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

General: Based on interview and review of documentation, a staff member hired 01/21/21, completed no training hours of cabinet approved training hours during the first year of employment. A staff member hired 09/08/20, completed ten and one half (10 ½) training hours during the subsequent year of employment. A staff member hired 07/23/04, completed twelve and one quarter (12 1/4) training hours during the subsequent year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Not Applicable

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 caregiver, hired on 7/23/04, completed five (5) hours of training during a subsequent year of employment. A caregiver, hired on 8/5/14, completed eleven (11) hours of training during a subsequent year of employment. A caregiver, hired on 9/18/20, completed seven (7) hours of training during a subsequent year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 review of documentation, a child, enrolled on 8/10/21, had an immunization certificate on file that did not have an expiration date. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a large bottle of hand sanitizer set on the desk in the library and a gallon tub of antibacterial wipes set on top of a filing cabinet in room 206. Each container was labeled "Keep out of reach of children" and was stored accessible to children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child first date of attendance 09/06/2020, did not have information on file for staff to contact the child's physician and preferred hospital and did not include allergy information in the child's enrollment information. In addition, a child first date of attendance on 09/08/2020, a child first date of attendance on 09/04/2020, and a child first date of attendance 09/03/2020, each did not include allergy information in the child's enrollment information. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on review of documentation and observation, the center failed to assure the maximum group size shall be fifteen (15) children per group for children aged twenty-four (24) months and older in accordance with 922 KAR 2:405E. Section 4 (b). Surveyor observed eighteen (18) children grouped together from 2:25 p.m. until 2:43 p.m. in the cafeteria.

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, a large brown spot covered the ceiling tile in the girls restroom on the 100 hall. Interview revealed there was possibly a leak. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, nine (9) children did not wash their hands with liquid soap and warm running water before they ate snack in room 206. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance 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 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, a caregiver hired on 3/22/19, had a background check eligibility form from another center. The caregiver was not listed in the National Background Check Program as an employee of this center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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

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 7/23/04, lacked fifteen (15) hours of training. Also, a caregiver hired on 3/21/18, lacked nine (9) hours of training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were brown soiled areas on two (2) ceiling tiles in the girls' restroom and on two (2) ceiling tiles in room 404. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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 8. General.

General: Based on observation, the staff-to-child ratios and group size, the Kentucky Consumer Product Safety Program and website, and the rates for child care were not posted. Animals Not Applicable

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, staff hired 8/6/11, did not have a written performance evaluation on file. 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 hired 8/8/17, had no education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff hired 8/6/11, had not completed any training and staff hired 7/23/04, completed two (2) hours of training. Programming In Compliance Premises In Compliance Hygienic Practices 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, forty-nine (49) children present did not wash their hands after eating their snack. 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, the first aid supplies did not include a cold pack. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled 8/8/17, had an immunization certificate valid until 2/16/18. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, three (3) staffs, hired 7/23/04, 8/6/11 and 8/8/17, did not have a written professional development plan on file.

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 had no documentation fire drills were conducted monthly, August 2017 through February 2018. Also, there was no documentation the 1st and 2nd quarterly earthquake and tornado drills were conducted. The director stated she conducted the fire drills, tornado and earthquake drills but transferred the drills to another form but could not locate the form. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 5/4/15, had a professional development plan dated 4/5/13. A director hired on 8/5/14, had a professional development plan dated 5/14/12. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, two (2) school age children played in a closet with the door closed for approximately three (3) minutes in the cafeteria/gym. The staff was unaware of the children in a closed closet until another child informed the director. These two (2) children were not within sight or sound Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 5/4/15, had no written evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a director hired on 8/5/14, and a caregiver hired on 3/1/17, were both attentive to other children when two (2) children on separate occasions opened the center's door for two (2) adults and three (3) adults in the cafeteria/gym. Therefore, the staff failed to provide for the children's safety. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a caregiver hired on 3/1/17, cared for thirteen (13) school age children alone in the cafeteria/gym for approximately five (5) minutes and had no documentation of a child abuse and neglect check and criminal records check on file. A second caregiver hired on 3/1/17, cared for eleven (11) school age children alone in the computer lab for approximately twenty (20) minutes and had no criminal records check on file. A third caregiver hired on 3/1/17, cared for fourteen (14) school age children alone in the library for approximately two (2) hours and had no child abuse and neglect check on file. 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 6. License Issuance.

General: Based on Review of Documentation, a caregiver hired on 3/1/17, had no documentation of a child abuse and neglect check and a criminal records check, but was left alone to supervise thirteen (13) school age children in the cafeteria/gym for approximately five (5) minutes. A second caregiver hired on 3/1/17, had no criminal records check on file and supervised eleven (11) school age children alone in the computer lab for approximately twenty (20) minutes. A third caregiver hired on 3/1/17, had no child abuse and neglect check on file and alone supervised fourteen (14) school age children in the library for approximately two (2) hours.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 3/1/17, had no 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 Observation, a caregiver hired on 3/1/17, had a TB document dated 4/25/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 8/5/14, lacked fifteen (15) training hours. A caregiver hired on 5/4/15, lacked nine (9) hours of training during the first year of employment. A director hired on 8/5/14, lacked thirteen and a half (13 1/2) hours of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was a white, grainy residue in the bottom of the first aid kit where the first aid supplies were maintained. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 05/04/15 and a caregiver hired 08/05/14, did not have a written annual performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 08/11/15, 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 6. License Issuance.

General: Based on review of documentation, the center could provide the current liability insurance.

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 08/11/15, did not complete orientation training within the first three (3) months of employment. A caregiver hired 08/05/14, completed one (1) hour of training within her first year of employment. A caregiver hired 08/05/14, did not complete any training within her first year of employment. Two (2) caregivers each hired 08/05/14, did not complete the pediatric abusive head trauma training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, nine (9) school age children did not wash their hands after the snack meal.

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, a child enrolled 09/19/15, a child enrolled 08/18/15, and a child enrolled 08/13/15, did not have their preferred hospital documentation 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 and interview, a caregiver hired 05/04/15 and a caregiver hired 08/05/14, did not have an annual written professional development plan. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the information on the Kentucky Consumer Product Safety Program and the program's website were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers hired 8/5/14, did not have proof a criminal records check was submitted. The criminal records check on file was dated 2/13/13. Also, a caregiver hired 8/5/14, did not have proof a child abuse/neglect check was submitted. The child abuse neglect/check on file was dated 2/17/12. Caregiver hired 3/10/15, did not have proof a child abuse/neglect check and a criminal records check were submitted timely.

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 3/10/15, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers hired 8/5/14, had TB skin test on file dated 9/5/11 and 1/30/13 respectively. Also, a caregiver hired 8/5/14, did not have a TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 8/5/14, had not completed orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the center did not maintain a written record of their transportation policy on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 02/13/14, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 08/14/13, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 08/14/13, did not have an emergency medical authorization signed by a parent or guardian.

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, nine (9) children on 01/22/14, eight (8) children on 01/27/14 and 01/24/14, seven (7) children on 01/21/14, did not utilize the daily attendance record required for each child who received Child Care Assistance. Interview determined the Child Care Assistance form was not utilized until March 2014. Also, three (3) children did not have documented departure times on 01/27/14, six (6) children on 01/22/14, and five (5) children on 01/21/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the information on the Kentucky Product Safety Program and the program's web site were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, plastic drinking straws, a plastic bottle, and a metal can top were scattered on the 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 11. Toys and Furnishings.

General: Based on observation, the fourth red, circular step on a circular step ladder was missing a bolt and the second bolt was loose. This circular step ladder was located between two (2) red slides and was part of a large playground apparatus.

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 a written evacuation route, procedures for notifying parents of the relocation site and reunification, coordination with local emergency management officials, and a copy of the plan was not provided to each parent, in accordance with KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired 12/12/11, did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.