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

General: Based on interview and review of documentation, a staff member (DOH: 12/23/24) was not present at the center during the renewal visit. Interview with the director determined the staff member worked during Christmas break from 12/23/24 to 01/03/25. A review of the center's Kentucky Applicant Registry Employment System (KARES) report determined the staff member was listed under pending employees and the determination status was in process. The application was submitted on 01/14/25. Therefore, the staff member did not complete required background checks and be found eligible for employment prior to becoming a staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03/26/2025 AND AS OF 03/27/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, two (2) staff members (DOH: 04/01/22 and 06/13/22), did not have a performance evaluation available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, nine (9) staff members (DOH: 03/29/24, 06/13/22, 06/18/22, 07/01/24, 10/22/24, two (2) hired 07/25/24, and two (2) hired 12/03/24), did not have education documentation on file. Interview with the director determined she was aware education documentation was not on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, four (4) staff members, (DOH: 04/01/22, 06/13/22, 06/18/22 and 10/22/24), did not have TB documentation on file. Interview with the director determined she was aware TB documentation was not on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 06/13/22), was not CPR/first aid trained. Interview with the director determined staff was aware the staff member was not CPR/first aid trained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the following was found: 1. A staff member (DOH: 09/27/21) completed eleven (11) hours of training between July 1 and the following June 30 of the subsequent year of employment. 2. A staff member (DOH: 04/01/22) completed two (2) hours of training between July 1 and the following June 30 of the subsequent year of employment. 3. Two (2) staff members (DOH: 03/29/24 and 07/25/24), did not complete six (6) hours of orientation training within the first three (3) months of employment. 4. A staff member (DOH: 05/30/24) completed six (6) hours of orientation training on 12/12/24, which was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a child (SD: 12/30/24), immunization certificate was valid until 12/18/24.

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 and interview, a staff member (DOH: 06/13/22) did not have a written professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/04/2024 AND AS OF 07/10/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on observation, the surveyor discovered that the child-care center was operating in a newly constructed area of the center. Therefore, the child-care center was using unlicensed space for child-care that had not been approved by DRCC. During interview, staff-in-charge reported the facility built an addition to the building for the child-care center. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. A staff member's (DOH: 05/30/2023) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) result; therefore, the surveyor was unable to verify if the staff member was free of active tuberculosis. 2. A staff member's (DOH: 11/20/2023) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test result; therefore, the surveyor was unable to verify if the staff member was free of active tuberculosis. 3. A staff member's (DOH: 09/27/2021) file did contain a negative TB skin test result dated 10/14/2021; therefore, the surveyor was unable to verify if the staff member was free of active tuberculosis. Staff-in-charge reported that she would have the staff members update or obtain their TB skin tests. 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 Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that a child's (DOE: 01/30/2024) file did not contain an immunization certificate. Staff-in-charge reported that she would have the child's parent provide an immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the Fire Marshal Inspection report, on file, was dated 09/03/19.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's liability insurance was current until 06/19/22. Interview determined the center had current insurance but could not provide documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 05/01/2023 AND AS OF 05/02/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 interview and review of documentation, recurring staff meetings were not documented. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) staff members hired 10/03/22, 01/12/23, and 08/10/20, did not have education verification on file.

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, two (2) staff members hired 01/12/23, and 08/10/20, did not have TB documentation on file. In addition, a staff member hired 05/13/22, had a TB skin test on file that was dated 02/23/21.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 11/19/21, completed seven (7) hours of cabinet approved training during the subsequent year of employment and did not complete one and one half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma Training. A staff member hired 10/29/16, completed four (4) hours of cabinet approved training during the subsequent year of employment. In addition, a staff member hired 09/13/21 completed eleven (11) hours of cabinet approved training during the subsequent year of employment. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, interview and review of documentation, a weekly menu was not developed and posted. 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 observation, interview and review of documentation, two (2) children enrolled 10/10/22, and 01/13/23, did not have an immunization certificate on file. 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, interview and review of documentation, there was no written staff schedule available for review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the center's statement of deficiency and plan of correction during the current licensure year were not posted. Animals Not Applicable

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 review of documentation, the center's KARES report indicated a caregiver hired on 10/1/21, and two (2) caregivers hired on 9/27/21, each did not submit a background check. 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 and interview, six (6) electrical outlets did not have safety plugs in classroom A. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 and interview, a caregiver hired on 10/29/16, had an annual written performance evaluation on file that was dated 5/8/19. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 10/1/21, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 10/1/21 and 9/27/21, did not have TB documentation on file. A caregiver hired 7/22/19, had TB documentation on file that was dated 8/2/19.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 10/1/21, and two (2) caregivers, hired on 9/27/21, did not complete six (6) hours of orientation training within the first three (3) months of employment. Caregivers hired on 7/22/19 and 10/29/16, did not complete any training hours during a subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 2. Child Care Services.

General: Based on observation and interview, the program of activities was not developed in classroom A, classroom B and classroom C. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a menu was not prepared and posted. Meal Planning/Center Does Not Provide Meals Not Applicable 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, a caregiver hired on 7/22/19, did not have an annual written professional development plan. A caregiver hired on 10/29/16, had an annual written professional development plan on file that was dated 5/19/19. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, documentation of recurring staff meetings was not on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) staff hired on 08/28/2017, and 10/29/2016, had an annual written performance evaluation on file that was dated 04/13/19.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, several cords were tangled and plugged into an electrical power strip on the floor in school-age classroom B. A six-year-old child played next to the cords and the electrical power strip. In addition, three (3) electrical outlets on the power strip were not covered. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, two (2) staff hired on 08/28/2017, and 10/29/2016 did not have education verification on file. 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, a bottle of concentrated germicidal cleaner was labeled, “Keep out of reach of children” and was stored on top of a (4) feet high filling cabinet, which was accessible to children in the school-age classroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a first aid book was not in the first aid supplies. Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 12. Transportation.

General: Based on review of documentation and interview, the center did not have a current third party transportation agreement on file. The agreement on file was valid until 08/06/19. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, a menu was not prepared and posted. 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 and interview, a child enrolled 11/16/2020, did not have an immunization certificate on file.

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, a child enrolled on 11/05/2020, did not have information on file for staff to contact the child's physician and preferred hospital. In addition, two (2) children enrolled on 11/16/2020 and 11/06/2020, did not have information on file for staff to contact the children's preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center did not have a written plan for evacuation on file, in accordance with KRS 199.895. 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on review of documentation and interview, the center's written policies and procedures were not available for review.

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, a staff, hired on 10/29/16, had an annual professional development plan on file that was dated 05/19/19. A staff, hired on 08/28/17, had an annual professional development plan on file that was dated 04/03/19. Posted 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, a written daily schedule of activities was posted in school-age classroom B. Animals Not Applicable Emergency Regulation 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 review of documentation, the last inspection conducted by the state fire marshal was on 11/14/17. Director Requirements In Compliance Employee Records 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 11. Staff Requirements.

General: Based on review of documentation, a staff member hired on 7/22/19, had no documentation of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired on 7/22/19, had no TB documentation on file. A caregiver hired on 8/28/17, had TB documentation on file dated 8/28/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers hired on 6/10/19 and 6/3/19, each had not completed the six (6) hours orientation training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the first aid supplies had no flashlight and first aid book. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a tube of Orajel and a bottle of Banana Boat Baby Sunscreen were not labeled to indicate for whom each belonged in a black box. 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 11. Toys and Furnishings.

General: Based on observation, a top rail of a large playground apparatus had a broken piece which exposed a rusty metal bar in the outdoor play area. The top rail was located near the triangle monkey bars and faced the center. Also, a wooden top rail of a large outdoor playground apparatus was splintery. The wooden top rail was near the blue slide and faced away from the center. 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, the center had taken two (2) field trips during the summer of 2019 but the center had no documentation available for review of the routes taken to and from both field trips.

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 review of documentation, there was no current third party transportation agreement. The last agreement was dated 6/1/17 - 8/6/18.

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, the center had taken two (2) field trips during the summer of 2019, but the center had no documentation of the children's transportation records for both field trips. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a food service permit from one of their caterers, Glasgow Independent Schools.

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 posted menu indicated lunch was served from 11:00 a.m. to 11:30 a.m. and snack at 3:00 p.m. Therefore, the meals were not served every two (2) to three (3) hours. 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 review of documentation, a child enrolled on 3/16/2020, had no physician's phone number and preferred hospital listed in their enrollment information. Two (2) children, enrolled on 3/13/2020 and 3/16/2020, had no physician's phone number listed in their enrollment information. A child enrolled on 3/16/2020, had no preferred hospital in their enrollment information. A child enrolled on 3/16/2020, had no physician's phone number, no parent's signature, and no permission from the parent for the center to seek medical care in their enrollment information, and the child's two (2) emergency contacts listed did not have phone numbers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center had taken two (2) field trips during the summer of 2019, but had no documentation children's permission slips for both field trips, available for review. In addition, the center had one (1) walking field trip but the children did not have permission slips available for review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the center's staff members were not familiar with the center's evacuation plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired on 7/22/19, and three (3) caregivers hired on 12/5/14, 6/10/19, and 6/3/19, each had no professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center's fire, earthquake, and tornado drills were not available for review. Interview determined the documentation was located at another site. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the posted schedule of daily activities was dated May 2019. Animals Not Applicable

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 interview and review of documentation, an email was sent to the cabinet to request a change of director on 7/22/19. The center failed to submit the necessary documents to the cabinet to qualify the proposed director.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on review of documentation and interview, the director was notified on 07/01/19 of an accident to a child that tripped and fell in the big gymnasium on 07/01/19. The child required medical attention. The director was notified on 07/02/19 a child had an accident on 07/02/19, the child fell off a mobile bench in the dining area and received a gash to his head and required medical attention. The cabinet was made aware of both accidents on 07/08/19 which was not within 24 hours of discovery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 and interviews, the center failed to implement policies for reporting accidents to the parent or guardians.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the parents were not immediately notified that a child required medical treatment for an accident that occurred at 1:12 p.m. on 07/01/19. The parent contacted the center after the child was taken to receive medical attention. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) caregivers hired 05/22/19 and 06/10/19, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) caregivers hired 05/22/19 and 06/10/19, did not have TB documentation on file. Premises 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 and interview, one (1) child enrolled 06/03/19, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the enrollement form was not completed and signed by the parent. 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, fifty-five (55) children were present on 07/16/19 but only fifty-three (53) children had their arrival time documented.

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 observation and interview, the staff person in charge, hired on 3/18/19, indicated she was the director but had not submitted qualifications to become the director. The qualified director vacated the position on 3/15/19. 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 observation and review of documentation, staff hired 8/28/17, 10/29/16 and 12/5/14, did not have a written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, six (6) electrical outlets in the hallway and two (2) electrical outlets in the classroom did not have safety plugs. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, a staff hired 12/5/14, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 12/5/14, did not have a TB skin test or physician statement on file. Staff hired 10/29/16, had TB documentation dated 10/31/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the center did not have two (2) qualified staff available in case of need.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 8/28/17, completed seven and a half (7.50) hours of trainig. Staff hired 12/8/14, did not complete any training hours. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center did not have a working flashlight. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, a thin layer of mulch was underneath four (4) swings and two (2) slides in the outdoor play area. Equipment In Compliance Transportation In Compliance 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, a child enrolled 4/1/19, did not include the name of the child's physician and hospital in the enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 8/28/17, 10/29/16 and 12/5/14, did not have a written annual plan for professional development. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, a caregiver hired 10/29/16, and a caregiver hired 10/03/16, did not have their written annual performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, eight (8) electrical outlets in the meeting room and one (1) electrical outlet in the hallway did not contain safety plugs. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 01/22/18, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 08/28/17, did not complete orientation training. A caregiver hired 07/31/06, completed thirteen (13) hours of annual training. A caregiver hired 10/29/16, did not complete any hours of training within the first year of employment. A caregiver hired 10/03/16, completed 2.5 hours of training within the first year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the hardwood gym floor was warped and discolored in one area of the gym floor. Interview determined there was a roof leak and water dripped on the floor. The leak was fixed but the floor had not been repaired. 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 and interview, tall brown grass grew up through the mulch on the outdoor playground. 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 and interview, the leather covering was missing from a belt swing and the metal seat was exposed. The leather covering on two (2) belt swings was dry rotted and crack.

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 and interview, a chain was detached and hanging down beside the walkway on the large outdoor playground equipment. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 and interview, the refrigerator and freezer had a dried food and liquid substance on the shelves and on the inside of the doors. This refrigerator/freezer was used for the children in care. 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 review of documentation and interview, a child enrolled 04/02/18, did not have preferred hospital information 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 review of documentation and interview, a caregiver hired 10/29/16, did not have her annual professional development plan on file. Posted 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 8. General.

General: Based on review of documentation and interview, the center's current statement of deficiencies/plan of correction was not posted. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 director failed to provide for safety of a thirteen-year-old child on 8/8/17 at 4:30 p.m. Interviews determined the child kicked the unsecured hand weight racked with his feet which caused the rack to fall over on the child's right ankle. The child was taken to the ER and was diagnosed with a swollen right ankle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation and interview, a child enrolled 6/1/17, did not have a signed field trip permission release to go to the unfenced outdoor playground and pavilion located on the premises. The child received an injury while present in the unfenced area. 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 interview, fifteen (15) children received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the week of 5/22/17 - 5/26/17; twenty-one (21) children received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the week of 5/30/17 - 6/2/17; twenty-two (22) children received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the week of 6/5/17 - 6/9/17; twenty-seven (27) children received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the weeks of 6/12/17 - 6/16/17 and 6/19/17 - 6/23/17; twenty-five (25) children who received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the weeks of 6/26/17 - 6/30/17 and 7/3/17 - 7/7/17; twenty-seven (27) children who received childcare assistance during summer camp, but a parent did not verify the accuracy of their child's attendance for the week of 7/10/17 - 7/14/17. The director was aware parents had not signed the attendance sheets. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 Observation, thirty-five (35) preschool and school age children were moved from licensed space in the youth gym to a non-licensed space in the adult gym. Interview determined the center had a broken heat exchanger which allowed no heat in the licensed space. Therefore, the center failed to notify the cabinet prior to moving the children to a non-licensed space. Director Requirements In Compliance 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, a director hired on 7/31/06, had a TB test administered, but did not have documentation of a read TB skin test. A caregiver hired on 11/7/16, had no TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a director hired on 7/31/06, lacked eight (8) hours of training. A caregiver hired on 1/24/14, lacked fifteen (15) hours of training. Also, a caregiver hired on 5/13/16, had not completed orientation training. 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, there were three (3) ceiling tiles which had brown circles and one of these ceiling tiles sagged. These were located in the boys' locker room near the door which led into the boys' restroom. Also, a two (2) foot long and nine (9) inch wide hole was in the wall below a wooden bench in the boys' locker room near the door to the boys' restroom. In addition, white streaks and chipped blue paint were on the wall of the youth gym next to the exit doors. Interview determined there was a roof leak which caused the streaks and chipped paint. 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, a twelve (12) inch long and four (4) inch wide hole was in a wooden storage unit which held toys in the youth gym. 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 Review of Documentation, the center's third party transportation agreement was valid 6/1/15 to 8/6/16. Interview determined that prior to summer camp, the center received an agreement from the third party for transportation but it was not available for review during the inspection. 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

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the center had available 2% reduced fat milk for the preschool and/or school age children during lunch. Interview determined if a child did not bring milk from home the center served the two (2) percent reduced fat milk. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, the center failed to notify the cabinet within twenty-forty (24) hours after a child received an injury. Source stated a child received a laceration across her forehead which required medical treatment on 08/08/16. The cabinet was not notified until 08/10/16.

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, a staff, hired on 05/22/10; a staff, hired on 05/30/14, and a staff, hired on 01/24/14, each did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 11/09/15, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, dirt and debris were behind the large apparatus in the gym.

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, a dried brown substance was underneath the bottom storage drawer inside the refrigerator in the gym.

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 Review of Documentation, 50 children did not have a documented time for when they each got off the contracted vehicle for a fieldtrip taken to the waterpark on 06/25/15.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, a thermometer or other temperature indicating device was not inside of a refrigerator in the gym. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 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 8. Kitchen Requirements.

General: Based on Observation, a temperature measuring device was not inside two (2) freezers, located in the gym, in order to ensure frozen food was kept a zero degrees Fahrenheit. Also, a temperature device was not inside of a freezer in the child care room.

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, two (2) children were not served milk with the lunch meal. Also, a child was not served a fruit component with the lunch meal. Children's Records

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, two (2) children did not have a documented arrival time on 12/22/15.

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, a staff, hired on 01/24/14, had an annual professional development plan on file that was dated 02/24/14. A staff, hired on 05/22/10, had an annual professional development plan on file that was dated 04/25/14. A staff, hired on 07/31/06, had an annual professional development plan on file that was dated 04/28/14. A staff, hired on 05/30/14, did not have an annual professional development plan on file. 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, the statement of deficiency issued by the cabinet and the plan of correction submitted by the center during the current licensure year were not posted.

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 review of documentation, the center's third party agreement was valid through 8/6/14.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, ten (10) children, each enrolled on 4/6/15, did not include a preferred hospital in their enrollment information. A child enrolled on 4/6/15, did not have her parent's signature on her enrollment information and no authorization for the center to seek emergency medical care for the child in the parent's absence. A child enrolled on 4/6/15, did not include the name and contact information of her physician. Also, a child enrolled on 4/6/15, did not include his physician's contact information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/31/06, lacked seven (7) hours of training during her subsequent year of employment. 345 - Driver Requirements Discussed 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 350 - Program of Activities Followed Discussed 922 KAR 2:120. Section 2. Child Care Services. (4) The child-care center shall provide a daily planned program: (a) Posted in writing in a conspicuous location with each age group and followed; (b) Of activities that are individualized and developmentally appropriate for each child served; (c) That provides experience to promote the individual child's physical, emotional, social, and intellectual growth and well-being; and (d) That offers a variety of creative activities including the following: 1. Art; 2. Music; 3. Dramatic play; 4. Stories and books; 5. Science; 6. Block building; 7. Tactile activity; 8. Culture; 9. Indoor or outdoor play in which a child makes use of both small and large muscles; 10. A balance of active and quiet play, including group and individual activity; 11. An opportunity for a child to: a. Have some free choice of activities; b. If desired, play apart from the group at times; 355 - Practice Appropriate Self-Help Procedures Discussed 922 KAR 2:120. Section 2. Child Care Services. (4) The child-care center shall provide a daily planned program: (d) That offers a variety of creative activities including the following: 11. An opportunity for a child to: c. Practice developmentally appropriate self-help procedures in respect to: (i) Clothing; (ii) Toileting; (iii) Hand-washing; and (iv) Eating; 360 - Electronic Viewing/Listening Devices Discussed 922 KAR 2:120. Section 2. Child Care Services. (4) The child-care center shall provide a daily planned program: (d) That offers a variety of creative activities including the follwoing: 12. Use of electronic viewing and listening devices if the: a. Material is appropriate to the child using the equipment; b. Material does not include any violence, adult content viewing, or inappropriate language; c. Viewing or individual listening is limited to two (2) hours per day; d. Viewing or listening is discussed with parents prior to viewing or listening; and e. Viewing or listening is designed as an educational tool. (5) A child who does not wish to use the electronic devices during the planned program shall be offered other appropriate activities. 365 - Regularity of Routines Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 2. Child Care Services. (6) Regularity of routines shall be implemented to afford the child familiarity with the daily schedule of activity. 370 - Sufficient Activity Time Discussed 922 KAR 2:120. Section 2. Child Care Services. (7) Sufficient time shall be allowed for an activity so that a child may progress at their own developmental rate. 375 - Waiting Period Discussed 922 KAR 2:120. Section 2. Child Care Services. (8) A child shall not be required to stand or sit for a prolonged period of time: (a) During an activity; (b) While waiting for an activity to start; or (c) As punishment. 380 - School Age Care Discussed 922 KAR 2:120. Section 2. Child Care Services. (9) If school-age care is provided: (a) A separate area or room shall be provided in a Type I child-care center; and (b) Each child shall be provided a snack after school. 385 - Discipline Discussed 922 KAR 2:120. Section 2. Child Care Services. (10) A child shall not be subjected to: (a) Corporal physical discipline pursuant to KRS 199.896(18); (b) Loud, profane, threatening, frightening, or abusive language; or (c) Discipline that is associated with: 1. Rest; 2. Toileting; or 3. Food. 390 - Diagnosed Special Need Discussed 922 KAR 2:120. Section 2. Child Care Services. (12) Care for a child with a special need shall be consistent with the nature of the need as documented by the child’s health professional. 395 - Electronic Viewing/Listening Planned Program Discussed 922 KAR 2:120. Section 3. General Requirements. (1) Electronic viewing and listening devices shall only be used in the center as a part of the child’s planned program of activity described Section 2(4) of this administrative regulation. 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. 405 - Weather Conditions Discussed 922 KAR 2:120. Section 4. Premises Requirements. (17) Outdoor activity shall be restricted based upon: (a) Temperature; (b) Weather conditions; or (d) Weather alerts, advisories, and warnings issued by the National Weather Service. 410 - Infant/Toddler Combined with Older Children Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (2) Except in accordance with subsection (3) of this section, an infant or toddler shall participate in an activity with an older child for no more than one (1) hour per day. 415 - Toddler Combined with Preschool Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (3) A toddler may participate in an activity with an older child for more than one (1) hour per day if: (a) The toddler is in transition to the pre-school age group; (b) The toddler is twenty-one (21) months or older; (c) Space for the toddler is available in the preschool-age group; (d) The staff-to-child ratios and group sizes are maintained based the age of the youngest child; (e) The center has a procedure for listing a transitioning toddler on attendance records, including a specific day and time the toddler is with either age group; and (f) The child care center has obtained the signature and approval of the toddler’s parent on the toddler’s transition plan. 420 - Infant Sleep Position Not Applicable 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (1) An infant shall sleep or nap on the infant’s back unless the infant’s health professional signs a waiver that states the infant requires an alternate sleeping position. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 26 Web site: http://chfs.ky.gov/ Inspection Report 425 - Rest Time Requirement Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (2) Rest time shall be provided for each child who is not school-age and who is in care for more than four (4) hours. 435 - Bedding/Toys in Crib Not Applicable 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: 3. No loose bedding; and 4. No toys or other items except the infant’s pacifier; 440 - Two Hour Limit - Rest Time Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (4) Rest time shall not exceed two (2) hours for a preschool-age child unless the child is attending the child-care center during nontraditional hours. 445 - Rest Period - Alternate Activity Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (5) A child who does not sleep shall be permitted to play quietly and shall be visually supervised. 450 - Appropriate Use of Food Discussed 922 KAR 2:120. Section 9. Food and Meal Requirements. (2) Food shall not be: (a) Used for reward; (b) Used for discipline; (c) Withheld until all other foods are consumed; or (d) Served while viewing electronic devices. 455 - Toilet Training Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (5) Toilet training shall be coordinated with the child's parent. Premises

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, there were two (2) soiled ceiling tiles in the ladies restroom. Interview determined the center had a leak in the roof. Also, a white substance was on a blue wall behind the indoor play apparatus. The white substance covered a twelve (12) foot long area of the wall.

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 record review, there was no parent signature to verify two (2) children's attendance for the week of 10/6/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the statement of deficiency issued by the cabinet and the plan of correction submitted by the center during the current licensure year were not posted.

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, a caregiver hired 05/20/13, did not have her education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 05/22/10, had a TB skin test that was valid until 05/27/13.

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 center had one (1) qualified substitute available for the Type 1 child care center.

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, a caregiver hired 05/20/13, did not complete six (6) hours of cabinet-approved orientation within her first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a 67.6 ounce and a 8 ounce bottle of hand sanitizer, a 78 count container of disinfectant wipes, and a 9.7 ounce can of Febreeze on the counter beside the attendance records. These items were accessible to the children in the training and child care office.

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 review of documentation and interview, there was no written transportation route and no emergency procedure practiced monthly by the staff who transported the children on their field trips.

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 review of documentation and interview, the center did not document each child's time off the vehicle. Also, each child's last name was not documented.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the weekly menu was not prepared.

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 and interview, the center did not provide a copy of the emergency preparedness plan to each child's parent or guardian, pursuant to KRS 199.895.

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 and interview, the center did not document the monthly fire drills for August and October 2013.

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 review of documentation and interview, the center's current statement of deficiencies/plans of correction was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 5/18/13 supervised thirteen (13) schoolage girls on 5/28/13, and did not have a child abuse and neglect check on file. A caregiver hired 5/20/13 supervised fourteen (14) school-aged boys on 5/28/13, and did not have a child abuse and neglect check on file. Both groups of children were in the gym. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on interviews, a child slipped in water near a post hydrant at an outdoor pavilion on 6/19/12.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.