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

General: Based on review of documentation, one (1) staff (DOH: 04/30/24) did not have documentation of proof of education.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, a fitted sheet on a crib was very loose fitting in the Infant Room.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, children with (DOE: 08/24/21 and 06/24/24) did not have documentation of a preferred hospital.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, staff person (DOH: 02/17/20 and 04/30/24), did not have documentation of a negative TB test on file at the facility.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, in the second bathroom, the wall tiles around the baseboard area were loose and needed repair.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 15. Animals.

General: Based on observation, the lobby of the childcare center contained a large aquarium with several fish inside. The facility did not have written parental permission for the children to be in the presence of the fish.

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, the following was found: 1. A staff member with a (DOH) of 01/28/08 did not complete the Pediatric Abuse Head Trauma (PAHT) training that was due by 11/08/18. 2. A staff member hired on 04/06/06 did not renew their training for Pediatric Abuse Head Trauma (PAHT) that was due on 10/14/23. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the following was found: 1. A child enrolled on 09/19/23 did not have a physician’s name or phone number on file. 2. A child enrolled on 09/08/21 did not have a physician’s name or phone number on file. 3. A child enrolled on 10/12/23 did not have a physician’s name or phone number on file. 4. A child enrolled on 05/13/22 did not have a preferred hospital on file. 5. A child enrolled on 09/29/22 did not have a specific hospital on file. The enrollment paperwork listed the word “hospital” in the blank space that is reserved for a specific name for a preferred hospital. Written Documentation Not In Compliance

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

General: Based on review of documentation and ECE-TRIS, a staff member hired on 3/14/2020, has not completed the Pediatric Abusive Head Trauma training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation of the playground, the surveyor found no fall zone/protective surfacing material around or under a blue climbing arch. 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 Not Applicable

922 KAR 2:120 · Correction status not published

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

General: Based on interview, the staff person in charge stated that they have not started conducting lockdown drills; therefore, there was no documentation of these drills on file. Posted Documentation In Compliance Animals Not Applicable

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation and ECE-TRIS, a staff person hired on 3/14/2020, has yet to complete the Pediatric Abusive Head Trauma training. This staff person has been employed longer than one year. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the surveyor found one water stained ceiling tile located in the boys' restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, four children’s files reviewed did not have authorization for emergency treatment, or a preferred hospital listed. Written Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, there was a toilet brush in both student bathrooms, and one plunger in the student bathroom, which were accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, there was a list of student names stapled to the Tornado drill documentation for the month of September 2020; however, there was no documentation of a time/date that the drill was conducted. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, one infant was asleep on his stomach in the infant classroom; this child was placed in the crib with a thick blanket. Premises Not In Compliance

922 KAR 2:120 · Correction status not published

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

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

General: Based on observation, this regulatory requirement was not met. The hall boy's bathroom contained a roll of toilet paper that was being stored on the tank lid of the toilet. This is unsanitary. Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 10/07/19, did not have proof of the required education on file. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The following items were observed: 1. The Orange 4 School-age Room contained several cobwebs in the corner by the ceiling. 2. The hall boy’s bathroom contained a dusty ceiling vent.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The following items were found: 1. The Blue 3 Preschool Room contained some areas of chipped paint below the bulletin board, on the wall next to the bookshelf, on the wall next to the home living area, and below the calendar on the wall. 2. The Orange 4 School-age Room contained two drywall patches on the wall near the writing center and one by the easel. 3. The front bathroom contained an area of torn drywall behind the bench.

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

General: Based on observation, it was determined this regulatory requirement was not met as follows: 1. Upon inspection of the Two (2) year old room, the surveyor found the blinds on the left window to have a heavy layer of dust and dirt on them. The surveyor could tell the dust had been accumulating for some time. 2. While in the Two (2) year old room, the surveyor found the carpet near the front of the room to be stained and dirty. The carpet had several dark spots and stains. 3. Upon inspection of the Three (3) and Four (4) year old room, the surveyor found the blinds on the left window to have a heavy layer of dust and dirt on them. The surveyor could tell the dust had been accumulating for some time.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, it was determined this regulatory requirement was not met. The bathroom near the front entrance of the building had a long ceiling tile which was not affixed properly. The surveyor observed the tile to be sagging and coming out of the frame. The tile contained the ceiling vent which led to the duct in the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, it was determined this regulatory requirement was not met. Two (2) files presented for review did not have a preferred physician or hospital listed in the paperwork. Two (2) children with enrollment dates of 06/13/2017 did not have the information in the file. The document which usually listed these items was missing from each file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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

General: Based on observation in the infant classroom, the surveyor observed numerous staples embedded in the walls and a few areas of peeling wallpaper. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, two (2) children's files (enrollment date for both-6/13/17) did not have the parent's preferred hospital information listed. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, the surveyor found one (1) staff person hired on 8/31/17 had results of a criminal records check dated 10/17/17. The request for the criminal records check was also dated 10/17/17. The request was not completed prior to hire as required by KRS 199.896(19). The Director acknowledged the deficiency and stated that it was a mistake. She stated that this staff person never worked alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

922 KAR 2:090 · Correction status not published

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

General: Based on Review of Documentation, three (3) staff files contained CPR and First Aid documentation that had been obtained through an organization called International CPR Institute. The Director stated that the courses were completed online. The surveyor found that of the three (3) staff; one opens the facility at 5:30 a.m. and one is a van driver. It is important to note that file review found the infant staff person certified in CPR and First Aid that had been completed through a cabinet-approved training agency but this staff person does not arrive at the facility until 9:00 a.m. and is not a van driver. The Director stated that she was unaware that online CPR and First Aid classes were unacceptable.

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a child enrolled on 5/5/15 had an enrollment packet on file that had not been signed by a parent.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, the daily activities posted in the orange room was dated November 4 - November 18. In the preschool room the daily activities plan was dated 9/2016. Animals In Compliance

922 KAR 2:110 · Correction status not published

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

General: Based on Observation and interview, there was only 2% milk available for the children. The staff person in charge stated that there is usually whole milk too, but there is not usually 1% or fat free milk. Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, two (2) staff who had been employed at the center longer than a year and did not have evidence of completing the pediatric abusive head trauma training. The hire dates for these staff were 12/09/13 and 12/22/14. Also, a staff person hired 7/16/16 did not have evidence of completing the required orientation training. The ECE-tris website was referenced in regards to these trainings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

922 KAR 2:110 · Correction status not published

922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation.

General: Based on Interview, it was found that a staff person with a hire date of 12/09/2013 failed to report to the licensee that she was the subject of a child neglect investigation. In an interview with the staff in charge she stated that she was unaware that the staff person had a substantiated neglect finding against her. Employee Records

922 KAR 2:090 · Correction status not published

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

General: Based on Observation, it was found that the toddler classroom was used as an entrance and exit. A family was observed to walk into the toddler classroom from off the street to bring their child to the center. The director acknowled this and told her staff that the parents would have to use the main entrance and not to allow families to come through the door.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation, it was found that the covers on the high chair in the infant classroom were stained and soiled. It was also found that there were stains on the Spiderman cushioned chair in the school age classroom. It was also found that the wall vent was broken in the two (2) year old classroom and in the hallway. The director stated that she had replaced the vents before as the children keep breaking them.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation, it was found that there were numerous areas of chipped paint along the baseboards and door frames in the classrooms and throughout the facility. It was also found that there was chipped paint on the wall in the overflow room behind the blue table. The director stated that she was aware that the walls needed new paint.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, it was found that the most recent copy of the regulations was from 2008. The director stated that she would get a current copy of the regulations.

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

General: Based on Interview, it was found that a staff person hired on 08/08/2011 has been allowing a nine (9) year old child to sit in the front seat of the vehicle when she picks him up from school. In an interview with the staff, she stated that she was unaware that children could not sit up front and that she had been allowing the nine (9) year old child to sit in the front seat. Transportation

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, it was found that the director's black Cadillac used for transporting children from school had not been approved for transporting children. The Director stated that she would send a letter in to request that her vehicle be added for transporting children.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, it was found that a staff person with a hire date of 08/08/2011 stated that when she would pick a child up from school, she would get out of the car, with the car still running and the keys in the ignitation to help put that child into the vehicle. The staff stated that she did not realize that she needed to cut the car off.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation, on the small playground there was a red and green plastic slide sitting directly on the grass, not in the mulched area.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation, there was a training chair in girls' bathroom that contained urine, it had not been emptied and cleaned after the last use.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation and interview, there was a group of twelve (12) children. There were three (3) children in the group who were one (1) year old and the others were two (2) years old. The children were grouped this way all day, everyday.

922 KAR 2:120 · Correction status not published

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

General: Based on Observation and interview, the staff in the infant room were preparing the bottles using canisters of formula supplied by the parents.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, there were two (2) children's files that did not include a physician's name and contact information. The children were enrolled on 6/7/14.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 2 General.

General: Based on Interview, there was not a current copy of the regulations available for staff.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, there were three (3) children who did not have a preferred hospital listed and one (1) child who did not have the phone number of the the child's physician listed.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, there was one (1) staff person hired 10/5/09 while she was still enrolled in high school. However, this staff person did not graduate from high school and did not complete Credit Recovery. She is currently enrolled in a GED program.

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, during an inspection of the toddler playground a child sized plastic playhouse was observed to have a crack on one (1) side of the doorway.

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, there was one (1) staff person hired 5/1/13 who did not have the results of a T.B. skin test read until 5/21/13.

922 KAR 2:110 · Correction status not published

922 KAR 2:120 - Section 5

Toddlers: Based on Observation, it was found that there were two (2) two (2) year old children and two (2) one (1) year old children in the classroom. The teacher reported that the children are together in the classroom all day each day. Equipment - Classroom 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 2) Meets Standards Not In Compliance Findings: Infants: Based on Observation, it was found that the five (5) cribs present in the classroom did not meet the new federal requirements. Two (2) of the cribs were manufactured in November of 2005. Three (3) of the cribs did not have a manufacture date printed on them. The staff person in charge stated that there was no paperwork available and that the cribs were purchased around 2006.

922 KAR 2:120 · Correction status not published

922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, one staff member (date of hire: 10/5/10) did not have a current TB test on file. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 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 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

922 KAR 2:110 - Section 5 Staff Requirements.

General: Based on Review of Documentation, staff members hired on 08/08/11 and 05/06/11 did not have documentation in their file of a GED, HS diploma or CCC accreditation. 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

922 KAR 2:110 · Correction status not published

922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, staff member hired on 10/09/10 had a documentation from a doctor that stated the staff member had completed the necessary tests and is free of infectious TB at this time. This document was issued on 01/09/06 and stated that there was no expiration date. 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 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