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

General: Based on review of documentation, the child in care named in the investigation allegation did not have a preferred physician listed in their enrollment information.

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 interview and review of documentation, one (1) staff member (DOH: 12/04/24) was not eligible for hire until 01/09/25, but had been working since December of 2024. It should be noted when asked, the staff member stated could not remember when they started working at the center, but thought it may have been as early as October of 2024. Staff in charge indicated they felt confident that the staff member had not worked at the center prior to an eligible for hire status in KARES. Supervision 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 interview, the health, safety, and comfort of a child in care was not protected and assured. A child in care was choked by another child in care, resulting in red marks on the neck, swelling, and later vomiting. The parent of the child took them to an urgent care clinic that directed her to take the child to the emergency room where he received X-rays and a physical examination. 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

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, a staff member (DOH: 08/04/19) has yet to renew the pediatric abusive head trauma (PHAT) training. The staff member last completed the training on 11/13/19.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, children’s coats were stored on hooks within the Two-Year-Old Classroom; the coats overlapped with one another. This method of storage promotes the spread of germs and bacteria. Director Requirements In Compliance Employee Records In Compliance 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, there was an area of chipping paint and drywall within the Two-Year-Old Classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a one-year-old child did not have their hands washed after a diaper change.

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 staff member did not wash their hands after a changing a child’s diaper in the One-Year-Old Classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted 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 8. General.

General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction from the April 2023 inspection was not posted for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview and review of documentation, the facility requested to add a new vehicle on 01/03/24. During the inspection on 01/11/24, to add this new vehicle, it was reported by the staff in charge, that the vehicle was being used to transport the children, before the approval from the Division of Regulated Child Care (DRCC). Employee Records In Compliance Transportation 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 hired 01/08/15 did not have current documentation on file from a health care professional stating the staff person 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 01/08/15 and 08/06/21 did not have the required fifteen (15) hours of cabinet approved training on file. The ECE-TRIS was reviewed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the kitchen door was propped open and there was a bottle of bleach and a bottle of dish detergent located on the floor. The cleaners were accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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, there were two (2) bottles without lids found in Infant Room A refrigerator. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child's completed enrollment form was found hanging on the wall in the two-year-old classroom. The information was not kept confidential. 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 9. Records.

General: Based on review of documentation, the following was found: 1.) Three children did not have a documented date of enrollment in their file. 2.) Four children did not have a physician contact number listed in their file. 3.) One child did not have a preferred hospital listed in their file. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, staff members hired 5/23/16 and 1/8/15, did not have evidence of a staff evaluation for the 2021 year of employment. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Equipment 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 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The Infant Room contained a swing that the cord was draping onto the floor and connected to the electrical outlet. The cord poses a strangulation hazard to the children. The Infant Room contained some infants who were mobile. 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 14. Transportation.

General: Based on observation and interview, this regulatory requirement was not met. The facility removed a van and added two new vehicles to transport the children and did not notify the cabinet in writing of the change in transportation services prior to the use of the vehicles. The facility added a 2010 Ford Econoline van and a 2021 Chrysler Pacific mini-van and removed a 2003 Ford Econoline van.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, this regulatory requirement was not met. The 2006 Ford Econoline van used to transport the children did not have a current inspection from the Transportation Cabinet. The inspection on file was conducted on 2/26/2021, and is valid for one year. 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, staff members hired 9/10/2019 and 1/8/2015, did not have evidence of completing a professional development plan for the 2021 year of employment. 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 in the ECE-TRIS system, the following was found: 1. A staff member with the hire date of 8/14/19 only completed 13.5 of the 15 hours of required training between 7/1/2020 and 6/30/2021. 2. A staff member hired 10/14/2015 completed PAHT training 3/1/16; however, did not renew the training due 3/1/21. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, it was discovered that a staff member with the hire date of 8/14/19, lived in the State of Alabama within the last five years. This staff member did not have the results or proof of submission of a criminal records check, child abuse and neglect check nor a sexual abuse registry check from Alabama. 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 8. General.

General: Based on review of documentation, the available copy of Kentucky Administrative Regulations 2:090 and 2:210 were dated for 2016; these regulations were not up-to-date. Additionally, there was not a copy of regulation KAR 2:280 accessible for staff review. 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: ratio. Open / not marked corrected.

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

General: Based on review of documentation, staff members with a hire date of 1/8/15, 9/10/19 and 6/11/19, did not have documented proof of an annual performance evaluation being performed for the current year. Employee Records 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 7. First Aid and Medicine.

General: Based on observation, a tube of diaper cream was stored in a child’s cubby in the Infant classroom. The tube of cream was not labeled with the child’s name. 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 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

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, no evidence was presented documenting that the Evacuation plan was sent to local emergency management for the 2020 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, it was discovered that two staff members with the hire date of 1/8/15 did not have the required updated Professional Development Plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the Fire, Earthquake, and Tornado drills for March 2021 were documented as occurring at the same time. These drills require different actions and should be documented separately. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction from the 2020 renewal process was not 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 review of documentation, the lesson plan posted in the One- to Two-year-old classroom was dated for July 1 – July 31; however, the plan had only one week of activities listed. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were three children in an area with a staff person who appeared to be asleep. A tour of the one-year-old room found the staff person sitting slumped over on the floor against a bookshelf. The surveyor made attempts to speak to the staff person by introducing herself and asking the staff her name. After the second attempt, the staff person looked up at the surveyor. This staff person was alone with three one-year-old children who were on their cots for nap time; one child was awake. Staffing Requirements In Compliance 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 6. License Issuance.

General: Based on observation, at approximately 1:30pm, the surveyor and two additional cabinet representatives went to the front door of the facility and rang the doorbell. After waiting approximately 2 minutes, the surveyor knocked on the door and also rang the doorbell for a second time. The surveyor could see into the building and saw a child standing in the doorway of a nearby classroom. There was a teacher standing to the side of the classroom door. At 1:36pm, the surveyor called the facility and could hear the phone ringing from outside but no one answered the phone. At this point, one of the other cabinet representatives called the cell phone number of the facility's contact person and explained that no one would come to the door or answer the phone. The staff person stated that he would call the facility and get someone to come to the door. After waiting approximately ten (10) minutes, a staff person came and unlocked the front door. This person directed the surveyor and the DCBS staff to wait by the front door until the staff person in charge arrived. The surveyor clarified that a walk through of the facility would be conducted at that time. It is important to note that a staff person was observed in the kitchen area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 at the facility during naptime, a staff person was found sitting on the floor up against a bookshelf and appeared to be asleep. The surveyor attempted to introduce herself and ask the staff person's name but the staff person did not respond. The surveyor again attempted to speak to the staff person and at that time the staff person looked up and in the direction of the surveyor. This staff person was working alone in the one-year-old classroom with three children. The three children were on their cots and one of the children was awake.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the diaper changing area outside of the infant classroom, there is a laundry room/storage closet. During the walkthrough, this door was open leaving paint, bleach, and other hazardous items available to the children in care. 2.) In bathroom located in the preschool classroom, there were two containers of disinfectant wipes on a shelf within reach of the children. During the exit conference, the staff in charge stated that the children do not use this bathroom. However, the bathroom door was unlocked; therefore, giving those children access to the bathroom and the disinfectant wipes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the two-year-old clasroom, there were areas of missing/chipping paint in different locations. 2.) In the afterschool classroom, there were areas of missing/chipped paint in different locations. 3.) In the restroom located by the kitchen, there were ceiling tiles that were stained. In addition, there were two areas were the black baseboards were coming away from the wall. Also, there were areas of chipped/missing paint underneath the toilet paper holder on the side of the wall with three toilets. There was chipping/missing paint behind the toilets on the other side of the wall where there were two toilets located. There were also areas of mismatched paint, as well as some missing/chipped paint on the wall above one set of the handwashing sinks in that restroom. 4.) In the gross motor room, there were numerous foam tiles that were dirty and stained. 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, the following was found: 1.) In the preschool classroom, the cubbies had areas where they had been drawn and written on. 2.) In the afterschool classroom, the cubbies had areas where they had been drawn and written on. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there was a gallon of milk that was sitting on a cart in the eating area. This milk was being used for snack when the surveyor entered the facility and was still out after the walkthrough was complete and the children had returned to their classrooms. Children's Records In Compliance Written Documentation 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, two staff members did not have current professional development plans on file. 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 observation and review of documentation, the files for staff with hire dates of 01/08/2015 and 05/29/2018 did not contain current negative TB skin test results or a physician's statement verifying the individuals are free of TB.

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 four-week-old child was observed lying in a crib and crying very loudly from 9:47 a.m. until 9:58 a.m. The staff person in the classroom was attempting to feed another child a bottle but the child kept falling asleep. The staff person made no attempt to comfort the child in the crib. The staff person stated to the Surveyor, "She's just spoiled", referring to the crying child. 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 observation and review of documentation, staff with hire dates of 08/01/2017, 05/23/2016, 10/06/2016, 05/13/2015, 01/08/2015 and 01/08/2015 did not have required yearly staff evaluations on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1. Staff with hire dates of 12/13/2018, 01/08/2018, 10/04/2018 did not have proof of required orientation training on file or on ECE-TRIS. 2. Staff with hire dates of 05/23/2018 and 05/13/2018 did not have proof of required PAHT on file or on ECE-TRIS. 3. Staff with hire dates of 01/08/2015 and 08/01/2017 did not have required 15 hours of training on file or on ECE-TRIS. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, there were two (2) first aid kits located on a shelf in the front common area of the facility. The kits were accessible to the children in care. Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation 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 12. Transportation.

General: Based on review of documentation, the surveyor found the transportation cabinet inspections of the 2003 and 2006 twelve passenger vans used to transport children were conducted on 1/22/18 and 1/23/19 and therefore not current. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, it was found that the parents bring bottles containing pre-measured water and a can of formula. The staff person in the classroom stated that she measures the powder and then mixes it with the water as needed. The water and formula need to be premeasured by the parent before mixing the bottles. 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, a child enrolled on 10/3/17 had immunization documentation on file that was no longer valid as of 2/20/19. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation and interview, on 01/16/19 a two-year-old child was seen at the University of Kentucky emergency room with bruising on the right and left side of the forehead and bruising around the ears and inside of both ears. The parent stated that the child did not have the bruising when he was dropped off at the daycare that morning. The director stated that she was with the child for part of the day and never noticed that type of bruising on the child. No accidents or falls were noted that day for the child.

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, review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center on 01/04/19 revealed twenty-two (22) children present. Review of the Daily Attendance Records revealed twenty-four (24) children were signed in. Interview with the child care center director revealed the parents are responsible to sign for each child upon arrival and departure.

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 Interview, a staff person witnessed another staff person smack a ten (10) month old child on the head with her open hand three (3) times for turning his plate over and dumping his food out onto the table. In was reported that the staff person in question told the child, "If you can't eat like a normal kid then you can't eat at all". It was also reported that the child cried as a result of the incident. The staff person stated that the child did not have any marks on his head and appeared to be fine after a minute. The staff person in question stated that she did not smack the child on top of the head but instead patted him three (3) times on the head and told him, "no, no, no". Programming Not Inspected Food Service 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, it was found that the center did not have anyone in charge who had access to staff files, children's files or any other required paperwork. In an interview with the staff in charge she stated that she did not have a key to the office and stated that they kept the office locked so people can't just walk into the office. The staff in charge stated that she would have to call someone to come in to unlock the door.

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, nine (9) staff members did not have evaluations on file. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff hired on 7/05/17 and 10/7/17 did not complete orientation training. A substitute staff hired on 2/28/15 did not complete the cabinet-approved pediatric abusive head trauma training and had no hours of training on file for her completed training year. Another staff hired on 3/14/16 had completed only nine (9) hours of cabinet-approved early care and education training in her completed training year. The ECE-TRIS system and the staff files were both reviewed. 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 posted in the School Age classroom. It was found that there was no blocks/stacking materials or no multi-cultural exposure in the Infant classroom. These activities were not listed on the planned program of activities. 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 in the restroom used by the children for toileting that there were brown stains running down the wall under the paper towel holder. It was found that in the gross motor area that there was a piece of foam missing from the wall exposing crumbled dry wall that was accessible to the children. It was also found that there was a substantial amount of dust on the vent in the one (1) to two (2) 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, it was found that the water at the sink used for handwashing in the infant changing area room registered 125 degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there were several torn nap mats stored in the school age room that exposed the foam.

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 table in the school age classroom was covered in a substantial amount of black substance. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was no indicating thermometer in the refrigerator in the younger infant classroom. 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, a child with an enrollment date of 02/15/2018 did not have a current immunization certificate in the file given for review. The immunization certificate on file was expired. Written 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 9. Records.

General: Based on Review of Documentation, eight (8) staff members did not have current professional devlopment plans on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, this regulatory requirement was not met. The school age classroom had a schedule of daily activities posted that was dated August 3 - 9, 2017; therefore, it was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a tube of Baby's Butt Aid Ointment was located in a cabinet in the infant area without a child's name on it. Equipment 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 8. Kitchen Requirements.

General: Based on Observation, the infant room refrigerator contained an unlabeled (without a child's name) bottle in the door. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 an employee hired on 8-22-16 transported four (4) children from school to the facility on 3-27-17 by herself. This individual was not currently certified in first aid and cardiopulmonary resuscitation (CPR). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that an employee hired on 8-22-16 transported four (4) children from school to the facility on 3-27-17. She did not have a Kentucky driving history record on file. An employee hired on 1-8-15 was found to transport children on a daily basis. His file did not contain a current Kentucky driving history record. The driving history record on file was dated 8-12-15. At 4:15 p.m. on the day of the investigation, a driving history record for this employee dated 3-27-17 was faxed to the DRCC office. 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, it was found that on 3-27-17, a Subaru Impreza was used to transport four (4) children from school to the facility. The vehicle made two (2) runs to and from the facility. This vehicle was found to be the personal vehicle of the director. This vehicle had not been approved by the DRCC for transportation purposes.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, it was found that the insurance coverage for a Subaru Impreza was not provided to the DRCC prior to the vehicle being used to transport children. The insurance coverage was viewed at the facility during the investigation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, it was found that a Subaru Impreza was used to transport four (4) children from school to the facility on 3-27-17. This vehicle was not equipped with a fire extinguisher, first aid kit, seat belt cutter or emergency triangles.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that an inspection of the Subaru Impreza was not conducted prior to being used to transport children on 3-27-17.

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, the surveyor found that the emergency preparedness plan has not been updated since 12/3/14.

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 current professional development plans on file.

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, at approximately 10:30 a.m., the surveyor observed a female child run out of her classroom and run toward the front door of the facility. There was no staff following the child. The surveyor walked toward the entrance and saw a person with a child standing on the other side of the front door trying to gain entry into the facility. The female child had her hands pressed against the door and appeared excited to see the child that was awaiting to get inside the facility. Within a few seconds, the Director walked through the lobby area and walked to the front door and retrieved the child and opened the door. The Director took the child back to her classroom. The surveyor asked the Director if the child knew the person at the door. The Director stated, "I don't know why she ran out. It was just a fluke." The classroom staff person stated that the child was two (2) years old but record review found that the child will not be two (2) years old until 4/6/2017. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there were not enough qualified staff in the facility to ensure proper staff to child ratios were maintained from 8:30 a.m. until 9:05 a.m. During this time period, two (2) staff were available to supervise the fourteen (14) preschool age children present, one (1) staff was available to supervise the five (5) infants present and one (1) staff person was available to supervise the seven (7) one-year-olds present. The only other adult present in the facility until another staff person arrived at 9:05 a.m. was a volunteer. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 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 2. Child Care Services.

General: Based on Observation, it was found that 1) at 9:05 a.m. an employee was observed to walk from the back of the facility to open the front door for a parent, her child and the surveyors. A staff person in the Two Year Old classroom was found to be supervising fourteen (14) children ages two to four-years-old. This staff person stated that the staff person who answered the door was supposed to be her second worker. The classroom was out of ratio for approximately five (5) minutes; 2) during the survey, a staff person and a volunteer were observed to be in the Preschool classroom with fourteen (14) children ages two to four-years-old thus making the classroom out of ratio for approximately twenty (20) minutes; 3) during the initial walk through of the facility it was found that a staff person and a volunteer were in the One Year Old classroom with seven (7) one-year-old children. A second qualified staff person entered the classroom at 9:05 a.m. Interview and a review of attendance records found that the classroom was out of ratio from 8:30 a.m. until the second qualified staff person arrived at 9:05 a.m; 4) a staff person from the One Year Old classroom was observed to leave and enter the Infant classroom to help feed a child thus leaving the One Year Old teacher supervising seven (7) one-year-old children for approximately two (2) minutes. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that 1) the staff in the One Year Old classroom did not know the last names of the children in their care; 2) there was an uncovered electrial outlet under the television area in the Two Year Old classroom; 3) a child sitting in a bucket seat in the Infant classroom was not secured with the safety straps; 4) an infant in a crib was observed to have a bib secured around his neck. The bib repeatedly flipped up and covered the child's face causing the child to cry. The child was unable to remove the bib and the staff person was busy feeding another child; 5) a plunger located in the main bathroom was found to be accessible to the children; 6) a dirty mop and mop bucket was found to be sitting outside the main bathroom used by the children; 7) the staff and volunteer in the Preschool classroom did not know the name of a child in the classroom who they said had recently started attending. 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 01/19/17 listed Alabama as a previous state she lived in within the last five (5) years. The documentation on file for this staff person did not list the actual results of a background check for that state. The information could not be verified. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report

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 01/14/15 did not have documentation 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, staff hired on 02/28/15, 05/13/15, 01/14/15, 03/14/16 and four (4) staff hired on 01/08/15 did not have the required fifteen (15) hours of cabinet approved training on file. Staff hired on 02/28/15 and 01/08/15 did not have the Pediatric Abusive Head Trauma class on file. Staff hired on 11/23/16, 10/06/16, 09/04/16 and 06/04/16 did not have the six (6) hour Orientation I and II on file. This information was verified through ECE-TRIS.

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, staff hired on 01/08/15 did not have a current Kentucky driving record 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 3. General Requirements.

General: Based on Observation, it was found that 1) a small unlocked cabinet in the hallway located outside the main bathroom used by the children contained bottles of Goo Gone, window cleaner and food surface sanitizer. Each container bore the label, "Keep Out of Reach of Children;" 2) a cabinet located in the hallway outside the kitchen was found to contain several rolls of plastic garbage bags; 3) a butcher knife was found to be in the kitchen sink. The kitchen door was propped open with a plastic shelving unit.

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 cabinet in the hallway outside the kitchen contained several rolls of plastic garbage bags. These bags were not being used for personal belongings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 the paint on the doorframe of the Two Year Old classroom was peeling in multiple places. It was also found that the foam pieces used to cover the walls in the Fun Time indoor gross motor area were missing several border pieces where the children had reportedly pulled them off.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that there were three (3) stained ceiling tiles in the small infant classroom, one (1) stained ceiling tile in the kitchen and one (1) cracked ceiling tile in the main bathroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that there were fourteen (14) children in the Fun Time indoor gross motor area. This room has a capacity of twelve (12) children based on the available square footage. It should be noted that the facility does not have access to an outdoor playground.

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 bases of the five (5) toilets located in the main bathroom had multiple spots of what appeared to be dried urine and dirty mop water on them. 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 the children in the One Year Old classroom did not have their hands washed after eating snack. The children were allowed to leave the table and start playing with the toys. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report

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 entered the Infant classroom to feed a child. The staff person did not wash her hands prior to feeding the child her bottle.

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, it was found that the changing pad located on the right side of the changing room was torn, exposing the foam beneath. 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, it was found that 1) the unlocked medication box located in an unlocked cabinet in the changing room contained unlabeled containers of Equate Children's Pain and Fever, Ibuprofen, teething tablets and a prescription tube of diclofenac sodium topical gel. The prescription medication did not have a label indicating the child's name and the required dosage instructions; 2) an unlabeled bottle of Pepto Bismol was found to be stored on a shelf above the hand washing sink in the kitchen. It should be noted that the kitchen door was propped open with a plastic shelving unit. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that a pink sheet on one (1) of the crib mattresses located in the Infant classroom was loose. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

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 1) one (1) of the bucket seats located in the Infant classroom did not have the required safety straps installed; 2) a lion-shaped ride on toy in the Fun Time gross motor area was found to be smudged with an accumulation of grime. The wheels of the toy were also coated with an accumulation of grime; 3) a green ride on toy in the Fun Time gross motor area was found to be missing the handlebars. 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 Review of Documentation, it was found that 1) the facility did not have evidence of the route taken when picking up children from an elementary school; 2) the facility did not have evidence of vehicle evacuation procedures being practiced during January and February of 2017.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that the driver of the van was documenting the times the vehicle left from and arrived at a location instead of the times the children were getting on and off of the vehicle. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, it was found that the oven located in the kitchen was littered with debris and coated with a black substance. The oven drawer was also found to be littered with debris and crumbs.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, it was found that there was one (1) unlabeled and uncovered bottle in the refrigerator located in the changing area outside of the Infant classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report

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 the lunch served to the children during the survey consisted of chicken noodle soup, peaches, goldfish and milk. A second fruit or a vegetable was not served. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that four (4) children's files (enrollment dates: 2/13/15, 2/13/17, 11/28/16, and 9/28/16) out of ten (10) files reviewed did not contain the physician contact information and preferred hospital information. One (1) child's file (enrollment date: 9/28/16) did not contain emergency authorization information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that there has not been an Earthquake or Tornado drill conducted since 8/20/2016. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the surveyor found that the Fire drill documentation presented for review was from 2016. The last documented Fire drill was dated 4/29/16. Furthermore, the documentation did not include the first and last name of each child that participated in the drill. Posted Documentation Not In Compliance

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, it was found that a School Age schedule of daily activities was not posted for full days, Saturdays and Sundays. The director stated that School Age children are present at the facility on those days.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that 1) the schedule of daily activities posted in the Two Year Old classroom was not dated; 2) there was not a schedule of daily activities posted in the One Year Old classroom; 3) the schedule of daily activities posted in the School Age classroom was dated for the month of January; 4) the most recent schedule of daily activities posted in the Preschool classroom was dated for the month of February.

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 handwashing steps were not posted at the diaper changing station located in the main bathroom used by the children. Animals 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 2. Child Care Services.

General: Based on Observation and interview, this regulatory requirement was not met. Upon arrival (8:20AM), the facility's entrance door was locked. The surveyor rang the doorbell to obtain entrance into the facility. A staff person came to the front door to open it for the surveyor. The staff person stated that the facility director was not present and identified an adult female assisting a child in the children's bathroom as the staff person in charge. After the staff person in charge finished assisting the child in the bathroom, she returned the child to her group (two (2) year olds) and then she went into the infant classroom. The surveyor followed the staff person in charge into the infant classroom. There was one (1) other staff person and seven (7) children (infants and toddlers) observed present in the infant classroom; therefore, one (1) staff person was left alone with this group of children while the staff person in charge was out of the classroom assisting a child in the bathroom. Staff-to-child ratios were not in compliance while the staff person in charge was out of the classroom. The staff person in charge stated, "Another staff person was supposed to be here by now, but is running late". It is important to note that the infant classroom is in the back of the building and the children's bathroom is located near the kitchen in the front section of the building. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, in the infant room there were two (2) infants drinking bottles while they sat in swings.

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 of the center's video footage, multiple instances of children being left unsupervised were found. The video watched was for 11/9/16, although the owner stated the time and date stamp my be inaccurate. At 7:59:05 the staff person left the room and returned at 7:50:32. There are five (5) children in the room. At approximately 7:59:51 the group left the room and one (1) child is left behind. At 8:00:15 The staff came back into the room and got the child who was left behind. At 8:11:05 the staff left the classroom and could be seen going down the hall. She returned at 8:11:16. At 8:13:45 she left the room and came back at 8:14:03. At 8:17:16 the staff left the room, some children sat in the doorway, and some children continued to play in the room. The staff was still out of the room at 8:19:11 when the video jumps to 8:23. She was still out of the room at that time and could be seen in the hall area sweeping the floor while children are in the classroom. At 8:24:53 another staff person began to pull babies in high chairs into the room. She brought in one (1) then left to get another and then left again to bring in a third baby. By 8:26:18 The staff is in the room and remains for the rest of the video. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, a staff person dragged a child by his ankles to prevent him from scooting out of the classroom while he was supposed to by sitting in time out. The child's back was on the floor. The staff person stated that the child had been brought to her classroom because of his behavior in his class. The staff person stated that after she tugged him into the room he said he had a boo boo on his back. There was conflicting information as to whether the injury on his back was there before she dragged him on the floor or if that was the cause of the injury. The staff person first wrote an incident report saying that in process of dragging the child his back sustained a rug burn. The staff person later typed a statement that said the injury was there before she dragged him. After she dragged him and the child told her about the boo boo she took an old band aid off to look at the injury then put a new band aid on. The staff person stated that the discrepencey in the two (2) reports was because she wrote the first in a hurry and had more time to complete the second. The video of this incident was viewed by the Crimes Against Children detective. He reported to the DCBS worker that the video showed the staff person drag the child approximately three (3) to four (4) feet. Also, found through interview was an incident of a staff person restraining a child. The staff person stated the child pulled a student’s hair, hit her on the head, and “mean mugged” her like he was going to hurt her again. The staff person said that she took the child's wrists and held his arms behind his back because he was fighting her. The staff person said that the child kept moving around while she held him this way and went to the ground. She said that he did this himself but tried to make it look like she did it. She stated that she looked at the child and he had no injuries as a result of her restraining him. Based on review of video from what appeared to be 11/9/16 there were two (2) instances where a staff person picked up children by one (1) arm and lowered them to the floor. At 7:59:46 the child was standing on a stack of cots and at 8:11:25 the child was standing in a chair. 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 Review of Documentation, the center did not provide a planned program of activity. During the investigation video footage of the two (2) year old classroom was reviewed from approximately 7:59 PM to 8:26 PM on 11/9/16. This is based on the time stamp on the video which may not have been accurate according to the owner of the center. The children were observed running around the classroom, climbing on the stacked cots, and one (1) child climbed in a chair. The staff person exited the classroom several times. There was no planned programming taking place. 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 Observation, in the one-year-old room three (3) children were observed walking around the room while they drank from sippy cups. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, an infant was placed in her car seat to be carried from the two-year-old room to the infant room. The infant was not properly buckled into the car seat. While the car seat was on the floor, another child fell on car seat causing the infant to fall out of the seat and bump her head. The infant sustained a knot on her head. She was taken to the emergency room by her parent but was okay. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, there was not a staff person present with first aid at the time the infant was injured. The file of the staff person who was thought to be certified included two (2) copies of a CPR certification card and no copies of a first aid certification card. The staff person in charge stated that it was a mistake and the staff person was in fact certified in CPR and first aid however no documentation was available to confirm this statement.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have evidence of more than one conducted staff meeting. The staff in charge acknowledged this.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, there were no current annual staff evaluations on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was a large yellow mop bucket in the halway outside the bathroom used by the children. The bucket contained dirty water and a mop. The staff person in charged acknowledged this during the exit interview.

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, a staff person hired 12/11/15 had an identification card as a Ohio resident issued in 2012. This staff person did not have a background check on file from this state. During interview the staff person in charge stated that she thought the staff person had lived in Kentucky for five (5) years or longer.

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 evidence of meeting the education requirement on file. The hire dates for these staff were 3/14/16, 3/17/16, and 12/23/15. During the exit interview the staff person in charge acknowledged the documentation was not on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 3/14/16 did not have documentation on file of being free of TB. The staff person in charge acknowledged the documentation was lacking.

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, inculding staff files and the staff schedule, there were periods of time in he early mornings, overnight, and on the weekends that there was no staff person present with CPR and/or first aid. The staff person in charge stated that more people had current CPR and first aid training but the documentation was not available for review at the time of the inspection.

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. Staff Requirements.

General: Based on Review of Documentation, none of the staff had completed the required fifteen (15) hours of child development training. Also, a staff person hired 12/23/16 had not completed the required orientation training. The ECE-TRIS database was reviewed and it reflected the same lack of training for the staff. The staff person in charge acknowledged the training issue.

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, it was found that a staff listed as a driver did not have a current driving history check on file. The staff person's date of hire was 01/13/2015. The staff in charge acknowledged this. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an eight (8) week old child was observed sleeping on her stomach in a crib. In an interview with the staff present it was found that the child is not able to turn over independently, therefore, the child had been placed on her stomach in the crib for sleep.

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, 1. There was a can of Lysol Disinfectant spray being stored on a lower shelf in the staff bathroom. The staff bathroom is located in the Preschool I classroom and the door to the bathroom is not locked. The children have access to the bathroom and its contents. 2. There was a broken piece of a wooden cabinet being stored in a lower cabinet along with some art supplies in the Preschool I classroom. The piece of wood was splintering and had sharp nails protruding from one end. The children had access to the cabinet and its contents. 3. There was a plastic storage shelf in the hallway beside the bathroom used by the children. Several spray- bottles of cleaner and a bottle of Goo Gone were being stored on the shelving unit. The children had access to the the cleaners while in the area. 4. There was a can of Lysol Disinfectant spray being stored on a unit of cubbies in the eating area. The can was accessible to the children in care. 5. There was a can of Lysol Disinfectant spray being stored on a lower shelf in the School-age classroom. The can was accessible to the children in care. 6. There were two (2) empty plastic grocery bags being stored in a cubbie in the Ones classroom. The staff person in charge acknowledged these deficiencies during the exit interview. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 27 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, 1. There were several crayon marks on the walls and numerous areas of tape residue on the ceiling in the Twos classroom. 2. The light blue intake vent in the School-age classroom had a build up of dust on the slats. 3. The corner of the wall between the eating area and the School-age classroom had three (3) large divets in the particle board where a gate hits the corner. The particle board was exposed and flaking. The staff person in charge acknowledged these deficiencies during the exit interview.

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 water temperature at the sink in the bathroom registered one hundred, twenty-eight (128) degrees Fahrenheit when measured with a calibrated thermometer. The children use this sink for hand washing. The staff person in charge acknowledged the deficiency during the exit interview.

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 children in the Preschool I classroom did not wash their hands after their morning snack. The staff person in charge acknowledged the deficiency during the exit interview.

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 no liquid soap in the first aid kits in either of the two (2) vans used to transport children. The staff person in charge acknowledged the deficiency during the exit interview.

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, 1. There were no accessories or toys for the tool bench in the Twos classroom. 2. Two wooden puzzles with no puzzle pieces avaialble to the children were observed on a shelf in the Twos classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the sheet being used in one of the cribs in the Infant I classroom was very loose and not fitted to the crib mattress. A twelve (12) week old child was observed sleeping in the crib at the time of the survey. The staff person in charge aknowledged the deficiency during the exit interview.

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, 1. A green and yellow plastic lawn mower toy in the Ones classroom was in disrepair. A yellow plastic panel on the front was broken leaving sharp and jagged edges. 2. The clear plastic panels on the ends of two (2) cribs in the Infant I classroom had a build up of smudges, marks and smears. 3. The front left leg on the work bench in the Twos classroom was slightly bent under the bench and was not stable. 4. Several shelves, toys and books had crayon/marker marks on them. The staff person in charge acknowledged these deficiencies during the exit interview.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, there was no documentation of practiced monthly emergency drills for either van used to transport children. The staff person in charge acknowledged the deficiency during the exit interview.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the large freezer in the kitchen did not contain an indicating thermometer, therefore, it could not be determined that the temperature in the freezer was zero (0) degrees or lower. The staff person in charge stated that she did not see a thermometer in the freezer at the time of the visit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have evidence of a weekly prepared, dated or posted menu. 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, it was found that three (3) children's files out of ten (10) chilren's files reviewed did not have evidence of the preferred hospital listed. The dates of enrollment for the children were 04/2015, 04/14/2015 and an unknown enrollment date. The staff in charge acknowledged this.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on Review of Documentation, it was found that the facility did not have a current copy of an evacuation plan. 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 2. General.

General: Based on Observation, it was found that there was no evidence of a chain of command and that the Parent/child rights was not posted. 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, there were five (5) staff who did not have annual professional development plans on file.

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 there was no written record of quarterly practiced earthquake drills and tornado drills. 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, it was found that there was no current written record of monthly practiced fire drills. The last conducted fire drill was in December of 2015. 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 3. General Requirements.

General: Based on Review of Documentation, it was found that there was no current written record of monthly practiced fire drills. The last conducted fire drill was in December of 2015. 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 3. General Requirements.

General: Based on Review of Documentation, it was found that there was no written record of quarterly practiced earthquake drills and tornado drills. The staff in charge acknowledged this. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the Kentucky Consumer Product form and the current rates for child care were not posted in a conspicuous place. The staff in charge acknowledged this. The daily schedule in the Preschool I classroom did not have anything listed after 12:20 pm. There was no daily schedule posted in the Twos classroom. The daily schedule posted in the School-age classroom only covered the hours of 3:00 pm to 9:30 pm. In an interview with the Director it was stated that the school-age children attend the facility all day when the county school is not in session. Also, it should be noted that the facility operates 24-hours a day.

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, current schedules of daily activities, including lists and dates of activities to be conducted with the children was not posted in the followoing classrooms: Preschool I (dated 11/16/15); Twos (none); Infant I (dated 1/24/16); Ones (dated 2/1/16); School-age (none). The staff person in charge indicated that new schedules of activities are provided to each classroom weekly and are supposed to be posted in the classrooms. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 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 2. Child Care Services.

General: Based on Observation, the two (2) to three (3) year old room was over ratio. There were eleven (11) children located in the gym with only one staff member. Based on interview with the staff person in charge, she reported they had staff members go home sick, and children that were not normally scheduled show up on this date.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, there was a ratio discrepancy. This deficiency will be included with complaint # 139502 that was conducted at the same time as this follow-up.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, it was found that the current director of the facility which operates twenty-four (24) gous, seven (7) days a week is also employed by the Lexington Fire Department as Chaplain. In an interview with the staff in charge, he stated that he works on an on-call schedule with the Fire Department and that he is also listed as the director at the facility.

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 a six (6) week old child was sleeping in a swing. The manufacturer guidelines state that the swing is designed for play.

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, it was found that a six (6) week old child was sleeping in a swing. The staff person in the classroom stated that the child had been asleep for approximately one (1) hour. The facility did not have a note from a physician stating that sleeping in the swing was medically necessary.

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, it was found that there was one (1) staff person supervising eight (8) children ages six (6) weeks to one (1) year old in the Infant classroom. This staff person stated that the second staff person leaves her alone with the children at various times throughout her shift for periods of time up to ten (10) minutes. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that a staff person hired on 2-24-16 was supervising eight (8) children ages six (6) weeks to one (1) year old in the Infant classroom. This staff person's file did not contain the results of a central registry check. The staff person stated that the second staff person leaves her alone with the children at various times throughout her shift for periods of time up to ten (10) minutes. Employee Records

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 a staff person hired on 2-24-16 was supervising eight (8) children ages six (6) weeks to one (1) year old in the Infant classroom. This staff person's file did not contain the results of a central registry check. The staff person stated that the second staff person leaves her alone with the children at various times throughout her shift for periods of time up to ten (10) minutes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Equipment

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, there was one (1) staff observed with seven (7) children in the Infant Room. The youngest child in this room was said to be six weeks old. The ratio for infants is 1 staff for 5 children. Food Service

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, it was found that on 6/3/15 a staff person was observed by another staff person spanking a one (1) year old child because he climbed on top of a table. The staff person who observed the incident was getting ready to get off of work. Once this staff person left the facility she contacted one (1) of the facility's owners and reported what she observed. The staff person stated in interview she was unsure who was in charge and that a meeting was going on in the office when she left so she could not speak to anyone in charge. The owner then informed the director of the incident and the following morning the director reviewed video footage and observed the staff person spank the child three (3) times and then put the child in a chair. When the staff person arrived to work that morning the director informed the staff person they were fired. An interview with the staff person found that the child was related to her and she thought she could spank a child who was related. 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 Interview, it was found that on 6/3/15 a staff person was observed by another staff person spanking a one (1) year old child because he climbed on top of a table. The staff person who observed the incident was getting ready to get off of work. Once this staff person left the facility she contacted one (1) of the facility's owners and reported what she observed. The staff person stated in interview she was unsure who was in charge and that a meeting was going on in the office when she left so she could not speak to anyone in charge. The owner then informed the director of the incident and the following morning the director reviewed video footage and observed the staff person spank the child three (3) times and then put the child in a chair. When the staff person arrived to work that morning the director informed the staff person they were fired. An interview with the staff person found that the child was related to her and she thought she could spank a child who was related.

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 1/14/15 had documentation of being free from TB dated 3/15/13. A staff person hired 1/14/15 had no TB documentation on file. Also, a staff person hired 1/28/15 had documentation of being free from TB dated 2/14/15, not prior to employment.

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 the black tile in the area near the cabinet in the Three Year Old classroom was broken, exposing the subfloor. It was also found that the black tile in the main bathroom was broken and exposing the subfloor near the changing area and by the third toilet.

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, it was found that there was not a working flashlight in the facility or on either of the vehicles.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that the left rear back-up light of the 2003 Ford van was not functioning. It was also found that one (1) bucket seat in the Younger Infants classroom did not have the required safety straps installed.

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 during the morning snacktime, twelve (12) children ages two (2) years to five (5) years old were served 2% milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that a child in the Younger Infant classroom was seated in a bucket seat that had the safety straps installed. The safety straps were not engaged while the child was seated. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 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 9. Food and Meal Requirements.

General: Based on Interview, it was found that the parents provide the formula for the infants. The teacher in the Younger Infant classroom reported that she measures the formula and the water when making bottles.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, four (4) of the ten (10) children's files reviewed were lacking physcian's contact information and a preferred hospital.

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 attendance records did not include a designation of AM or PM for the sign in and out times. It should be noted that the facility is open twenty-four (24) hours a day.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that the statement of deficiencies issued and the plan of correction submitted for the change of ownership survey 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 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that a schedule of daily activities was not posted 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 6. Reports.

General: Based on Interview, the facility was informed that a child was taken to the emergency room on 2/15/15 at approximately 8:45 PM. The facility did not report this to DRCC. The medical attention was reported by the parent on 2/18/15. Director Requirements

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 Interview, and record review on Sunday 2/15/15 there was about a thirty (30) minute laspe when there was no staff present with CPR and first aid. A staff with current training left around 10:00 AM. At approximately 10:30 AM another staff with current training arrived at the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the facility director could not locate a copy of the state regulations.

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, this regualtory requirement was not met. During a tour of the younger infant classroom the surveyor observed a ceiling tile that contained a dark stain.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff listed living in North Carolina within the past five (5) years on her Child Abuse and Neglect check. The facility did not have an out-of-state criminal check for this staff member. Another staff listed living in Illinois within the past five (5) years on her Child Abuse and Neglect check. The facility did not have an out-of-state criminal records check for this staff member. 305 - Background checks/discharged Discussed 922 KAR 2:090. Section 6. License Issuance. (6) Upon completion of background checks described in subsection (4)(b) of this section, a licensee shall discharge immediately: (a) An individual whose name is listed on the central registry established by 922 KAR 1:470; (b) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, a crime in accordance with KRS 17.165; (c) An individual who is confirmed by an address check of the Sex Offender Registry and supporting documentation as a registered sex offender; (d) An individual who has been convicted of, or entered an Alford plea or plea of guilty to, a drug-related felony, and five (5) years has not elapsed since the person was fully discharged from imprisonment, probation, or parole; (e) A director who has been convicted of, or entered an Alford plea or a plea of guilty to, a felony offense involving fraud, embezzlement, theft, or forgery; and (f) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, an offense under a criminal statute of the United States or of another state similar to an offense specified in this subsection. (7) An individual who has been convicted of, or entered an Alford plea or a plea of guilty to, a nonviolent felony or misdemeanor not specified in this section shall be handled on a case-by-case basis by the licensee with consideration given to the: (a) Nature of the offense; (b) Length of time that has elapsed since the event; and (c) Individual’s life experiences after conviction, Alford plea, or guilty plea. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff did not have proof of education on file. The staff member had a certificate from Dwight Baptist Academy on file, but the certificate did not indicate that it was a high school diploma.

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 had a TB skin test on file that was no longer current. The TB skin test was dated 12/11/12. Another staff did not have negative TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to meet this reguatory requirement. A tour of the two (2) year old classroom found no evidence of culture materials or activities.

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, one (1) crib mattress in the younger infant room was in dis-repair. The mattress contained a large tear in the vinyl surface which exposed the foam filling.

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 facility failed to meet this regulatory requirement. During a tour of the four (4) year old classroom the surveyor observed the following: 1. A broken cardboard box that contained pieces to a floor puzzle. 2. A Little Tykes Woodworking bench that did not contain any accessories for the children to play with. 3. Ten (10) puzzle frames that did not contain any puzzle pieces. 4. The frame to a clock puzzle that did not contain any pieces. 5. A child-size storage cabinet in the dramatic play area that was in dis-repair. The cabinet was missing a door and the other door was not securely attached to the cabinet because it was missing several screws.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the facility failed to meet this regulatory requirement. During a tour of the older infant classroom the surveyor observed six (6) bucket seats in the children's table that were missing safety straps. The staff person in charge stated that they no longer had safety straps for these seats.

Open Not marked corrected in the state record

Open / not marked corrected.