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

General: Based on observation, the following was found: Three's Room 1) Uncovered outlet in the block area. 2) A CD player that was on the shelf was plugged in, but that cable was hanging low creating a pulling and tripping hazard for the children in care. 3) A small fan, that was next to the CD player, was unplugged but the cable was on the floor by the outlet that was uncovered creating safety hazard for the children. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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, the following was found: 1) Two staff members (DOH: 04/15/15, 01/03/23) did not have a current TB test or statement from a health professional on file in the facility. 2) A staff member (DOH: 03/06/24) did not obtain a TB test or statement from a health professional until 03/21/24. 3) A staff member (DOH: 05/28/24) did not obtain a TB test or statement from a health professional until 05/30/24. 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, in the Two's Room, the staff member's personal bag was on the shelf, 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 3. General Requirements.

General: Based on observation, the following was found: One's Room 1) A drawer was not locked, and adult scissors were accessible to the children. Two's Room 1) A drawer was not locked, and push pins were accessible to the children in care. 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 13. Toys and Furnishings.

General: Based on observation, excessive tape residue that is accumulating dirt on the shelves, was found in One's Room. 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 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 15. Animals.

General: Based on observation and interview, in the One's Room there was an aquarium with fish inside. The staff member in charge stated that there was no written parental consent for the fish in that room.

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 interview and review of documentation, a child was injured while the staff member was attempting to clean up a spill and did not have adequate control of the classroom. The children 2-year-old children were repeatedly grabbing paper towels from the staff member and running with them in the classroom. The child who was injured copied this behavior and fell hitting a shelf. The staff member indicated she was overwhelmed in the classroom alone that day and it was “nerve wracking”. Director Requirements In Compliance Employee Records 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, one staff (DOH: 01/03/23), did not have evidence of education 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, one staff (DOH: 09/12/22), did not complete 15 hours of annual training for the year. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation 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 9. Records.

General: Based on review of documentation, thirty-six (36) children were present on the day of inspection, but only thirty-one (31) children were signed in for the day.

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 review of documentation, there was no documentation of lockdown drills being performed on file at the facility. 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 review of documentation, classrooms #1 and #2 did not have up-to-date lesson plans posted. The ones that were posted were for September.

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, class #3 (two's classroom) did not have the hand washing procedures posted anywhere in the classroom. It should be noted that this classroom contains a changing area. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired on 2/14/2020, did not have the KARES background check process initiated until 3/4/2022. The staff member was not fingerprinted until 3/11/2022, and was not determined eligible until 3/12/2022. It should be noted that as of these dates, staff members were not permitted to work at the facility until fingerprints had been collected.

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, staff member hired 2/14/2022, did not have their fingerprints collected for the KARES background check until 3/11/2022. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, staff member hired 2/14/2022, had documentation of living in Georgia within the past five years. A Child Abuse/Neglect check and a Sex Offender registry check were not completed for the state of Georgia. Supervision 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, at 10:19AM, the surveyor observed a child crawling behind a storage shed on the Toddler playground. The child was not within line of sight of a staff member. Approximately 30 seconds later a staff member entered the playground and moved the child within line of sight of the staff members present. Staffing Requirements In Compliance 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 8. General.

General: Based on observation, several jackets were stacked on a sensory table within the Two-Year-Old classroom. Individual’s clothing items should be stored separately to prevent the spread of germs and bacteria. 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 member hired 8/20/2020, had a negative tuberculin screening on file that exceeded two years; therefore this document was no longer current. 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, bottles of chemical cleaners were stored on a shelving unit above the cubbies in the Two-Year-Old classroom. The warning label on the back of the chemicals read, “Keep out of reach of children”. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a discarded water jug was laying on a pile of toys near the diaper changing station of the Two-Year-Old classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, several of the walls within the One-Year-Old classroom had chipping paint. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, soiled diapers were observed in an uncovered trashcan within the Two-Year-Old classroom. Soiled diapers should be discarded in a covered container.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing mat within the Two-Year-Old classroom was torn and had frayed corners; this rendered the pad unable to be properly cleaned and sanitized. 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, areas of the weed guard were exposed on the playground and presented a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, the following was found: 1.) The front of a drawer was cracked and in disrepair within the Four-Year-Old classroom. 2.) A paper towel dispenser was not securely mounted to the wall within the Three-Year-Old classroom. The dispenser was tilted and appeared to be missing a drywall screw. 3.) 11 children’s chairs were stacked within the One-Year-Old classroom and presented a tipping 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 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, during the inspection process the surveyor observed several children taking walking filed trips to the areas surrounding the building. Several of the children did not have written permission to leave the premises on file at the facility. 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 5. Evacuation Plan.

General: Based on interview, there was no documentation available indicating that the emergency preparedness plan had been submitted to the proper emergency management authority for the 2022 year.

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, there was no evidence documenting that tornado drills had been practiced in the first quarter of 2022. Additionally, there was no evidence indicating that earthquake drills had been practiced in the second quarter of 2022. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 08/31/2021 AND AS OF 10/01/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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. There was a toilet brush beside the toilet in the bathroom between the Three's and Fours classrooms, which children have access to. This method of storage is not sanitary and promotes the spread of germs. 2. In the Two's classroom, there was a tall fan placed on a plastic box with an unsecured cord and an uncovered electrical outlet. Director Requirements In Compliance 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 9. Records.

General: Based on review of documentation, a staff person hired on 7/8/21, did not have the results of a criminal background check on file at the facility. During the survey, the staff person was not observed alone with children.

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 determined that staff hired on 7/13/21 did not have evidence of proof of educaion 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, one staff that was hired on 4/12/21 did not have evidence of a negative TB result of health professional's statement 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, a staff member hired on 9/16/20 did not have record of completeing the required Orientation I and II course and seven (7) staff did not have evidence of completing the required fifteen (15) hours of annual training. A review of ECE TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the list of daily activities posted in the Three's classroom was dated for June 7th-30th and the daily activities listed for the Four's classroom was not dated. 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, the following was found: 1) There was a bottle of bleach and two (2) boxes of ice melt on the floor of the laundry room which was open and accessible to children. These items are labeled keep out of reach of children. 2) There was a bottle labeled bleach water located on a low shelf behind the changing table in the Two year old room within reach of children. 3) In the lunch room, there was a cabinet labeled cleaner that had hand sanitier, Super Sorb and foaming cleaner that was open and accessible to children. These items are also labeled keep out of 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, the following was found: 1) In the Two's classroom, the window sill had a protective covering that had been broken and needs to be repaired. 2) The bathroom had a stained ceiling tile and the basebord was pulled away from the wall exposing the drywall. 3) In the Three's classroom, there were excessive crayon marks on the wall, excessive dirt on the walls and several marker marks on the carpet. 4) In the One's classroom, there was peeling paint, excessive marker marks on the walls and a crack under the window exposing the drywall. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the trash can used for soiled diapers beside the changing table did not have a lid. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there were two (2) containers of Vaseline located in the changing table in the Two year old room. It was not labeled with a child's name. The cabinet was not locked and items were accessible to children with a label that says keep out of reach of children. Upon interview with the teacher, she stated that they used the Vaseline on any child whenever they may need it. Vaseline should be individually labeled with a child's name. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the area around the play equipment used by the children did not have a sufficient amount of ground cover. The mulch was sparse and the dirt was visible in several areas. 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 One year old room did not have enough toys out for a variety of adequate play during the day.

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's stove in Three year old room had a door that was falling off, which is a safety hazard. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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, a sink in the kitchen was in disrepair with eccessive rust and cracked enamel coating around the air vent hole. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 6/15/2020 did not have a physician's name or contact information listed in their file. 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 5. Evacuation Plan.

General: Based on review of documentation, there was no evidence that the facility's Emergency Preparedness Plan had been updated or submitted to the proper authority for review since 2019. 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 observation and interview, it was found that a staff person was playing "Barber Shop" with a one-year-old child on 9/1/2020. In video footage viewed by the DCBS representative, it was found that the staff person was sitting on the floor with the one-year-old child in her lap. The staff person could be seen playing with the child's hair, similar to a pulling/picking motion. The staff person's hand can be seen moving around the child's head but cannot make out if there is something in her hand. Eventually, the child becomes visibly upset and moves away from the staff person. During an interview, the staff person stated that she was using adult scissors to pretend to cut the child's hair. The staff person indicated that she accidentally cut a patch of hair out of the back of the child's head. A photo provided by DCBS of the back of the child's head shows a bare patch approximately three to four inches in diameter. 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

Open / not marked corrected.

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

General: Based on observation and interview, it was found that a staff person was playing "Barber Shop" with a one-year-old child on 9/1/2020. The staff person stated that she was sitting on the floor with a one-year-old child in her lap, playing with his hair. The staff person said that she was using adult scissors to pretend to cut the child's hair. The scissors were being used as a play-thing around the toddlers giving the children access to the scissors. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, it was found that a staff person was playing "Barber Shop" with a group of one-year-old children on 9/1/2020. In video footage viewed by the DCBS representative, it was found that the staff person is seen brushing three children’s hair with the same brush. In an interview, the staff person stated that she used the same hairbrush to brush three of the children's hair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, staff hired on 08/20/2020 did not have documentation on file showing that background checks had been submitted before the hire date. Staff person in charge stated that background checks had been submitted but she did not keep a copy for their records. Staff person was working the day of the relicensure visit but was not working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the last documented staff meeting on file was dated 07/06/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, there were no current staff evaluations on file. 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, staff hired on 08/07/07, did not have documentation on file from a health care professional stating that she was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 07/31/2019 had a pediatric abusive head trauma course on file dated 11/02/2014. Staff are required to retake the course every five years but according to ECE-TRIS the staff person had not renewed the course. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a tear found in the diaper changing pad in the one-year-old classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the cots were all stacked on top of one another in the two-year-old classroom. Each cot had the children's sheets on them and the sheets were touching one another which means they were not stored in a sanitary manner. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, there were no current professional development plans on file. Posted Documentation In Compliance 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 review of documentation, this regulatory requirement was not met. Two (2) staff did not have current negative tuberculin results or a statement from a health professional that the individuals are free of active TB on file. The following was found: 1. A staff hired on 5/10/12 had a TB skin test on file that was dated 8/10/17. 2. A staff hired on 8/07/07 had a TB skin test on file that was dated 6/29/17. 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 observation and review of documentation, interview and review of documentation, this regulatory requirement was not met. Only one (1) staff had written evidence of current CPR and first aid training. This staff works from 7:30 AM until 2:00 PM Monday through Friday. The facility operates from 6:30 AM until 5:30 PM Monday through Friday. There was no one present with current CPR and first aid training from 6:30 AM until 7:30 AM and from 2:00 PM until 5:30 PM Monday through Friday. The staff in charge indicated that the staff members took a renewal class, but they have not yet sent the cards to the facility.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following items were found in regard to staff training: 1. A staff hired on 5/10/12 completed 6.50 hours of training. 2. A staff hired on 7/01/80 did not renew the pediatric abusive head trauma training after five (5) years. The pediatric abusive head trauma training was dated 9/05/13. 3. A staff hired on 1/19/70 did not renew the pediatric abusive head trauma training after five (5) years. The pediatric abusive head trauma training was dated 4/14/14. 4. A staff hired on 7/12/16 completed five (5) hours of training. 5. A staff hired on 10/23/17 completed thirteen (13) hours of training. The ECE-TRIS system was reviewed. 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, this regulatory requirement was not met. Classroom #3, the two (2) year-old room, contained several unlocked cleaners that were in a cabinet above the hand washing sink. The cleaners were labeled "Keep out of reach of a child". The hand washing sink contained a step stool in front of it. The cleaners were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. A stained ceiling tile was observed in the bathroom of Classroom #3 (2 year-old room).

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The bathroom in Classroom #3, the two (2) year-old room, contained a yellowish-white residue (possibly tape residue) on the surface of the toilet seat. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The playground used by the older children contained weeds and vines along the bottom area of the chain link fence. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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, this regulatory requirement was not met. A staff member hired on 5/10/12 did not have a current professional development plan on file.

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. The documented fire drill roster for 2019 did not contain specific dates. The month and year were documented. 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, this regulatory requirement was not met. The facility did not have the Kentucky Consumer Product Safety Program's website posted as specified in KRS 199.897. 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, it was found that a staff person's purse was sitting in the floor by the staff seating area in Classroom 2.

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, it was found that the facility had no documentation of zoning.

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, it was found that the facility had no documentation of liability insurance. 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, it was found that there was no documentation of conducted staff meetings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that in the restroom in Classroom 1 there was a toilet scrub brush that was accesible to the children in care. There was a plunger found in the restroom in Classroom 3 that was accessible to the children in care. It was also found that in Classroom three all the nap mats along with the children's blankets were stacked on top of each other. 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 through a review of sixteen (16) staff files that one (1)staff person with a hire date of 10/2017 did not have proof of education.

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 through a review of sixteen (16) staff files that three (3) staff files did not have documentation of the one and one half (1 1/2) hours of cabinet-approved pediatric abusive head trauma training. It was also found that a staff person with a hire date of 03/07/2016 did not have documentation of the fifteen (15) hours of cabinet-approved early care and education training. A review of ECE-TRIS confirmed this. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there was no program of activities in Classroom 1, Classroom 2, Classroom 3 and Classroom 4. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 4. Premises Requirements.

General: Based on Observation, it was found that there were several areas of chipped paint on the walls in Classroom 1, Classroom, 2, Classroom 3 and Classroom 4. It was found that in Classroom 1 there were brown rings on three (3) of the ceiling tiles. In Classroom 3 there were two (2) ceiling tiles that contained brown rings. It was found that there was a piece of broken tile on the floor in the restroom in Classroom 4. It was also found that there was dust caked on a vent in the ceiling in Classroom 4. 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 11. Toys and Furnishings.

General: Based on Observation, it was found that a stepping stool in Classroom 3 and a stepping stool in Classroom 4 contained a substantial amount of dirt and grime. It was also found that the tan rocking chair in Classroom 4 was soiled with dark stains. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

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 detailed therapy schedule was posted next to the door in the Two-year-old classroom. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, ther was no protective outlet cover on one (1) outlet in the four-year-old classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired on 04/21/17 listed New York as a state she previously lived in within the past five (5) years. There was no out of state background check completed on her.

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 07/12/16 and 03/07/16 did not have the required cabinet approved Pediatric Abusive Head Trauma class on file. This information was verified through ECE-TRIS. 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, there were bottles of bleach sitting on top of the washing machine and the laundry room door was open. A bottle of Glade air freshener was sitting on top of a desk in the cafeteria. These items were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, children enrolled on 07/10/17 and 06/16/16 did not have preferred hospital information on file. Written Documentation In Compliance Posted Documentation In Compliance 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 4. Premises Requirements.

General: Based on Observation, there were several ceiling tiles throughout the facility with water stains. The bathroom wall in the one-year-old classroom and a wall in the two-year- old classroom had sections of chipping paint/drywall. There was dust found on and around the vent in the Two-year-old classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there was urine found in the toilet in the Four-year-old classroom. 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, a child on the playground did not wash her hands after wiping her nose with a tissue. 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, there was a tube of Destin found in the medicine box in the One-year-old classrom without a label. 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, a large square concrete table on the playground was found to have very rough edges and sharp corners. 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, there were several cots throughout the facility that had torn edges.

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 teacher's chair in the Three-year-old classroom had several large tears exposing the padding underneath. The teachers chair in the Two-year- old classroom had numerous large dirt spots covering the upholstery. The children's soft climbing equipment had several tears along the edges of the equipment exposing the foam padding. There were several torn books found in the One-year-old classroom and in the Two-year-old classroom. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the thermometer in the white freezer was not working. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, there was no written permission forms on file stating that parents gave thier children permission to be in the presence of the fish in the Two-year-old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, an annual evaluation had not been filled out for an employee with a hire date of 4/20/15. The staff person in charge stated that they had sat down and done the evaluation but she must have forgotten to fill out the questions as they were going over them.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired on 2/18/16 had listed an out of state residence on their CAN check and no out of state background check had been conducted. The staff person in charge confirmed that she had overlooked the other state listed and had not had an out of state background check done.

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, a staff person with a hire date of 2/18/16 did not have evidence of the required education documents in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one staff who did not have paperwork in their personnel file showing that they were free of TB. Also, another staff person's TB skin test was more than two (2) years old and there was no documentation for new TB skin test results in their file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) employees who did not have proof in their file of having completed the required six hours of orientation training. This information was also verified via the ECE-Tris system. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a ceiling tile in the bathroom of Classroom Three had brown water stains on the edge. Additonally, two ceiling tiles in Classroom One also had brown water stains on them.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person with a hire date of 4/20/15 did not have a completed professional development plan in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the daily activities sheet posted in the Classroom 4 was not dated for the current week.

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, there were two (2) employees who had not completed the required training hours for their past year of employement.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the diaper pad in Classroom Three had tears in it that exposed the inside foam.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there were nap mats in Classrooms One, Three, and Four that had tears on the edges, which exposed the foam from inside.

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 two (2) children's records that did not have a preferred hospital listed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the daily activities sheet posted in Classroom Three was not dated for the current week. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 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 Review of Documentation, the state regulations available to staff were not the current 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, one (1) staff hired 06/01/2012 had a TB Skin test that was outside of the required two year time frame.

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, there were thre (3) staff that failed to meet the required fifteen (15) hours of training. The staff hire dates are 06/01/2012, 05/01/2006, and 10/01/2001

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the lession plans for all the classrooms failed to have a date to specify the day and week of use.

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, there were garbage bags identified in an unlocked cabinet in the kitchen that were also within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the changing pad in the mounted changing station located in the bathroom of classroom four had a torn corner which exposed the inside filling.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on review of documentation, a form was present in a child's file where the mother had requested medication to be given to her child. The staff had initialed the form when the medication had been given but the name of the staff administering the medication was not noted.

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 Observation, the medication boxes on classroom one, classroom two, classroom three, and classroom four were unlocked and all contained items that required storing under lock. There was allegry medication and/or sunscreen observed it be kept in these boxes. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the small playground appeared to have sparse mulch and areas that had grass growing through the mulch which could create a tripping hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, nap mats in classroom one had torn corners that exposed the inside filler.

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, one (1) upright white freezer was without a thermometer and the temperature of this freezer was unable to be identified or confirmed to meet regulations.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

Based on review of documentation, one child enrolled on 1/13/14 did not have a physician nor a physician's phone number listed. This part of the application was left blank.

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 Observation, the facility failed to complete and maintain an Emergency Preparedness Plan and comply with regulations that included the requirements listed in KRS 199.895.

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, drills were unable to be reviewed at the time of visit. It is unconfirmed if the earthquake and tornado drills were completed per regulations.

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, drills were unable to be reviewed at the time of visit. It is unconfirmed if the fire drills were completed per regulations.

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 Review of Documentation, drills were unable to be reviewed at the time of visit. It is unconfirmed if the fire drills were completed per regulations.

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 Review of Documentation, drills were unable to be reviewed at the time of visit. It is unconfirmed of the earthquake and tornado drills were completed per regulations. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, classroom one failed to have a scheduled posted.

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 statement of deficiency and the plan of correction were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the facility had yet to complete an emergency preparedness plan.

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, there were two (2) staff who did not have evidence on file of meeting the education requirement; hire dates were 4/16/13 and 9/28/12.

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, there were three (3) staff who did not have documentation of being free of TB completed within the past two (2) years; hire dates were 9/28/12, 6/7/12, and 5/1997.

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, a staff person hired 4/16/13 had not completed the required orientation training within the first ninety (90) days of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there were black plastic garbage bags stored in areas accessible to the children in Classroom #1 and Classroom #2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in Classroom #2 the children's sheets were stored on their naptime mats. The mats were stored stacked together.

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 blue vinyl couch in Classroom #2 had several tears and the foam was exposed.

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 was one (1) child whose file did not contain an immunization certificate; enrollment date was 7/26/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, at staff person hired 8/7/07 did not have a TB skin test on file. Also, a staff person hired 5/01 had a TB skin test dated 4/13/10. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 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. 1) Orientation In Compliance 2) 9 hours-first year 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. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, three (3) staff did not meet the training requirement for their current training year, 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were no current staff evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the staff did not have current professional development plans on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 41 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not Applicable 4) Current State other than KY Not Applicable

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, a staff person hired 7/7/12 did not have evidence of the education requirement on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Classroom One: Based on Observation, the blue mats used by the children in this classroom were torn at the corners. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 41 Web site: http://chfs.ky.gov/ Inspection Report 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

in the three (3) and four (4) year old classroom, there were fifteen (15) children with one (1) staff. The second staff had walked out of the classroom leaving the other staff person alone. in the one (1) year old classroom there were seven (7) children with one (1) staff. The other staff person had left the classroom to use the restroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report General Administration 89 - Licensee responsibility 922 KAR 2:110 - Section 2 General. (1) A licensee shall be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:090, and 922 KAR 2:120. 1) 922 KAR 2:090 In Compliance 2) 922 KAR 2:110 In Compliance 3) 922 KAR 2:120 In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.