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

General: Based on review of documentation, the surveyor found a child’s (DOE: 5/6/24) file contained an immunization certificate that is no longer current as of 12/03/24.

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 and interview, the surveyor found the following: 1) A child walked down the hallway unsupervised by staff and entered the Three-Year-Old Room. Interview with staff found that the child was three (3) years old. Staff stated that the child's mother is the staff member in the Three-Year-Old classroom. 2) Two children were sitting in the office in the kitchen with no supervision. It is unknown how long the children were in the office. Interview with staff found that the children were six (6) years and seven (7) years old. Staff stated that the children were her grandchildren and that their grandfather was on the way to pick them up. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, the surveyor found the following: 1) In the Two-Year-Old Room, one (1) staff person was providing care for eight (8) children. Staff stated that the children’s ages ranged from one (1) year to two (2) years, which meant the classroom was over ratio by two (2) children. Staff at first was unsure of how many children she had in the room. 2) In the One-Year-Old Room, one (1) staff person was providing care for seven (7) children. The oldest child entered the One-Year-Old Room during the survey after leaving the office in the kitchen. Staff stated that the children’s ages ranged from one (1) year to six (6) years. Therefore, the classroom was over ratio by one (1) child. 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 8. General.

General: Based on observation and interview, the surveyor found in the kitchen office, two (2) children were sitting on the floor of the office unsupervised. Staff advised that the children's ages are six (6) years old and seven (7) years old. It is unknown how long the children were in the kitchen office. The childcare center does not have school age children listed on services they provide.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation and interview, the surveyor found two (2) children sitting on the floor of the kitchen office unsupervised. Staff advised that the children's ages are six (6) years old and seven (7) years old. It is unknown how long the children were in the kitchen office. The childcare center does not have school age children listed on services they provide. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no verification of a written annual evaluation for a staff (DOH: 10/21/21). Through interview, the surveyor learned that the annual evaluation was not available for review during the renewal survey. 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, the surveyor found the following: 1) A staff’s (DOH: 10/21/21) file contained a copy of a negative tuberculin result that was no longer current as of 07/23/24. 2) A staff’s (DOH: 10/17/22) file contained a copy of a negative tuberculin result that was no longer current as of 11/03/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff member (DOH: 10/21/21) had obtained only one and a half (1.5) hours of cabinet-approved early care and education annual training. ECE-TRIS supports these findings. 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, the surveyor found paint was chipping on the walls in the Two-Year-Old Room and there was tape residue on the walls. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a child's file (DOE: 09/05/23) presented for review did not contain the preferred hospital name or contact information; "closest" was written down. 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, the surveyor found no verification of a written annual plan for professional development for a staff (DOH: 10/21/21). Through interview, the surveyor learned that the professional development plan was not available for review during the renewal survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Stacks of totes that contained what appeared to be toy items placed on a blue bench located in the hallway by the exit door that leads to the playground. The totes were observed to not be secure and could easily be pulled off the bench. 2. Large plastic zip lock bags placed inside a bottom cabinet in the One-Year-Old Classroom. The safety lock on the cabinet was observed to be broken. 3. The surveyor found two (2) dead flies on the floor, one (1) on a mat, and one (1) in a small doll house in the Three Year Old Classroom. 4. A red cable was observed coming out from behind a cabinet and ran under a rug in the Three Year Old Classroom. The cable was observed to not be secured. 5. An unsecured black cord was observed to be hanging down from behind a wall mounted television in the Three Year Old Classroom. 6. Three (3) clear totes that contained what appeared to be clothing items were stacked and placed in the bathtub located in the restroom next to the Preschool Classroom. The totes were observed to not be secure. During interview, staff-in-charge stated that the Three Year Old Classroom has not been utilized by the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following staff member's (DOH: 05/01/09, 08/30/20, and 10/21/21) files did not contain a written performance evaluation; therefore, the surveyor was unable to determine that the evaluations were completed annually. 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, the surveyor found the following: 1. A staff member's (DOH: 12/09/97) file contained documentation of a TB skin test dated 07/14/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 2. A staff member's (DOH: 04/06/15) file contained documentation of a TB skin test dated 07/19/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 3. A staff member's (DOH: 10/10/16) file contained documentation of a TB skin test dated 07/27/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 4. A staff member's (DOH: 08/30/20) file contained documentation of a TB skin test dated 06/24/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 5. A staff member's (DOH: 10/21/21) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis.

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 ECE-TRIS, the surveyor found the following: 1. A staff member (DOH: 10/10/16) obtained fourteen and one-half (14 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22 – 06/30/23. 2. A staff member (DOH: 10/21/21) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 10/22/21 – 10/21/22. 3. A staff member (DOH: 10/21/21) did not obtain the one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) container of Disinfecting Wipes and two (2) spray Febreze Air Heavy Duty placed on a white rack in the bathtub in the restroom located inside the Preschool Classroom. The items mentioned read, "Keep Out of the Reach of Children," and were observed to be accessible to the children. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following on the back playground: 1. A long green garden stake/pole placed inside a pot that contained plants. The stake/pole was observed to be easily pulled out of the pot. 2. The base to a large outdoor umbrella was observed coming up and out of the ground; therefore, creating a tripping hazard for the children. During interview, staff-in-charge stated that the umbrella was broken and someone was supposed to come take it down. 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, the surveyor found the following: 1. A blue toddler table in the One Year Old Classroom that contained four (4) seats without straps; therefore, the table was not kept in good repair. 2. A large yellow truck located on the front playground was observed to contain broken plastic on the front hood. The battery was observed to be located underneath the broken piece of plastic; therefore, the truck was not kept in good repair. 3. A large yellow car located on the front playground contained a broken steering wheel, broken mirrors, and a missing wind shield; therefore, the car was not kept in good repair. 4. A red tricycle located on the front playground contained a cracked seat; therefore, the tricycle was not kept in good repair. 5. A red tricycle located on the front playground was missing the rubber handle bars and contained broken plastic on the back part of the tricycle. The broken plastic contained a sharp edge; therefore, the tricycle was not kept in good repair. 6. A red cozy coupe located on the front playground was missing the door; therefore, the cozy coupe was not kept in good repair. 7. A pink Cinderella mirror located on the front playground contained broken plastic; therefore, the mirror was not kept in good repair. 8. A blue truck located on the front playground was observed to contain green cup holders that were broken. The plastic was observed to have a sharp edge; therefore, the truck was not kept in good repair. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following staff member's (DOH: 05/01/09, 12/09/97, 08/30/20, and 10/21/21) files did not contain a professional development plan; therefore, the surveyor was unable to determine that the plans were completed annually. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. One (1) bottle of Anti-Bacterial Hand Soap placed on the sink in the restroom located by the Two Year Old Classroom and Four-Five Year Old Classroom that read, "Keep Out of the Reach of Children," on the label. 2. One (1) bottle of Ecolab Hand Sanitizer and two (2) bottles of Hand Sanitizer Gel that read, "Keep Out of the Reach of Children," on the labels and were placed on a table that was located at the head of the entry way. 3. The surveyor observed different stacks of storage containers placed on a blue bench that lined part of the wall in the hallway by the Three Year Old Classroom and exit door that led to the playground. The storage containers did not appear to be secured. Therefore, the health, safety and comfort of the children was compromised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 10/21/21) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. 2. A staff’s (DOH: 07/30/21) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. 3. A staff’s (DOH: 08/30/20) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. 4. A staff’s (DOH: 05/01/09) file contained an annual written performance evaluation that was not dated; therefore, the surveyor was unable to determine that the evaluation was completed annually. 5. A staff’s (DOH: 12/09/97) file contained an annual written performance evaluation dated for 07/25/21; therefore, the evaluation was not completed annually. 6. A staff’s (DOH: 04/06/15) file contained an annual written performance evaluation dated for 06/11/21; therefore, the evaluation was not completed annually. 7. A staff’s (DOH: 10/10/16) file contained an annual written performance evaluation dated for 06/16/21; therefore, the evaluation was not completed annually. 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, the surveyor found that a staff’s (DOH: 10/17/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge stated that the staff person was going this week to have a TB skin test.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that none of the center staff's files contained current certification in CPR/First Aid. Staff-in-charge stated that the staff have current certification in CPR/First Aid; however, they have not received their updated cards yet.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of ECE-TRIS, the surveyor found that a staff (DOH: 10/21/21) did not obtain one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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, the surveyor found the following: 1. Two (2) red cozy coupes that were missing one (1) door each and one (1) red cozy coupe that was missing two (2) doors located on the front playground. 2. A yellow car that contained a broken steering wheel located on the front playground. 3. A red car that was missing the steering wheel exposing blue/yellow/black cables located on the front playground. 4. One (1) red tricycle that was missing two (2) rubber handles and contained a cracked seat on both edges of the seat, one (1) red tricycle that was missing two (2) rubber handles, and one (1) red tricycle that contained a cracked seat in the center of the seat located on the front playground. 5. What appeared to be a red walker/ride on toy located on the front playground that was missing part of the seat belt. 6. A green plastic toy located on the front playground that contained broken plastic exposing a jagged edge. 7. A yellow plastic toy with a handle located on the back playground that contained broken plastic exposing a jagged edge. The toy was located in an area that was squared off with black borders. 8. A pink/purple plastic vanity set located on the back playground that contained a plastic mirror that was broken and exposed a jagged edge. 9. A loose bolt that was hanging down on the bottom side of a metal playhouse located on the back 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 observation, the surveyor found that the protective surface around a red dome climber located on the back playground was depleted; therefore, the climber did not have an adequate fall zone. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 07/01/19) file contained an immunization certificate that was no longer current as of 07/09/22. 2. A child’s (DOE: 06/21/21) file contained an immunization certificate that was no longer current as of 10/30/22. 3. A child’s (DOE: 06/01/21) file contained an immunization certificate that was no longer current as of 11/28/21. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 10/21/19) file did not contain the contact telephone number for the child’s preferred hospital or family physician. 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, the surveyor found the following: 1. A staff’s (DOH: 10/21/21) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 2. A staff’s (DOH: 05/01/09) file contained a professional development plan that was not dated; therefore, the surveyor was unable to determine that the plan was completed annually. 3. A staff’s (DOH: 12/09/97) file contained a professional development plan dated 07/25/21; therefore, the plan was not completed annually. 4. A staff’s (DOH: 04/06/15) file contained a professional development plan dated 06/11/21; therefore, the plan was not completed annually. 5. A staff’s (DOH: 12/09/97) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 6. A staff’s (DOH: 10/10/16) file contained a professional development plan dated 06/16/21; therefore, the plan was not completed annually. 7. A staff’s (DOH: 07/30/21) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 8. A staff’s (DOH: 08/30/20) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented, the surveyor found that the center’s liability insurance was no longer current as of 09/09/2021. During interview, staff reported that the center's insurance is current; however, verification was not presented during the renewal survey. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented, the surveyor found: 1. A staff’s (DOH: 05/01/2009) file did not contain an updated statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin result. The most recent negative tuberculin result located in the staff’s file was dated 08/26/2019; therefore, the result was not updated every two (2) years. 2. An staff’s (DOH: 10/10/2016) file did not contain an updated statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin result. The most recent negative tuberculin result located in the staff’s file was dated 06/18/2019; therefore, the result was not updated every two (2) years. During interview, staff confirmed that the staff’s files did not contain updated negative tuberculin results within the last two (2) years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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 presented, the surveyor found the following: 1. A child’s (DOE: 11/16/2020) file did not contain a telephone number to enable a person in charge to contact a preferred hospital. 2. A child’s (DOE: 08/02/2021) file did not contain contact information to enable a person in charge to contact a preferred hospital. 3. A child’s (DOE: 07/27/2020) file did not contain a telephone number to enable a person in charge to contact a preferred hospital. During interview, staff stated they would have the parents update their children's information for the files. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor was not presented with a child's (DOE: 9/22/2020) immuzation records. During interview, staff stated that she was not aware that the documentation did not include the child's (DOE:9/22/2020) immuzation record. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The surveyor's temperature was not taken before the surveyor was permitted entry into the child care center. Based on interview, the staff stated that they have been screening individuals with temperature checks; however, they did not think of screening the surveyor's temperature upon entrance to the center. This deficiency was cited due to the following E-Reg: 922 KAR 2:405E Section 6. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center. 2) Based on observation, there was a staff memeber that did not have her mask covering her nose. Therefore, Proper Personal Protective Equipment Requirements were not being utilized. This deficiency was cited due to the following E-Reg: 922 KAR 2:405E Section 7. Personal Protective Equipment (PPE) Requirements. (1) Each adult, including parents and guardians at drop-off and pick-up, shall wear a facemask while inside a child care center: (a) Unless doing so would represent a serious risk to their health or safety and they are able to present a medical statement stating this; (b) Except during planned staff breaks and lunch away from children in care and other staff.

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 surveyor found liquid hand soap located in all the restrooms. The label on the soap stated, "Keep out of Reach of Children"; however, the liquid hand soap was accessible to the children. During interview, staff stated she was not aware that the liquid soap stated “Keep out of Reach of Children” on the label and that the soap would be replaced as soon as possible. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a towel was left hanging on the fence that surrounds the play ground. Upon interview, staff stated that it must have been left outside after wiping down wet play equipment. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 8. Kitchen Requirements.

General: Based on observation, during a tour of the kitchen, the surveyor found that a thermometer located in the refrigerater indicated that the temperature was forty-four (44) degrees Fahrenheit; therefore, the refrigerator temperature was not kept at forty (40) degrees Fahrenheit or below. During interview, staff and the surveyor checked the thermometer again and the staff member stated that they would need to adjust the temperature. 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 file presented for the surveyor to review for one (1) child (DOE: 6/11/18) did not contain the child’s general health status and medical history. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were twenty-eight (28) children were present in the child care center on 10/21/19. Upon review of the daily attendance log for 10/21/19, the surveyor found that the arrival times for eleven (11) of the twenty-eight (28) children were not documented; therefore, the daily attendance records were not being maintained. Upon interview, staff stated that they are constantly reminding parents to sign the children in, but they do not take the time to do it. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that staff nor parents documented the arrival times or departure times for a child for the week of 10/7/19 through 10/11/19.

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 contained in a child’s (DOE: 03/19/18) file, the surveyor found that the immunization certificate was no longer current as of 07/08/18. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the file presented for surveyor review for one (1) child (DOE: 03/19/18) did not contain the preferred hospital and preferred hospital telephone number. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the childcare center’s liability insurance was no longer current as of 09/09/16. Director Requirements Not In Compliance

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, the surveyor found the following: 1. The file for a staff (DOH: 05/01/09) contained a written performance evaluation dated 01/12/16. The performance evaluation was not completed within the last twelve (12) months. 2. The file for a staff (DOH: 04/23/07) contained a written performance evaluation dated 01/07/16. The performance evaluation was not completed within the last twelve (12) months. 3. The file for a staff (DOH: 05/23/12) contained a written performance evaluation dated 01/06/16. The performance evaluation was not completed within the last twelve (12) months. 4. The file for a staff (DOH: 12/09/97) contained a written performance evaluation dated 01/05/16. The performance evaluation was not completed within the last twelve (12) months. 5. The file for a staff (DOH: 08/10/98) contained a written performance evaluation dated 01/05/16. The performance evaluation was not completed within the last twelve (12) months. 6. The file for a staff (DOH: 05/29/12) contained a written performance evaluation dated 01/07/16. The performance evaluation was not completed within the last twelve (12) months. 7. The file for a staff (DOH: 04/06/15) contained a written performance evaluation dated 01/08/16. The performance evaluation was not completed within the last twelve (12) months. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the classroom for the three-year-old children, the surveyor observed an approximate four (4) foot wooden curtain rod was propped against the wall. The curtain rod was accessible to the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no verification that a staff (DOH: 10/10/16) has obtained a High School Diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The surveyor found that a staff’s (DOH: 12/09/97) file contained a copy of a negative tuberculin result that was no longer current as of 06/10/17. 2. The surveyor found that a staff’s (DOH: 05/01/09) file contained a copy of a negative tuberculin result that was no longer current as of 06/23/17. 3. The surveyor found that a staff’s (DOH: 04/23/07) file contained a copy of a negative tuberculin result that was no longer current as of 06/24/17. 4. The surveyor found that a staff’s (DOH: 12/31/97) file contained a copy of a negative tuberculin result that was no longer current as of 07/08/17. 5. The surveyor found that a staff’s (DOH: 07/15/17) file contained a copy of a negative tuberculin result that was no longer current as of 06/10/17. 6. The surveyor found that a staff’s (DOH: 05/29/12) file contained a copy of a negative tuberculin result that was no longer current as of 06/10/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the Type I childcare center has (2) substitute staff; however, only one (1) staff meets qualification based on the lack of a current tuberculin result.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the Type I childcare center has one (1) substitute staff that their file does not contain a current tuberculin result.

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 ECE–TRIS, the surveyor found that a staff (DOH: 10/10/16) completed six hours of cabinet-approved orientation training on 02/01/17; thus, not within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 during a tour of the classroom for the three-year-old children, the surveyor observed that staff used a wet wipe to clean the children’s hands rather than liquid soap and warm running water.

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, the surveyor learned that staff sanitize the mouth contact toys in the following steps: Bleach, rinse, dry. The proper methods to sanitize mouth contact toys is as follows: Scrub in warm soap water using a brush to reach into crevices, rinse in clean water, submerge in a sanitizing solution for at least two (2) minutes and air dry. 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 11. Toys and Furnishings.

General: Based on observation during a tour of the Toddler Room, the surveyor found that an adult-size chair had tears in the cloth cover that exposed the inner padding. Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 contained in ten (10) children’s files, the surveyor found the following: 1. Ten (10) files did not contain information to enable a person in charge to contact the preferred hospital. 2. One (1) file did not contain information to enable a person in charge to contact the family 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation on 08/31/11, the surveyor found that a staff person was providing care for five (5) one-year-old children. Another staff person was providing care for six (6) two-year-old children. The classrooms are connected by a door. The teacher in the two-year-old's room asked the teacher in the one-year-old's room to stand in the doorway and supervise the children. She left the classroom to wet wash cloths to clean the children’s faces and hands following lunch. During this time, approximately one (1) minute, the teacher provided supervision for eleven (11) children with the youngest child being one-year-old. The staff-to-child ratio was exceeded by five (5) children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a plunger had been stored in an unlocked cabinet located in the restroom that is painted green. The plunger was accessible to the children. 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

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 02/23/12) file contained a copy of a negative tuberculin result that was no longer current as of 06/10/16.

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 ECE-TRIS, the surveyor found the following: 1. Only thirteen (13) hours of cabinet-approved early care and education annual training could be verified for a staff (DOH: 02/21/11). 2. Only twelve (12) hours of cabinet-approved early care and education annual training could be verified for a staff (DOH: 02/23/12). 3. A staff (DOH: 04/06/15) completed one and a half (1 ½) hours of Pediatric Abusive Head Trauma training on 08/15/16; thus, not within the first year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the classroom for the four and five-year-old children on 08/31/16, the surveyor found that the children were watching a cartoon video at 11:45 a.m. Review of the daily planned program revealed that the video activity was not listed.

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 during a tour of the child care center, the surveyor found the following: 1. Empty plastic garbage bags had been stored in a drawer and in the shower stall located in the restroom that is used by the four and five-year-old children. The empty plastic bags were accessible to the children. 2. A can of Barbasol Shaving Cream had been placed on an approximate three and a half (3 ½) foot tall shelf located in the classroom for four and five-year-old children. The label on the can of shaving cream indicated that it should be kept out of the reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the classroom for three-year-old children, the surveyor found that nine (9) children were being provided care. The surveyor measured the classroom and found the space was large enough for only six (6) 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 during a tour of the child care center, the surveyor found the following: 1. Nine (9) three-year-old children did not wash their hands following lunch. 2. Five (5) one-year-old children did not wash their hands following lunch. 3. A staff person washed six (6) two-year-old children’s hands with individual wet wash cloths following lunch. The children’s hands were not washed with liquid soap and warm running water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the playground had not been well maintained as the grass had not been mowed. Through interview, the surveyor learned that the children had played outside as recently as 08/30/16.

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, the surveyor found that a child’s (DOE: 03/24/14) file contained an immunization certificate that was no longer current as of 02/22/16.

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 contained in ten (10) children’s files, the surveyor found the following: 1. Nine (9) of the children’s files did not contain information to enable a person in charge to contact the preferred hospital. 2. One (1) child's file did not contain information to enable a person in charge to identify or contact the family physician. 3. One (1) of the child's file did not contain information to enable a person in charge to contact the family physician.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that upon entry to the child care center at 11:30 a.m., the staff person in the three year-old children’s room was observed to leave the classroom and walk across the hallway and enter the kitchen area. The surveyor went into the classroom and found that ten (10) children were unsupervised and lying on their cots for two to three (2-3) minutes. During an interview with the staff person, she stated that it is “not often” that she leaves the children unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation presented during the renewal inspection, the surveyor found that the liability insurance policy was dated 9/09/14; therefore, it was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the four and five-year-old children's classroom, the surveyor found that a sheet containing a child's full name, pick-up authorization information and parental consent had been left on a counter top in an area that was visible to others.

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, the surveyor found the following: 1. Soiled linens had been placed on top of the clothes hamper and in a crate located in the hallway of the child care center. The soiled linens were accessible to the children. 2. A toilet brush and holder had been stored in an unlocked cabinet located under the sink in the green painted restroom.

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 and interview, the surveyor found that verification was not available to confirm that an annual activity had been conducted involving parents or family participation. Employee Records

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 surveyor found that the file for a staff (04/06/15) contained a criminal background check dated 04/10/15; therefore, the background check had not been submitted prior to or on the date of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that at 11:30 a.m., the four and five-year-old children were watching Sponge Bob on television; however, it was not listed on the planned program of activities as part of an educational tool.

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 surveyor found that a staff's purse had been placed on a table located in the four and five-year-old children’s classroom. The purse was accessible to the children.

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 surveyor found that the toilet seat was not securely attached to the toilet bowl located in the green painted restroom. 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.

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. Two (2) children did not wash their hands after diaper changes in the two-year-old classroom. 2. The children did not wash their hands following snack in the four and five-year-old children’s classroom. 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

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 during a tour of the two-year-old children's classroom, the surveyor found the following: 1. A staff person was observed to use hand sanitizer rather than washing her hands with liquid soap and running water before and after changing two (2) of the children’s diapers. 2. A staff person failed to wash her hands with liquid soap and running water after a diaper change and prior to placing bibs on the children and serving them snack.

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 interview during a tour of the two and three-year-old children's room, the surveyor learned that the mouth contact toys are sprayed with a sanitizing solution rather than submerged in water for at least two (2) minutes. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the playground, the surveyor found that a section of a plastic tunnel was broken and had sharp edges.

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 surveyor found tears in the vinyl covering on two (2) of the children's mats used at naptime.

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, the surveyor found that the interior, top, sides and bottom of the oven contained dark brown stains and baked-on food particles.

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 during a tour of the Toddler Room, the surveyor found two (2) uncovered bottles that had been placed on a counter in the classroom.

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 contained in the files presented for review, the surveyor found the following: 1. The file for a child (DOE: 12/15/14) did not contain an immunization certificate. 2. The file for a child (DOE: 7/22/13) contained an immunization certificate that was no longer current as of 9/30/13.

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 observation contained in the files presented for review, the surveyor found the following: 1. Two (2) of the children’s files did not contain the names and phone numbers of each person to be contacted in the event of an emergency situation involving or impacting the child. 2. Nine (9) of the children’s files did not contain information to enable a person in charge to identify and contact the preferred hospital. 3. One (1) of the children’s files did not contain information to enable a person in charge to contact the child’s physician. 4. The surveyor observed a person, identified by staff as a therapist, alone with a two-year-old child. The staff person in charge stated that she did not know the therapist’s name or the agency providing the service. Based on review of the information contained in the child’s file, the surveyor found no written parental consent agreeing for the therapist to provide third-party professional services to the child while at the center.

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 surveyor found that the Emergency Preparedness Plan did not contain the following: 1. The designated relocation site did not include an evacuation route. 2. Instructions relating to the training of staff or reassignment of staff duties. 3. Verification that the plan had been coordinated with the local emergency management officials. 4. A program to ensure that appropriate staff is familiar with the plan’s components. 5. The Emergency Preparedness Plan was not dated; therefore, the surveyor was unable to verify that it had been reviewed or revised within the past year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the files presented for review for three (3) child-care center employees (dates of hire: 2/23/2012, 12/09/1997, and 8/10/1998) and the ECE-TRIS records did not contain documentation of completion of fifteen (15) hours of cabinet-approved early care and education training during the most recent subsequent year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, zero (0) of the ten (10) children's files presented for review contained information to enable the person in charge to contact the child's preferred hospital. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 25 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 05/01/09) contained documentation of only fourteen (14) hours of annual cabinet- approved early care and education 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 the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; 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, the surveyor found an empty pink-colored plastic bag located in a sink drawer in the restroom used by the four-year-old children. Additionally, the surveyor observed empty plastic bags and a sharp-pointed hook in a sink drawer located in the classroom for two- and three-year-old children. The items were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the children's names and their dates of birth were posted on the wall in the following classrooms: One & Two Year Old, Two Year Old, and Four & Five Year Old.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

One and Two Year Old: Based on observation, there were three (3) children present in One and Two Year Old classroom. The staff in the classroom stated that one (1) child was one year old and that two (2) children were two years old. The staff also stated that these children are kept in the classroom together all day; therefore, the toddler children are not kept separate from older children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was one (1) child's (DOE: 08/11/10) file that contained an immunization certificate that did not have a date to indicate the "current through" date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.