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

General: Based on review of documentation, it was found that one (1) staff (DOH 04/25/19) was not currently listed as Eligible in KARES. Her previous application from 04/25/19 was listed as "Eligible-Expired" and her new application was still "In Process" in KARES on the day of inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was an uncovered electrical outlet in the bathroom next to the sink. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff (DOH 09/30/08) did not evidence of an annual evaluation on file at the time of inspection. Employee Records In Compliance Programming In Compliance Premises In Compliance 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were four (4) sleeping mats with tears on the corners. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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, one (1) child (DOE 05/24/23) did not have an up to date record of immunizations on file at the time of inspection. The record on file expired on 07/05/24. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was no written schedule of staff hours presented at the time of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff (DOH 04/25/19 and 09/30/08) had professional development plans on file but they were not dated so it could not be determined if they were completed within the last year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 observation, there was documentation of earthquake, tornado, and lockdown drills on file; however, there was no documented times the drills were conducted. 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 15. Animals.

General: Based on observation, interview, and review of documentation, at the time of the inspection two (2) cats were observed in the spaces used for childcare. Written parental permission was not found documented for the children enrolled.

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 during a tour of the space used for childcare, a female child was observed unsupervised sleeping on a couch in the living area located next to the kitchen. The provider indicated the child is her four-year-old daughter and is enrolled in the program. The surveyor asked if the child was ill. The provider indicated the child was not ill but had not slept well the night before. Although there is an opening in the wall between the kitchen and the area where the child was sleeping, the child was not within range of voice and line of sight. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the most current copies of the regulations were dated 2018. Therefore, there was not a current copy of the regulations available at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, it was found a staff person hired 9/30/2008 was deemed eligible for hire through KARES on 7/2/2018. A review of the facility roster in KARES shows the staff person's eligibility expired as of 7/10/2023. However, an individual name-based search found the staff person was fingerprinted again on 6/27/2023 and deemed eligible for hire on the same day. Documentation verifying the staff person has been deemed eligible for hire was not found on file. In addition, documentation for the other two staff was not retained on file; however, this was verified in the KARES system.

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, review of documentation, and a review of ECE-TRIS records, the surveyor found the following: 1) Two (2) staff members hired 9/30/2008 only had evidence of having completed 1.5 hours of early care and education training from June 30, 2022, to July 1, 2023. 2) A staff member hired 4/25/2019 did not have evidence of having completed the required fifteen (15) hours of early care and education training from June 30, 2022, to July 1, 2023. A review of staff files found certificates and written documentation for training hours obtained through Child Care Lounge.com and Our Daily Bread Online Workshop. These trainings were not listed in ECE-TRIS for the individuals. 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 Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1) A child enrolled 7/7/2022 had an immunization certificate that was no longer current as of 7/11/2023. 2) A child enrolled 7/29/2022 had an immunization certificate that was no longer current as of 5/20/2023. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on interview and review of documentation, the surveyor found the provider completed an emergency evacuation plan and documented on the form a date of submission (12/30/2022) to local emergency management. However, there was no other documentation to verify the plan had been submitted on the date noted by the provider. The provider indicated the plan had been e-mailed to local emergency management; however, a copy of the e-mail was not kept and retained on file for documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, at the time of the inspection there were eleven (11) children present. A review of the daily attendance records found only ten (10) of the children were listed as present and with a documented time of arrival. Further review found that the provider's own child was not listed on the daily attendance records. The provider indicated she was unaware her own children were required to be documented as present and with a documented time of arrival.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the names of the children who participated in monthly fire drills and quarterly earthquake, tornado and lockdown drills were documented. Posted Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, one staff person eligible for an annual performance review did not have documentation of a review on file in the facility. Employee Records In Compliance 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 during a tour of the kitchen, the large freezer did not contain a thermometer or other type of appropriate measuring device and thus it could not be determined that food was stored at the required temperature. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, record review and interview, two children that were present at the facility on the day of the inspection did not have enrollment paperwork on file; therefore, none of the required information had been obtained. The only documentation that these two children had on file at the facility was their immunization records. The staff person in charge identified the two children as her daughters (two years old and nine years old) and stated that she was not aware that she needed enrollment forms for them on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, two staff eligible for a staff professional development plan did not have documentation of a plan on file. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, it was found that there were nine (9) children present at the center, however only eight (8) of the children were signed in when HSS reviewed the sign in and out log. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, this regulatory requirement was not met. A schedule of daily activities was posted; however, no dates were listed. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, this regulatory requirement was not met. A tour of the facility found the following: 1. Twelve (12) bottles of sunscreen were observed in an unlocked closet in the children's playroom. The sunscreen was sitting on a low shelf; they were not labeled with each child's name; and they were accessible to the children. 2. A bottle of Orajel Fluoride mouth rinse was observed sitting on the sink counter in the bathroom used by the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, this regulatory requirement was not met. The facility had a menu posted on the side of the refrigerator in the kitchen; however, it was not dated and it was not posted in a conspicuous place. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and observation, this regulatory requirement was not met. A review of the 5/24/17 attendance records during the visit found that ten (10) children were present; however, three (3) of them did not have an arrival time documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a daily schedule was posted and a planned program of activities was posted. Howver, June was written at the top of the planned program of activities but there were no dates listed as to when the activities documented on the planned program of activities would take place.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, found that written permission had been obtained for the provider to administer sunscreen supplied by the facility for each child. However, the name of the sunscreen that would be applied and when the sunscreen is to be applied was not information documented on the form giving the provider permission to administer the sunscreen.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, out of ten (10) children's files reviewed one (1) child's enrollment information did not include a preferred hospital. Documentation on the enrollment form states that in the event of an emergency the child will be taken to the nearest hospital. There was no area listed for the parent to put a different hospital if they did not want the nearest hospital. After reviewing the other children's files it was found that this option was available on those applications. An interview with the staff person in charge found that she had changed the enrollment forms to give the parents a space to list a different hospital and that this application was one (1) that had been overlooked.

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, three (3) children listed on the attendance sheet had a parent's initials verifying they were present but the time the child arrived at the facility that morning had not been documented. During an interview with the staff person in charge it was indicated that she has had a problem with the parents not documenting the time they arrive with their child.

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, a daily schedule was posted and a planned program of activities was posted. Howver, June was written at the top of the planned program of activities but there were no dates listed as to when the activities documented on the planned program of activities would take place.

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, there was not a planned program of activities posted for the toddler who was present 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, there was one (1) staff person with a hire date of 9/30/08 whose T.B. skin test was dated 6/3/13. As of the date of the survey the T.B. test had exceeded the two (2) year time-frame.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 9/30/15 who had only completed fourteen (14) hours of training for the 2013-2014 training year. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, there was one (1) child's file that contained a written note from the child's physician stating the child does not receive immunizations. This documentation was not on the Kentucky Exempt from Immunization form. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, out of the ten (10) children's files reviewed there was no information verifying the preferred hospital of the parent in case of an emergency. There was a statement that is part of the enrollment packet that indicates the child will be taken to the nearest hospital. However, there was nothing on the application to allow the parent to list a preferred hospital if they choose to do so.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Kentucky Consumer Product Safety Program and the program's website was not posted. In addition there was not a daily schedule posted for the toddler enrolled.

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, there was not a posted schedule of planned activities with dates and times the activities are to be conducted for the toddler who was present at the time of the visit.

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 facility failed to assure that each child will be provided with adequate supervision at all times by a qualified staff person who ensures the child is within scope of vision and range of voice. During the tour of the facility, children were observed going into the toilet room and back bedroom, at several different times. The provider remained in the kitchen area during these times. The children were not within scope of vision to the provider. One (1) child was observed going through a low gate and into the toilet room. The child was observed shutting the door to the toilet room. The child remained in the toilet room for approximately one (1) minute, while the child washed his hands. The provider remained in the kitchen area, preparing food for lunch. The provider stated that she thought the older children had to be supervised through scope of vision or range of voice. The children in care at the time of survey where younger than school age children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, the facility failed to obtain a current copy of the Kentucky Child Care administrative regulations. The copy available at the facility was printed on 09/12/2008, therefore, not current.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the facility failed to complete a criminal records check and a child abuse or neglect check using the central registry, for employee with hire date 06/10/2013. The provider stated that the employee is the facility’s only substitute. The provider had obtained criminal records check for the employee; however, the criminal records check had been completed by Mignon Rucker Daycare. Also, the provider had obtained an incomplete child abuse and neglect check for the employee. The incomplete child abuse and neglect check had also been obtained by Mignon Rucker Daycare. The provider stated that the employee had never been left alone in the presence of a child in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the facility failed to provide the required documentation to verify compliance for employing a qualified substitute. The provider failed to complete a criminal records check or a child abuse or neglect check for employee with hire date 06/10/2013. The provider stated that the employee is the facility’s only substitute. 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff member with hire date 11/01/2008 failed to complete fifteen (15) hours of cabinet approved early care and education raining during the 11/01/2012-11/01/2013 year of employment. The staff member had completed eleven (11) hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the facility failed to provide a daily planned program. At the time of survey, a daily planned program had not been prepared or posted.

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 facility failed to ensure that electronic viewing and listening devices shall only be used as a part of the child’s planned program of activity. At the time of survey, the children were viewing a children’s television program. The facility failed to prepare a planned program of activity that included viewing electronic devices. 400 - Computer Monitoring Device Not Applicable 922 KAR 2:120. Section 3. General Requirements. (3) Computer equipment shall be equipped with a monitoring device which limits access by a child to items inappropriate for a child to view or hear.

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 facility failed to ensure that knives and sharp objects be inaccessible to a child in care. One (1) shaving razor was found in the shower of the toilet room used by children in care. The razor was accessible to children using the toilet room. Also, several cutting knives were found stored on a shelf approximately three (3) and half feet tall. The shelf was located in the laundry room beside the kitchen area. At the time of survey, the door to the laundry room was open and children were observed in the kitchen area, making the laundry room accessible to a child in care. The facility failed to ensure that toxic cleaning supplies be inaccessible to a child in care. Two (2) bottles of laundry detergent were found on the floor of the laundry room. The manufactory label on these bottles read, “Keep out of reach of children.”

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that medication be stored in a locked area, and away from a child in care. The following items were found stored in a bin, under the television area: Triamicinoline, Saline Nose Spray, Aquaphor, Nystatin, Mupirochin, A and D Ointment. The bin containing the items was stored in a low shelf and was accessible to children in care. 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 8. Kitchen Requirements.

General: Based on Observation, the facility failed to ensure that a kitchen not be used for the activity of a child while meals are being prepared. At the time of survey, the provider was found cooking hamburger meat on a stove that was locate approximately three (3) feet from a table where four (4) children were playing a card game. The children were in the kitchen area as the provider prepared lunch. 925 - Food Service Permit Not Applicable 922 KAR 2:120. Section 8. Kitchen Requirements. (2) A child-care center required to have a food service permit shall be in compliance with 902 KAR 45:005 and this administrative regulation.

Open Not marked corrected in the state record

Category: nutrition. 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 post the proper methods of diapering and hand washing in the toilet room, where the provider stated diapering will occur. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report 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.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, upon arrival to the facility there were eleven (11) children with two (2) staff in one (1) room working on an art activity. The youngest child in the group was eight (8) months old. The maximum group size for this age group is ten (10) children with two (2) staff. Equipment

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, upon arrival to the facility a one (1) year old was found standing in a pack-n-play. The provider stated that she was in there because she will eat the crayons the children use for art.

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 provider has yet to purchase a new crib that meets the Consumer Products Safety Commission Standards established in 16 C.F.R 1508-1509. The provider stated that she has one (1) eight (8) month old that is currently enrolled and she is sleeping on a mat until the new crib is purchased.

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 providers husband was outside working on the car and the provider was inside the home with nine (9) children ranging in ages from one (1) year to five (5) years. The staff to child ratio for this age group is one (1) staff to six (6) children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, it was found that the facility did not have a substitute worker 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, it was found that the file for the staff person in charge contained a TB screening that was conducted on 4-22-11. This is not within the two (2) year timeframe required by the regulation.

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, it was found that the facility does not document any information when sunscreen is applied to the children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that there were two (2) uncovered electrical outlets in the back play room and one (1) uncovered electrical outlet next to the sink in the bathroom used by the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the staff person in charge was outside in the front yard supervising eight (8) children ages one (1) year to five (5) years old. The required staff to child ratio when a toddler is present is one (1) staff person for every (6) children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for one (1) employee did not contain evidence of an annual performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that eight (8) children ages one (1) year to five (5) years old were playing together in the front yard. Equipment 710 - Play Equipment Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (24) Supports for climbing apparatus and large equipment shall be securely fastened to the ground. (25) Crawl spaces, such as tunnels, shall be short and wide enough to permit access by adults. (26) A sandbox shall be: (a) Constructed to allow for drainage; (b) Covered when not in use; (c) Kept clean; and (d) Checked for vermin prior to use.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the facility had three (3) Graco play yards that did not meet the new federal requirements and were not manufactured for commercial use. In addition, a child was observed to be sleeping in one (1) of the play yards. 730 - Crib/Mattress/Sheet Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (3) Rest time shall include adequate space specified by the child’s age as follows: (a) For an infant: 1. An individual non-tiered crib that meets Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220; 2. A firm crib mattress in good repair with a clean tight-fitted sheet that shall be changed: a. Weekly; or b. Immediately if it is soiled or wet;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that 2% milk was being served to the children ages one (1) year through three (3) years old. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the posted menu was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have written permission from the parents for the children to play in the unfenced front yard. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that the facility has yet to establish their emergency preparedness plan according to KRS 199.8982.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for two (2) eligible employees did not contain evidence of a current professional development plan. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the documentation regarding fire drills did not include evidence of drills being conducted during the months of June, July, August, September, October, November and December of 2012.

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, it was found that the documentation regarding earthquake and tornado drills did not include evidence of drills being conducted during the third and fourth quarters of 2012. Posted Documentation

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

General: Based on Interview, it was found that a schedule of daily activities was not posted. The staff person in charge stated that she was unaware of the need to develop and post a dated list of daily activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) child's file contained an immunization certificate that was current until 6/2/12. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 40 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.