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

General: Based on review of documentation, it could not be verified that two (2) staff members completed fifteen (15) hours of annual training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the daily planned program in the Shining Stars was dated for the week of 11/11/24 and thus was not an indicator of the current week's planned programing.

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 and swaddled in a crib at the time of the inspection. 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, the following was found: 1) The flooring in the Twinkling Stars, Infants, and Shining stars had tears in the linoleum tiles indicating it was not in good repair. 2) An area of the wall in the Shining Stars classroom was missing paint leaving it unsmooth. The area was located near the baseboard in the back left corner of the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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, the oven to the far right had some crusted food particles in the oven indicating it was not clean at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, two (2) bottles in the infant classroom's refrigerator did not have a covering at the time of the inspection. 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, one (1) child's (DOE: 06/17/24) enrollment packet did not contain a physician, hospital or physician contact information. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, several backpacks were piled together on the floor of the hallway outside of the Shooting Stars classroom. A staff member reported that the backpacks belonged to some of the children in the classroom; therefore, the children were not provided with appropriate storage space for their personal belongings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, negative tuberculin (TB) test results or a statement from a healthcare professional verifying that a staff member (DOH 01/08/24) was free from active TB was not presented for review upon request.

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, documentation verifying that a staff member (DOH 10/09/23) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. 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:Review of the Early Care and Education Training Records Information System (ECE-TRIS) database could not confirm that a staff member (DOH 10/09/23) had completed six (6) hours of cabinet-approved orientation training. The staff in charge reported that they were unsure if the staff member had completed orientation training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the small, ceiling-mounted vents within the Pre K and Shining Stars restrooms contained a substantial accumulation of dust.

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: The following observations were made at the child care center: 1) The floor tiles surrounding the commode within the Shining Stars restroom were separated and cracked in several places, creating an environment which trapped dirt and other debris. 2) Multiple ceiling tiles within the Shooting Stars classroom were stained with large, brown spots, indicative of water damage. 3) One ceiling tile near the rear wall in the Shining Stars classroom was stained with a brown spot, indicative of water damage. 4) A corner section of the wall in the Big Dippers classroom contained a section of peeling, blue paint. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, one (1) tube of Aquaphor healing cream, one (1) tube of A&D Ointment, and one (1) tube of Parent's Choice Diaper Ointment, all stored in the Shining Stars restroom, were not labeled. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, two (2) infant cribs in the Little Dippers classroom were equipped with sheets that contained large, yellowish stains and unidentifiable crumbs, indicating that the sheets were not changed immediately when soiled.

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, one (1) wooden, child-sized chair in the Shooting Stars classroom was broken on the uppermost portion of its rail, creating a sharp surface. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview on 10/17/23, two (2) staff members acted as caregivers to sixteen (16) children, whom the staff members reported as being between the ages of two (2) and three (3) years. The staff members stated that the toddlers and preschool children remained in combined care throughout the day; in excess of one (1) hour. The staff in charge stated that the toddlers did not have signed transition plans on file at the time of the inspection.

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, caregiver hired 12/2/22, did not have education documentation on file. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 11. Staff Requirements.

General: Based on review of documentation presented, one (1) staff member’s (DOH: 04/10/2011) file did not have a statement from a health professional stating that the individual was free of active tuberculosis or a copy of negative tuberculin results every two (2) years as required. Staff’s last negative tuberculin results was dated 06/18/2018. During interview, staff stated that this was the latest statement 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 presented and review of ECE-TRIS records, one (1) staff member (DOH: 01/22/2019) had completed seven (7) hours of the required fifteen (15) hours of cabinet-approved early care and education training between July 1 and the following June 30 of each subsequent year of employment in a child care program. During interview, staff was aware the required hours of training were not completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 center, an accumulation of dust was on the exhaust fan in the restroom located in the Two’s classroom.

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 during a tour of the center, dead bugs were in the light fixture covers in the restroom located in the Two’s classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, portions of the wooden privacy fence on the playground were in disrepair. One board was loose, and several holes that exposed jagged edges were observed throughout the fence. Nails were exposed on the gate to the fence. In the paved area of the playground, the wooden gate of the privacy fence leaned, and a gap large enough for a small child to fit through was present. The gap lead to a parking lot, and then to a very busy street. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 4. Premises Requirements.

General: Based on observation, one-year-old children were cared for in the Infant Room, with no infants present. The equipment and materials available to children were not observed to be age-appropriate. Several bouncer seats and an Exersaucer were present, and the one-year-old children were observed to climb on them.

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, one-year-old children were cared for in the Infant Room, with no infants present. The equipment and materials available to children were not observed to be age-appropriate. Additionally, materials that included art or music, math or numbers, dramatic play, science or nature, tactile or sensory activity, and multi-cultural exposure were not availible to the children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a brown spot, indicative of water damage, was located on a ceiling tile in the Shooting Stars 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, the bathroom in the Preschool Room did not have ventilation to outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Preschool Room, the plastic lid that covered the sensory table was cracked, exposing sharp edges. 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 In Compliance 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.

General: Based on observation, three Boppy Pillows were on the floor and accessible to the one-year-old children who were cared for in the Infant Room; therefore, the center failed to remove all machine washable toys/equipment in accordance with 922 KAR 2:405e.

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 child care center failed to maintain employee records in accordance with regulations. A staff member with a hire date of 5/6/2019 did not have any verification of a high school diploma, GED, or Commonwealth Child Care Credential in their personnel file. In addition, director sent a facsimile of the above-mentioned staff member’s high school diploma after the surveyor had completed the onsite survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that a staff member with a hire date of 8/6/13 received fifteen (15) hours of annual cabinet approved early care and education. In addition, the director disclosed that the above-mentioned staff member had not completed the required training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. The classroom known as the Two-Year-Old room was observed to have a ceiling tile fan that appeared to have a stain caused by water damage. Hygienic Practices In Compliance 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 Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulations. Observation revealed that the area known as the Pre-K room did not have the daily schedule of activities posted. In addition, director sent a facsimile of the above-mentioned classroom’s daily activities for the week after the surveyor had completed the onsite survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation in the PreK room revealed a staff member seated with 14 sleeping children. Observation revealed that a child on a mat, behind a wooden shelving unit, could not be observed from where the staff member was seated, failing to keep all children within sight and sound. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Staff interviews revealed that a child consistently displays inappropriate behavior on a daily basis. The behaviors were described as kicking, screaming, biting, hitting, and hair pulling which occur every day. Further interview revealed that a plan to alter the behavior by staff and or parents has not been discussed or developed. Written documentation revealed that 15 accident reports were submitted for the aforementioned child's behavior within nine (9) months, from 07/23/18 through 04/16/19. Interview with staff revealed incident reports are not completed for the incidents that occur on a daily basis, when the child "throws fits", because the staff do not have time to write all of the incidents up. The child is allowed to "throw a fit" and then rejoin the class after she is finished. Continued interview revealed the staff member was holding a child's hand to prevent her from hitting her head on a bookshelf or floor, resulting in a broken bone. Interviews also revealed the child hits another child every day, with no prevention plan to protect the other child and all of the other children in the room who she is biting, hitting or pulling their hair. Interview with the parent revealed she was unaware the behaviors were occurring on a daily basis, and would have been addressing the issue at home had she been aware. Further interview revealed the parent was not told because the staff in charge does not like to send problems home.

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the toddler room revealed a staff member did not wash her hands with soap and warm running water after a diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that a staff member with a hire date of 06/27/18 had submitted fingerprints for a background check. The staff member was not observed working alone. 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 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not provide verification that a staff member with a hire date of 03/02/15 had completed annually 15 hours of cabinet-approved early care and education 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, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) Observation of the Twinkling Stars room revealed peeling paint on two (2) places on the wall near the music area. 2) Observation of the Pre K room revealed peeling paint on the wall near the puzzle table. 3) Observation of the Toddler room revealed the border of a brown rug was seperated but still attached, creating a loop large enough to trip a small child. 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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the toddler room revealed a child's hands were not washed with soap and warm running water after a diaper change. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the toddler room revealed the changing pad was not santized after a diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the infant room revealed five (5) of the six (6) cribs had loose-fitting sheets. Transportation In Compliance Food Service/Food Program 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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the infant room revealed a thermometer was not present. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, the child care center failed to comply with the regulations regarding staffing requirements. Observation in the Pre-K room revealed fifteen (15) children in age from four-year-old to five-year-old with the sole caregiver the staff member with the hire date of 02/14/2011. Minimum staff to child ratios were exceeded by one (1) child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements 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 10. Director Requirements and Responsibilities.

The child care center staff failed to assure the compliance with regulatory requirements in regard to the health, safety and comfort of a child in care. An infant received an injury to his foot that required the administration of first aid, as well as professional medical attention. The injury occurred when the infant crawled near a moving rocking chair in a dark classroom without being noticed by either staff member in the classroom, including a staff member who was sitting in the rocking chair at the time. The staff in the chair rocked the chair over the aforementioned infant's foot.

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, and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews with staff members and review of written statements revealed that a two-year-old child was roughly handled down the hall from one classroom, down a hallway and to another classroom by one arm being held up by a staff member. The child's shorts and diaper containing urine and a bowel movement were around his knees making it difficult for him to walk. 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 5. Infant and Toddler Play Requirements.

General: Based on Observation and interview, the child care center failed to comply with regulatory programming requirements. With confirmation from classroom teacher, two-year- old children remain in the toddler classroom all day on some days, based on attendance.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and review of documentation, the child care center failed to comply with the regulatory requirements. Based on interview with the staff in charge, she identified herself as the acting director since 04/10/17. Based on an interview with a staff member at Central Office, there have been no documents submitted to Central Office requesting a change of director. 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 Interview and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on interviews, an infant had been described as "crying all day with a stomach ache". Staff member stated the only time the infant was not crying throughout the day was when she was sleeping or eating. A staff member stated she failed to request assistance in comforting the infant when after patting and holding the infant did not stop the crying. The staff member stated she was aware that the infant had turned red and blue for crying for an excessive amount of time. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of documentation revealed that a current immunization certificate was not available for a child with an enrollment date of 05/01/17, when requested.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. The fire marshal report presented for review on 6/7/17 was dated for 6/27/12. Upon request, the staff in charge did not present a recent fire marshal report at the time of the survey.

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. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/27/2017 AND AS OF 10/10/2017, 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on review of documentation, observation and interview, the child care center director failed to assure compliance with regulatory requirements. A staff member with hire date 1/03/17 wrote on her child abuse and neglect (CAN) check application that she previously resided in Indiana within the past 5 years. However, the file did not contain an Indiana criminal record check. The aforementioned staff member was observed working alone in the Older Two’s Room from 10:15am-12:25pm. Upon request, the staff in charge did not present an Indiana criminal record check at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 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 6. License Issuance.

General: Based on review of documentation, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A staff member with hire date 1/03/17 indicated on her child abuse and neglect (CAN) check application that she previously resided in Indiana within the past 5 years. However, the file did not contain an Indiana criminal record check. The aforementioned staff member was observed working alone in the Older Two’s Room from 10:15am-12:25pm. Upon request, the staff in charge did not present an Indiana criminal record check at the time of the survey.

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 child care center failed to maintain employee records in accordance with regulatory requirements. The file for a staff member with hire date 3/21/16 did not contain a statement from a health professional that the individual is free of active tuberculosis. Upon request, the staff in charge did not present a current statement at the time of the survey.

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 child care center failed to maintain employee records in accordance with regulatory requirements. The file for a staff member with hire date 9/20/15 did not contain documentation to verify that fifteen (15) hours of cabinet approved training had been completed. Review of the ECE-TRIS report verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the staff in charge did not present documentation to verify that the staff member had completed the required 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a plastic container labeled “bleach” on the counter in the art center located in the Shooting Stars Room, causing it to be accessible to children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

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 child care center failed to maintain the premises in accordance with regulatory requirements as follows: 1) There was Chipped blue paint located by the tables in the Young Two's Room. 2) The ceiling tile located by the hanging camera in the Young Two's Room was not secure. 3) There was chipped white paint in the blocks area and chipped blue paint in the art area inside the Pre-K Room. 4) There was chipped purple paint located in the science area in the Older Two’s Room. 5) There was a piece of the floor tile missing in front of the mirror by the cubbies located in the Older Two’s Room. 6) A ceiling tile was pushed back, exposing an opening in the ceiling located by the doorway to the kitchen.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The sink located in the bathroom in the Shooting Stars Room was not equipped with a hand-drying blower or single use disposable hand drying material.

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 child care center failed to maintain the premises in accordance with regulatory requirements as follows: 1) The toilet located in the bathroom in the Shooting Stars Room was dirty and had a brown substance all over the sides of the toilet. 2) The toilet located in the bathroom in the Pre-K Room was dirty and had a brown ring around the inside of the toilet. 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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the Little Dippers Room was torn, exposing the absorbent material. 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

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 and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. The first aid supplies were inventoried and the center did not have medical tape. Upon request, the staff in charge did not present any medical tape at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. There were various brands of labeled and unlabeled diaper cream ointment located in a cubby in the bathroom in the Older Two’s Room, not stored in a separate and locked place. 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There were three (3) white garbage bags full of trash hanging from the wooden fence on the Three-Four-Year-Old outside play area.

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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There was an opening at the bottom of the new wooden fence located at the exit from the concrete portion of the outside play area into the grass. There was an opening at the bottom of the metal fence where the two metal gates latch at the exit from the outside play area to the parking lot. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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 observation, the child care center failed to maintain equipment in accordance with regulatory requirements as follows: 1) The two (2) blue and white children's chairs located in the book area in the Pre-K Room were dirty and stained. 2) There was a light blue pillow and a dark blue pillow located in the Older Two’s Room that were dirty and stained. 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, the child care center failed to maintain food service in accordance with regulatory requirements. The white refrigerator located in the kitchen had a freezer thermometer reading of ten (10) degrees Fahrenheit.

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 child care center failed to maintain food service in accordance with regulatory requirements. The microwave located in the kitchen was dirty and soiled with food debris. Children's Records Not In Compliance

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 and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The record for a child, enrollment date 8/6/12, did not contain the name of the family’s preferred hospital. Upon request, the staff in charge did not present the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report 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 Interview and Review of Documentation, the child care center failed to maintain adequate supervision in accordance with regulations. Interviews and review of documentation revealed on 3/2/17 a two-year-old child was left alone and unsupervised in a dark classroom for at least one (1) – two (2) minutes before being discovered by a staff member. Staffing Requirements 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 and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed a staff member hired 1/3/17 listed an Indiana address on her Child Abuse & Neglect Check (CAN) signed 12/22/16. An Indiana Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 1/3/17. The director revealed she was not sure if an Indiana CRC had been conducted. The director revealed the aforementioned staff member has worked alone with children in care. 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 6. License Issuance.

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a staff member hired 1/3/17 listed an Indiana address on her Child Abuse & Neglect Check (CAN) signed 12/22/16. An Indiana Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 1/3/17. The director revealed she was not sure if an Indiana CRC had been conducted. The director revealed the aforementioned staff member has worked alone with children in care.

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, it was determined that the child care center director failed to comply with regulatory requirements, specifically assuring the health, safety and comfort of each child. Observation revealed a plunger located in the children's bathroom in the Two's Classroom. Additionally, observation revealed a staff member in the Toddler Classroom use a piece of dry paper towel to wipe a child's face and nose after eating and used the same dry paper towel to wipe the child's hands, then placed the child on a cot for nap time; at no point did the staff member or the child wash hands. Also, at 11:45 a.m., observation revealed a toddler sitting in a seat at the "Bucket table" crying while the supervising staff member was preparing the children's cots for nap time. The child continued to cry until she was removed from her seat at 11:50 a.m. and placed on a cot. Additionally, at 11:45 a.m., surveyor observed a different toddler sitting in another seat at the "bucket table", sleeping with his head on the table. The child was not removed from the seat and placed on a cot until 11:51 a.m.

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, it was determined the child care center director failed comply with regulatory requirements regarding assuring each mandatory record specified in Section 3 of this administrative regulation has not been altered or falsified. Review of Division of Regulated Child Care’s (DRCC) records of a tuberculin test (TB) certificate for a staff member hired 12/12/11, which was presented for review in 2015 revealed the date the test was given was 3/16/14 and the date the test was read was 3/18/14. However, review of the staff member's TB certificate presented for review on 6/22/16 revealed inconsistent information; the date the test was given was 8/16/14 and the date the test was read was 8/18/14, the three (3) appeared to be altered to an eight (8). Interview revealed the staff member stated she was not "due" for another TB test until August, 2016. One (1) week was given to the center to provide verification of the validity of the TB test; however, no verification was provided by the center. Therefore, at the request of DRCC, the issuing entity of the original TB test for the staff member verified the TB test had been altered.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all personnel files presented revealed that although additional time was allowed to locate documentation, the center failed to provide, at time of survey, of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for two (2) staff members hired 4/10/11 and 12/12/11.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) and all personnel files presented revealed that although additional time was allowed to locate documentation, the center failed to provide documentation at time of survey verifying the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. 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 4. Premises Requirements.

General: Based on Observation, it was determined the child care center failed to comply with regulatory requirements regarding premises being kept clean. Observation revealed the carpets in the Two's Classroom contained several soiled areas.

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, it was determined the center failed to comply with regulatory premise requirements regarding keeping the walls in good repair. Observation revealed several areas of peeling paint on the wall near the circle time area in the Two's Classroom.

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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed a staff member in the Toddler Classroom use a piece of dry paper towel to wipe a child's face and nose after eating and used the same dry paper towel to wipe the child's hands, then placed the child on a cot for nap time; at no point did the child wash hands 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 3. General Requirements.

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff hand washing. Observation revealed a staff member in the Toddler Classroom use a piece of dry paper towel to wipe a child's face and nose after eating and used the same dry paper towel to wipe the child's hands, then placed the child on a cot for nap time; at no point did the staff member washer own hands with liquid soap and running water after wiping the child's nose.

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, it was determined the center failed to comply with regulatory requirements regarding first aid/medication, specifically supplies. Observation revealed the center failed to provide a first aid book for review at time of survey among the first aid supplies.

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, and interview, it was determined the center failed to comply with regulatory equipment requirements regarding furniture being kept clean and in good repair. Observation revealed several soiled areas, as well as, peeling/flaking paint on the toy shelves located in the Two's and Four's Classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the staff members with the hire dates of 10/13/2014 and 03/02/2015 could not verify that a copy of a criminal record check had been completed. Interview with the director revealed she was in the process of addressing.

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 with the director, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the following staff member with the hire date of 02/14/2011 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met. Continued review of documentation revealed that the staff members with the hire dates of 03/02/2015 and 02/20/2015 had not completed their orientation training within the ninety days as required. The director revealed she was in the process of addressing.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the three year-old and the young two’s classroom revealed the windowsills to have large areas of chipped and peeling paint. Continued observation revealed the bathroom located off the three-year-old had several tiles that were located near the toilet that appeared to be cracked and torn. Therefore not allowing the floor to be be easily cleaned.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation in the infant and toddler classroom it was revealed the changing pads have rips that were located on the corner seams, exposing the foam.

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 with the director, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground revealed there was insufficient protective surface covering the areas under the slides. Interview with the director revealed she was not aware the amount of mulch was insufficient.

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 with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the childcare center revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non- operational. The director stated she was in the process of addressing.

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 the child care center failed to comply with regulatory requirements regarding transportation. Observation of the van revealed the van to contain crumbled food wrappers and food crumbs throughout the van floor, therefore the van was not free of debris.

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 Review of Documentation the child care center failed to maintain food service in accordance with regulatory requirements. Review of the documentation posted revealed the menu was not posted in advance in a conspicuous space. Review of the documentation revealed the menu was posted in the kitchen and not available to parents.

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented revealed that ten (10) of the ten (10) children’s enrollment form did not list a name of 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 and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documentation provided the child care center did not maintain a current written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895. Interview with the director revealed she did not evidence the plan had been updated since 2014.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Record review revealed that a staff member with the hire date 9/3/14 failed to have a completed Child Abuse and Neglect Check on file at the time of the survey. Continued review revealed that said staff member failed to have a Criminal Record Check on file at the time of the survey. Food Service

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Infant Room revealed two (2) infants laying on the floor on bobby pillows drinking out of their bottles.

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 child care director failed to maintain annual staff evaluations. Review of Documentation revealed that there were no staff evaluations presented for 2013 that included an assessment of each staff person's interaction with children in care and classroom performance.

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 Review of Documentation, Observation and Interview, the Director failed to assure that a background check was available on a staff member prior to allowing that staff member to be alone with children. Review of Documentation revealed that the staff member with the hire date of 04/21/2014 did not have a completed Criminal Record Check (CRC) available for review. Observation of the child care center revealed that the staff member with the hire date of 04/21/2014 was alone with children for over three hours at the time of the survey. Interview with the Director revealed that she believes that the CRC was returned for the staff member with the hire date of 04/21/2014, however, it could not be found.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Observation, the child care center failed to ensure that all background checks would be completed prior to allowing a staff member to work alone with children. Review of Documentation revealed that the staff member with the hire date of 04/21/2014 did not have a completed Criminal Record Check (CRC) available for review. Observation of the child care center on 06/16/2014 from 9:07 A.M. until 12:02 P.M., the staff member with the hire date of 04/21/2014 without the CRC completed was working alone with children in the Two-Year-Old Classroom.

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 center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member hired on 05/22/2014 did not have a high school diploma, GED or Commonwealth Care Credential 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, the child care center failed to ensure that all staff members were free from active Tuberculosis. Record review revealed that employees with the hire dates of 03/04/2013 and 05/22/2014 did not have documentation from a health professional to verify that the individuals were free from active Tuberculosis.

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 child care director failed to ensure all staff completed the required training components. Review of documentation revealed that the staff members with the hire date of 12/12/2011 completed 9 of 15 hours of the required annual training hours. Continued review of documentation revealed that the staff members with the following hire dates did not have proof of completing orientation training within 90 days presented during the review: 07/17/2013 and 03/10/2014.

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 Interview, and Review of Documentation, the child care center failed to maintain all driver requirements. In an Interview with the Director it was determined that the employee with the hire date of 02/14/2011 was as a driver for the child care center. Review of staff files revealed an absence of the annual check of the Kentucky Driver History Records for the employee with the hire date of 02/14/2011. Programming

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 child care center failed to maintain toilet requirements. Observation of the bathroom in the School Age classroom revealed a large puddle of water next to the toilet. Hygienic Practices

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 child care center did not maintain infant bedding reqirements. Observation of the Infant Classroom revealed that the sheets on the cribs were not tight fitting as they were loose and not tight to the mattress.

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, the child care center failed to maintain operational toys. Observation of the two-year-old classroom revealed several battery operated toys that were not working.

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 child care center failed to maintain all requirements for transportation. Review of the transportation policy presented for review read: At Southside Christian Childcare Center #18, Transportation will be provided by a 3rd party company. There will be no buses or drivers on the property. Buses will be rented. Interview with the Director revealed that the child care center does transport using a driver on the property and did as recently as June during a field trip. Continued review of transportation policies revealed a lack of a written plan that details the type of transportation, staff schedule, transportation schedule, transportation route. Continued review of documentation revealed that the child care center did not present for review written policies and procedures that included emergency procedures practiced monthly by staff that transport 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, the child care center failed to maintain all required equipment. Observation of the first aid kit on the van revealed the lack of a thermometer.

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 child care center failed to maintain all tornado and earthquake drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the earthquake and tornado drills.

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 child care center failed to maintain all fire drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the fire drill on the fire drill log.

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 Review of Documentation, the child care center did not present for review a written orientation procedure. Review of documentation revealed that the child care center did not present a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

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, the child care center failed to practice quarterly earthquake drills. Review of the earthquake drill log revealed that the child care center failed to practice or document an earthquake the third quarter of the year of 2013. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post all required postings in the child care center. Review of Documentation revealed that the Information on the Kentucky Consumer Product Safety Program was not posted in a conspicuous place in the center.

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 child care center staff failed to maintain posted daily activities. Review of Documentation revealed that the posted daily activities in the School Age classroom were not updated as they were from the week of May 19 - May 23. Review of Documentation in the Two-Year-Old Classroom revealed there were no daily activities posted within the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation in the Older Todder's classroom, two children that turned two years old in December 2013 were combined in a classroom with three toddlers for more than an hour on January 15, 2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview it was determined that in the Older Toddler classroom, three toddlers that were older than 21 months were combined with two two year old children without a written procedure for listing a transitioning toddler on attendance records, including a specific day and time the toddler is with either age group and a signature and approval of the toddler’s parent on the toddler’s transition plan. Premises

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 19 children receiving care January 15, 2014 in the three year old classroom. Review of DRCC records revealed that the three year old classroom measures for a maximum room capacity of 18 children. Food Service

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 Interview it was determined htat when children ask for additional portions, those portions are not available to be served to them. Therefore, children are denied the additional portions. Further interview revealed that the cook only cooks the amount of food that the children need based on the number of children, no additional food would be prepared for additional portions to be served upon children's request and staff confirmed that on numerous occassions, children have requested a second portion but were denied because there was not enough food after first helpings were distributed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview it was determined that the center failed to cooperate with a state agency during an investigation into an allegation of abuse or neglect of a child pursuant to KRS 620.030(4). Interview on August 8, 2013 revealed that a Cabinet representative was denied access to surveillance video obtained and maintained by the center in order to determine if a specific child was the victim of abuse or neglect while in the center's care. Interview revealed that on August 7, 2013 the center Director refused the Cabinet representative's request to access and view the surveillance video. Director Requirements

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, there was no documentation on file to verify that fire drills had been conducted in May or June 2013.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have completed background checks on file for each staff within ninety days of their hire date. Reveiw of all staff files revealed that staff person hired 3/4/13 had a criminal records check on file that was completed on 6/10/13.

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, the center failed to ensure that each staff had fifteen hours of training during their subsequent year of employment. Review of all staff files revealed that staff person hired 3/29/11 had two hours of training during her 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 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the center failed to ensure that toilets were kept clean. Observation of the bathroom located in the Toddler Room revealed that there was a black substance along the top of the water line in the toilet and there was toilet paper in the toilet. Hygienic Practices

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 center failed to ensure that the diaper changing pad was free of tears. Observation of the diaper changing area in the Toddler Room, there was a small tear in the diaper changing pad.

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, of the outdoor play area, there was a large crack along the top of the slide of the Little Tykes sliding apparatus.

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 with the staff in charge, a staff member was observed on video picking a one-year-old child up by the forearm approximately one foot off of the ground and transporting her for about six feet. The staff member then put the child down. The same staff member then went to another one-year-old child and grasped that child by the forearm and pulled her up. Next, the staff member was observed going back to the first child and moving her by grasping her forearm again.

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 persons with hire dates of 8/16/12 and 6/2012 did not have a high school diploma, GED, or other qualifying documentation on file at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff person with hire date 6/2012 did not have a TB test certificate or statement from a health professional to verify that the person was free from active TB, on file at the center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Pre-School Room: Based on observation, there was a plunger next to the toilet, accessible to 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 11 of 39 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 6

Little Dippers: Based on observation, there were four cribs placed end-to-end and did not have the proper spacing between them.

Open Not marked corrected in the state record

Open / not marked corrected.