire date of 11/10 had not completed the fifteen (15) hours of training required by the cabinet. 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 Not In Compliance Findings: Three-Four Year Old Room: Based on observation of the posted items on the wall revealed the absence of a program of activities. 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; 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 4 (1)

Infant Room: Based on observation in the room revealed a child sleeping in a baby swing. One Year Old Room: Based on observation outside the room revealed a Graco pack-n-play. Interview with staff revealed staff place children who are able to crawl into the pack-n- play while they assist individual children in diaper changing. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 7) Stairs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 3) Stoves Not Applicable 4) Heaters Not Applicable 5) Furnaces Not Applicable 6) Pipes Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.