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

General: Based on review of documentation, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) Two (2) employees (DOH: 09/01/13 and 10/24/18) had renewed their pediatric abusive head trauma training after the expiry date. 2.) One (1) employee (DOH: 07/19/24) had completed their six (6) hour, cabinet approved orientation training after the first three (3) months of employment. A review of ECE-TRIS supports these findings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. In the Pre-K Classroom, on a low shelf where self-serve water for the children in care is kept, there was a spray bottle of bleach water accessible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: One-and-Two-Year-Old Room 1.) The wall in the restroom was excessively dirty in the grouting spaces. Pre-K Room 1.) The ceiling vent in the restroom was excessively dusty. 2.) The wall near the measuring toys was in disrepair and dirty. 3.) The wall near the letter rug was in disrepair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. In the Pre-K classroom, a toilet was left unflushed with urine in the restroom. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. In the outdoor play area, there were several discarded toys and trash items in reach of children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: One-and-Two-Year-Old Room: 1.) The small blue couch in the reading area was in disrepair. Pre-K Room 1.) The stool for children in care to use to reach the sink in the restroom was excessively dirty. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 21 of 31 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. In the One-and-Two-Year-Old Classroom, the cabinet base of the sink in the restroom was in disrepair and excessively dirty. Toilet rooms shall be kept clean and in good repair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. In the Pre-K Classroom, a refrigerator used for children in care had a thermometer reading of fifty-eight (58) degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain state regulations. The Statement of Deficiency letter was available for public inspection, however, it was stapled in such a way that the pages were not able to be turned. Additionally, the Plan of Correction correlated to the Statement of Deficiency was not available for public inspection.

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 interview, staff members stated the facility uses their own bottles for the infants and they are not labeled. 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 2. Child Care Services.

General: Based on observation and interview, it was found that infants stay in the bouncy seats for a long period, daily. During the investigation it was observed that an infant was in a bouncy seat for approximately longer than one (1) hour. 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 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation during the investigation, an infant was in a bouncy seat for approximately more than one (1) hour. This infant fell asleep in the bouncy seat and slept covered with a blanket and was moved into the crib only when the Surveyor mentioned that the infant was sleeping in the bouncy seat for more than 15-20 minutes.

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 and interview, the staff members stated that blankets in the cribs are used to cover infants when they are sleeping. During the investigation, the Surveyor observed an infant sleeping in a bouncy seat covered with a blanket, and every crib had a blanket in it. 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, the staff member did not wash a child’s hands before she sat him in the highchair to eat.

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 staff member did not wash her hands before feeding a child. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the sheets in the cribs were loose fitting. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on interview, staff members stated that parents bring cans of formula to the facility. The bottles are not premade, and parents do not premeasure the formula. The facility makes the bottles for the infants in care. Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation in the Infant/One’s room, the children were not served a bread/grain component for lunch. After approximately 10 minutes the Surveyor asked the staff member in charge if the children will get bread and the staff member stated that they will get it later. The bread was then served towards the end of the lunch.

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 review of documentation, a staff member (DOH: 01/09/23), did not renew the Kentucky National Background Check in the KARES system. The original background check expired on 06/06/23. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 09/01/13), did not have a current TB test or statement from a health professional on file. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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, two children enrolled 09/10/21, and 11/07/22, did not have current immunization certificates on file at the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. There were multiple pieces of debris and a vinyl glove found near the play equipment on the playground. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was one protective outlet cover missing on the outlet that was right above the small, floor sized refrigerator located in the Infant classroom. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one staff hired on 10/24/18, had only eleven (11) hours of cabinet approved training on file from July 1,2020 to June 30, 2021. This information was verified through ECE-TRIS. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There were several areas of peeling paint on the ceiling in the preschool classroom. 2) There was a section of black baseboard that had come unglued in the infant classroom. 3) There was a large section of chipping paint on a wall in the two-year-old classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing pads in the infant classroom and two-year-old classroom were found to be very dirty and dingy. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a large unlocked grey cabinet in the preschool classroom which housed an unlocked medication box. Inside the box the surveyor found a bottle of children's ibuprofen. This medication was accessible to the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, there was an open can of mushrooms and an open can of tomato paste sitting in the inside door panel of the refrigerator. The two cans were not stored in a proper manner to prevent contamination. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The staff bathroom contained a stained ceiling tile above the hot water tank. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, this regulatory requirement was not met. A handwashing sink located in the kitchen was separating from the wall. The screws in the wall were coming out and the sink was not secured properly. The sink moved back and forth. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. Two pans in the kitchen that are used to prepare food contained numerous scratches on the surface. The surface of the pans appeared to be Teflon. 2. A white toaster located in the kitchen was dirty on the surface. It appeared to have dried food and grease on the top. The staff in charge stated that they do not use the toaster. Food Service In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor found three vacuum cleaners accessible to the children in care. Two vacuum cleaners were found in the science area in the preschool classroom and the third vacuum cleaner was found next to the cots in the two-year-old classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the designated school-age classroom in disarray. The surveyor observed several folded cribs, several crib mattresses, tri-fold boards, miscellaneous infant/ toddler equipment, a baby gate, toddler chairs, toddler tables, toddler sized shelving units, and ditto sheets and grocery bags scattered about the floor. It appeared that this room was being used for storage, not a school-age classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found water stained ceiling tiles in the infant classroom and hallway restroom.

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 hot water temperature at the portable sink in the infant classroom measured at 80 degrees Fahrenheit. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff person hired on 2/12/2021, resided in Texas within the last five years. The staff person did not have the results of a criminal records check, a child abuse/neglect check, and a sex offender check from the state of Texas prior to hire. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the surveyor attempted to conduct a renewal inspection on 1/27/2021, but found the child-care center closed. The surveyor called the staff person in charge and found that the child-care center had been closed since 1/21/2021, due to a possible COVID exposure. The closure was not reported to the Division of Regulated Child-Care within a reasonable timeframe. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, none of the staff on duty and present with the children were currently certified by a cabinet approved training agency in CPR and First Aid. Programming 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a tear in the diaper pad located in the infant classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the programming needs of school-age children were not met. Upon arrival at approximately 8:50 a.m., the surveyor found that five school-age children ages six- to twelve-years-old were sharing a classroom with eight preschool children ages three- to four-years-old. The school-age staff person stated that the school-age children had a designated classroom, but they had not used the classroom for approximately two weeks. The surveyor noted that the school-agers were working on NTI assignments on laptops to the left side of the classroom, and the preschool children were participating in circle time to the right side of the classroom. However, the surveyor later noted that the preschool children started playing in activity centers on the left side of the classroom. At one point, a preschool-age child was observed crying loudly as he sat on a chair facing a twelve-year-old female who was sitting against the wall working on her laptop. The school-age staff person indicated that the preschool children generally do not bother the school-age children because they have on headphones. It should be noted, the surveyor found the arrangement for the school-agers not conducive to learning, but disruptive. 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 11. Toys and Furnishings.

General: Based on observation, the veneer on the side of a bookshelf in the infant classroom was peeling. The surveyor touched the surface of the bookshelf and found it was wet. Based on interviews, it is unknown what caused the water damage to the bookshelf. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service/Food Program 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.

Based on observation, three toddlers were not served an appropriate serving of milk with breakfast. The toddlers were eating cereal and oranges. The staff person indicated that she offers milk to the toddlers, but sometimes they refuse to take it. 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, a yellow substance was found in the bottom of the refrigerator located in the kitchen. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on review of documentation presented for review, a staff person hired on 9/15/2020, had a criminal background check dated 11/24/2020; therefore, it was not completed prior to hire. The staff person in charge stated that this staff person was not left alone with children until the criminal background check was received.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, there was not a daily schedule posted in the infant classroom.

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 toddler was observed sitting upside down in an adult chair by the door leading to the playground. This child was not able to be supervised by the toddler room teacher while the teacher was diapering other children due to the arrangement of the furniture in the toddler classroom. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was an uncovered outlet near the file cabinets in the preschool classroom. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 8/6/19, had a negative TB skin result on file that exceeded two years. The result on file was dated 10/14/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, 1.) A staff member hired 5/23/19, did not have evidence of completing orientation training within the first three months of employment. There was no record of this training recorded on ECE-TRIS. 2.) A staff member hired 4/30/18, had a Pediatric Abusive Head Trauma training that exceeded five years. The training recorded on ECE-TRIS was dated 4/10/14. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, 1.) The staff bathroom located between the two children’s bathrooms had ten bottles of chemical cleaners on a table approximately three feet from the ground. The latch to a cabinet under the sink in this bathroom was unfastened. This cabinet housed bleach, toilet cleaner, and two containers of liquid hand-soap. There was also a plunger and two toilet brushes located beside the toilet. 2.) An opened box of plastic garbage bags was located on the floor in the one-year-old classroom. 3.) A drawer in the preschool classroom contained a “Scrub Buddy Quick Eraser.” The packaging on the sponge stated, “Keep out of reach of children." There was also an unlatched, plastic container on a desk in this classroom. A bottle of ibuprofen was located inside of the container. These items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a light bulb located above the cubbies in the preschool room that was not in working order. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) The laminate flooring in the infant room was ripped under the adult-sized lounge chair. 2.) The bathroom closest to the toddler classroom contained exposed polyvinyl chloride piping that had a yellow crumpled paper-like substance stuck to it and dirt accumulation on it. 3.) The vent cover located near the changing table in the toddler classroom was not secured to the wall. 4.) The vent above the dramatic play area in the preschool classroom had three streaks of black dust or microbial growth located in front of it. 5.) The drywall was exposed near the front door of the preschool classroom in approximately three areas that were the size of a bottle cap. 6.) The baseboard was separating from the wall where the cots are stored in the preschool classroom. 7.) There were several areas of missing paint located behind the cots in the preschool classroom. 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 child in the toddler classroom had dried mucus on their face for the duration of the survey. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one crib in the infant room contained a mattress sheet that was loose.

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.) There was a dried white substance on the music shelf in the preschool classroom. 2.) There was tape residue and pen marks on the block shelf in the preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a picnic table on the playground was tilted. Upon further examination the picnic table was found not to be sturdy. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the vehicle used to transport children was not equipped with first aid supplies or a fire extinguisher. 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, there were plastic bowls and plastic cups stored on the floor in the preschool classroom, which is not sanitary.

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, there was one unlabeled bottle located in the one-year-old refrigerator. Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the proper method of diaper changing was not posted at the diaper changing area in the infant classroom. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was not a copy of the current regulations on file in the facility at the time of the survey.

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, there was documentation of only one staff meeting being conducted during the current licensure year presented at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation upon entering the Infant classroom at 10:14 a.m., there was a three-month-old child asleep in a swing with a bottle in his mouth. At 10:33 a.m. the child was still observed sleeping in the swing. There had been no attempt to move the child to a crib during that time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. Staff person hired 9/313 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. The previous T.B. results were dated 11/29/16. 2. Staff person hired 7/20/16 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. The previous T.B. results were dated 10/14/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff person transporting children on the day of the survey did not have documentation of current CPR/First Aid verification on file at the facility. It was determined that the staff person transports the children alone.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. Saff person hired 9/3/13 did not have evidence of completing the Pediatric Abusive Head Trauma training within the past five (5) years. The certificate on file was dated 2/26/13. 2. Staff person hired on 2/15/15 did not have documentation of any hours of annual training during the last full year of employment. 3. Staff person hired on 9/3/13 had documentation of only thirteen (13) hours of annual training during the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, there were nine (9) children ranging in age from two to three (2 - 3) years being cared for in the Twos classroom. In an interview with staff it was found that the children are grouped together the entire time they are present in the facility. In an interview with the Director it was determined that the facility did not have a procedure for transitioning toddlers or signed approval from the toddlers' parents on a transition plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the six (6) cribs in the Infant classroom had loose-fitting sheets. The cribs were being used for napping infants throughout the day. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. There were two (2) staff purses being stored on the floor by the teacher's desk in the Twos classroom. The purses were accessible to the children in care. 2. There was a bottle of correction fluid being stored in a lower drawer in the teacher's desk in the Preschool classroom. The fluid was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. The vents in the two (2) bathrooms in the hallway had an accumulation of dust and dirt. 2. The carpet on the floor in the Preschool classroom had an accumulation of dirty tape residue, crumbs and art media scraps. 2. The carpet in the Twos classroom had several tears and an accumulation of dirty tape residue. 3. There was an abundance or crayon/marker marks on the walls and most of the furniture in the Two's classroom. 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, the staff person in the Infant classroom changed a child's diaper and did not wash her hands afterwards. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a large bottle of Ibuprophen and a large bottle of Tums located on a shelf in the Director's office. The medication was not in a locked area of the facility. Outdoor Play Area In Compliance Equipment In Compliance 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, there was no current inspection documentation for the facility's van on file in the facility. 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 3. General Requirements.

General: Based on observation, there was a three-month-old child asleep in a swing with a bottle in his mouth in the Infant classroom.

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 setting out that were not in use and not covered in the Ones & Twos classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was an eight-month-old child drinking a bottle in a bouncy seat in the Infant classroom. The child was not seated properly for a meal. 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 enrolled 7/3/18 did not have a current immunization certificate on file in the facility. The certificate on file had an expiration date of 9/15/18.

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, six (6) out of the ten (10) children's files presented for review did not have documentation of a preferred hospital listed by the parent. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there were thirty-five (35) children present in the facility at the time of the initial tour of the facility. A review of the facility's attendance records found that there were only twenty-eight (28) children signed in with an arrival time on the facility's attendance record. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the proper methods of diapering and hand washing were not posted in the changing area in the Twos classroom. 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 4. Premises Requirements.

General: Based on Interview, the staff person in charge stated that trash is being dumped over the fence onto the ground next to the playground space every day. She stated that this is done because the faciity would smell bad if the trash was left inside all day. She stated that a staff person goes outside around mid day and then again at the end of the day to pick it all up and walk it over to the dumpster which is located at the back of the lot. On the day of the investigation there were a couple of empty boxes on the ground next to the playground. 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: physical safety. Open / not marked corrected.

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

General: Based on Observation, the temperature in the building on 10/25/17 was sixty-five degrees. The staff person in charge stated that the gas was shut off a couple of days ago because of a new resturant being built next to their facility. She stated that the only gas they use at the facility is for heating the building so not until a couple of days ago was the heat turned on. She stated that everything else at the facility is operated by electric and the gas did not need to be turned on until recently due to the weather getting colder.

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, while walking the facility two seperate issues were noted. 1. There were three to four (3-4) medium tears in the flooring showing the subfloor in the hallway which connects the front classroom to the back classroom. These were noted to be in the middle of the hallway right in front of the children's entrance to the bathroom. 2. In the two year old classroom two of the walls show excessive crayon/pen marks throughout the wall. This is located on the far left wall when walking into the room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that during the inspection the water in the portable sink in the one year old (1) classroom was not working proprely. HSS was unable to get a steady stream of hot or cold water to flow from the sink. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that on 3/29/16 and 3/31/16 the facility took some of the children on a field trip. Howver, there was no documentation on file to verify that parental permission had been given for each of the children to go on the field trip. 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 2. General.

General: Based on Observation, during a tour of the preschool room a note was posted on the side of a cabinet that could seen by anyone in the room. The note had the name of a child on it and a list of instructions if the child hits or pushes. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 3/13/2014 who had the results of a T.B. test read on 3/13/14. This exceeds the two (2) year minimum for the results of a negative T.B. skin test or statement from a health professional indicating the individual is free from the symptoms of T.B. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and a review of ECE-Tris records, there were three (3) staff with hire dates of 4/20/15, 9/3/13 and 9/27/15 who did not have evidence of having completed fifteen (15) hours of training for the 2015 - 2016 training year. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, during a tour of the two-year-old room there was a water stained ceiling tile. During a tour of the one-year-old room the rug in the book area had areas that were stained. In the two-year-old room part of the carpet had tape residue with an accumulation of dirt and grime stuck to it. In this same room there was an area rug with a map of the United States that had areas that were stained. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, there were numerous tears in the changing mat in the one-year-old room. Several tears were also observed in the changing mat used in the infant room and the two-year-old room. During an interview with the staff person in charge it was indicated that there are new changing mats at the facility that can be used to replace the torn changing mats. 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, during a tour of the infant room there was a clear plastic baggy with small round, white pills in the locked medicine box. The baggy had the words teething tablets printed on the outside. The medication was not in the original container and was not labeld for an individual child. During an interview with the staff person in the room it was found that the child the teething tablets belong to no longer attends the facility. 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 11. Toys and Furnishings.

General: Based on Observation, during a tour of the two-year-old room there was a cot against the wall that had pillows. A child was in the area and jumped on the cot. One (1) side of the cot was loose and came apart. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the outdoor play area there was a green turtle sandbox. The cover on the sand box had areas that were cracked and broken. Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, out of ten (10) children's files reviewed there were two (2) children whose immunization certificates were no longer current. There was an additional child's file that did not contain an immunization certificate. There was no other documentation provided for review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, out of ten (10) children's files reviewed there were two (2) children whose information did not contain the phone number of the child's physician. In addition there were two (2) children's files that did not contain information regarding 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 names of the children who participated were not documented for the quarterly earthquake and tornado drills. The staff person in charge indicated during interview that she was not aware the names of the children who participated had to be documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the names of the children who participated were not documented for the monthly fire drills. The staff person in charge indicated during interview that she was not aware the names of the children who participated had to be documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. A smoke detector was heard beeping in the back two (2) classrooms during the entire survey. This usually indicates a low battery or a malfunction of the device. The staff person in charge stated that she was not aware of this situation and stated that she was change the battery. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and interview, this regulatory requirement was not met. The hire dates for two (2) employees were not available in the files. The staff person in charge looked at payroll documentation during the visit and then identified 3/30/15 and 9/27/15 as the hire dates.

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, this regulatory requirement was not met. One (1) staff person (hire date: 8/17/15) did not have educational documentation on file. The staff person in charge stated that she was in process of obtaining this documentation.

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, this regulatory requirement was not met. Two (2) staff files (both hired 9/13/13) contained results of negative T.B. tests that are no longer current. The tests were dated 6/27/13 and 2/27/13 which exceeds the two (2) year time frame. The staff person in charge stated that she was not aware of this regulatory requirement.

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 and interview, this regulatory requirement was not met. Two (2) staff (both hired 9/3/13) identified as drivers had Kentucky driver history documentation on file dated 7/7/14; therefore, the documentation was no longer current. The staff person in charge stated that she was not aware that this documentation needed to be obtained annually. Programming

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 and interview, this regulatory requirement was not met. During a tour of the preschool classroom the surveyor observed an adult pair of scissors lying on top of the television cabinet in the preschool classroom and ten (10) children were observed present in the classroom. The staff person in charge alerted the staff person working in the classroom to the situation and asked the staff person to move the scissors.

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, and interview, this regulatory requirement was not met. During a tour of the two (2) year old classroom the surveyor observed the following: 1. A large metal vent on the wall beside the sink/diapering area contained an excessive amount of rust. 2. An excessive amount of crayon marks was observed on the wall in the dramatic play area in the two (2) year old classroom. 3. The lime green concrete wall near the children's cubbies in the toddler classroom contained numerous areas of chipped/peeling paint.

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, this regulatory requirement was not met. During a tour of the toddler and two (2) year old classroom, the surveyor observed a large bag of trash sitting on the carpet beside the children's cubbies and another bag of trash sitting outside on the deck.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. The surveyor tested the water temperature at a portable sink in the toddler classroom and determined that the portable hand washing sink was not equiped with hot water. The staff person working in the toddler classroom at the time stated during interview that the sink does not have hot water; however, the staff person in charge stated that it used to have hot water.

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 Review of Documentation and interview, this regulatory requirement was not met. An inspection of the 2002 Dodge fifteen (15) passenger van used to transport children found that the front bench seat was in dis-repair. The back and seat area on one side of the bench seat contained a large tear that had been attempted to be repaired with Duct tape. The Duct tape was not secure. The surveyor observed a large section of sticky residue from the tape and exposed foam from the tear in the seat. The staff person in charge acknowledged the finding and stated that they purchased the van and started using it to transport children in October 2015.

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 and interview, this regulatory requirement was not met. A review of the transportation log found that daily inspections of the vehicles used to transport children had not been documented since 11/6/15. The staff person in charge stated that children are transported back and fourth to local elementary school on a daily basis.

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 and interview, this regulatory requirement was not met. A review of the transportation log found that the first and last names of the children transported were not consistently documented. Some of the forms listed first names of the children who were transported; however, the last names of the children were not documented. The staff person in charge identified an internal code system that the facility was using which listed the names of the children on the top of the transportation page and then the first initial of each children on each line down the page; however, a review of the forms found that first and last names were not always documented.

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 and interview, this regulatory requirement was not met. The refrigerator used for the storage of the bottles in the infant classroom and the refrigerator used to store food and drinks for the children in the toddler classroom, did not have an indicating thermometer. The staff person in charge stated that she was not aware that these thermometers were missing.

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 and interview, this regulatory requirement was not met. At the time of the survey a review of the children's files found that one (1) child (enrollment date: 9/23/15) had no immunization record on file and four (4) children (enrollment dates: 10/21/14, 10/17/14, 5/5/15 and 6/8/15) had immunization certificates that were no longer current as of 6/30/15, 9/19/15, 10/30/15 and 9/2/15. The staff person in charge stated that she was in process of obtaining this documentation.

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 and interview, this regulatory requirement was not met. The emergency preparedness plan on file had not been updated since 2013. The staff person in charge stated that she was not aware that she needed to re-submit this documentation annually.

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, and interview the following was found: 1. Twenty-four (24) children were present in the facility during the inspection; however, only fifteen (15) of them had an arrival time documented. 2. Twenty-one (21) children had an arrival time documented on the 11/30/15 attendance sheet; however, four (4) of these children did not have a departure time documented. Furthermore, three (3) children had a departure time listed on the same day (11/30/15), but did not have an arrival time listed. 3. Nineteen (19) children had an arrival time documented on 12/1/15; however, four (4) of these children did not have a departure time listed. The staff person in charge acknowledged this finding during the visit.

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 Review of Documentation and interview, this regualtory requirement was not met. The statement of deficiencies and plan of correction from a 11/24/14 inspection was not posted. The staff person in charge stated that she was not aware of this regulatory requirement.

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, three (3) staff did not have an annual professional development plan on file. These staff members were all hired on 9/03/13.

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 facility did not have a written documented fire drill for the month of October 2014.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff member had an evaluation on file that was not dated. This staff member was hired 9/3/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, in the preschool room a vent above a utility closet was not secured properly to the wall. One (1) of the screws was missing so the vent was secured only on one (1) side to the wall. The hole that the vent covered was exposed since the vent covering was not secured properly.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) children's files contained immunization certificates that did not have an expiration date. Another child's file contained an immunization certificate that was no longer current. This immunization certificate was dated 9/26/14. All three (3) children had been enrolled in excess of thirty (30) days.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that on 3-5-14 a four (4) year old child was observed to be allowed to walk from the preschool classroom to the bathroom down the hall unsupervised. On 3-6-14, seven (7) children ages two (2) to four (4) years old were observed to be unsupervised while they napped. The children were unsupervised for approximately five (5) minutes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

TYPE B CITATION: Based on Interview, it was found that on 2-28-14, multiple staff members did not come to work for various reasons. The director stated that due to staff shortage, fourteen (14) children ages one (1) year to four (4) years old were combined all day in the two (2) year old classroom. There were two (2) staff supervising the children during this time. Due to the presence of one (1) year olds, the required ratio was one (1) staff person for every six (6) children. In addition to being over ratio by two (2) children, the classroom was also over maximum group size by two (2) children. It was also found that on 3-5-14, one (1) teacher was supervising fourteen (14) children ages one (1) year to four (4) years old for approximately five (5) minutes. The other teachers had left the room to answer the door and go to the bathroom. During this time the classroom was over ratio by eight (8) children and over maximum group size by two (2) children. 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 on 3-6-14, two (2) infants were sleeping in swings. The director stated that the children take their naps in the swings at the parents' request. The facility did not have documentation on file from a physician stating that it was necessary for the children to sleep in this fashion.

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.

TYPE A CITATION Based on Observation, it was found that on 3-5-14, a staff person was working alone in the one (1) year old classroom with five (5) toddlers. The staff person stated that this was her first day and that she had been working alone in the classroom since 9:00 a.m. The staff person continued to be alone in the classroom until the end of the surveyor's visit at 11:30 a.m. During a follow-up interview on 3-7-14, the staff person reported that she was not placed with a second teacher on 3-5-14 until 12:00 p.m. She also reported that she was left alone with fourteen (14) children ages one (1) year to four (4) years old for approximately five (5) minutes later that day when the other teachers left to go to the bathroom and answer the front door. This staff person did not have a completed criminal records check or central registry check on file. On 3-6-14, it was found that a staff person hired on 1-6-14 was working alone in the one (1) year old classroom with four (4) toddlers for approximately ten (10) minutes. This staff person did not have a completed criminal records check on file. 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 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.

TYPE A CITATION: Based on Observation, t was found that on 3-5-14, a staff person was working alone in the one (1) year old classroom with five (5) toddlers. The staff person stated that this was her first day and that she had been working alone in the classroom since 9:00 a.m. The staff person continued to be alone in the classroom until the end of the surveyor's visit at 11:30 a.m. During a follow-up interview on 3-7-14, the staff person reported that she was not placed with a second teacher on 3-5-14 until 12:00 p.m. She also reported that she was left alone with fourteen (14) children ages one (1) year to four (4) years old for approximately five (5) minutes later that day when the other teachers left to go to the bathroom and answer the front door. This staff person did not have a completed criminal records check or central registry check on file. On 3-6-14, it was found that a staff person hired on 1-6-14 was working alone in the one (1) year old classroom with four (4) toddlers for approximately ten (10) minutes. This staff person did not have a completed criminal records check on file. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that on 2-28-14, multiple staff members did not come to work for various reasons. The director stated that due to staff shortage, fourteen (14) children ages one (1) year to four (4) years old were combined all day in the two (2) year old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person (hire date: 12/16/13) did not have evidence or results of a criminal records check (CRC) and did not have a completed child abuse/neglect check (CAN) on file. The staff person had a CAN check in her file that had been filled out by the staff person; however, it had not been submitted for processing. This staff person was observed working alone with three (3) children in the infant classroom during the visit from approximately 10:35AM - 11:05AM.

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) employee file (hire date: 12/16/13) contained results of a negative T.B. test that was no longer current. The test was dated 4/26/10 which exceeds the two (2) year time frame.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff (both hired 9/3/13) did not contain evidence of the six (6) hours of cabinet-approved training being completed within the first three (3) months of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a bottle of prescription medication (Cefdinir) was being stored in the refrigerator in the infant classroom. This medication was accessible to the children and was not being store in a locked place. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, five (5) cribs in the infant classroom were positioned with only a few inches (approximately three (3) - four (4)) between them. The staff person in charge stated that she was not aware of this regulatory requirement.

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, the facility failed to meet this regulatory requirement. During an inspection of the kitchen with the staff person in charge, the surveyor only found whole milk and 2% available to serve to the children. The staff person in charge stated that she was not aware of this regulatory requirement and stated 2% milk was served to ages twenty-five (25) months and older during breakfast on the day of the survey.

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, the facility failed to meet this regulatory requirement. During the survey the staff person in charge presented the food and drink items that were being prepared in the kitchen that were going to be served to the children at lunch. During an inspection of the kitchen with the staff person in charge, the surveyor observed that cups of juice had been arranged on trays to be served with the meal instead of milk. The staff person in charge stated that she was not aware of this regulatory requirement. The staff person in charge stated that she always serves juice with lunch and milk with breakfast and afternoon snack. Children's Records

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 Interview, the facility failed to meet this regulatory requirement. The staff person in charge stated that fire drills had not been conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. The two (2) year old classroom had a schedule of daily activities posted that was dated 12/9/13 - 12/13/13; therefore, it was no longer current. 2. The infant classroom did not have a schedule of daily activities posted. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.