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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: Two's Classroom 1.) Three (3) cellphones were placed on top of a countertop, near the front of the classroom, accessible to children in care. Four's Number One Classroom 1.) The lid to the class fish aquarium/tank did not have the lid attached at the time of the survey. It should be noted the aquarium was in an area accessible to children.

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, the child care center failed to maintain state regulations. During the survey of the School Age Classroom, one (1) Little Tykes play kitchen was found to have multiple areas of dirt, grime, and markings on the outer surface.

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 child care center failed to maintain state regulations. During the review of ten (10) children's files, it was found three (3) files, all with (DOE: 07/29/24), did not have current immunization records on file for review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there were several uncovered electrical outlets in the gymnasium. 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, staff members (DOH: 08/03/23, 05/01/23, and 06/01/23), did not have proof of educational qualifications in their personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 05/01/23 and 06/01/23), did not have a negative tuberculin skin result, nor a physician’s statement clearing the individuals of active tuberculosis in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 05/01/23 and 06/01/23), did not have proof of being trained in CPR/First aid administration.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Staff members (DOH: 05/01/23 and 06/01/23), did not have evidence of completing cabinet-approved orientation training, this training is required within the first 90 days of employment. 2.) Staff members (DOH: 08/18/02 and 08/01/01), had pediatric abusive head trauma (PAHT) training recorded on ECE-TRIS that exceeded five years; therefore, the training was no longer valid. A review of 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, a portion of the wall in the Aftercare Classroom had tape residue which had started to accumulate dirt and grime. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a round saucer swing on the playground had a piece of rope which had separated from the seat. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the staff person in charge stated that most children will bring their lunch, but some choose to have an alternate lunch provided by Dominoes, Chick-Fil-A, or Dairy Queen. A catering contract/agreement was not available for these restaurants. A food service permit for each restaurant was not presented.

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, the refrigerator within Classroom #17 housed students’ milk and water; the refrigerator did not contain a thermometer. The surveyor was unable to determine the temperature within the refrigerator. 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 file reviewed did not contain an immunization record. The child had been enrolled for more than 30 days. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The rates of service for the preschool program were not posted for public inspection. The only rates posted were for the aftercare program. 2.) The lesson plan posted on the board outside of the P2 Preschool room was dated for October. A most current plan was not posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an unlocked cabinet underneath the sink within Classroom 17 housed a gallon container of bleach. The warning label on the container read, “Keep out of reach of children”. Additionally, a container of Clorox wipes were stored in an unlocked drawer within Classroom 16.

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 several areas of chipping paint within Classroom 25. Additionally, the ceiling vents within Classroom 26 had an excessive amount of dust build-up. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a rug within Classroom 16 was curling upward at the corner and presented a tripping hazard. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation indicating that a fire drill had been practiced in the month of October 2022 for Classroom 16 and Classroom 17. Each classroom documents their drills individually. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, a lesson plan was not posted within Classroom 16. 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, three staff members (4/19/2021, 7/13/2021, 9/10/2021) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file at the facility.

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, three staff members (1/21/2020, 6/30/2021, 7/13/2021) did not have a current TB test or statement from a health professional on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Five staff members (11/19/2019, 6/1/2020, 6/30/2021 and two staff 7/13/2021), did not complete the required Orientation. These staff members has been employed for more than three months. 2.) A staff member (1/21/2020) did not have evidence of completing 15 hours of annual early care and education training on file in the facility. 3.) A staff member (11/19/2019), did not complete the required PAHT training. This staff member has been employed for more than one year. 4.) A staff member (5/29/2015), completed PAHT training on 8/12/2015; however, did not renew the training due 8/12/2020. The ECE-TRIS system was reviewed and confirmed 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 3. General Requirements.

General: Based on observation, the following was found: 1.) Teacher's personal bag was found on the floor in the Room 17, that was open and accessible to the children in care. 2.) Storage cabinet was unlocked and accessible to the children in the Room 25. At the bottom shelf of the cabinet there was a basket full of candy.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Adult scissors were accessible to the children in the Rooms 16 and 26. 2.) In the Room 26, the bottom drawer labeled tools did not have a lock on it and was accessible to the children in care. The drawer contained various tools(box cutter, hammer, screws, etc.). Hygienic Practices In Compliance First Aid/Medication In Compliance 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

Open / not marked corrected.

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

General: Based on observation, there were dirty trash cans in Rooms 17 and 25. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, the liability insurance presented for review had an effective date of 12/2/2019 to 12/2/2020. The insurance presented for review was not current. 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, found that staff meetings have been conducted; however, there was no date documented as to when the staff meetings had been conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, there were four staff (hire dates: 11/19/2019, 12/2/2019, 1/6/2020, and 6/1/2020) who did not have a copy of a high school diploma, GED or other qualifying documentation on file. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of Preschool-4, Class A, two water-stained ceiling tiles were observed. There was an additional ceiling tile that did not fit securely in the metal frame that holds the tiles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was one sink in the Girls' bathroom and one sink in the Boys' bathroom that was not functioning. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in a locked box located in Preschool - 3 Room there were several medications inside the box that were not labeled for an individual child. These medications included Regular strength pain reliever, Anti-Itch cream, Junior Strength Ibuprofen, Children's Tylenol, Hydrocortisone cream, Equate Children's cough medicine and Afterbite. In addition there were two Epi-pens that were stored in a clear plastic baggy and not in the original box with the prescription. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the following was found. 1. A broken plastic trough was observed in the space used by the children. An interview with the staff person in charge found that the trough had been used for the children to plant a garden. 2. There were several areas of mesh ground cover that was visible through the mulch. This presents a tripping hazard. Equipment In Compliance Transportation Not Applicable Food Service/Food Program 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 9. Food and Meal Requirements.

General: Based on observation and interview, a gallon of 2% milk was observed in the refrigerator. An interview with the staff person in charge found that the children bring their lunch and the facility provides milk for the children to drink. Pasteurized low fat one percent milk or fat free skim milk is required to be served to children ages twenty-four months to school-age. 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

Open / not marked corrected.

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

General: Based on observation, the statement of deficencies issued during a renewal survey conducted on 11/25/2019 and the plan of correction submitted by the facility was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on observation, a fish and a hermit crab were found in the Preschool - 3 Room. A review of documentation found that parental consent had not been obtained for the hermit crab. 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 review of documentation, a staff person hired 7/20/2020, had the results of a Child Abuse and Neglect (CAN) Check dated 10/4/2013, and the results of a criminal records check (CRC) dated 9/25/2013. A new application for the results of a CAN check and a CRC had not been submitted for this individual. There was an additional staff person hired 6/1/2020, who did not have the application or the results of a criminal records check submitted until 10/21/2020.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, observation and interview, this regulatory requirement was not met. One staff person (hire date: 11/6/19) that was observed working with the children during the visit, had not yet submitted her fingerprint for the background check system. A review of the Kentucky National Background check service (KARES) found this staff person listed as "Pending" and no evidence that her fingerprints have been submitted for processing. This staff person was paired with another staff person and not observed working alone. The staff person in charge identified this staff person as a substitute and stated that she had worked a total of seven days. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and observation, this regulatory requirement was not met. At the time of the inspection, it was found that the facility was caring for two- year-olds; however, toddler services had not been approved by the Cabinet and it was not listed on the license. 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, this regulatory requirement was not met. The following was found: 1. Two staff files (hire dates: 5/1/06 and 11/6/19) contained results of negative T.B. tests that are no longer current. The tests were dated 8/7/17 and 8/14/15 which exceeds the two year time frame. 2. One staff person (hire date: 11/4/19) did not have T.B. documentation on file. 3. One staff person did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The staff person was hired on 8/7/19; however, did not have a TB skin test until 8/13/19. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of Classroom #25 (four-year-olds), the surveyor observed a copy machine positioned in the corner of the room; beside the children's math and science area. A staple remover was positioned on top of the copy machine and it was accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance 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

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of Room #17 (four-year-olds), the surveyor found a four tier toy shelf that was leaning sideways. The surveyor could easily move the shelving unit back and forth; therefore, it was unstable. The shelving unit contained seven plastic containers filled with dramatic play toys. Transportation Not Applicable 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

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, staff with hire date of 08/07/2013 had TB skin test results that exceeded two years and was no longer current. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals 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 Observation, staff hired on 08/18/02, 08/01/01, 08/08/13 and 05/01/08 had not renewed the pediatric abusive head trauma class that is required by the Cabinet. The last time the class was taken by these staff was 11/20/12. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals In Compliance

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 found that the file for an employee hired on 5-29-15 did not contain evidence of a high school diploma, GED or Commonwealth Childcare 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, it was found that the ECE-TRIS record and file for an employee hired on 8-26-15 contained evidence of only five (5) hours of additional training being completed during the first year of employment. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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, it was found that the children in Room 26 did not have their hands washed after eating snack. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a medication administration permission form had been completed by a child's parent for Ibuprofen. The parent had written that the child was to take the medication "as needed" instead of specifying a time for the medication to be administered. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that 1) the weed guard was pulled through the protective ground covering near the in-ground car track, creating a tripping hazard; 2) the rubber mulch on the playground was found to be mixed with a large amount of pea gravel. This playground is used by children under the age of three-years-old. Pea gravel is considered to be a choking hazard for children under the age of three-years-old. 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, it was found that the cots in Room 16 were stacked on top of one another. The cots had sheets on them which covered the corners where the legs of the cot on top of it rested, thus contaminating the bedding. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) child's file out of ten (10) files reviewed contained an immunization certificate that was no longer current as of 12-2-16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) child's file out of ten (10) files reviewed did not contain information regarding the parents' preferred hospital. The parents had written in "nearest or quickest" instead of naming a hospital. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, it was found that a staff person hired 08/07/2013 did not have evidence of an annual evaluation.

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 found that a staff person hired on 08/17/2015 did not have evidence of proof of education.

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 found that a staff person hired on 08/07/2013 did not have evidence of the fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a child enrolled on 08/23/2015 and a child enrolled on 08/18/2015 did not have evidence of an immunization certificate.

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, it was found that a child enrolled on 08/27/2016 did not have the preferred hospital listed in her file. 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

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, it was found that three (3) staff files out of nine (9) staff files reviewed did not have evidence of a professional development plan.

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, it was found that the facility has not provided staff with a current copy of the administrative regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff hired on 08/29/2014 did not have a statement from a health professional stating that the individual is free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there were three (3) ceiling tiles in the three (3) year old classroom and in the four (4) year old classroom that were covered in brown water stains. The staff in charge stated that the roof was just replaced on the building and they were in the process of replacing ceiling tiles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have the Kentucky Consumer Product Safety form posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff eligible for an annual evaluation that did not have an evalutation on file in the facility. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was an uncovered electrical outlet in the P-2 classroom.

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, 1. Staff person hired 8/7/13 had the results of a criminal records check dated 8/14/13. There was no evidence on file that the application for the check had been submitted prior to employment as required. 2. Staff person hired 8/7/13 had the results of a CA/N check dated 8/19/13. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required. 3. Staff person hired 3/1/13 had the results of a CA/N check dated 3/29/13. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required.

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 person hired 8/7/13 did not have evidence of proof of education on file in the facility.

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 person hired 8/7/13 did not have evidence of current negative T.B. results on file in the facility. The results on file were dated 10/24/11.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a bottle of ibuprofen was being stored in an unlocked drawer in the teacher's desk in the P-3 classroom. Also, there was a bottle of Benadryl, 3 bottles of sunscreen and a can of lice treatment in an unlocked cabinet in the P-3 classroom. Outdoor Play Area

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, none of the children's files presented for review included the preferred hospital for the child as requested by the parent. 1080 - Documentation for Off Premise Trip Not Applicable 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 3. Records.

General: Based on Review of Documentation, none of the staff eligible for an annual professional development plan had a current plan on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, there was a fish in three (3) of the four (4) classrooms in the facility. In an interview with the staff person in charge it was found that written parental consent for the fish had not been obtained.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Preschool 3: Based on Observation, it was found that one (1) staff person was alone with thriteen (13) three (3) year old children in her classroom. The staff to child ratio for this age group is one (1) staff to twelve (12) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) staff file out of eight (8) staff files reviewed did not have evidence of a staff evaluation. This persons date of hire was 10/22/2012.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) staff files out of eight (8) staff files reviewed did not have evidence of a current TB skin test. The persons were hired on 10/22/2012 and 08/29/2012. 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 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 2) Type II Not Applicable 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was found that one (1) staff file out of eight (8) staff files reviewed did not have evidence of the required 15 hours of annual training. The staff persons hire date is 09/08/2011. 317 - Driver requirements 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 In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 5 Staff Requirements.

General: Based on Review of Documentation, it was found that one (1) substitute hired 8/06/11 did not have documentation of the educational requirements. The staff member did not have on file a high school diploma, GED, CCC, or other qualifying documentation to meet the educational requirements. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 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 (1)

General: Based on Review of Documentation, it was found that the van driver did not have written documentation on file that he was free of TB and a substitute staff member had a TB skin test on file that was no longer current. The van driver was hired on 7/01/09. The substitute was hired on 8/06/11 and the TB skin test was dated 11/20/09. 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 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 2) Type II Not Applicable 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 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 In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements 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. 2) Background checks Not In Compliance Findings: General: Based on Review of Documentation, it was found that the van driver that transports the children had a background check conducted 12/18/09. The van driver must have a background check conducted within the last twelve (12) months. 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.