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

General: Based on review of documentation, a current negative tuberculin (TB) test result or a statement from a healthcare professional verifying that two (2) staff members (DOH: 08/12/13 and 06/05/23) were free from active TB was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the record for one (1) child (DOE: 10/14/24) did not contain a preferred hospital at the time of review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. The posted daily planned program was not dated in the One-Year-Old classroom and the Two-Year-Old classroom. 2. The posted daily planned program in the Preschool classroom and the Infant classroom did not have a current date. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 31 of 32 Inspection Report

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 of the hallway leading out to the Outdoor Play Area, there were two (2) electrical outlets that were not covered at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of personnel records and interview, the personnel file for four staff members (DOH: 08/12/13, 08/17/13, 08/03/21, and 06/05/23) did not contain a written annual evaluation on the day of the inspection. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel record for staff members (DOH: 07/22/24, and 07/15/24) did not contain a high school diploma, GED or Commonwealth Child Care Credential at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the personnel file for staff members (DOH: 08/09/11,08/17/13, 08/03/21, and 07/22/24) did not contain a current statement from a health care professional that the staff members are free of active tuberculosis, or a copy of a negative tuberculin results at the time of the inspection.

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, a job description for the child care center’s cook was not presented for review at the time of the inspection.

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, at 8:57 am a staff member told a child to go into the bathroom and wash his/her hands. While the child was in the bathroom, the staff member left the child alone and took another child into a classroom. The child exited the bathroom alone at 8:59 am looking for the staff member. The staff member than walked out of a classroom and retrieved the child and took him/her to their assigned classroom. Interview with the staff member revealed the child that was not supervised in the bathroom was three years old. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, a current fire marshal report was not presented at the time of the inspection. The documentation that was presented for review was dated 02/26/21.

Open Not marked corrected in the state record

Category: physical safety. 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) A staff member (DOH: 08/09/11) completed zero (0) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 2) A staff member (DOH: 08/12/13) completed four (4) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 3) A staff member (DOH: 08/17/13) completed zero (0) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 4) A staff member (DOH: 08/03/21) completed fourteen (14) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 5) A staff member (DOH: 06/05/23) completed zero (0) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 6) A staff member (DOH: 08/12/13) has not completed one and one half (11/2) hours of pediatric abusive head trauma training that was due before or on 02/05/24. A review of ECE-TRIS verified this information. 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, there was a brown discoloration indicative of water damage on the ceiling around a light fixture in the Three’s Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff member did not use soap and water to wash the infant’s hands after a diaper change. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection the following was found: Large Outdoor Play Area 1) There was a large black container that contained a two (2) inch piece of sharp, jagged plastic that was protruding outward, and was accessible to children. 2) There was a plastic child sized castle that was cracked and broken, causing the piece of equipment to contain sharp jagged edges. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Three’s Room 1) There were multiple toys throughout the classroom that contained dust and debris. 2) There was a soft pillow that contained a black substance throughout the pillow. Nursery 1) There was a tall cabinet that contained a broken door. The door would not close properly. Further observation of the broken door revealed that there was Formica broken and peeling away from the wood, causing of the Formica to have sharp pointed edges. 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 Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of a child’s record (DOE: 06/04/24), there was not a preferred hospital listed. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the evacuation plan that was presented for review was not current. There were former staff members assigned to job duties.

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 review of documentation, the following was found: 1) The child care center‘s fire drill log verified that fire drills were not conducted for May 2024, June 2024, and July 2024. The staff in charge acknowledged the deficiency. 2) The child care center did not conduct an earthquake drill, tornado drill, lock down or shelter-in-place drill for the second quarter of 2024. The staff in charge acknowledged the deficiency. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview and review of documentation, two staff members who no longer worked at the child care center were listed as current employees on the center's KARES roster. The staff member in charge confirmed that the aforementioned staff members no longer worked at the center; therefore, their employment status was not maintained. 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 interview and review of documentation, the records for five staff members (DOH: 08/09/2011, 08/12/2013, 08/17/2013, and 08/03/2021) did not contain a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. The staff member in charge acknowledged that the documentation was not available at the time or the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Not Applicable 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the following was found: 1.) The walls contained holes and peeling paint in the Two's, Three's, and Preschool classrooms and the One's bathroom. 2.) In the Two's classroom there was peeling paint on the door frame and the wall next to it.

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 toilet was not flushed after use in the main bathroom at the facility. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two staff member (hire dates: 8/17/2013 and 2/10/2022) did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports the information found during 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 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1.) Two staff members (hire dates: 10/25/2021 and 2/10/2022) did not complete the required Orientation training. These staff members have been employed for more than three months. 2.) Four staff members (hire dates: 8/9/2011, 8/17/2013, 10/7/2019, and 8/12/2013) did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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, staff members personal bags were found in the One's, Two's, and Three's classrooms. The personal bags were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During the inspection of the outdoor play area the following was found: 1.) There were several branches growing over the fence. 2.) There were several plants/weeds growing up through the mulched play area. 3.) There was a blue sand/water table that had standing water in it. 4.) A hose was left on the playground that was a tripping hazard to the children. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, it was found that facility does not practice lockdown drills. The staff in charge stated that they are working on the procedure to start conducting lockdown drills. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/03/2021 AND AS OF 06/24/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for the infant classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the infant room, two (2) infants were sleeping in their cribs with a bib attached to their necks. Further observation revealed another infant was sleeping in the crib with a plastic round toy. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the two year-old classroom, the large purple area carpet was stained with black spots. Also, the return vent in the school-age classroom contained a heavy build up of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. A six-month-old infant was observed holding a bottle and was self-feeding while lying in a bouncy seat. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center had maintained enrollment records to include a name of a preferred hospital for the children with the enrollment dates of 11/5/2018 and 01/11/2021. Continued review revealed the file for a child with the enrollment date of 01/11/2021 did not list a name of a physician. The file for a child with an enrollment date of 11/5/2018 did not contain information listing a preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency treatment. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:415e. The staff in the infant room was observed bottle-feeding an infant with no disposable gloves. Contnued observation revealed the center failed to comply with the regulatory requirements specific to the storage of personal bedding as established in 922 KAR 2:415e. Based on observation, there were several blankets located in the school-age classroom that were overlapping and were not in individual bins.

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 ventilation system located in the restroom located off the hallway was non-operational. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the outdoor playground, there was insufficient protective surface under the swings and slide. The areas located underneath the swings and slide had exposed concrete on the ground covering. 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, an eleven-month-old infant was sitting at the table in a bucket seat. The infant was not securely fastened with a seat restraint. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request the staff in charge did not present verification that the child with a date of enrollment of 09/03/2019 had an enrollment record to contain information identifying a physician, preferred hospital or medical information. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that a staff member with a hire date of 10/08/16, received fifteen (15) hours of annual cabinet approved early care and education training. In addition, the director disclosed that she was aware that the staff member did not complete the required training because the staff member was due to relocate. In addition, one and one-half (1 1/2) hours of pediatric abusive head trauma (PAHT) training is required to be completed once every five (5) years for staff. However, the child care center did not produce verification from the ECE-TRIS that three (3) staff members with the following hire dates 8/09/2011, 8/12/2013, 8/17/2013, had current PAHT training. Furthermore, the director disclosed that she could not provide any evidence from the ECE-TRIS that the three (3) above-mentioned staff members have any current PAHT training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the room known as the Three-Year-Old room, there was chipped paint on the walls near the reading area. In addition, the room known as the Two-Year-Old room was observed to have chipped paint on the walls near the windowpane, close to the windowpane looking into the three-year-old room, as well as close to the doorway. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 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 child care center failed to comply with regulatory programming requirements. Observation of lunch service at the child care center revealed children were allowed to watch television as they ate their meals. 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 2. Child Care Services.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory staffing requirements, Observation of the "cafeteria" area revealed twenty-one (21) children combined after lunch as one (1) staff person assisted the children to the bathroom, The children were observed to watch television and continued to eat, as they waited for other children in the area to use the restroom. Interview with staff and review of children's records revealed the age of the youngest child in the group was two-years-old and the oldest was ten-years-old. The maximum group size was exceeded by one (1) child based on the youngest child in the group. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request the child care center director failed to provide a current copy of the administrative regulations. Review of written documentation provided revealed the most recent version was printed and submitted for review to staff on 02/12/14. Interview with the child care center director revealed she had not printed the documents for review by staff. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff with a hire date of 04/02/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements with regard to training. Upon request, the child care center failed to provide documented evidence that employees with a hire date of 10/08/16, completed a total fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment. In addition, there was no documented evidence that staff with a hire date of 11/13/17, completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 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, interview and review of written documentation, the child care center failed to comply with regulatory programming requirements. Observation of the School-age classroom, also identified as the "cafeteria" and interview with staff, revealed a group of twenty-one (21) children who ranged in ages from two (2) years to ten (10) years old. Additional observation of the Three Year classroom and interview with staff revealed a group of ten (10) children who ranged in ages from two (2) years to three (3) years old. Review of written documentation also revealed the age of the youngest child in each class was two (2) years old and he/she was enrolled on 01/23/16. The toddler was in the same classroom with older children throughout the inspection. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to compy with regulatory programming requirements. Observation of the Nursery revealed infants asleep in their cribs atop loosely fitted sheets as they slept on their stomachs under loosely placed blankets.

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 child care center failed to maintain premises in accordance with regulatory requirements. Observation of the bathroom and the Infant classroom sinks revealed a hot water temperature below ninety (90) degrees Fahrenheit. Review of the temperature measuring device used to measure the temperature of the hot water in the sinks, revealed a temperature of fifty-four (54) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence that the child care center submitted an evacuation plan to local emergency management officials by December 31, 2017. Review of documentation presented revealed the emergency preparedness plan was last submitted on 11/03/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed the child care center failed to post the Statement of Deficiency/Plan of Correction (SOD/POC) in a conspicous place. Interview with the child care center director revealed the documents were not made readily available for public inspection. The documents presented for review were dated for the year 2016, which was the previous year inspection period. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview and review of documentation, the child care center failed to comply with regulatory requirements. Interview with the owner and director revealed that they did not notify the cabinet of an accident or injury to a child that required medical care within twenty-four (24) hours from the time of discovery.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. A ceiling vent in the light-blue bathroom was slightly covered with 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. The tank cover was not fitted properly onto one (1) of the toilets in the bathroom containing the pink stalls. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Written documentation from the local authority showing compliance with local zoning requirements was not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. A medication log filled out by both the parent and staff was posted on the wall in the Nursery, available for public inspection. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. An annual written performance evaluation was not presented for review at the time of survey for one (1) staff member hired 8/12/13. The director revealed an evaluation was not completed for this staff member. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. A large bottle of hand sanitizer was placed on a cabinet in the School-Age Room, accessible to the preschool children who were in the room.

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 Review of Documentation, the child care center failed to comply with regulatory programming requirements. The daily schedule in the Three-Year-Old Room revealed rest time is scheduled from 12:00pm-2:20pm, which is more than two (2) hours of rest time for the preschool children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements. A staff member hired 12/19/16 was the sole caregiver of seven (7) two-year-olds in the Two-Year-Old Room from approximately 9:49am -12:21pm. Review of staff files revealed the staff member hired 12/19/16 listed a Tennessee address on her Child Abuse & Neglect Check (CAN) signed 12/1/16. Review of staff files also revealed a Tennessee Driver’s License issued on 10/1/13 for the aforementioned staff member. A Tennessee Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 12/19/16. The director revealed the center did not complete a Tennessee CRC for this staff member. Review of staff files revealed the staff member hired 8/15/16 listed a North Carolina address on her Child Abuse & Neglect Check (CAN) signed 8/4/16. A North Carolina Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 8/15/16. The director revealed the center did not complete a North Carolina CRC for this staff member. The director revealed the staff member hired 8/15/16 has worked alone with children in care. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. A staff member hired 12/19/16 was the sole caregiver of seven (7) two-year-olds in the Two-Year-Old Room from approximately 9:49am -12:21pm. Review of staff files revealed the staff member hired 12/19/16 listed a Tennessee address on her Child Abuse & Neglect Check (CAN) signed 12/1/16. Review of staff files also revealed a Tennessee Driver’s License issued on 10/1/13 for the aforementioned staff member. A Tennessee Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 12/19/16. The director revealed the center did not complete a Tennessee CRC for this staff member. Review of staff files revealed the staff member hired 8/15/16 listed a North Carolina address on her Child Abuse & Neglect Check (CAN) signed 8/4/16. A North Carolina Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 8/15/16. The director revealed the center did not complete a North Carolina CRC for this staff member. The director revealed the staff member hired 8/15/16 has worked alone with children in care.

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, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation that a staff member hired 10/8/16 was currently enrolled in high school was not presented for review at the time of survey. The director revealed this documentation was not available for review at the time of survey.

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, the child care center failed to maintain employee records in accordance with regulations. A PPD Skin Test was presented for review at the time of survey for a staff member hired 10/8/16; however, the document failed to verify that the individual is free of active tuberculosis. The director revealed this was the only documentation available for review at the time of survey for the aforementioned staff member. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. The director revealed the owner hired 8/9/11 is a substitute for the center. Review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for the owner. The director revealed the owner did not complete all of the required training hours. 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 7. First Aid and Medicine.

General: Based on Observation and Interview, the child care center failed to comply with regulations regarding first aid and/or medication. Diaper rash creams were stored in containers on a shelf in the Changing Room, not in a locked place. Diaper rash creams, ointment, teething tablets, cough syrup, and other medications were stored on two (2) desks in the director’s office; however, the door to the director’s office remained open. The director acknowledged that her office door remains open and that the medication was stored in her office in an unlocked place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Interlocking foam squares were utilized as the protective surface for two (2) small slides in the outdoor play area; however, the interlocking foam squares failed to meet regulatory standards for approved protective surfaces. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. The refrigerator located in the storage area leading to the playground was soiled. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed: (1) The written records for two (2) children failed to contain contact information to enable a person in charge to contact the child’s family physician; (2) The written records for three (3) children failed to contain contact information to enable a person in charge to contact the child’s preferred hospital; (3) The written records for ten (10) children failed to contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child; (4) The written record for one (1) child failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence; and (5) The written record for one (1) child failed to contain the name of each person who is designated in writing to pick-up the child. The director revealed this documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. A written annual plan for child-care staff professional development was not presented for review at the time of survey for one (1) staff member hired 8/12/13. The director revealed a professional development plan was not completed for this staff member. Posted 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 Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. A description of services provided by the child care center including current rates for child care and each service charged separately and in addition to the basic rate for child care was not posted in a conspicuous place and made available for public inspection. The director acknowledged this documentation was not posted. Animals Not Applicable

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 child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Changing Room revealed a staff member did not wash her hands before and after changing two (2) children’s diapers.

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 child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Changing Room revealed a staff member changed two (2) children’s diapers; however, she failed to sanitize the diapering surface after each diaper change.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the center failed to comply with regulatory requirements. Review of documentation revealed a child’s medication authorization and administration form completed by both the parent and a staff member on 3/10/16 was lying next to the attendance sheet, open to public view. Interview with director revealed she was aware of the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Nursery revealed two (2) infants that were lying awake in bouncy chairs that were placed inside of a crib. Observation of the Preschool Room revealed a CD player and a small hot glue gun were that placed on a high shelf; however, both items were plugged in and their cords were dangling in reach of children in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS record revealed the center failed to have fifteen (15) hours of cabinet approved training on file at the time of survey for the owner, who has supervisory contact with children, with hire date of 8/9/11. During interview, director acknowledged deficiency. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Nursery revealed an infant lying awake in a swing. Interview with owner revealed the infant had been asleep in the swing for fifteen (15) minutes. Continued interview with owner revealed she is aware that regulations state that infants must sleep in cribs; however, she stated the infant’s mother gave her verbal permission for the infant to sleep in the swing because he was congested. Review of documentation revealed the center failed to have a waiver on file at the time of survey from a health professional permitting the alternative sleeping position. Further interview with owner revealed a waiver from a health professional was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Nursery revealed one (1) vent located on the ceiling immediately above one (1) of the cribs was completely covered with 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Changing Room revealed the sink was not equipped with hot water.

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 child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Changing Room revealed two (2) children’s hands were not washed after a diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed the protective surface failed to sufficiently cover the ground underneath the tire swing, two (2) swings, and the bottom of the yellow slide attached to the large play set. Continued observation revealed green artificial landscape turf was utilized as the protective surface for a small pink and blue slide; however, the landscape turf failed to meet regulatory standards for approved protective surfaces. Further observation revealed interlocking foam squares were utilized as the protective surface for the large multi-color Little Tikes climbing and sliding apparatus as well as a small blue castle slide; however, the interlocking foam squares failed to meet regulatory standards for approved protective surfaces. During interview, director acknowledged deficiency.

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 child care center failed to maintain equipment in accordance with regulations. Observation of the Nursery revealed a two (2) seat feeding table that was built into a white and yellow cabinet. Continued observation revealed one (1) of the seats was cracked. Observation of the Toddler Room revealed one (1) of the seats in one (1) of the three-seat-feeding tables was cracked.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the center failed to maintain equipment in accordance with regulations. Observation of the Nursery revealed a two (2) seat feeding table that was built into a white and yellow cabinet. Continued observation revealed one (1) of the seats was cracked. Observation of the Toddler Room revealed one (1) of the seats in one (1) of the three-seat-feeding tables was cracked. Observation of the outdoor play area revealed the orange bucket swing attached to the large play set was cracked in multiple places. Continued observation revealed a pink connector section of the multi-color Little Tikes climbing and sliding apparatus was cracked in multiple places. Further observation revealed all four (4) wheels on one (1) of the red and yellow Little Tikes cars were severely cracked and broken. During interview, director acknowledged deficiency regarding outdoor play area.

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, Review of Documentation, and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed what appeared to be mouse droppings in the bottom kitchen cabinet adjacent to the stove. Review of documentation and interview with director revealed measures had been utilized to control the presence of rodents; however, she acknowledged deficiency.

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 and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the refrigerator located near the utility sink was soiled with a clear, sticky substance. Interview director revealed the sticky substance might be juice that had spilled.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the immunization certificate on file for a child enrolled 7/6/15 is no longer current as of 2/28/16. During interview, director acknowledged deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

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 and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written record for five (5) children with enrollment dates of: 4/1/12, 10/1/12, 4/21/14, 7/6/15, and 8/17/15 failed to contain preferred hospital information. Interview with director revealed this documentation was not on file at the time of survey. 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 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed the center failed to have a current annual professional development plan on file at the time of survey for a staff member hired 8/12/13. Interview with director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation upon entering the building on 08/28/15, three staff members were observed in the main, large, common area with no staff members in the class rooms with children. Based on further observation, there were three (3) infants in the infant room, seven (7) children in the One Year Old room, six (6) children in the Two Year Old room, and nine (9) children in the Three/Four Year Old room, and one pre-school child sleeping in the common area. Based on continued observation, there were four (4) classsrooms containing children, and three (3) staff members present in the building. Based on interview with the staff in charge, one ill staff member had been allowed to leave. Based on continued interview with staff in charge, she stated she was the staff member in both the One Year Old room and in the Two Year Old room. Based on observation, the above mentioned pre-school child was observed still sleeping approximately 30 minutes later in the large common area, alone, without supervision. Based on an interview with the staff member in the pre-school classroom, she stated she was responsible for the child in the common area. When the surveyor informed the staff member that the child could not be sleeping in the area without supervision, the staff member made no attempt to bring the child into the classroom with her and the rest of the children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Based on observation, the center failed to provide the minimum number of qualified, adult workers in a child care, to be sufficient to ensure that minimum staff to child ratios in accordance with 922 KAR 2:120 are followed. Observation revealed children being care for in five (5) separate classrooms by five (5)separate staff members. Two (2) of the staff members failed to have qualifying documents available for review, including background checks. Interview with the staff in charge revealed that she was not able to locate the required documents. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain staffing requirements. Based upon observation, the staff in charge was observed carrying a child out of the One Year old room containing six (6) children who were sleeping on cots. Based on observation in the Pre-School classroom, there were nine children sleeping on cots. Based on interview with the staff member in the Pre-School room, the youngest child was one and a half years old. 45 - Ratio/Group Size Discussed 922 KAR 2:120. Section 2. Child Care Services. (2)(b) The age of the youngest child in the group shall determine the: 1. Staff-to-child ratio; and 2. Maximum group size. 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, the child care center director failed to assure the health, safety and comfort of the children. Based on observation, there were no staff members in the classrooms with children upon the surveyor's entry into the building on 08/28/15. Based on observation, three staff members were observed in a large, common room, outside of the classrooms where children were sleeping. Based on further observation, in both the One Year Old and Two Year Old classrooms,the cots and children were not visible due to a lack of lighting, and prevented the surveyor from walking in the room. Based on observation in the Pre-School room, two (2) children sleeping on cots were totally covered with blankets, including their heads. The aforementioned staff member failed to remove the blankets from the children's heads and face after being informed it was against regulations. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interviews, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation on 08/28/15, a re-hired staff member with an unknown start date, and a staff member with a hire date of 08/13/15, failed to have completed background checks available for review. Based on an interview with the owner, the aforementioned staff members were never alone with children. Based on interviews conducted with staff members on 08/28/15, both aforementioned staff members had been alone with children. Based on continued review, the staff member with a hire date of 08/13/15 also failed to have submitted an out of state criminal record check for the state of Colorado. Based on observation conducted on 09/08/15, both of the aforementioned staff members were observed to be alone with children. The staff member with an unknown start date was observed to have six (6) pre-school children under her supervision, and the staff member with a hire date of 08/13/15 was alone with five (5) school-aged children under her supervision. Based on an interview with the aforementioned staff members, both staff stated they have worked alone with children. Staff member with a hire date of 08/13/15 stated she had worked alone in the infant room until moving into the after school class at approximately 4:20 P.M. on 09/08/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, there was not a file available for review for a staff member with an unknown hire date, and a staff member with a hire date of 08/13/15. Based on an interview with staff in charge, the files had been misplaced and were unable to be presented at the time of the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, there were no records available for review for staff with an unknown hire date and staff with a hire date of 08/13/15 verifying a high school diploma, GED or other qualifying documentation from a comparable entity, or a Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with an unknown hire date, and a staff member with a hire date of 08/13/15, failed to have contained in a file, a negative result of a tuberculosis test, or a statement from a physician or health care professional that the individual is free of tuberculosis. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with programming requirements. Based on observation, upon entering the infant classroom, an infant was asleep in a swing. Based on an interview with the staff member, the infant had been asleep in the swing approximately ten (10) minutes. Based on further interview with the staff member, she stated she was unaware that infants were not allowed to sleep in swings. Based on continued interview, the staff member stated she had just returned from her lunch when the surveyor entered the building and in fact didn't know how long the infant had been asleep in the swing. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the programming regulatory requirements. Based on observation, two infants in the Infant room were observed sleeping in cribs with loose blankets. Written Documentation

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the staff schedule submitted for review at the time of the investigation contained staff members who were no longer employed. Additionally, there were staff members who were employed but not on the schedule. Based on interview with the attending staff, the hours noted on the schedule were not correct.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with children's records requirements. Review of documentation revealed a child with an enrollment date of 8/20/12 did not have the following information on file: authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence.

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 the child care center failed to comply with employee records requirements. Review of documentation revealed a staff member (DOH: 8-2-11) only had eleven (11) hours of cabinet-approved early care and education training on file. Continued review of documentation revealed two (2) staff members (DOH: 11/7/14 & 11/8/14) did not have six (6) hours of cabinet-approved orientation on file. Interview with the director revealed the aforementioned staff members have completed orientation and that she has not received the documentation.

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 child care center failed to comply with equipment requirements. Observation of the infant classroom revealed three (3) separate crib mattresses that were in disrepair. When the surveyor lifted the aforementioned mattresses it was revealed that each mattress was torn in various areas, exposing a yellow foam material.

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 child care center failed to comply with equipment requirements. Observation of the playground revealed the seats on the see-saw are torn, exposing broken wood chips.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and review of documentation, the child care center failed to maintain minimum staff-to-child ratios. Interview with the director disclosed that on 4/8/2014 she was working alone from 6:00 a.m. to 7:00 a.m. and supervised nine children ranging in age from infant to school age. Review of documentation revealed that nine children were signed in to the center between 6:00 a.m and 7:00 a.m. confirming the director's statement. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that a child washed their hands with liquid soap and warm running water after toileting or a diaper change. Observation revealed an infant child having a diaper changed and not having their hands washed afterwards.

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 child care center failed to ensure that staff shall wash their hands with liquid soap and warm running water before and after diapering a child. Observation revealed a staff person performing a diaper change of an infant without washing her hands beforehand. The staff person donned disposable gloves and following the procedure she "rinsed" her hands under running water but was not observed using the liquid soap which was on the sink.

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 child care center failed to ensure that staff shall disinfect the diapering surface after each child is diapered. Observation revealed a staff person changing an infant's diaper and failing to disinfect the diapering surface afterwards.

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 and interview, numerous toys were not in good repair. Observation in the toddler classroom revealed numerous toys were not operational. During interview, the director indicated that that the toys worked, however, were in need of batteries.

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 two freezers in the kitchen registered at 5 Degrees and 10 Degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation of the daily schedule in the 3 and 4 year old classroom, there is not a block of time designated for breakfast or a mid morning snack.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and review of documentation the center failed to doucment the number of children in attendance. Observation at 10:53 A.M. on February 4, 2014, revealed that 26 children were in attendance at the childcare center. However, review of attendance record revealed that only 24 children were signed in for care.

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, the posted daily schedule in the school age classroom does not reflect the activities of the school age children for a full day schedule when required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on record review, the posted daily activities in the toddler classroom were not dated.

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, a sheet on a cot in the 3 & 4 year old classroom was not in good repair as it had a large tear in the upper right corner.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child abuse report procedure posted at the center states that the staff will consult with the director then call a report into the abuse hot line, this does not comply with the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030.

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, an employee with the hire date of 08/12/2013 did not have a Criminal Record Check (CRC) completed until 01/14/2014, therefore, the center did not submit the CRC request on the initial date of hire. Further review of documentation revealed that the same employee with the hire date of 08/12/2013 did not have the Child Abuse and Neglect (CAN) Check completed until 09/04/2013, therefore, the center did not abide by 922 KAR 1:470 by submitting a CAN Check within five days of hire.

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, employees with the following hire dates did not complete the required amount of annual training hours: 08/02/2011 (0 of 15 hrs), 06/04/2012 (0 of 9 hrs), 11/19/2012 (0 of 9 hrs) and 12/03/2012 (0 of 9 hrs). Further review of documentation revealed that the employees with the following hire dates did not complete orientation within their first 90 days of hire: 11/19/2012, 12/03/2012 and 07/02/2013. 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 2. Child Care Services.

General: Based on Observation and review, the center failed to follow the scheduled program of activities. Observation in the 3 & 4 year old classroom at 10:53 A.M., revealed the children were assissting the staff member in laying out cots. Review of the daily schedule revealed that the children were instead, supposed to be at their learning centers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the infant classroom, there was an infant asleep in a crib that had a pacifier clip attached to her pacifier.

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, the children were rewarded with crackers when they were displaying good behavior near the restroom.

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 in the kitchen, the trash can was overflowing with solid waste such as peach and coctail boxes, bags and disposable coffee cups were on the floor next to the trash can. 545 - Child Care Program Interference Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (15) If a portion of the building is used for a purpose other than child care: (a) Necessary provisions shall be made to avoid interference with the child-care program; and (b) A separate restroom shall be provided for use only by those using the building for its child care purpose.

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 one year old children in the toddler classroom were not directed to wash their hands after lunch was served. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 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 4. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the director failed to supervise staff conduct to ensure the implementation of the center's own policies. Center staff failed to follow center written policy which stated that if tuition is not paid in full by Tuesday, your child will not be allowed to return to daycare until any tuition owed and $25 late fee is paid. A child enrolled on 8-30-10 was allowed to continue to attend the center and the family owed the center tuition payments from 8-5-13, 8-12-13 and 11-11-13 and six late fees from 8-7 -13, 8-14-13, 10-9-13, 10-16-13, 11-13-13 and 12-4-13. Director and staff allowed this child to continue to attend the center until a bill of $395 was accrued and presented to the parent upon the parent's attempt to disenroll the child from the center on 12-4-13.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, at approximately 12:05 pm one staff was supervising thirteen children between ages two years old and four years old. Further observation at approximately 12:07 pm revealed a second staff member entered the room to assist. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation present for all staff members in the personnel files, a staff member with a hire date of 01/31/2012 did not have evidence of a written annual evaluation having been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a plunger was next accessible to children in the Boys' Restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation present for all staff members in the personnel files, a staff member with a hire date of 01/31/2012 did not have evidence of a written annual professional development plan having been completed. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 4) Current State other than KY Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation present for all staff members in the personnel files, a staff member with a hire date of 08/02/2011 did not have a copy of high school diploma, GED, or Commonwealth Childcare Credential on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a teeter totter was located on a concrete surface.

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

General: Based on observation, a teeter totter was not anchored.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documenation, a written staff schedule was not available at the time of the survey. 104 - Earthquake/Tornado Drills 922 KAR 2:110 - Section 3 (9) A written record of quarterly, practiced earthquake and tornado drills detailing the date, time, and children who participated; 1) Earthquake - conducted quarterly In Compliance 2) Earthquake - includes date In Compliance 3) Earthquake - includes time In Compliance 4) Earthquake - includes children who participated In Compliance 5) Tornado - conducted quarterly In Compliance 6) Tornado - includes date In Compliance 7) Tornado - includes time In Compliance 8) Tornado - includes children who participated In Compliance 105 - Fire Drills 922 KAR 2:110 - Section 3 (10) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated; 1) Date In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 42 Web site: http://chfs.ky.gov/ Inspection Report 2) Time In Compliance 3) Children In Compliance 4) Conducted monthly In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two staff were caring for a group of 11 children, the youngest child being an infant and the oldest child being 9 years old. General Administration 89 - Licensee responsibility 922 KAR 2:110 - Section 2 General. (1) A licensee shall be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:090, and 922 KAR 2:120. 1) 922 KAR 2:090 Not In Compliance Findings: General: Based on observation, and interview the licensee failed to assure that the program meet the requirements of 922 KAR 2:090. 2) 922 KAR 2:110 Not In Compliance Findings: General: Based on observation, and interview the licensee failed to assure that the program met the requirements of 922 KAR 2:110. 3) 922 KAR 2:120 Not In Compliance Findings: General: Based on observation, and interview the licensee failed to assure that the program met the requirements of 922 KAR 2:120. Employee Records 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on review of documentation, two staff with the hire date of 8/1/11 failed to have documentation of Orientation training. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, two staff with the hire date of 8/1/11 failed to have documentation of the 9 hours of completed child development training during the first year of employment. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

3-4 Room: Based on observation, record review and interview the only programming extended to a group of children from infant to school age and they arrived each morning was to watch television programming up until 8:30 am each day. Based on interview and record review, there was no additional programming extended to the children during these hours. 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

3-4 Room: Based on observation, during morning care, watching television was the only activity provided. 185 - Electronic Viewing/Listening planned program 922 KAR 2:120 - Section 3 General Requirements. (1) Electronic viewing and listening devices shall only be used in the center as a part of the child's planned program of activity described Section 2(4)(d). 1) Viewing devices Not Applicable Hygienic Practices 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 2) Handwashing upon arrival Not In Compliance Findings: 3-4 Room: Based on observation, children entering the facility failed to wash their hands. 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 3) Handwashing upon arrival Not In Compliance Findings: 3-4 Room: Based on observation, staff entering the facility failed to wash their hands.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the staff member with a hire date of 10/2011 did not have a current statement from a physician stating that she was free from active tuberculosis in the file. During interview the staff in charge stated she was unaware that the staff member's TB skin test in the file was no longer current. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, the staff member with a hire date of 10/2011 did not have valid evidence that the six (6) hours of Cabinet approved orientation training had been completed. During interview the staff in charge gave no explanation as to why the regulatory violation existed. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member with a hire date of 3/7/12 did not have a copy of a high school diploma, GED or CCCC certificate in the file. During interview the staff in charge stated she was aware of the regulatory violation and was addressing the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 8

General: Based on Review of Documentation, the posted food service permit reflected an expiration date of 12/31/11. During interview the staff in charge stated she was unaware that the food service permit had expired. 255 - Food preparation utensils 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 1) Sanitized In Compliance 2) Provided In Compliance 3) Used to Minimize Handling of Food In Compliance 256 - Refrigerator 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 1) Thermometer In Compliance 2) Safe environment In Compliance 3) 45 degrees or below In Compliance 257 - Frozen Food 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 1) Kept at zero degrees or below In Compliance 2) Thawed at refrigerator temperatures In Compliance 3) Thawed under water In Compliance 4) Quick thawed In Compliance 5) Thawed according to food safety standards In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 32 of 39 Web site: http://chfs.ky.gov/ Inspection Report 258 - Food Contact Items 922 KAR 2:120 - Section 8 (7) Equipment, utensils, and surfaces contacting food shall be: (a) Smooth; (b) Free of breaks, open seams, cracks, and chips; (c) Accessible for cleaning; and (d) Nontoxic. 1) Equipment smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 2) Utensils smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 3) Food contact surfaces smooth, free from breaks, open seams, cracks and chips, accessible for In Compliance cleaning, and nontoxic 259 - Kitchen Equipment clean and sanitary 922 KAR 2:120 - Section 8 (8) The following shall be clean and sanitary: (a) Eating and drinking utensils; (b) Kitchenware; (c) Food contact surfaces of equipment; (d) Food storage utensils; (e) Cooking surfaces of equipment; and (f) Nonfood contact surfaces of equipment. 1) Eating and drinking utensils In Compliance 2) Kitchenware In Compliance 3) Food contact surfaces of equipment In Compliance 4) Food storage utensils In Compliance 5) Cooking surfaces of equipment In Compliance 6) Nonfood contact surfaces of equipment In Compliance 264 - Meals Required 922 KAR 2:120 - Section 9 (3) The child-care center shall serve: (a) 1. Breakfast; or 2. A mid-morning snack; (b) Lunch; (c) A mid-afternoon snack; and (d) Dinner. 1) Breakfast In Compliance 2) Mid-morning snack In Compliance 3) Lunch In Compliance 4) Mid-afternoon snack In Compliance 5) Dinner In Compliance 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 1) Prepared In Compliance 2) Dated In Compliance 3) Posted In Compliance 4) On File In Compliance 5) Substitutions noted In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 33 of 39 Web site: http://chfs.ky.gov/ Inspection Report 266 - Breakfast Requirements 922 KAR 2:120 - Section 9 (5) Breakfast shall include: (a) Milk; (b) Bread; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk In Compliance 2) Bread In Compliance 3) Fruit/Vegetable/Juice In Compliance 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk ** Must select two from the list In Compliance 2) Protein ** Must select two from the list In Compliance 3) Bread ** Must select two from the list In Compliance 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance 268 - Lunch/Dinner Requirements 922 KAR 2:120 - Section 9 (7) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d) 1. Two (2) vegetables; or 2. A fruit and one (1) vegetable. 1) Milk In Compliance 2) Protein In Compliance 3) Bread In Compliance 4) 2 Vegetables or Fruit and Vegetable In Compliance 269 - Food Requirements 922 KAR 2:120 - Section 9 (8) Food shall be: (a) Clean; (b) Free from: 1. Spoilage; 2. Adulteration; and 3. Misbranding; (c) Safe for human consumption; (d) Withheld from service or discarded if the food is hermetically sealed, nonacidic, or low-acidic food that has been processed in a place other than a commercial food-processing establishment; (e) Obtained from a source that is in compliance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217; (f) Acceptable if from an established commercial food store; (g) Served in a quantity reflecting the developmental stage of the child with additional portions provided upon request of the child; and (h) Protected against contamination from: 1. Dust; 2. Flies; 3. Rodents and other vermin; 4. Unclean utensils and work surfaces; 5. Unnecessary handling; 6. Coughs and sneezes; 7. Flooding; 8. Drainage; and 9. Overhead leakage. 1) Clean In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 34 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) Free from Spoilage In Compliance 3) Free from Adulteration In Compliance 4) Free from Misbranding In Compliance 5) Safe for human consumption In Compliance 6) No homemade food In Compliance 7) Source approved by Public Health In Compliance 8) Commercial Food Store In Compliance 9) Appropriate quantity/Additional portions In Compliance 10) Protected from contamination In Compliance 270 - Food Storage 922 KAR 2:120 - Section 9 (9) Food shall be stored on: (a) Clean racks; (b) Clean shelves; (c) Other clean surfaces; or (d) If maintained in a sanitary condition, food in nonabsorbent containers may be stored on the floor. 1) Food stored on clean racks, shelves, or other clean surfaces In Compliance 2) Food stored in nonabsorbent containers on the floor if maintained in a sanitary condition In Compliance

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

General: Based on observation, the room was extremely dark during nap time as the children were unable to be seen by the staff or the surveyor in the room. During interview the staff in the room and the staff in charge acknowledged that the room was so dark that they were unable to see any of the children lying on cots or any of the areas around the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation to verify that a yearly parent activity had been conducted or parent newsletter was provided. During interview the staff in charge stated she was unaware that documentation was to be provided for the yearly parent activity. Employee Records 17 - Submission of background checks timely/Left alone 922 KAR 2:090 - Section 5 (2) A director, employee, volunteer, or any person with supervisory or disciplinary control over or having direct contact with a child shall submit to a background check; and (a) May be employed or work with a child on a probationary basis for up to ninety (90) calendar days, pending completion of a: 1. Child abuse or neglect check described in 922 KAR 1:470; and 2. Criminal records check required by KRS 199.896(19); and (b) Shall not be left alone in the presence of a child if each required background check has not been completed. 1) 90 day period In Compliance 2) Child Abuse and Neglect In Compliance 3) CRC In Compliance 4) Left alone In Compliance 18 - Background check/Termination 922 KAR 2:090 - Section 5 (3) Upon completion of a child abuse or neglect check or criminal records check, described in subsection (2)(a) of this section, a licensee shall discharge immediately a director, employee, volunteer, or any person: (a) Whose name is listed on the central registry established by 922 KAR 1:470; or (b) Who has been convicted of a crime defined by KRS 17.165(1) through (3). 1) Name on central registry In Compliance 2) Conviction In Compliance 102 - Staff Training Record 922 KAR 2:110 - Section 3 (7) A written record of training participation for each child-care center staff person, to include: (a) The training source; (b) Location; (c) Date; and (d) Number of clock hours completed; 1) Training Source In Compliance 2) Location In Compliance 3) Date In Compliance 4) Clock Hours In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the file for a staff (DOE: 11/24/11) did not contain documentation of a high school diploma, GED, or Commonwealth Child Care Credential. The staff in charge acknowledged the finding, stating that the staff was home schooled.

Open Not marked corrected in the state record

Open / not marked corrected.