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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding annual written performance evaluations. Upon request, the staff-in-charge failed to provide documented evidence that staff with a hire date of 09/24/18 completed an annual written performance evaluation during the review period. Interview with the staff-in-charge revealed the evaluation had not been conducted with the staff person. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. 1) Observation of the Toddler and Gross Motor classrooms revealed chipping wall paint. 2) In addition, the Gross Motor classroom was observed with protruding screws on the surface of the wall and chipping paint in both window sills of the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the child care center transportation vehicle revealed the vehicle was unclean, as it contained small rocks, trash and debris. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff-in- charge failed to provide documented evidence of written policy and procedures to include emergency procedures practiced monthly by staff who transported children. Interview with the staff-in-charge revealed the child care center had not utilized the vehicles over several years, however, in the event of emergency transportation of a child, the vehicle would be used. It was further stated emergency procedures had not been practiced monthly.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff-in- charge failed to provide documented evidence of the child care center’s plan for ensuring staff performed duties relating to transportation properly.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff-in- charge failed to provide documented evidence of policy and procedures relating to an emergency plan for evacuating a vehicle used to transport children in care.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the vehicle used for transportation services revealed the front, left, driver side headlamp was inoperable. Interview with staff-in-charge revealed the vehicle was used to transport children. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. 1) Observation of the kitchen area of the Toddler classroom revealed food crumbs and debris in drawers containing utensils. 2) In addition, a metal tong utensil was observed with rust.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen area of the Toddler classroom revealed food was not protected from potential contamination by unclean utensils as the utensils were rusted and stored in drawers.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen area of the Toddler classroom revealed food was not protected from unclean utensils as the utensils were rusted and stored in drawers that contained food crumbs and debris. Foods prepared with these unclean/rusted utensils could be potentially hazardous. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: nutrition. 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. There was a water stain in the drywall, in the ceiling, by the light fixture, in the Gross Motor Room. There was a hole in the drywall, behind the wooden rocking chair, in the Infant/Toddler Room. There was a water stain in the drywall, in the ceiling, in the Infant/Toddler Room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The blue, yellow and red multi-colored vinyl mat located in the Gross Motor Room was torn, exposing the absorbent material. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 11/17/16 did not have a current annual written professional development plan. Upon request, the staff member in charge did not present a current professional development plan for the aforementioned staff member at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Infant Room revealed the wall was splintered and rough due to the door leading to the classroom bathroom rubbing against the walls surface. Continued observation in the indoor play area revealed several areas of paint chipping and peeling around the window. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a wooden shed which was accessible to children in care. Continued observation revealed portions of the exterior of the shed that were splintered, and a corner of the shed in which two (2) wooden planks had pulled apart, exposing large nails. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed two (2) bottles that were not individually labeled. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation, and interview the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Review of written documentation revealed staff with a date of hire 10/10/16, failed to adequately supervise a toddler in his/her classroom. Staff interviews revealed the toddler was left unsupervised on two occasions on 02/21/17. Review of the staff schedule and child attendance records revealed there was one staff and two (2) children, an infant and toddler, in the classroom. Staffing Requirements In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Based on observation, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Observation of Classroom B at the child care center revealed two (2) teachers and six (6) children. The children were not observed in separate areas or groups. Interview with staff revealed the youngest child in the classroom was twenty-two (22) months and the oldest child was three (3) years. Review of children's records revealed the youngest child in the classroom was enrolled on 06/01/16. 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 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

Based on observation, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Observation of Classroom B at the child care center revealed two (2) teachers and six (6) children. Interview with staff revealed the youngest child in the classroom was twenty-two (22) months and the oldest child was three (3) years. Review of children's records revealed the youngest child in the classroom was enrolled on 06/01/16. Interview with staff-in-charge revealed the toddler did not have a transition plan.

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 regulations. Review of staff files revealed a file for a staff member hired 10/10/16 contained a TB test from a non-identifiable provider, location and administerer. Interview with director revealed the staff member had been employed since 10/10/16 and working with children. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Classroom B, used by children, revealed the wall next to the exit had several holes exposing drywall and drywall dust. Further review of the classroom revealed the window on the right hand wall had a torn screen. Further observation of Classroom B revealed the vent on the back wall covered in a thick layer of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

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 files failed to reveal a Driver’s History Report for the two (2) employees identified as individuals that transport children. Interview with the staff person in charge revealed that the documentation was not able to be located for review at the time of the inspection. Programming

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 observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records in the Early Headstart A classroom revealed six (6) children signed in to care. Observation of the classroom revealed eight (8) children in attendance. Based on review of records and observation, two (2) children failed to have their attendance and time of arrival documented at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview and Review of Documentation the child care center failed to comply with regulatory requirements. Interview with staff revealed that the age of the children in care at the center ranged from six-week-old to three-year-old. Record review of the center’s license revealed that they were licensed for infant and toddler care only, therefore the child care center was providing care for preschool age children without approval. 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, the child care center director failed to assure compliance with the health, safety and comfort of each child. Staff person in the Toddler Classroom indicated that she was present on April 3, 2014 when the female toddler age child (doe: February 27, 2014) tripped, fell and sustained an injury to her head requiring a physician visit. The staff person stated further that she had repeatedly told the child to stop running but failed to redirect or intervene prior to the child sustaining the injury.

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, on January 14, 2014 it was determined that the water in the building had low pressure due to a water main break at the rear of the building. Interview further revealed that the water to the childcare center was manually turned off on January 14, 2014 so maintenance could repair the break. Interview also revealed that on January 15, 2014, children were allowed in the center that still had no running water to receive care at 7:00 A.M. Interview of numerous staff revealed that the children could not flush the toilets leaving feces and urine in the toilet bowls. Further interview of staff revealed that the children could not wash their hands properly after using the bathroom and that the staff was prompted to instruct the children to use hand sanitizer and baby wipes as a disinfectant for their hands. Observation of the facility on January 15, 2014 at 10:40 A.M. revealed that children were sharing toys and shaking hands after using the bathroom and before properly washing their hands. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation on January 15, 2014, the childcare center did not have access to a water supply due to a pipe bursting. Interview with staff revealed that the childcare center did not have a water supply that was adequate in volume from approximately 5:30 P.M. on January 14, 2014 until 10:40 A.M. on January 15, 2014. Interview with the Local Area Manager revealed that the only running water available to the children while the water line was being repaired was across the parking lot in an unlicensed building.

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 Interview, the sink located in the bathroom that is used for hand washing at the childcare center was not equipped with hot and cold running water while children were in care from 7:00 A.M. until 10:40 A.M. on January 15, 2014. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, from 7:00 A.M. until 10:40 A.M. on January 15, 2014, children were prompted by staff members to use hand sanitizer and wet wipes when arriving at the center and after using the bathroom due to the lack of water supply to the center for handwashing. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the staff could not wash their hands from the time they arrived at the center around 7:00 A.M. until 10:40 A.M. on January 15, 2014. Further interview revealed that the staff assisted children with toileting and eating without washing their hands with soap and water.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Reports.

General: Based on interview and review of documentation, a child had disclosed on 05/14/2013 to a staff member that they had been pinched by another staff member at the center. The staff member did not inform the staff in charge until 05/20/2013 and it was not reported to KSP, local law enforcement or the Department for Community Based Services as required. Review of the center's child abuse/neglect protocal revealed that any staff suspecting abuse or neglect was to file a report as soon as possible with the local child protective services (CPS) office. Further interviews and review revealed each staff member to sign and date a form to certify they were aware of the center's abuse and neglect protocol. 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 and review of documentation, a staff member failed to follow the center's discipline policy.

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, a child was lifted by her wrists and then placed in a staff member's lap where the staff member put her arms around the child's arms, restricting the child's movement for approximately four (4) minutes. Then the staff member grabbed the child's forearms and sat her down beside the staff member for ten (10) minutes before the child slid to the floor. After several minutes, the staff grabbed the child and carried her by the wrists to a cot where she was placed while the other children were playing. The staff member placed her leg and foot over the child's body while the child was on the cot. The staff member then used her foot to scoot the cot closer to her several times. The child remained on the cot for at least 25 minutes prior to being allowed up to rejoin the other children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) child was observed walking around the room with only socks on his feet, and another child was observed walking around the room with no shoes or socks. on his feet. Further observation revealed a slightly raised nail head on the floor stripping that was sharp and jagged. Employee Records 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. 2) First Aid In Compliance General Premises 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair Not In Compliance Findings: General: Based on observation, there was a slightly raised nail head on the floor stripping that was sharp and jagged.

Open Not marked corrected in the state record

Open / not marked corrected.