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

General: Based on review of documentation, a staff member (DOH: 04/17/24) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file.

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, climbing structure with a slide was found in Room 2-Toddlers. The structure did not have protective surface around it.

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, refrigerator used to keep children's lunches and milk did not contain an indicating thermometer. It could not be determined that the interior temperature of the refrigerator was forty (40) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, this regulatory requirement was not met. A staff hired on 7/01/2022, did not have evidence of submission or results of an out-of-state background check from Ohio. This staff member lived in Ohio within the last five years; therefore, the staff member would need a child abuse/neglect check and a sexual offender registry check from Ohio. This staff member was not working alone with the children during the renewal survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The toddler bathroom contained an area of chipped paint on the wall behind the trash can. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, staff evaluations were not available for review. 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 In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, a child enrolled 8/13/2021, had an immunization record that was no longer current as of 12/17/2021. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the times of the Tornado and Earthquake drills were documented as occurring at the same time, these drills require different actions and should be documented separately. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, staff person hired 7/1/2020, recently moved to Kentucky from Florida. An interview with the staff person in charge found that a request of an out of state background check, child abuse and neglect check and a sexual abuse record check from the state of Florida had not been submitted. It was also found that this staff person has been left alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, staff person hired 7/1/2020, recently moved to Kentucky from Florida. An interview with the staff person in charge found that a request of an out of state background checks from the state of Florida had not been submitted. This staff person has been left alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, three staff did not have a copy of a high school diploma, GED or other qualifying documentation on file at the facility. Two of these staff were hired on 2/2/2021, and the other staff person was hired on 7/1/2020. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There were two wooden climbers located on the large playground that contained equipment used to climb and slide. The mulch beneath both pieces of equipment was sparse and had areas where the dirt beneath was visible. 2) The toddler playground contained two slides that had been placed on dirt with a scattering of mulch around and underneath the equipment. The dirt was visible through the scattering of mulch. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child's enrollment information did not contain a preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation 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: Based on observation and review of documentation, volunteer staff hired on 9/13/2019, did not have proof of initiating a CAN check for an under 18 years of age volunteer staff. The staff does not work alone and is not counted in ratio. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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 observation and review of documentation, in the three- to five-year-old room, there was not a lesson plan posted or available for viewing. 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 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

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. One (1) staff person with hire date 7/7/17 had a criminal records check (CRC) dated 7/14/17. 2. One (1) staff person with hire date 8/1/17 had a CRC dated 8/17/17. 3. One (1) staff person with hire date 11/6/17 had a CRC dated 11/9/17. The staff person in charge was not able to produce documentation to verify that the CRC's were submitted within the regulatory timeframe.

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, this regulatory requirement was not met. Two (2) staff did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. One (1) staff person was hired on 7/7/17; however, did not have a TB skin test until 7/10/17. The second staff person was hired on 8/1/17; however, did not have a TB skin test until 8/9/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 3. General Requirements.

General: Based on Observation, this regulatory requirement was not met. During a tour of the Toddler House the surveyor observed two (2) staff purses and another personal bag sitting on the floor in front of a tall white storage cabinet. These items were accessible to the children present in the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, this regulatory requirement was not met. During a tour of the Toddler House, the surveyor found that this documentation was not posted at the diaper changing area located in the children’s bathroom. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff (date of hire: 8/3/15 and 8/5/15) eligible for an annual performance review who did not have documentation to veirfy that an annual perfomance evaluation had been conducted During an interview with the staff person in charge it was found that a verbal performance evaluation was conducted in October of 2015 and both staff received a raise.

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, during a tour of the classroom used for the three (3) to six (6) year olds a powerstrip plugged into the wall with a cord plugged into it was observed dangling from a window located by a table and stool used by the children. The winodw is level with the table. The surveyor observed that the window was partially raised and the cord went out the window and was attached to something outside. Because the powerstrip and cord are dangling from the window they are accessible to the children. Let it be noted that this was done after the Fire Marshal's visit conducted on 11/4/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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 one (1) staff person with a hire date of 6/20/16 did not complete orientation training until 11/14/16. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, at the time of the survey during a tour of the Toddler House there were six (6) children ages eighteen (18) months to two and one half (2 1/2) years old. A review of documentation found that the program is affiliated with American Montessori Society. However, this affiliation does not allow for toddlers to be combined with older children. 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, during a tour of the school age room a large area of paint was observed peeling away from the ceiling. A tour of the building named The Toddler House found there was a wall that had a chalkboard on the lower half of the wall. The area of the wall above the chalkboard had several nail holes. 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, in the main building hainging on the door knob there was a back pack that contained first aid supplies. Among those supplies there was a packet of chewable asprin. The back pack was not locked and the packet of asprin was not labled for an individual child or adult. The back pack was accessible to the children. An inspection of a container located in the same building there were additional first aid supplies. In this unlocked container a tube of After Bite cream and a tube of Kroger Triple Antibiotic cream were found. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, during a tour of the Toddler House the children's cots were stored leaning against each other in a room in the back. There were sheets attached to each cot and each child's blanket was stored in a pocket on the back nof each cot. Because the cots are leaning against each other the child's blanket touched the sheet on the cot it was leaning against. An interview with staff in the room found that the sheets and blankets are taken home and washed on Friday of each week.

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, during a tour of the building named The Toddler House a light bulb was found to be out over the sink in the back of the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, found that out of ten (10) children's files reviewed seven (7) children's enrollment information did not include a preferred hospital. 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 2. General.

General: Based on Observation, during a tour of the facility it was found that the statement of deficiencies issued from the relicensure survey conducted on 1/28/16 and the facility's plan of correction was not posted. An interview with the staff person in charge found that these documents are located in a binder on a shelf beside the staff person's desk. In addition during a tour of the school age area a daily schedule was not posted.

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 Observation, during a tour of the facility there was a posted diagram of the facility in each building but there was not a written plan posted outlining the course of action to take in the event of a natural or manmade disaster.

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, during a tour of the school age room there was not a posted schedule of activities with dates and times the activities will be conducted with the children in the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Interview, it was found there is a cat on the premises of the facility that at times comes around the children. A bowl of food and a heated cat house were observed on an outside porch of the facility. A review of documentation found that parents had given permission for their child to be in the precense of fish in one (1) of the rooms but there was no permission for the cat.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center did not have written proof of having liability insurance as required. Based on interview with the staff person in charge, she confirmed she would have to request an up to date copy to place on file.

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.

Based on review of documentation, staff members hired on 11/18/14 and 7/1/14 did not have an annual evaluation in located in their employee file. Based on interview with the staff person in charge, she confirmed that they had not been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member that was rehired on 8/1/15 did not complete an updated CA/N check (previous was completed on 12/14/12) or an updated CRC (previous was completed on 12/20/12) as required. Based on review of documentation, a staff member rehired on 7/1/15 did not complete an updated CA/N check (previous was completed on 6/18/08) or an updated CRC (previous was completed on 8/12/08) as required. Based on review of documentation, staff members hired on 8/2/15 and 7/24/15 did not have a CRC completed on or before their hire dates. The CRC located in their employee files were both completed on 8/5/15. These staff members were not alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 8/2/15 and 7/24/15 did not have documentation of completed education as required. Based on interview with the staff member in charge, she confirmed after looking through the file that it was not available.

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 following staff members hired on 8/11/15, 8/1/13, and 7/24/15 did not have a statement from a healthcare professional documenting they were free from active tuberculosis in their employee file as required. Based on interview with the staff person in charge, they confirmed that several staff members were scheduled with a healthcare professional to have these documents updated.

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 members hired on 8/11/15, 11/18/14, and 7/24/15 did not complete orientation as required within the first 90 days of employment. ECE-TRIS was referenced for these staff members, and it was not indicated that they had completed orientation in their training logs. Based on interview with the staff person in charge, she reported that these employees did have their orientation training scheduled to be completed.

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 lesson plan in the toddler classroom was not posted for the current week as required. Based on interview with the staff in charge, she acknowledged that it was not posted, and ensured a current lesson plan would be posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was a patch on the ceiling at the back of the Toddler classroom that was stained and peeling. Based on interview with the staff in charge, she reported this was a problem area for the school and it has been fixed numerous times in the past; however, the patch continues to reappear.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) children enrolled to the center on 8/5/15 and 5/15/15 did not have current immunizations on file. Based on interview with the staff person in charge, she confirmed that they were waiting to receive updated immunizations for these children. 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, a child enrolled to the center on 8/11/15 did not have a pick-up authorization filled out and signed for by their parent on file. Based on review of documentation, a child enrolled to the center on 8/5/15 did not have a physician contact or preferred hospital on file. Based on review of documentation a child enrolled to the center on 5/15/15 did not have a preferred hospital listed on file. Based on interview with the staff in charge, she confirmed that these items were missing from the children's files.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare facility did not have an up to date Emergency Preparedness Plan; their most current plan was dated for 11/20/13. Based on interview with the staff person in charge, they confirmed there was not an up to date plan available at that time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 8/1/13 did not have a completed Professional Development Plan completed in their employee file as required. Based on interview with the staff person in charge, she confirmed that they had not been completed.

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 facility did not have documentation showing they had completed any quarterly earthquake/tornado drills from August- December of 2015 as required. Based on interview with the staff person in charge, they were unable to locate any documentation to show these had been completed.

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 facility did not have documentation showing they had completed monthly fire drills from January-May of 2015 as required. Based on interview with the staff person in charge, they were unable to find documentation to show those had been completed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare facility did not have the Children and Parent rights form posted, nor did they have the Consumer Product Safety Information sheet posted as required.

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, there was no written documentation from the local authority showing compliance with local zoning 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 Review of Documentation, two (2) staff members, both with hire dates of 8/1/13, had no annual written performance evalutions in their files. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, there was an outlet located in the hallway between the two primary classrooms that did not have a protective cover on it.

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 no documentation of education on file for an employee hired on 10/8/14.

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 determined that a staff member hired on 11/18/14, did not have a statement from a health professional prior to employment that they were free of active tuberculosis. The most recent tuberculosis statement was dated 1/9/15.

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 determined that an employee with a hire date of 5/1/14, did not complete the required six (6) hours of cabinet approved orientation within the first three (3) months of their employment. The employee's orientation certificate had a completion date of 10/10/14. Also, there was no documentation present in the file for orientation training for an employee who was hired on 10/8/14. Additionally, there were three (3) employees with hire dates of 6/1/13, 9/4/09, and 8/1/13 that had not completed the required fifteen (15) hours of cabinet-approved early care and education training for the previous 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, there was no daily planned program in any of the three (3) classrooms that were observed.

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 were items such as a hammer, and a small replacement blade for a wood saw (that was secured in its original packaging) located in the first Primary classroom, under the sink in the kitchen prep area. The cabinet was not locked and therefore was 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, there were paint stains on the floor, wall, and baseboard under a window in Primary Classroom Two.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a child with a birthdate of 2/22/11, did not have a current immunization certificate in their record. 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, there was no preferred hospital listed for one (1) of ten (10) children's files reviewed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) months where there was no written documentation to show that fire drills were conducted for those months. Additionally, there was no written documention to show that any earthquake drills were conducted last year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, personnel file for employee with hire date of 08/01/2013 did not include the results of a criminal records check from a previous state of residence. The employee had listed the state of Georgia as a residence.

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, employee with a hire date of 09/04/2009 did not complete fifteen (15) hours of cabinet approved early care and education training during the annual year of 09/04/2012-09/04/2013. The employee only completed three (3) hours of cabinet approved early care and education training during the annual 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, a program of activities was not posted in the toddler classroom.

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 of the toddler classroom, four (4) containers of toxic cleaning supplies were stored under the sink in the kitchen prep area. Those items include Palmolive Dish Soap, Lemon Great Value Dish Soap, Method Dish Soap, Breat Value Dishwasher Gel. This items read, "Keep out of reach of children." The items were accessible to children in the classroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 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 Observation, a fruit slicer was found in the third drawer of the kitchen prep area of the toddler classroom. The fruit slicer did have sharp edges and was accessible to children. The fruit slicer was not being used as a part of the planned program, or under direct supervision.

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 of the primary classroom, three (3) used pieces of disposable paper towel were laying on the floor between the hand washing sink and the trash can. Based on observation of the primary classroom, the hand washing sink had several large areas of dried purple paint on it.

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. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the second stall in the toilet room used by the primary classrooms did not contain toilet paper. The toilet located in the second stall contained urine and used toilet paper inside.

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, the water temperature in the handwashing sink located in the primary classroom registered at fifty-eight (58) degrees Fahrenheit. Based on observation, the water temperature in the handwashing sink located in the primary classroom registered at fifty-two (52) degrees Fahrenheit. Based on observation, the water temperature in the handwashing sink located in the primary classroom registered at fifty-seven (57) degrees Fahrenheit. Based on observation, the water temperature in the handwashing sink located in the toilet room used by the primary classrooms, registered at fifty-seven (57) degrees Fahrenheit.

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, nine (9) coats and six (6) pairs of shoes were laying on the floor, near the children's storage area in the primary classroom. The items were touching one another and stored in a unsanitary manner. 645 - Toothbrush/Toothpaste Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (15) Toothbrushes shall be: (a) Individually identified; (b) Allowed to air dry; and (c) Protected from contamination. (16) Toothpaste used by multiple children shall be dispensed onto an intermediate surface, such as waxed paper, to avoid cross contamination.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a green non-disposable bath towel was found on the playground. The towel was partially buried in the ground and was dirty and weathered. A plastic covering used on the railing of the entrance to the playground was ripped and hanging from the railing.

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, four (4) cots located in the toddler classroom were stored in manner that the sheets on the cots were touching. The cots did not allow for the bedding to be stored in a sanitary manner. 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

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, three (3) seats on the teeter totter were ripped and in disrepair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) employee file did not have evidence of a negative T.B. skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The staff person was hired on 7/12/12; however, did not have a TB skin test until 8/14/12. 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 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report

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, two (2) staff (hire dates: 11/28/11 and 9/2011) did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential.

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 (enrollment date: 8/1/11) had an immunization certificate that was no longer current as of 10/31/11.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.