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

General: Based on review of documentation and the Training Records Information System (TRIS), one staff person (hire date: 10/9/19) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 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, this regulatory requirement was not met. The ceiling above the kitchen table was in disrepair. Several pieces of clear tape had been placed over a crack that was approximately six to eight inches long. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. Two lower wooden boards on the storage shed doors were deteriorated and pieces of the wood had fell off onto the ground. The surveyor observed splintering wood with jagged edges and several exposed rusty nails. The storage shed is located next to the children's play equipment; therefore, accessible to the children. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. One crib had a sheet that did not fit properly. The fitted sheet was too large for the mattress and the excess fabric was bunched up in the middle. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three employee files did not have a current annual professional development plan on file at the facility. The last professional development plans that had been completed for these three staff were dated 2019. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The Statement of Deficiency/Plan of Correction from the 3/10/21, renewal inspection was posted; however, the Statement of Deficiency/Plan of Correction from an investigation conducted on 10/8/21, was not posted. Animals In Compliance 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 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the menu was not posted in a conspicuous location at the facility. The staff in charge found it in the kitchen.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, the surveyor found the State Fire Marshal has only conducted one inspection of the Type II child-care home. The documentation presented for review was dated 4/5/2010. The provider stated that she has made several phone calls to get an inspection scheduled. It was indicated that the State Fire Marshal was not needed because there has not been any structural changes to her home. However, there was no supporting documentation available for review to verify that an inspection was not needed. It is important to note, this regulatory violation was cited during the renewal inspection conducted on 2/11/2020. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found excessive scuffmarks and grime on the front of the bathroom door. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found dried urine stains underneath the toilet lid and around the rim. Additionally, the surveyor observed a hard water stain inside of the toilet bowl. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a wobbly three-tiered bookshelf in the infant/toddler classroom. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, it was found that the last documented Fire Marshal inspection was 4/5/2010. An interview with the staff person in charge found that calls have been made to the Fire Marshal regarding an inspection. It was indicated that the Fire Marshal informed the provider that an inspection was not needed because the provider had not made any changes to her home since the last inspection. There was no supporting document available for review to verify that an inspection from the Fire Marshal was not needed. Director Requirements In Compliance Employee Records In Compliance Programming 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 and review of documentation, upon entry into the Large Room, there were four children sitting at a table eating a snack. The children were watching 101 Dalmations on a TV mounted on the wall. A review of the posted daily schedule and the posted planned program of activities found that television viewing was not listed as an activity on either of the these posted documents. Therefore, there was no documentation to assure that the television viewing was part of the planned program and being used as an educational tool. 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 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation upon entry into the Large Room, there were four children sitting at a table eating snack. The children were watching 101 Dalmations on a TV mounted on the wall. Food is not to be served to a child while viewing or using electronic devices. Premises Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, an inspection of the bathroom located in the Large Room found a container of Clorox disinfectant wipes and other cleaning solutions in the cabinet under the sink. It was found that the child safety latch attached to the inside of the cabinet was not working properly. A portion of the latch was bent, which did not allow for the door to the cabinet to latch securely.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a small Duraflame brand portable heater was observed on the floor between two cribs. The heater was in use at the time of the inspection. The heater was accessible to the children and not protected as required by this regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the water temperature at the sink in the infant room and the sink in the bathroom located in the Large Room measured approximately 140 degrees Fahrenheit. Both sinks are used for handwashing after diapering and toileting. This exceeds the maximum allowable water temperature of 120 degrees Fahrenheit. During the exit conference with the staff person in charge, it was indicated that the water heater that controls the water temperature at both sinks is set on 90 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a small tear was observed on the surface of the diaper changing mat in the infant room. This does not allow for the mat to be adequately sanitized after each diaper change. 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 during a tour of the Large Room, the following was found: 1) A cloth Dora the Explorer couch was found to have mutliple stains and soiled areas on the surface. 2) The carpet had numerous stains. 3) The plastic edge of a blue, round table had come loose and was reattached using black duct tape. Duct tape is not an accepable form of repair.

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 an inspection of the outdoor play area, there was a Step 2 brand climber. Black duct tape had been used to make repairs to a telescope attached to a portion of the climber. Black duct tape had also been used to repair areas where the plastic was in disrepair along the top portion of the rails where the children climb and slide. Transportation Not Applicable 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 breakfast and an afternoon snack are served on a daily basis; however, neither are indicated on the menu. 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 9. Records.

General: Based on review of documentation, out of 10 children's files reviewed, seven children's enrollment information did not include permission for emergency medical care. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was found that one (1) staff person had been re-hired on 5/13/19. A review of the staff person's file found that the re-hire date was not noted in that file.

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 person hired 5/13/19 did not have evidence of negative T.B. results on file in the facility prior to employment. The results on file were dated 4/14/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, it was found that there were ten (10) children, ranging in age from two (2) years to five (5) years, being cared for in one classroom. In an interview with the director it was found that the those children are grouped together for the entire day. The director stated that she was not aware that the two (2) year old children could not be mixed with the older children. 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.

General: Based on interview, it was found that the children were served bagels and water for breakfast on 5/28/19. There was no fruit/vegetable, protein or milk served with the meal. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator had numerous food/beverage spills, food crumbs and pooling liquid in the storage drawers. There was an uncovered container of macaroni, cheese and broccoli on a shelf next to the milk served to the children.

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, the surveyor observed broken blinds covering two (2) windows in the infant 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 observed a brown circular shaped water stain on the ceiling in the toddler classroom. Additionally, the surveyor observed some cracks in the ceiling that had been covered with white dry wall tape. The director stated that she had a leak repaired a couple of years ago and the roofer placed dry wall tape over the cracks instead of painting over them. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service 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 9. Food and Meal Requirements.

General: Based on observation, the surveyor observed a container of infant formula located on the kitchen counter. During an interview with the director, it was revealed that parents do not prepare their children’s bottles. The director stated that parents provide the formula and she then prepares the bottles. The director stated that she thought she could prepare bottles since she participates in the food program. The surveyor explained that she could measure and mix formula if she provides the formula to parents. 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: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that a staff person in the Infant/Toddler classroom changed a child's diaper after the child had a bowel movement. After completing the diaper change, the staff person did not disinfect the diapering surface. The director stated that the teacher knows to disinfect the changing pad after diapering.

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 the vent in the bathroom used by the children was very dusty. The director stated that she had not noticed the dust.

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, it was found that a child arrived at the facility at 8:10 a.m. The child did not have their hands washed with liquid soap and running water prior to being allowed to play with the other children.

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 two (2) staff arrived at the facility at 8:10 a.m. Neither staff person washed their hands with liquid soap and running water prior to interacting with the children.

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 a staff person in the Infant/Toddler classroom changed a child's diaper after he had a bowel movement. After the diaper change, the soiled diaper, which was balled up, was left on the changing pad. The diaper remained on the changing pad throughout the survey.

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 changing pad in the Infant/Toddler classroom had a two (2) inch tear in it. The director stated that she was unaware of the pad being torn.

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 a large Step 2 climber/slide combination unit was located on the grass. This piece of equipment has two (2) slides attached to it. It was also found that a wooden playset with swings and a 4 1/2 feet tall slide was located on dirt, grass and very sparse mulch. Along with the lack of protective surfacing, neither piece of equipment had an adequate fall zone as required. The director acknowledged the lack of protective surfacing and stated that she was unaware of the need for a fall zone.

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 four (4) of the cribs in the Infant/Toddler classroom had flaking and peeling paint along the side rails and in places around the headboards. The director stated that she would repaint the cribs or get plastic covers.

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 wooden playset with swings and a slide was not stable. The structure was observed to be leaning to the right and it rocked easily when pushed. The director stated that she was unaware of the condition of the playset.

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 one (1) child's file out of five (5) reviewed did not contain a physician's telephone number or information regarding the parent's preferred hospital. Another child's file did not contain information regarding the parent's preferred hospital. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written 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, out of three (3) staff files reviewed, one (1) staff (hire date: 12/17/12) did not obtain the required fifteen (15) hours of cabinet approved Early Care and Education training. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the surveyor found that the hot water in the portable hand washing sink located in the infant/ toddler classroom had a temperature reading of sixty (60) degrees.

Open Not marked corrected in the state record

Open / not marked corrected.