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

General: Based on a review of documentation and the Kentucky National Background Check Service (KARES), a staff member (DOH: 03/15/24) currently has a determination status listed as “in process.” At approximately 10:05 am, the surveyor observed this staff member and another staff member caring for nineteen (19) children ages five-ten (5-10) years old. Therefore, at no time during the renewal inspection was the staff member working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, in the older one-year-old classroom at approximately 9:56 am, the surveyor found a bottle of Lysol toilet bowl cleaner, a plunger, and a toilet bowl brush next to the toilet. It should be noted, children utilize this restroom for handwashing. Therefore, the items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor smelled a strong urine odor coming from the boys' restroom. Further observation found urine and toilet paper in the toilet bowl that had not been flushed. 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 interview, the staff member in charge could not locate medical tape. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on interview, the surveyor found that one (1) parent pre-measures her child’s formula but does not pre-measure the water. The staff member stated that she mixes the water with the formula when preparing the child’s bottle. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. 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 enrollment file (DOE:11/25/20) contained immunization documentation that was no longer valid as of 05/07/22. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 2. Child Care Services.

General: Based on interview and observation, the following was found: 1.) A child was able to let himself out of the gate on the playground and supervising staff on the playground did not see him leave the playground; therefore, staff were not providing adequate supervision of the child. The Staff member that was supervising the children on the playground received a write up for the incident. 2.) Nine (9) children were in the hallway sitting in highchairs unsupervised; these children were ranging from the age of 11 months to 14 months old. Staff advised that the staff in charge of these classrooms would be getting a write up for failing to supervise the children in the hallway. General Administration 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 8. General.

General: Based on interview, staff did not complete an incident report of a child being bitten at the center and the parents were not notified of the incident.

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 following was found: 1.) An uncovered outlet in the Little Wildcats room and an Air Wick plug-in was lying on the floor. 2.) Air Wick plug-ins were found in the Panda Pals and Tiger Cubs room that were accessible to the children in care. 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, a staff member hired 10/4/2021, did not have evidence of an annual evaluation on file at the facility. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, five staff members hired on 11/14/2007, 4/19/2019, 9/4/2016, 6/1/2008, and 10/4/2021, did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. 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 following was found: 1.) A piece of the baseboard was missing behind the classroom door in the School-Age room. 2.) The carpet was ripped with stains in the Little Lions, Little Wildcats, Panda Pals, Tiger Cubs, and School-Age rooms. 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 Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 10/4/2021, did not have a current professional development plan on file at the facility. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the Infant and Panda Pals rooms did not have posted schedule of daily activities. 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, this regulatory requirement was not met. During the investigation it was found that a staff member let a four-year-old child go to the bathroom alone, around 12:50 pm on 6/30/2022. After approximately five (5) minutes, when this child did not return to the room, staff member went to look for him and discovered that he was not in the bathroom. At that time, the staff in the facility started the search for this child. At approximately 12:59 pm another staff member, who was in the van with her class on the way to the field trip, spotted a child running across the main road and called the facility to make sure all their children are there, and learned that staff members are looking for a child. The staff members in the van came to the child on the side of the road and were able to return him to the facility approximately at 1:06 pm. The child seemed to be unharmed when the staff members found him. Staffing Requirements 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 8. General.

General: Based on observation, the child care center failed to assure compliance with regulatory requirements. Observation of the Pre-K Room #2 revealed one (1) outlet was not covered. 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, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for four (4) staff members hired 12/5/16, 6/1/08, 3/9/20 and 4/19/19. 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 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files on 7/1/22 revealed the Kentucky Drivers License on file at the time of survey for two (2) staff hired on 12/5/16 and 4/19/19 were no longer current as they expired on 4/8/22 and 6/14/22. 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, the child care center failed to maintain the premises in accordance with regulations. Observation of the School Age Room # 2 revealed (1) full ceiling light was not operational. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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, the child care center failed to maintain the outdoor play area in accordance with regulations. Observation of the playground #2 revealed the black edging on the ground was broken with sharp edges. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 children’s records in accordance with regulations. Review of children’s files on 7/1/22 revealed the written record for one (1) child with enrollment date of 3/18/22 failed to contain contact information to enable a person in charge to contact the child’s preferred 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, a staff member hired on 4/19/2019, did not complete the required PAHT training. This staff member has been employed for more than one year. The ECE-TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 6. Sleeping and Napping Requirements.

General: Based on observation, there was a 7-month-old child asleep in a crib with a pacifier attached to a tether. Premises In Compliance 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

Open / not marked corrected.

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

General: Based on observation, a current schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the Little Ducklings classroom. The schedule posted was for the week of 6/7/2021 through 6/11/2021.

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 proper methods of diapering and hand washing were not posted in the changing area in the Pooh's Corner classroom. Animals Not Applicable

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, this regulatory requirement was not met. The posted lesson plan in the School-age 2 Room (Twisters) was not current. The lesson plan was dated 8/03/2020 through 8/07/2020. Animals Not Applicable Emergency Regulation 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 observation and review of documentation, this regulatory requirement was not met. A staff hired on 2/11/2020, did not have proof of education 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, this regulatory requirement was not met. A stained ceiling tile was found in Room #13 (Toddler Room). The stained ceiling tile was located toward the back of the classroom. 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 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 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The boy's bathroom, located across from the kitchen, contained a cabinet under the hand washing sink that was in disrepair. The wooden shelf in the bottom of the cabinet contained a large broken section. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A child did not have a current immunization certificate on file. 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 10. Director Requirements and Responsibilities.

General: Based on observation, it was found that toilet paper was being stored on the back of the toilet tank in a downstairs girls' bathroom, as well as in the bathroom in the toddler classroom. This is not a sanitary practice. 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, it was found that one (1) staff did not have evidence of a negative TB screening prior to being hired at the facility. The date of hire for this staff is 12/31/2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that three (3) staff did not have the required fifteen hours of training. The dates of hire for these staff are 08/20/2002, 06/01/2008, and 12/05/2016. 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, it was found that there was a container of "goo gone" and a tube of caulking underneatth the sink in the boys' restroom located downstairs. These items were accessible to the children in care.

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.) There was an accumulation of dust in the corner of the room behind the door in the learning lemurs classroom. 2.) The overhead vent in the upstairs girls' restroom was hanging down from the ceiling. 3.) The sink in the in the downstairs boys' restroom was constantly dripping and was in need of repair.

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 following was found: 1.) There was a large area of chipped paint in one of the bathroom stalls in the upstairs boys' bathroom. 2.) There was an area of frayed carpet just outside of the boys' restroom located upstairs. 3.) There was what appeared to be paint on the floor under the sensory table in the panda pals room. 4.) There was an area of the carpet that had a marker stain on it. This was located in the panda pals room. 5.) In the tiger cubs room, there was a large black stain on the carpet by the trash can in the science center. 6.) In the upstairs hallway there were numerous black stains on the carpet. 7.) In the toddler classroom, there was a cracked ceiling tile above the CD player. as well as a stained ceiling tile above the storage closet.

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, it was found that a toilet in each of the girls' restrooms (upstairs and downstairs) contained urine. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 3. General Requirements.

General: Based on observation, it was found that a child did not have their hands washed after getting their diaper changed. Instead, the child was put back down and began playing. This occured in the toddler classroom.

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, it was found that the diaper changing pad in the upstairs girls' bathroom was dirty and also had a brown sticky substance on it. 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 11. Toys and Furnishings.

General: Based on observation, it was found that the red couch in the two year old classroom was worn and almost torn in some areas. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that one (1) child's file did not contain a current immunization certificate. The date of enrollment for this child is 09/21/2015. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, it was found that two (2) children's files did not contain a physician's phone number on the enrollment paperwork. The dates of enrollment for these children are 08/02/2015 and 09/21/2015. 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 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation, it was found that the file for one (1) eligible employee did not contain evidence of an annual evaluation being completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that the toilet paper in the T-Birds bathroom was being stored on the tank of the toilet, which is not a sanitary practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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, it was found that the file for an employee hired on 4-23-18 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on Review of Documentation, it was found that the file for an employee hired on 4-23-18 contained the results of a negative TB skin test that was read on 4-26-18. This date is not prior to date of hire as required by the regulation.

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, it was found that the file and ECE-TRIS record for an employee hired on 5-28-13 contained evidence of zero (0) hours of training being completed during the last completed training year. It was also found that the file and ECE-TRIS record for an employee hired on 9-24-16 contained evidence of only one and a half hours of additional training being completed during the first year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that the pink paint on the stalls in both the upstairs and downstairs girls' bathroom was peeling in multiple places. Strips of paint were observed to be on the floor of the bathroom due to the children peeling them off. The ceiling vent in the upstairs pink bathroom was found to be extremely dusty.

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, it was found that the T-Birds changing table was located in the classroom. The sink is located in the bathroom in the classroom, but the door to the bathroom is kept closed, creating a barrier that must be touched prior to hand washing. It was also found that the water in the hand washing sinks throughout the facility measured one hundred and forty degrees when measured with a calibrated thermometer. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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, it was found that a toilet in the pink upstairs bathroom and a toilet in the blue upstairs bathroom contained urine and toilet paper. 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 Review of Documentation, it was found that the medication administration records for a child who receives Tenex on a daily basis did not include a time given or the dosage given. The documentation missing this information was found to date back to 2-2-18. 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 the grass on the playground used by the children ages two-years-old and younger was eight (8) to ten (10) inches tall. A teacher stated that the children are not allowed to play in the grassy area due to the tall grass. 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 11. Toys and Furnishings.

General: Based on Observation, it was found that eleven (11) highchairs in the cafeteria area did not have the manufacturer required safety straps installed. Transportation In Compliance Food Service/Food Program Not Applicable 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 9. Food and Meal Requirements.

General: Based on Interview, it was found that staff in the Older Infant classroom and the Little Blessings classroom measure formula and/or water to make bottles for the children. The formula is provided by the parents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records 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 9. Records.

General: Based on Review of Documentation, it was found that two (2) children's files out of ten (10) children's files reviewed did not contain information regarding the parent's preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) parent had already documented a 5:15 p.m. departure time and signed their name to the attendance form for the day of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for one (1) eligible employee did not contain evidence of an annual professional development plan being completed. 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, it was found that the statement of deficiencies issued and the plan of correction submitted for the 2017 relicensure survey was stapled on all four corners to a bulletin board. Posting in this manner did not make the document available for public inspection.

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 Observation, it was found that a schedule of daily activities was not posted in the Older Infant classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child's medication permission form had been filled out by the parent and was posted on the outside of the door of the Pandas classroom. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. Staff person hired 5/28/13 did not have evidence of any hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. 2. Staff person hired 9/24/16 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 3. General Requirements.

General: Based on Observation, there was a roll of plastic garbage bags in an unlocked cabinet under the sink in the upstairs boys' bathroom. The bags were accessible to the children in care.

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 water temperature at the sink in the fellowship hall bathroom registered one hundred, thirty-six (136) degrees Fahrenheit when measured with a calibrated thermometer. The children use this sink for hand washing. 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

Open / not marked corrected.

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

General: Based on Observation, the children in the Twos classroom were playing with several Hot Wheels cars. These cars are not recommended for children under three (3) years of age. Transportation Not In Compliance

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 first aid kits on both vans used by the facility did not contain liquid soap. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, there was a beta fish in an aquarium in the Sharks classroom. In an interview with the director it was found that written parental consent for the animal had not been obtained.

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, staff hired on 04/30/13 did not have education documentation on file. The director acknowledged this finding.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired on 08/20/02 had only fourteen (14) hours of cabinet approved training on file and has not completed the Pediatric Abuse and Head Trauma class. This information was verified through ECE-TRIS. The director acknowledged these findings.

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 Review of Documentation, there was not an updated driving record for the staff who help transport the children. The director acknowledged this finding and stated that she would get new driving records. Programming

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 Review of Documentation, it was found that there was not a current lesson plan in the school age classroom. The last dated lesson plan was for 03/21/2016 thru 03/25/2016. It was also found that there was not a current lesson plan in the Bridging/Pre-K classroom. The last lesson plan was dated for 04/25/2016 to 04/29/2016. The staff in charge acknowledged this.

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 found that in the men's downstairs restroom used by the children for toileting, There was observed to be bottles of Windex window cleaner and Lysol toilet bowl cleaner in a low cabinet that was accessible to the children as the lock was not secure. In the women's bathroom that is used by the children for toileting, there was observed to be a bottle of glass cleaner, Lysol, Tilex, Clorox wipes and toilet bowl cleaner accessible in a low unlocked cabinet. The staff in charge acknowledged this. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that in the three (3) to four (4) year old classroom and in both Bridging/Pre-K classrooms there was found to be a substantial amount of dust on the ceiling vents. it was also found that in the two (2) to four (4) year old classroom there was observed to be several areas of chipped pain on the walls as well as in one of the Bridging/Pre-K classrooms. In the downstairs women's bathroom used by the children for toileting, there was observed to be a brown water stain on the ceiling with peeling paint. Also in the women's bathroom there was a missing tile on the floor and the rubber trim around the bottom of the floor was observed to be torn. In the men's bathroom the rubber trim was observed to be coming loose from the wall. In the two (2) year old classroom, there was observed to be a substantial amount of dirt and debris on the rug. The staff in charge acknowledged this.

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, it was found that the water at the sink in the upstairs restroom used by the children for handwashing reached a temperature of 130+. The staff in charge acknowledged this.

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, it was found that the cover was missing off of the ceiling fan in the women's downstairs restroom used by the children for toileting. It was also found that the two (2) stepping stools in the men's restroom and the two (2) stepping stools in the women's restroom were covered in a substantial amount of dirt and grime. it was found that in the Bridging /Pre-K classroom, the smoke detector was observed to be hanging loose from the ceiling and in the three (3) to four (4) year old classroom there was observed to be a broken electrical plate accessible to the children. The staff in charge acknowledged this.

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 Observation, it was found that a child in the older infant classroom was observed to be eating a cracker while walking around in the classroom. The staff in charge acknowledged this.

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, child enrolled on 01/18/15 did not have a preferred hospital listed on file. The director acknowleged this finding.

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, staff hired on 05/28/13 and 11/14/07 did not have a current professional development plan on file. The director acknowledged this finding.

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, there were no children's names listed with the March 2016 earthquake and tornado drill. The director stated that she must not have forgotten to attach a list of the children that were present the day of the drill.

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, there were no children's names listed with the fire drill for March 2016. The director stated that she must have forgotten to print off a copy of the children who were present the day of the drill.

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 Observation, during a tour of the facility there were hooks with bags and cloth boxes outside some of the classrooms that contained the children's belongings. A paper was observed attached to some of these bags and cloth boxes that had the child's name and information about their day attached with a clip. This information could be viewed by anyone walking through the hallway or by another parent.

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, a staff person hired 5/18/15 did not have the results of a child abuse or neglect check nor was there evidence the application for the results had been submitted. In addition there were no results of a criminal records check for this same person submitted for review at the time of the survey nor was there documentation to verify the application for the results of the criminal record check had been submitted. At the time of the survey this staff person took five (5) school age children outside to wait for the bus to pick them up and take them to school. This staff person was supervising the children alone. It could not be determined how long this staff person was outside with the children. In addition this same staff person was observed sitting in the eating area for lunch with a group of ten (10) children ages three (3) to five (5) years old. Although there were other groups of children with other staff in the same area this staff person was given the responsibility and supervision of a group of children and did not have the results of both records checks back.

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, there was one (1) staff person with a hire date of 9/3/14 who had the results of a criminal records check dated 9/8/14 and another staff person with a hire date of 1/12/15 who had the results of a criminal records check dated 1/27/15. There was no documentation available to verify that the application for the results of the criminal records check had been submitted prior to the date of hire or on the date of hire. A review of records also found that a staff person hired 5/18/15 did not have the results of a child abuse or neglect check nor was there evidence the application for the results had been submitted. In addition there were no results of a criminal records check for this same person submitted for review at the time of the survey nor was there documentation to verify the application for the results of the criminal record check had been submitted. At the time of the survey this staff person took five (5) school age children outside to wait for the bus. This staff person was supervising the children alone. It could not be determined how long this staff person was outside with the children. In addition this same staff person was observed sitting in the eating area for lunch with a group of ten (10) children ages three (3) to five (5) years old. Although there were other groups of children with other staff in the same area this staff person was given the responsibility and supervision of a group of children and did not have the results of both records checks back.

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 neither the van driver nor monitor on the Chevy Express are currently certified in CPR/first aid. An interview with the director found that these staff have been responsible for picking children up from school and bringing them to the facility the majority of the school year up until 5/26/15 which is the day before this survey was conducted.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, at the time of the survey the kitchen door had been proped open. Three (3) bottles of bleach, a can of Lysol spray disinfectant and a bottle of heavy duty degreaser were observed sitting on the floor under the sink. These items could be seen from the hallway. Children were observed using the bathrooms located across from the kitchen. The labels on these items indicate to "Keep out of the reach of children".

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the boys' and girls' bathrooms located upstairs uncovered light bulbs were observed in the light fixtures over the sinks. An interview with the director found she could not verify that the light bulbs were shatter proof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the younger infant room three (3) water stained ceiling tiles were observed. During a tour of room # 22 a nickel size hole was observed in the wall behind the door with drywall exposed. During a tour of room # 21 there was an area of paint that had been peeled off the wall in the dramatic play area leaving the brown covering of the drywall exposed. In addition there was another area of paint in the same area that had been peeled back but had been taped down with scotch tape.

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, upon arrival there were children playing in the fellowship hall waiting for breakfast to be served. Once breakfast was served the children were placed at the table without washing their hands.

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, during an inspection of the first aid supplies on the Chevy Express used to transport children there was not a working flashlight or a thermometer. On the Ford van used to transport children an inspection of the first aid supplies found there was no gauze or a thermometer.

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, during a tour of the older infant room (room # 11) and the younger infant room (room # 12) a crib with two (2) mattresses stacked on top of each other was observed in each room. The top mattress did not fit snuggley in the crib and had gaps around the edges.

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, during a tour of the kitchen the white refrigerator which had milk stored in it for the children did not have an indicating thermometer or other appropriate temperature measuring device. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, at the time of the survey a group of children ages four (4) to five (5) years old were observed playing outside of the fenced playground in the parking lot. An interview with the director found that somtimes they allow the children to play in the parking lot when the playground is wet. The director added that the staff are supposed to put orange cones out but at the time of the survey the cones were not in use. An interview with the director also found that parental permission had not been obtained for the children to play outside of the fenced area. Written 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, it was found that the facility is licensed for transportation. However, there is not a job description for the van driver.

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 the names of the children who had participated in earthquake and tornado drills is not being documented.

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 the names of the children who had participated in fire drills is not being documented.

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, during a tour of the girls' bathroom located upstairs there was a changing table. However, the proper methods of diapering a child were not posted. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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 Interview, the surveyor found that a permanent wall was added in February 2014 in order to enclose the two (2) year old classroom that is located on a former stage adjacent to the cafeteria. The staff person in charge stated that there use to be temporary walls in place prior to the renovation. The renovation was not reported to the cabinet prior to construction.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that two (2) staff (Hire dates: 4/30/13 and 5/28/13) have not completed the required six (6) hour orientation training. Also, the staff person hired on 4/30/13 has only completed seven (7) hours of training. A staff person hired on 12/14/13 had orientation traiing on file that was dated 3/12/14 which is past the ninety (90) day time frame.

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, the surveyor found that three (3) staff who drive the day care vans do not have a driving history record on file that has been requested through the state transportation agency. Programming

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, and interview, the daily planned activities was not posted in Classroom #11. The staff person stated that she was "filling in" for the regular teacher and did not know if she had a lesson plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor observed a staff person's purse on top of the children's cubbies in the two (2) year old classroom. The purse strap was within reach of the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor observed four (4) uncovered light bulbs in the boys' restroom and in the girls' restroom. The staff person in charge stated the restrooms were painted recently and the painters forgot to put the sheilds back over the light bulbs. The exposed light bulbs did not appear to be shatterproof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor observed two (2) ceiling tiles that were stained brown from water residue in Classroom #10 and Classroom #13. (2) The wood trim around the doorway in the two (2) year old room was in bad repair. The bottom half of the trim was missing and the top part of the trim was very loose; not secured to the door frame.

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 surveyor observed a portable hand-washing sink in the two (2) year old classroom next to the diapering area. The surveyor tested the hot water temperature with a calibrated thermometer and found the hot water temperature to be sixty five (65) degrees.

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, at approximately 8:40 a.m., the surveyor observed a staff person change a child's diaper and not wash his hands afterwards. The staff person returned the child to the group.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor observed torn diaper changing pads in the following classrooms: Classroom #11 and Classroom #12. There was also a torn diaper changing pad located in the girls' restroom upstairs.

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 surveyor obseved two (2) crib sheets that were soiled with what appeared to be recent yellow colored baby food or "spit up". The staff person stated the sheets were washed every week. However, the sheets that were observed at the time of the inspection were in need of immediate changing.

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 surveyor observed a huge amount of debris on the 2004 Ford day care van that included but was not limited to the following: candy wrappers, empty water bottles, and food crumbs. It was noted that the driver of the van had checked the daily inspection log as "free of debris".

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 surveyor found that both First Aid Kits on the 2004 Ford Van and the 2005 Chevorlet Van did not contain CPR mouthpieces. The surveyor found the Fire Extinguisher on the 2005 Chevorlet Van was empty. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section.

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 Interview, the surveyor found that the facility has yet to establish their emergency preparedness plan according to KRS 199.8982. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Children and Parent Rights document Pursuant to KRS 199.898 was not posted in the facility.

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 surveyor found that information/website regarding the Kentucky Consumer Product Safety Program was not posted.

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 diapering and hand-washing steps were not posted at the diapering area in the two (2) year old classroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff did not have the evidence of meeting the educational requirement on file at the facility; hire dates were 3/21/13, 5/28/13, and 4/29/13.

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, one (1) staff person did not have current documentation of being freen of TB. Her hire date was 11/28/08.

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 damaged ceiling tiles throughtout the downstairs classrooms. The tiles had brown spots that looked like water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the vinyl furniture in Classroom #10 had been repaired with tape. However, the tape was peeling and leaving a sticky residue on the pieces of furniture.

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, there were no chairs for the children or staff in Classroom #10. The children did a coloring activity sitting on the floor. Transportation

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, a child enrolled on 1/5/11 did not have the physician's contact information listed in her 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, it was found that two (2) medication forms for a child were not signed by a parent. Some of the medication forms reviewed indicated to "give as needed". This is not a daily request for the medication. Some of the medication forms reviewed showed that the parent had requested the medication on a specific date and a specific time and the staff did not sign off on giving the medication as requested by the parent. Based on staff interviews sometimes the staff did not give the medication if they felt like the child did not need it.

Open Not marked corrected in the state record

Category: ratio. 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 some of the medication forms reviewed did not have a specific time for the medication to be given. The medication form would state a date and "give as needed". In addition, some of the medication forms reviewed contained staff member's initials as to who gave the medication. Food Service

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on Observation, the black plastic ground cover was showing throught he mulch in several diferent areas. The exposed plastic created a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

T-Birds: Based on Observation, there was a one (1) year old combined with a group of two (2) year olds.

Open Not marked corrected in the state record

Open / not marked corrected.