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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 11/27/23) had a TB skin test document dated 08/08/22. 2) A staff member (DOH: 08/10/22) had a TB skin test document dated 08/03/22.

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, three (3) staff members (DOH: 09/21/23, 01/15/24, and 04/26/24) had not completed the required training on first aid and cardiopulmonary resuscitation (CPR). 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Five (5) staff members (DOH: 09/04/07, 12/19/22, 06/09/23, 06/03/19, and 08/26/13) had zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during their subsequent year of employment. 2) A staff member (DOH: 08/10/22) had eleven (11) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during her subsequent year of employment. 3) A staff member (DOH: 02/09/23) had nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during her subsequent year of employment. 4) A staff member (DOH: 06/04/20) had ten and one half (10.5) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during her subsequent year of employment. 5) A staff member (DOH: 04/04/22) had nine and one half (9.5) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during her subsequent year of employment. 6) Three (3) staff members (DOH: 09/21/23, 01/15/24, and 04/26/24) had not completed orientation training. 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, cartoons played on the television for approximately three (3) hours in the nursery and the one-year-olds' room. Upon interview of staff members in each room, it was reported the televisions were kept on all day for background noise. 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 gallon of bleach, two (2) bottles of Clorox toilet bowl cleaner, two (2) cans of air freshener, two (2) containers of Clorox wipes, a can of disinfectant spray, and a spray bottle of an unknown liquid were accessible to children in the unlocked closet in the three-year-olds' room. 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

Open / not marked corrected.

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

General: Based on observation and interview, the sink was not equipped with hot water for handwashing in the four-year-olds' room. Upon interview with staff members, it was reported the sink had a slow drip; therefore, the hot water was temporarily turned off until it was repaired. 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

Open / not marked corrected.

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

General: Based on observation, one (1) cot had an approximate twelve (12) inch long section frayed and disconnected from the base of the cot in the three-year-olds' room. 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 Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: General: Based on interview and review of documentation, the center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed on 10/25/23 and determined eight (8) former staff members listed as current staff. Interview with the director revealed the staff members are no longer employed by the center. Therefore, the center did not accurately maintain the staff members' employment status. 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, a staff member (DOH: 09/04/07) did not have an annual written performance evaluation on file. 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

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, a staff member (DOH:09/21/23) did not have a TB skin test or a physician statement on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 08/23/23) did not have first aid and CPR training.

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, the following was found: 1) A staff member (DOH: 08/23/22) completed six (6) hours of orientation training on 03/22/23, which was not within ninety (90) days of employment. 2) A staff member (DOH: 08/23/23), lacked (1 ½) hours of cabinet approved Pediatric Abusive Head Trauma Training within the first year of employment. 3) A staff member (DOH: 12/19/22), has not completed six (6) hours of orientation training, which is required within nineth (90) days of employment. 4) A staff member (DOH: 08/23/23), completed only eleven (11) hours of the required fifteen (15) hours of early care and education training during the training year 08/23/22 to 08/23/23. 5) A staff member (DOH: 04/04/22), completed only eleven (11) hours of the required fifteen (15) hours of early care and education training during the training year 04/04/22 to 04/04/23. 6) A staff member (DOH: 06/03/19), completed only twelve and one-half (12 ½) the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 7) A staff member (DOH: 09/04/07), completed only one and one-half (1 ½) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 8) A staff member (DOH: 08/10/22), completed only seven and one-half (7 ½) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 9) A staff member (DOH: 05/19/22), had not completed the required fifteen (15) hours of early care and education training during their subsequent year of employment. A review of ECT-TRIS verified this information. 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 3. General Requirements.

General: Based on observation and interview, a staff member's purse was stored on the desk and was accessible to children in the three-year-olds' classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, paper, an ink pen, clipboards and a television remote, not used for diaper changing, were stored on the diaper changing surface in the one-year-olds’ classroom. 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, an excessive amount of weeds and patches of grass were underneath the Noah’s Ark climbing apparatus and throughout the school- age playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and observation during the inspection, the following was found: School Age Playground 1) Dirt and no protective surface was underneath two (2) swings and a slide. Preschool Playground 1) Dirt and no protective surface was underneath five (5) swings and three (3) Little Tikes climbing apparatuses with slides. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1) An excessive amount of brown stains were on a large green pillow and two (2) large blue pillows in the one-year-olds-classroom. 2) A large oval animal rug in the one-year-olds’ classroom, two (2) large alphabet rugs in the three-year-olds’ classroom, and an alphabet rug in the two-year-olds’ classroom were heavily stained with a black substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, staff seating was not available in the one-year-olds’ and two-year-old’s classroom on 10/25/23. 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 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 interview and review of documentation, a child enrolled 03/06/23, had an immunization certificate valid until 09/30/23.

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 interview and review of documentation, two (2) children enrolled on 10/04/22 and 11/10/22, each did not have the phone number of the child’s physician on the enrollment form to enable the person in charge to contact the child’s physician. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 09/13/21, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 04/04/22, and a caregiver hired 06/10/19, each did not have information on file to verify they were trained in first aid and CPR. 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

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, a caregiver hired 05/23/22, a caregiver hired 04/04/22, and a caregiver hired 11/15/21, each did not complete six (6) hours of orientation training within the first three (3) months of employment. A caregiver hired 09/13/21, completed orientation training on 05/20/22; therefore, she did not complete orientation training within the first three (3) months of employment. A caregiver hired 06/10/19, did not complete one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma within her first year of employment. Interviews revealed the caregiver never completed the training. A caregiver hired 06/03/19, completed two (2) hours of training between July 1 and the following June 30 of a subsequent year of employment. A caregiver hired 06/10/19, did not complete any hours training between July 1 and the following June 30 of a subsequent year of employment. A caregiver hired 10/10/18, completed two and a half (2 1/2) hours of training between July 1 and the following June 30 of a subsequent year 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 14. Transportation.

General: Based on interview and review of documentation, a caregiver hired 06/04/2020, a caregiver hired 09/14/19, and a caregiver hired 06/04/2020, each had a driving history record on file that was dated 05/18/21; therefore, these drivers did not have a current driving history record on file. Interviews revealed these caregivers transported children. A caregiver hired 09/14/19, did not have a current driver's license on file. The caregiver's driver's license expired on 04/18/22. Interviews and documentation revealed she transported children to the pool on 06/21/22, 06/07/22, and 06/09/22. 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, the following was found: 1) A caregiver’s purse was stored on a desk in the preschool room. 2) A caregiver's drink bottle was on the desk in the preschool room. These items were accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices 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, two (2) toddler children did not wash their hands with liquid soap and warm running water after they were diapered in the toddlers' room. These children returned to play in centers.

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, two (2) caregivers did not wash their hands with liquid soap and warm running water before and after they each diapered a child in the toddlers' room. Each caregiver touched another child and toys.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two (2) caregivers did not disinfect the diaper changing mat after they each diapered two (2) toddler children in the toddlers' room. 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, an accumulation of weeds and grass had grown through the mulch in the area where the large slides and swings were located on the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, an excessive amount of chipped paint was on the black desk in the preschool room. Dark stains were throughout the light tan rug in the school age room. The dark tan rug was raveled around the edges in the school age room. 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 14. Transportation.

General: Based on interview and review of documentation, staff who transport children on field trips did not practice emergency procedures in June 2022. Kitchen Requirements 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 observation, a temperature indicating device was not in the freezer used for children in the infants' room. Food Service Not In Compliance

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 Drink Requirements for All Child-Care Centers.

General: Based on observation and interview, there were several different cans of powdered formula in the children's cubbies by the handwashing sink in the infants' room. Observation and interviews confirmed the parent provided the powdered formula and the caregiver prepared the bottles. The caregiver measured formula and water and then mixed them together. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) A child, first date of attendance on 09/13/21, had an immunization certificate on file that was current until 08/10/22. 2) A child, first date of attendance on 09/09/21, had an immunization certificate on file that was current until 03/23/22. 3) A child, first date of attendance was 02/19/20, had an immunization certificate on file that was current until 03/22/22. 4) A child, first date of attendance was 01/12/22, had an immunization certificate on file that did not include a date the immunization was current until. 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

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, first date of attendance on 01/112/22, did not have the child's preferred hospital 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 8. General.

General: Based on interview and review of documentation, the center had a student volunteer but did not have a written policy pertaining to student volunteers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center did not conduct a shelter-in-place or lockdown drill in the third and fourth quarters of 2021, and first quarter of 2022. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, a caregiver supervised eleven (11), two-year-old children in the two-year-olds' classroom for forty-five (45) minutes. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records In Compliance Programming Discussed Premises In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on observation and interview, a CPR mouthpiece was not in the first aid supplies on the twelve (12) passenger van used to transport children. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance

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 and interview, a staff member, hired 06/24/2020, did not have criminal records check from Tennessee, which was a previous state of residence. 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 review of documentation and interview, a staff member hired 06/03/19, did not have an annual written performance evaluation on file. 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

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, staff hired on 09/14/19, 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, a staff member, hired on 04/19/21, did not have TB documentation 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) staff members hired 11/21/19 and 06/10/19, did not complete cabinet approved pediatric abusive head trauma training during the first year of employment. 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, review of documentation and interview, the posted program of activities was dated 2020 and was not followed in the one-year-olds', two-year-olds', and four-year-olds’ rooms. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices 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, two (2) children did not wash their hands with liquid soap and warm, running water after being diapered in the nursery.

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 and interview, soiled pull-ups were stored in an uncovered trash receptacle in the four-year-olds’ girls restroom.

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 and interview, a diaper changing pad had a two (2) inch long tear that exposed foam in the one-year-olds' classroom. In addition, paper, pencils, clipboards and infant shoes were stored on the diaper changing surface. Clip-boards, dirt, pencils, rubber-bands and infant socks were stored on the diaper changing surface in the two-year-olds’ classroom. 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 review of documentation and interview, the medication log did not have the name documented of the person who administered Acetaminophen and Tylenol on 09/30/2020, and Clonidine and Risperidone on 06/18/2021. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the door handle was detached from the door of a white Frigidaire Freezer in the kitchen storage room. Rust and chipped paint were on the handlebars of a yellow teeter-totter on the three and four-year-olds' playground. The center's 2006 Chevrolet Express G3500 van was inoperable. An interview determined the van's motor was in need of repair. 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 on 03/25/11, had an immunization certificate on file that was valid until 05/01/21. A child enrolled on 07/13/2020, had an immunization certificate on file that was valid until 11/22/20. In addition, a child enrolled on 08/01/17, had an immunization certificate on file that was valid until 06/17/21.

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 child enrolled on 01/04/2021, did not include the health status on allergies in the enrollment information. 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, staff members hired on 08/26/13, 09/04/07, 06/03/19, 09/01/16, 10/18/18, 11/21/19, 01/10/2020, 06/28/2006, 06/04/2020, and 06/10/19 did not have an annual written professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a caregiver took a child in the kitchen and used an open hand to spank the child one (1) time on the buttocks as discipline on 6/11/2021. 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, the center’s discipline policy and procedure stated the form of discipline used was time out and redirection. A caregiver did not follow the center’s discipline policy and procedure when she took a three-year-old child in the kitchen and used an open hand to spank the child one (1) time on the buttocks as discipline at 11:30 a.m. on 06/11/2021. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, a caregiver took a child in the kitchen to spank the child on the buttocks at 11:30 a.m. on 06/11/2021. Children's Records 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 12. Reports.

Based on review of written documentation and interviews, the child care center did not report a communicable disease, COVID-19, to the Cabinet within twenty-four (24) hours of discovery. Review of written documentation, an email dated 12/09/2020, revealed the director reported a positive case of COVID-19 for a child in care. Further review revealed there was insufficient identifying information within the report. Additional information was requested and the child care center responded on 12/10/2020. Interview with the director revealed the child care center first discovered COVID-19 for the staff person and the child on 12/06/2020. Although the center sent an email on 12/09/2020, the email did not identify the specific child care center; therefore, the center did not report the disease until four (4) days after discovery, 12/10/2020. Director Requirements 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 on 02/17/20 and 09/14/19, 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, a caregiver hired 11/21/19, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 review of documentation and interview, the program of activities was not developed in the school age classroom. 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 and interview, dead bugs were in the light fixtures in the boys' and girls' restrooms in the four-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a brown stain was on the toilet seat in the preschool restroom between the dining room and infants' room. Hygienic Practices 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 child did not wash his hands with liquid soap and warm, running water after being diapered in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member did not wash her hands with liquid soap and warm, running water prior to putting on gloves and diapering a child in the infants' room. 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 review of documentation and interview, the medication log did not have the name of the person who administered Ibuprofen on 08/05/20, 07/15/20, and 07/27/20. The medication log did not have the name of the person who administered Cephalexin on 07/15/20. In addition, the medication log did not have the name of the person who administered Clotrimazole on 08/20/19. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, dirt and sparse protective surface was underneath five (5) swings on the older children’s playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, the top of a door handle was detached from the door of a white Frigidaire Freezer in the kitchen storage room. Rust and chipped paint were on the handlebars of two (2) teeter- totters on the older children's playground. Rust was on the chains of three (3) swings on the older children’s playground. Rust and flaky paint were on a yellow metal stationary apparatus and a blue metal stationary apparatus on the older playground. The center of the platform was missing and covered with a rubber mat on a Little Tykes playhouse on the older children’s playground. Pieces of a Little Tikes playhouse were scattered on the ground on the younger children’s playground. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

Based on interview and review of documentation, the center failed to assure all child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:405E Section 9 (1). Two (2) staff members hired 06/03/19, and 10/31/19, failed to complete the mandatory training. In addition, the center failed to assure new staff shall undergo name-based background in accordance with 922 KAR 2:280 and shall not be left alone with children until name-based background checks have been approved and returned, in accordance with 922 KAR 2:405E Section 11(5). A caregiver, hired 06/24/20, did not submit a criminal records check to Tennessee, which was a previous state of residence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, one (1) caregiver supervised eight (8) children, aged one-year and two-years old, in the two-year-olds' room from 6:45 am to 2:45 pm. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, one (1) caregiver supervised twenty-one (21) children, ages five-years to ten-years. Interview revealed the caregiver supervised these children for approximately ten (10) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, caregiver hired 12/02/19 did not have a personnel file available for review.

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, a caregiver hired 12/02/19, did not have her 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, a caregiver hired 12/02/19, did not have a TB skin test on file. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, an infant child slept in a bouncy seat. Interview determined there was no documentation on file for an alternate sleep position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an infant child was alseep in a bouncy seat inside the crib in the infants' room.

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, staff hired 10/10/18, opened the locked front entrance door for surveyor at 9:40 am on 10/25/19, leaving five (5) infants alone and unsupervised in the nursery for less than one (1) minute. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, staff hired 8/23/19, supervised eight (8) one-year-old children, in the toddlers' classroom from 9:45 am to 10:35 am on 10/25/19. Staff hired 10/10/18, supervised six (6) infants, six (6) weeks to one-year, in the nursery from 9:45 am to 10:35 am on 10/25/19. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, staff hired 8/23/19, did not have education documentation 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, the center did not have a staff present from 9:40 am to 9:50 am on 10/25/19, with current first aid and CPR certification. Children's Records 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 and interview, a child enrolled 6/18/19, immunization certificte was valid until 9/10/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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, an infant slept in a crib spaced two (2) inches from another crib in the infants’ room.

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, a caregiver supervised six (6) children, ages three (3) months to one-year-old, for less than a minute in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the center’s policy for reporting suspected child abuse/neglect was not in compliance with KRS 620.030, which requires anyone who suspects child abuse or neglect to report these allegations to the cabinet or law enforcement. The center’s reporting policy stated staff were to make a report to the program director and the program director would gather information from staff and report suspected child of abuse and neglect to the Depart of Social Services. 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, staff members with the hire dates of 06/01/16; 07/01/16; 08/26/13; 09/04/07; 10/27/93, 05/22/18 and 09/01/16, each had an annual written performance evaluation on file that was dated 07/12/18. 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, a staff, hire date 03/04/19, completed six (6) hours of cabinet approved orientation training on 07/25/19, which was not within the first three (3) months of employment. A staff, hired on 03/11/19, completed six (6) hours of cabinet approved orientation training on 06/27/19, which was not within the first three (3) months of employment. A staff, hired on 10/10/18, completed six (6) hours of cabinet approved orientation training on 03/07/19, which was not within the first three (3) months of employment. A staff, hire date 03/18/19, did not have documentation of completing six (6) hours of cabinet approve orientation training within the first three (3) months of employment. A staff, hire date 06/01/19, a staff, hire date 07/01/16, and a staff, hire date 09/01/16, each completed one and a half (1 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 08/26/13, completed eight (8) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 09/04/07, completed three (3) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 10/27/93, completed four and a half (4 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 05/22/17, did not complete any cabinet approved training hours during a subsequent year of employment. 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, the program of activities was not developed in the two-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 3. General Requirements.

General: Based on observation, a bottle of Fabuloso cleaner was stored on a three feet high shelf and a container of sanitizing cloths were stored on the corner of an adult desk in the school-age room. An eight ounce bottle of Glade air freshener was stored in an unlocked lower compartment of the diapering station in the two-year-olds’ room. These items were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a plastic trash bag was stored in an unlocked bottom drawer of a five (5) drawer storage unit in the infants’ room. This bag was accessible to children and was not a part of the planned program of instruction.

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, an accumulation of dead bugs and chunks of a thick dusty substance were in the light shield in the four-year-olds’ girls’ restroom.

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 large brown stain was on a ceiling tile in the two-year-olds’ room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, two (2), one-year-old toddlers did not wash their hands with liquid soap and warm running water after eating. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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 observation, a jar of Desitin, a small tube of Orajel and a bottle of gas relief drops were not labeled to indicate to whom they belonged, in the infants’ room. Six (6) tubes of diaper rash creams and a small tube of Triamcinolone Acetonide ointment were stored in a clear tub in an unlocked lower compartment of the diapering station in the two- year-olds’ room. 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, dirt was underneath five (5) swings on the preschool age children’s playground. A sliding and climbing apparats had sparse protective surface material underneath on the infants’ and toddlers’ playground. A Little Tikes slide was in the fall zone of a Little Tikes slide on the preschool children’s playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a metal pin protruded two (2) inches from an unattached basketball goal post, which was laid on its side, on the school-age children’s playground. A steering wheel was missing from a blue stationary car on the school-age children’s playground. Dried food particles were on the inside surfaces of a microwave in the kitchen. In the dining room, safety belts were missing from a Rubbermaid highchair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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 observation and a review of documentation, emergency procedures were not practiced monthly by staff who transported children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, a cold compress and liquid soap were not in the first aid supplies on the center's van.

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, there was no documentation that a daily inspection of the center's vehicle had been conducted.

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, transportation services were not documented. Food Service/Food Program Not Applicable 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 observation, two (2) bottles were not labeled with the name of whom they belonged to, in the infants’ room. 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 center did not have written permission from a parent or guardian to transport five (5) children from school to the center daily. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report 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 9. Records.

General: Based on observation and review of documentation, review of documentation, the daily attendance records for the week of 06/03/19, did not have initials from a parent or authorized person for twenty-seven (27) children and a parent signature to verify accuracy of the weekly attendance for twenty-six (26) children in accordance with Child Care Assistance Program.

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 staff, hired on 07/01/16, had an annual professional development plan on file that was dated 04/24/17. A staff, hired on 09/01/16, had an annual professional development plan on file that was not dated. 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 observation and review of documentation, a daily schedule of activities was not posted in the three-year-olds’ room.

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 proper methods of diapering were not posted at the diapering station in the two-year-olds’ room. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the director and caregivers placed children, four-years to six-years-old, in a high chair as a form of discipline. These same high chairs were used by children during meal time by younger children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the director and caregivers used high chairs as a form of discipline. Interviews determined children, four-years to six- years-old, who refused to remain in time out and who fell on the floor because he/she was upset, were placed in a high chair until the child calmed down. A child was placed in a high chair for approximately four (4) to five (5) minutes but not longer than ten (10) minutes. Review of manufacturer's documentation determined the high chairs were Rubbermaid Commercial Sturdy Youth Seats and intended for children under three-years of age. Children's Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/01/2018 AND AS OF 11/06/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant was asleep in a crib with a blanket up to the child's face in the infants' room. 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) staffs hired 9/24/18 and 6/18/18, did not have verification of their education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff hired 5/22/17, had TB documentation on file dated 9/16/16, and a staff hired 8/1/17, had TB documentation on file dated 9/9/16.

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, two (2) staffs hired 6/18/18 and 10/1/17, had not completed orientation training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the red Hummer wooden platform was cracked and chipped, and had a decayed board. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a bottle was not labeled to indicate for whom it belonged. This bottle was in a refrigerator in the infants' room. Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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, there was no thermometer in the refrigerator located in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 8/1/17, did not have a processed child abuse and neglect check on file. This caregiver was seventeen-years-old and supervised eight (8) children alone while the qualified caregiver took children to the restroom. The seventeen-year-old caregiver was alone for ten (10) minutes. Also, interview determined the caregiver was alone when she took eight (8) children to the restroom for an undetermined amount of time. Supervision In Compliance Staffing 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 11. Staff Requirements.

General: Based on Observation, a seventeen-year-old caregiver hired on 8/1/17, supervised eight (8) children, alone, while the qualified caregiver, hired on 6/1/16, took children to the restroom. The caregiver was alone for ten (10) minutes. Also, interview determined the seventeen-year-old caregiver was alone when she took eight (8) children to the restroom for an undetermined amount of time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report

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 caregiver hired on 11/12/15, left a caregiver hired on 8/26/13, to care for fourteen (14) children when she exited the two-year-old's room to get an envelope. The youngest child was two years old. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the Fire Marshal's Report indicated the center had failed its inspection on 5/18/18. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, thirteen (13) caregivers, hired on 6/28/06, 10/27/93, 6/1/16, 7/1/16, 11/12/15, 4/27/17, 9/1/16, 12/9/13, 8/26/13, 7/6/07, 5/22/17, 4/1/17, and 5/3/17, did not have an 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, an infant was asleep in an Ingenuity Bouncer placed in a crib with a thick blanket up to the infant's face in the infants’ room. Interview determined the infant had been asleep in the bouncer for ten (10) minutes. The Ingenuity Bouncer had a label which stated, "Never use on a bed, sofa, cushion, or other soft surface."

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, a seventeen-years-old caregiver, hired on 8/1/17, supervised eight (8) children alone when the qualified caregiver, hired on 6/1/16, took children to the restroom. The seventeen-year-old caregiver was alone for ten (10) minutes. Also, interview determined the seventeen-years-old caregiver was alone with children when she took eight (8) children to the restroom for an undetermined amount of time. This seventeen-years-old caregiver did not have a processed child abuse and neglect check on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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) caregivers, hired on 10/1/17 and 6/25/18, did not have documentation of education 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, a caregiver hired on 6/1/16, had TB documentation on file dated 3/23/16; a caregiver hired on 11/12/15, had TB documentation on file dated 11/13/15; a caregiver hired on 9/4/07, had TB documentation on file dated 6/6/16, and a caregiver hired on 2/19/18, had no TB documentation 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, a director hired on 3/12/90, lacked seven (7) hours of training; a caregiver hired on 6/1/16, lacked fifteen (15) hours of training; a caregiver hired on 7/1/16, lacked eight (8) hours of training; two (2) caregivers, hired on 9/1/16 and 5/22/17, lacked three (3) hours of training, and a caregiver hired on 9/4/07, lacked five and a half (5 1/2) hours of training. A director hired on 3/12/90, completed the Pediatric Abusive Head Trauma Training on 3/18/13; a caregiver hired on 10/27/93, completed the Pediatric Abusive Head Trauma Training on 3/6/13; four (4) caregivers, hired on 6/1/16, 7/1/16, 4/1/17, and 10/1/13, had not completed the Pediatric Abusive Head Trauma Training, and a caregiver hired on 7/6/07, completed the Pediatric Abusive Head Trauma Training on 3/21/13. Also, a caregiver hired on 8/1/17, completed orientation training on 12/1/17; a caregiver hired on 5/3/17, completed orientation training on 9/1/17, and a caregiver hired on 7/3/17, had not completed the orientation training. 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, there was no daily planned program of activities in the infants' room, one-year-olds' room, two-year-olds' room, and school-age room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant was asleep with a loose pink blanket in a crib from 9:45 a.m. to 10:50 a.m. in the infants' room. A second infant was asleep with a loose blue blanket in a crib in the infants' room. Also, an infant was asleep in a bouncer placed in a crib with a thick blanket up to the child's face in the infants’ room. Interview determined the child had been asleep in the bouncer for ten (10) minutes. 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 black purse, cell phone, and a green drinking cup were on a shelf and accessible to the children in care in the two-year-olds' room.

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, paper towels and toilet paper overflowed out of a waste receptacle in the restroom next to the infants’ room. Hygienic Practices 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, a caregiver hired on 10/1/13, did not clean the diapering surface after a diaper change in the infants' room. 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, a brown and green Step Two Slide, a Little Tikes Climber, a blue Little Tikes Slide, and a lime green Step Two Slide had no protective surface underneath in the toddlers' outdoor play area. A Little Tikes Slide, a Little Tikes double slide, and a blue and brown slide had no protective surface under each item in the preschool outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, seven (7) cribs were placed less than twelve (12) inches apart in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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, there was a broken electrical plate located between a floor television and a bookshelf in the school-age room. The metal legs of a blue chair had rust in the outdoor preschool play area. A Little Tikes double slide had a four (4) inch long crack with sharp edges on a yellow door of the slide in the outdoor preschool play area. Also, there was a twelve (12) inch long crack on the plastic platform of a blue and brown slide located in the outdoor preschool play area. There was water and grass growing up through the crack in the platform. A yellow metal school bus had rusted spots in the outdoor school-age play area. There was an eleven (11) inch long crack next to the rope ladder on a gray rock wall mountain climber located in the outdoor school-age play area. Eight (8) cribs had chipped paint and teeth marks in the infants' room. A frozen milk spill was in the freezer compartment of a refrigerator located in the infants' room. 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, there was no return transportation route from South Middle School to the center.

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, the center's van was last inspected on 9/14/15.

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 traveled to the Greenville Pool, on Tuesdays and Thursdays, since 6/5/18. The center did not document the first and last names of the children transported and the departure and arrival times. Also, there was no documentation of the children's first and last names and departure and arrival times for the children who were transported to/from South Middle School. 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 3. General Requirements.

General: Based on Observation, an infant was asleep in a swing, with a propped bottle in the mouth, in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 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, there was no temperature measuring device in an upright Frigidaire Freezer located in the pantry; therefore, staff could not confirm frozen food was kept a zero or below.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, two (2) bottles were not covered in a refrigerator in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a package of bacon was open in a Frigidaire Freezer located in the pantry. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 12/18/17, had no physician's information and preferred hospital listed on the enrollment form. Also, a child enrolled on 6/28/15, did not have the physician's phone number listed on the enrollment form. 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, the center's evacuation plan was dated 2/3/17. A notation on the evacuation plan determined the plan would be updated on March the first of each year.

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 caregiver hired on 3/12/90, had a professional development plan dated 4/27/17; two (2) caregivers hired on 7/1/16 and 9/1/16, had a professional development plan dated 4/24/17, and a caregiver hired on 4/27/17, had a professional development plan dated 4/20/17.

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, a fire drill was not conducted for November 2017. 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, There was no date on the posted schedule of daily activities in the one-year-olds’ room. The schedule of daily activities ended at 4:15 p.m. There was no date on the posted schedule of activities in the two-year-olds’ room. The schedule of daily activities ended at 3:30 p.m. There was no date on the posted schedule of daily activities in the three-year-olds and four-year-olds’ rooms. The schedule of daily activities ended at 6:00 p.m. The schedule of daily activities was in a binder and not posted in the school age room. The schedule of daily activities ended at 6:00 p.m. Interview determined the center operates from 5:30 a.m. to 12:00 a.m., Monday through Friday. Also, there was no date on the schedule of daily activities in the infants’ room. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8

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 a Review of Documentation and interview on 04/10/18, the center did not have a staff person present with the children with current first aid certification from 5:30 am to 9:00 pm Monday thru Friday. First aid certification for staff expired 03/2018. Children's Records 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 a Review of Documentation, a child enrolled 3/1/17, had an immunization certificate which was valid until 1/18/18.

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, there was no protective surface underneath a rock climbing play apparatus and a slide attached to Noah's Ark Ship in the older children's outdoor play area. Also, five (5) swings did not have protective surface underneath. Equipment 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 caregiver hired 4/27/17, did not have verification of her education 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, caregiver hired 2/25/95, did not have TB documentation 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, the center did not have a staff person employed and present with the children who was certified in First Aid and Infant and Child CPR from 5:30 a.m. - 6:00 a.m. Monday -Friday.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired 6/1/16, had not completed Pediatric Abusive Head Trauma training. Two (2) caregivers hired 11/12/15 and 8/2/16 completed orientation training on 6/27/16 and 3/30/17, and a caregiver hired 3/27/17, had not completed orientation training. Three (3) caregivers hired 8/26/13, 2/2/08 and 12/9/13, lacked 5.50 hours of training and three (3) caregiver hired 9/28/08, 10/27/93, and 11/12/15, lacked seven (7) hours of training. A caregiver hired 6/1/16 lacked one (1) hour of training, and a caregiver hired 2/25/95, lacked five (5) hours of training. 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, daily planned program of activities was not posted in the school-age room and in the nursery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 3. General Requirements.

General: Based on Observation and interview, the laundry room door was propped opened with a gallon of bleach. This bleach was accessible to children. Also, in the laundry room there was an opened bag of salt melt on a shelf behind the door, three (3) gallons of bleach were on a shelf, and three (3), twenty-four (24) ounce toliet bowl cleaners were on a shelf. Also, in an unlocked staff restroom located in the hallway, a bottle of Top Job All Purpose cleaner, a can of Glade Air Freshner and a can of Disinfectant Spray were on a shelf, accessible to children in care. The sign posted on the staffs' restroom door stated, "Keep Door Locked".

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 ventilation fan was inoperable in the three-year-olds' restroom and in the four-year-olds' restroom. 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 Observation, a CPR mouthpiece protector was missing from the first aid supplies. 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, five (5) landscapping timbers, that surrounded the Noah's Ark Ship on the school-age children's playground, were raised approximately three (3) inches which may cause a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, two (2) crib sheets were too small on the crib mattress which caused the mattress to bow upward.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, two (2) children were not provided a sheet for their cot during nap.

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, a pedal was missing from one (1) bicycle on a five (5) cycle merry-go-round on the outdoor playground. Also, the vents in the two-year-olds' restroom, three-year-olds' restroom, the four-year-olds' restroom and two (2) restrooms in the hallway had an accumulation of dust. 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 Observation and interview, the van inspection was dated 9/14/15.

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 Observation and interview, a seatbelt did not latch. This seatbelt was located on the left side, middle row, on the fifteen (15) passenger Chevy van. 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 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the time each child got on and off the van, for trips taken to the pool on 06/5/17 and 7/11/17, was not documented. Food Service In Compliance Children's Records Not In Compliance

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, a child enrolled 12/19/16, had an immunization certificate on file dated 6/15/17. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, eleven (11) children were supervised by three (3) caregivers in the infants’ room. The youngest child was an infant. Also, twenty-two (22) children, aged one to two years old, were supervised by three (3) caregivers in the two year olds’ room. Group size was not maintained in each room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/08/2017 AND AS OF 06/19/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Employee Records In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, two (2) cots were spaced less than twelve (12) inches apart in the four-year-olds’ room. Four (4) cots were spaced less then twelve (12) inches apart in the two-year-olds’ room. 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 3. General Requirements.

General: Based on Observation, an infant was bottle fed while sitting in a bouncy seat in the infants’ room. 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, a child, first date of attendance on 05/23/16, had an immunization certificate on file that was valid until 04/20/17.

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, first date of attendance n 05/23/16, did not have the name and phone number of each person to be contacted in an emergency situation involving or impacting the child and did not have the name of each person designated to pick-up the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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, a caregiver hired on 8/12/08, had a criminal record check on file without a date to indicate the check was processed. A caregiver hired on 10/21/15, did not have a criminal records check from the state of Florida, a previous state of residence. Documentation determined the caregiver moved to Kentucky on 8/8/11. Also, a caregiver hired 7/11/16, had a child abuse and neglect check dated 12/28/15. Interview with director determined the caregiver had a brief break in employment and returned 7/11/16. The director stated she failed to submit another child abuse and neglect check.

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 substitute caregiver hired on 8/11/16, did not have documentation of education 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, five (5) caregivers hired on 8/13/08, 7/18/08, 6/19/09, 7/6/07, and 6/28/06, lacked seven (7) hours of training; the director hired on 3/12/90 and a caregiver hired on 10/27/93, each lacked fourteen (14) hours of training, and a caregiver hired on 9/2/08, lacked one (1) hour of training during the subsequent year of employment. Three (3) caregivers hired on 8/26/13, 12/9/13, and 10/17/13, had no Pediatric Abusive Head Trauma Training. Two (2) caregivers hired on 7/10/13 and 6/18/11, each lacked seven (7) hours of training and had no Pediatric Abusive Head Trauma Training. A caregiver hired on 2/2/08, lacked fifteen (15) hours of training and Pediatric Abusive Head Trauma Training. Also, two (2) caregivers hired on 11/12/15 and 3/21/16, had not completed six (6) hours of orientation within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was no posted daily planned program of activities in the school age room.

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 dead insects in a light fixture in the school age room.

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, grime and dark brown stains were on the floor tiles and baseboards in the boys' and girls' restrooms of the four (4) year olds' room, the three (3) year olds' room, the restroom near the infants' room, and the restroom in the two (2) year olds' room. Also, there was grime in the corners of the baseboards and on the wall at the door of the four (4) year olds' room. Interview with the director determined the stains on the floor tiles were wax build up.

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, there was a wet substance on the floor in front of the toilet and urine odor in the boys' restroom of the four (4) year olds' room.

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, there was feces in the toilet in the boys' restroom of the four (4) year olds' room. Hygienic Practices

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 no protective surface on the younger children's outdoor play area which included six (6) Little Tikes Slides. Also, there was no protective surface underneath a rock climbing play apparatus on the older children's outdoor play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was a three (3) inch long tear in a crib mattress and a two (2) inch long tear in two (2) crib mattresses in the infants' room. Also, seven (7) crib sheets were loose on the crib mattresses.

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, a yellow, metal school bus had flaking paint and rust. The wooden base of the school bus had a broken plank with a sharp point on the older children's outdoor play area. A red metal Hummer's wooden base had a broken plank with a sharp point on the older children's outdoor play area. A rail was detached from a drawbridge located on a large wooden outdoor play ship on the older children's outdoor play area. The rail had two (2) screws with sharp points exposed. There were several dark soiled spots on a brown, square area rug in the school age children's room.

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, two (2) bottles were not covered in the refrigerator in the infants' room.

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 child enrolled on 8/3/15, had no immunization certificate on file.

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, two (2) children enrolled on 2/2/15 and 5/26/15, did not include a contact number for the physician listed on the enrollment form.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 02 Sep 15 AND AS OF 04 Sep 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 08/13/09, a staff hired on 07/18/08, a staff hired on 08/13/08, a staff hired on 08/26/13, a staff hired on 02/02/08, a staff hired on 07/10/13/08, a staff hired on 06/19/08, a staff hired on 07/06/07, a staff hired on 09/02/08, a staff hired on 09/30/11, a staff hired on 02/01/12, a staff hired on 06/18/11, a staff hired on 06/28/06, a staff hired on 10/27/93, a staff hired on 12/09/13, did not have an annual written performance evaluation. 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, a toddler drank from a sippy cup while seated in a reclined bouncy seat in the infants’ room.

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, a staff, hired on 02/03/15, did not have a criminal records check and child abuse/neglect check on file and surpassed the ninety (90) day probationary period.

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 staff, hired on 07/10/13, had TB documentation dated 07/16/13, and a staff, hired on 09/30/11, had TB documentation dated 06/19/13.

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, a staff hired on 12/09/13, a staff hired on 08/01/14, a staff hired on 02/03/15, a staff hired on 11/01/14, and a staff hired on 04/01/15, each did not complete orientation training. A staff hired on 12/09/13, a staff hired on 10/17/13, a staff hired on 08/26/13, and a staff hired on 07/10/13, did complete cabinet approved training during the first year of employment. A staff hired on 08/13/09, a staff hired on 08/13/08, a staff hired on 07/06/07, and a staff hired on 06/28/06, each did not complete cabinet approved training during a subsequent year of employment. A staff hired on 03/12/90, completed 14 hours of cabinet approved training during a subsequent year of employment. A staff hired on 10/27/93 completed seven hours of cabinet approved training during a subsequent year of employment. A staff hired on 09/02/08, completed ten (10) hours of cabinet approved training during a subsequent year 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 6. Sleeping and Napping Requirements.

General: Based on observation, an infant slept in a crib with two (2) loose blankets. Also, three (3) infants slept in a crib with loose bedding.

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, an accumulation of dust was on the vent in the boys’ restroom in the four year olds’ room. An accumulation of dust was on the wall behind the TV in the infants’ and two year olds’ rooms.

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, dead bugs were in the light fixtures in the boys’ restroom located in the four year olds’ room, and dead bugs were in the light fixture in the two year olds’ room.

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, seven (7) children did not wash their hands with liquid soap and warm running water after eating lunch in the two year olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a small bottle of Equate infants' pain and fever reliever, a small bottle of ibuprofen, two (2) small tubes of Orajel, and a small bottle of teething tablets, were stored in an unlocked storage container in the infants' room. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, chipped paint was on the side rails of five (5) cribs in the infants’ room.

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 observation, a seatbelt cutter was not present on the van.

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 vehicle inspection report was dated 08/29/11.

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, the center did not document the first and last names of children and each time the children got on and off the van during trips.

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 was not present in the freezer to indicate food was kept at zero (0) degrees Fahrenheit in the freezer located in the storage building outside of the center.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child, enrolled on 12/09/14, had an immunization certificate on file that did not have a validity date documented. Also, a child, enrolled on 04/07/14, had an immunization certificate on file that was valid until 11/27/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the daily attendance records for the week of 05/04/15 did not include a documented departure time, initials from a parent or authorized person, and a parent signature to verify accuracy of the weekly attendance for approximately six (6) children, in accordance with Child Care Assistance Program. Also, the daily attendance records for the week of 05/11/15 did not include a documented arrival time for a child, a documented departure time for approximately seven (7) children, initials from a parent or authorized person for approximately nine (9) children, and a parent signature to verify accuracy of the weekly attendance for approximately five (5) children, in accordance with Child Care Assistance Program.

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 08/13/09, had a professional development plan with no date.

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 time, children who participated and date were not documented for quarterly practiced earthquake and tornado drills for the fourth quarter of 2014 and the first and second quarters of 2015.

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, quarterly practiced earthquake and tornado drills were not documented during the fourth quarter of 2014 and the first and second quarters of 2015. Posted Documentation

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 date was not included on the daily schedule of activities in the infants’, one year olds’, two year olds’, three year olds’, and four year olds’ rooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an infant was asleep in a bouncy seat. Interview determined the infant had slept in the bouncy seat for one (1) hour and five (5) minutes. Also, two (2) infants in a crib slept on Boppy pillows. A review of documentation determined there was no written documentation which required these children to have an alternate sleep position. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, a caregiver fed a five (5) month old child from a bottle which had a black mold-like substance in the inside vent on the top of the bottle 03/09/15. Children's Records

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 1/12/15, did not include the name of the preferred hospital in the enrollment information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the January 2014 fire drill was not conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation at 9:05 A.M., a female school-age child was observed leaving the restroom and returned to the classroom. At approximately 10:30 A.M., a male child was observed leaving the restroom and returned to the classroom. The location of the restroom did not allow for the children to be within the caregiver’s scope of vision or range of voice. The amount of time the children were unsupervised was undetermined. In addition, the school-age children's caregiver opened the entrance door for the surveyor, leaving the school-age children unsupervised for approximately one minute.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08 Aug 14 AND AS OF 12 Aug 14, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, a parent's payment infomation was posted in plain sight on a child's cubbie in the four/five year olds' room.

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 center did not have documentation staff meetings had been conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, an eleven month old infant wore an amber bead necklace through out the day while at the center, including nap time infants' room.

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 1/25/13, had not completed orientation training and nine additional hours of early care and education training during the first year of employment. A caregiver hired 7/10/13, had not completed orientation training and nine additional hours of training including pediatric abusive head trauma training. A caregiver hired 4/8/13, did not complete nine additional hours of training during the first year of employment. Two caregivers hired 6/28/06 and 7/6/07, had three and half hours of training; four caregivers hired 9/28/08, 8/12/08, 8/13/09 and 7/30/08, had one and a half hours of training; a caregiver hired 3/12/90, had seven and a half training hours, and two caregivers hired 9/30/11 and 2/2/08, did not have any training hours. A caregiver hired 10/17/13 had not completed orientation training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, four caregivers hired 7/30/08, 3/12/90, 10/27/93 and 6/28/06, were listed as van drivers and did not have an annual Kentucky driver's history from the transportation agency. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infants' room: Based on observation and interview, an eleven month old infant wore an amber bead necklace around the during nap time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infants' room: Based on observation, an unlocked cabinet underneath the changing table contained disinfectant wipes and a can of air freshener. Both items were labled keep out of children's reach. A package of C batteries was located in a cubbie accessible to the mobile infants. This package also indicated keep out of children's reach.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two year olds' room: Based on observation, there were multiple areas of exposed sheetrock.

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.

Four/five year olds' room: Based on observation, there was a strong urine odor in the restroom. Interview determined the odor was in the tile flooring.

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.

Four/five year olds' room: Based on observation, a toilet in good repair had been used and not flushed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infants' room: Based on observation, a caregiver did not use running water and soap or a disposable cloth to clean an infant's hands after changing the child's diaper.

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.

One year olds' room: Based on observation, the changing pad was torn.

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, a one ounce bottle of infants' gas drops, a small container of Baby Rub soothing ointment, a one and a half ounce bottle of nasal mist, a bottle of teething tablets, a four ounce bottle of gripe water and a one ounce bottle of infants' pain relief medication were located in the children's cubbies in the infants' room. In addition, a child's bottle of prescription medication was located in the infants' room refrigerator. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Infants/toddlers' playground: Based on observation, eight slides did not have a protective surface.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the fabric on two cots was torn in the three year olds' room, and the fabric on one cot was torn in the four/five year olds' room.

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.

Infants' room: Based on observation, a used fly swatter was under the changing table mat. Interview determined the fly swatter was stored under the mat. 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.

Infants/toddlers' playground: Based on observation, the handles were missing on a Thomas the Train riding toy.

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 record review, the center did not document the first and last names of the children transported and the times each child got on and off the van.

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, there were food crumbs on the bottom shelf of the kitchen freezer, and food splatters inside the kitchen microwave.

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.

Dining area: Based on observation, six (6) one year olds were not served bread with the lunch meal. The lunch meal consisted of chicken, peas, oranges and milk. 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, a child enrolled 5/7/14, immunization certificate had a validity date of 6/4/14, and a child enrolled 6/27/11, immunization certificate had a validity date of 1/12/14.

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, five children enrolled 5/11/11, 6/27/11, 3/6/14, 10/2/13, and 5/7/13, did not have preferred hospital information on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have each parent sign the attendance records for the weeks of 3/3/14 - 3/7/14, 3/24/14 - 3/28/14, 4/7/14 - 4/11/14, and 4/14/14-4/18/14, in order to verify their child's attendance at the center in accordance with 922 KAR 2:160.

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 record review and interview, a caregiver hired 7/10/13 did not have a professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center did not have the Kentucky Consumer Product Safety Program information 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 review of documentation, a caregiver's (DOH: 9/30/11) criminal records check was not maintained in her personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver (DOH: 8/7/13) had no documentation of education available for review.

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, sixteen (16) caregivers lacked training hours: three caregivers hired on 7/18/08, 3/12/90, and 8/12/08, lacked thirteen and a half (13 1/2) hours; a caregiver hired on 6/19/09, lacked seven and a half (7 1/2) hours; four (4) caregivers hired on 9/30/11, 2/1/12, 2/2/08, and 6/18/11, had no hours; a caregiver hired on 6/28/06, lacked nine and a half (9 1/2) hours; a caregiver hired on 8/13/09, lacked three and a half (3 1/2); a caregiver hired on 7/6/07, lacked eleven and a half (11 1/2) hours; a caregiver hired on 9/2/08, lacked seven (7) hours; a caregiver hired on 8/13/09, lacked four and a half (4 1/2) hours, and a caregiver hired on 10/27/93, lacked four (4) hours, and two caregivers hired 2/1/12 and 4/9/12, lacked nine hours of training within their first year of employment.

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, a posted written statement stated a child could not have peaches. This statement was in view to all who entered the infants' Room. Also, two (2) posted written statements stated a child was allergic to bananas, eggs, diary, and could not have hard candy including suckers. The second statement stated a child was allergic to oranges. These statements were in view to all who entered the three (3) year olds' room. 130 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110. Section 2 General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Not Applicable 922 KAR 2:110. Section 2 General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

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 and interview, the center utilized two (2) Bumbo Seats in the infants' room. These Bumbo seats had been recalled. Interview determined caregivers did not know the Bumbo Seats had been recalled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no posted daily planned program of activities in the one (1) year olds' room #1, room #2, and room #3. It was also not posted in the two (2) year olds' room, school age children's room, and infants' room.

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, above and below the rubber baseboard was a brownish black grime on the wall and floor tiles of a restroom next to the infants' room and in the boys' and girls' restrooms in the four (4) year olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a two (2) inch hole was in a diaper changing pad in the two (2) year olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a bottle of pink medication was in the refrigerator located in the infants' room. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a large, wooden ship's draw bridge had a loose pole located on the older children's playground. This pole was the first pole on the left side of the draw bridge entrance.

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, interview, and review of documentation, three (3) Bumbo Seats were at the center and two (2) were utilized by the infant children in the infants' room. A review of the Consumer Product Safety Commission recall information determined the Bumbo seat was recalled in 2007 and instructed consumers to order a free repair kit which included a restraint belt and a warning label. Interview determined the staff were unaware of the recall.

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, an orange and brown food splatter was on the inside walls of a microwave in the kitchen.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, a bottle was uncovered in the refrigerator in the infants' room.

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 child's (DOE: 8/7/12) immunization certificate was valid until 6/13/13, and a second child's (DOE: 1/24/13) immunization certificate was valid until 3/30/13. 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, ten (10) children's files (DOE: 1/2/13, 8/7/12, 8/19/13, 2/12/13, 5/31/11, 8/7/11, 5/17/11, 1/24/13, 7/10/12, and 9/20/10) did not include contact information for a preferred hospital.

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 center's written plan for evacuation did not include all of the requirements listed in KRS 199.995.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the KY Consumer Product Safety information and website were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no posted schedule of daily activities in one (1) year olds' room #2 and room #3.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 2

General: Based on observation and interview, three (3) staff supervised thirty-nine (39) children, the age of the youngest child was one (1) year of age. The children were grouped together in the eating area from 7:55 a.m. until 8:05 a.m. Children walked around the room, mingled with other children while some children remained seated at the tables. 3 year: Based on observation, a caregiver hired 06/28/06, escorted thirteen (13) children, the youngest child a three (3) year old, from the eating area to the classroom at 8:05 a.m. The caregiver supervised the thirteen (13) children until 8:15 a.m., when additional staff arrived at the center. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Infant: Based on observation, a television cord hung from a television that was on a shelving bracket on the wall. The cord was accessible to the children. school age: Based on observation, two (2) uncovered outlets located on a power strip which was layed on the floor. A computer cord layed on floor. These were accessible to the children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation, a five and a half (5 1/2) foot tall metal slide was not anchored to the ground. This slide rocked back and forth.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Infant: Based on observation, five (5) cribs were not spaced twelve (12) inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.