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

General: Based on review of documentation, including the review of the Early Care and Education- Training Records Information System (ECE-TRIS), the following information was revealed at the time of review. 1. One (1) staff member (DOH: 08/30/24) failed to complete fifteen (15) hours of cabinet-approved training during the last review period. 2. One (1) staff member (DOH: 11/29/23) did not have verification that she/he completed training on first aid and cardiopulmonary resuscitation (CPR) within ninety (90) days of hire. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a current negative tuberculin (TB) test result or a statement from a healthcare professional verifying that two (2) staff members (DOH: 08/07/24 and 08/30/24) were free from active TB were 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 enrollment information presented for a child (DOE: 11/29/23) failed to contain a name of an active hospital for the family's preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff in charge failed to present a current fire marshal report on the day of the inspection. The document presented for review was dated 04/18/18. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: A staff member's (DOH: 06/15/23) record did not contain verification that the required first aid and cardiopulmonary resuscitation (FA/CPR) training had been completed. Review of the Early Care and Education Training Records Information System (ECE-TRIS) supported this information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation during the inspection, the following were found: 1) A staff member's (DOH: 11/23/20) record did not contain verification that the staff member completed fifteen (15) hours of cabinet-approved early care and education training. The staff member only completed six (6) hours of training during the training year of 07/01/22 to 06/30/23. 2) A staff member (DOH: 06/14/23) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 06/01/21. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report revealed the staff member’s pediatric abusive head trauma training expired on 06/01/21. 3) A staff member (DOH: 11/30/22) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 03/14/22. Review of the ECE- TRIS data system revealed that the staff member’s training expired on 03/14/17. 4) A staff member's (DOH: 06/15/23) record did not contain verification that the required six (6) hour orientation training had been completed on the day of the inspection. Verification of completion was also not found in ECE-TRIS. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was paint and drywall chipping off the ceiling, leaving a hole in the ceiling within the toddler 2 room, on the day of the inspection. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was an orange riding toy shaped like a car that was missing a steering wheel, leaving sharp jagged edges on the play equipment. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, three (3) children’s records (DOE: 12/11/23, 12/11/23, and 12/11/23) listed a non-existing hospital. Therefore, a preferred hospital was not 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 9. Records.

General: Upon request, a professional development plan was not presented for review on the day of the inspection for two (2) staff members (DOH: 11/30/22 and 11/23/20). Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to maintain an up-to-date employment status for each employee in KARES. In KARES there were staff members who no longer work at the facility who were listed as current staff. In addition, two current staff members who were listed as separated in KARES. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation, one infant in the Infant 1 classroom and one infant in the Infant 2 classroom were asleep in their cribs with cords attached to their pacifiers. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator in the Infant 1 classroom was reading 50 degrees Fahrenheit on the thermometer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child enrolled on 8/2/22, did not have physician contact information on file at the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, thirty-two (32) children were present on 11/16/21 but only twenty-nine (29) children had an arrival time documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 02/19/2022 AND AS OF 03/30/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, a caregiver hired 11/23/20, had no proof they completed six (6) hours of orientation training within the first three (3) months of their employment. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, surveyor observed on 11/16/21, four (4) infants slept with a blanket in the individual crib in the infant/toddlers' room. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, two (2) gray seats were broken on the red and blue five (5) cycle merry-go-round located on the outdoor playground. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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, a child enrolled 04/06/21, had an immunization valid until 10/05/21.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, first date of attendance on 02/28/20, enrollment information did not include the phone number to enable the person in charge to contact the child’s physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the staff member with the hire date of 05/01/2013 had met the requirement of updating the pediatric abusive head trauma training. The certificate had expired on 01/07/2019. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. 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, the door knob leading into the infant classroom was loose and not securely connected to the door. Continued review revealed the beige wall in the two year-old classroom had areas where the paint had peeled away. The area carpets located in the two-year-old and preschool classrooms had several spots with black stains. The blue area carpet in the school-age classroom was unkept with debris on the carpet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the school age room revealed splintering wood at the bottom of an unfinshed board, which was nailed to the wall near the right of the door frame.

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 regulatory requirements. Observation of the second toilet in the bathroom revealed the toilet lid and seat were not secured to the toilet. 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed broken glass in several areas throughout the play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. 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 regulatory requirements. Observation of the playground revealed screws on the ground near the building, to the left of the fence.

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 the premises in accordance with regulatory requirements. Observation revealed numerous bottles labeled as Fabuloso sitting on a table in the Front Preschool Room. An aerosol can of Big Gap Filler was sitting on the ledge of the Puppet Area. A gallon can of green paint was sitting on a table in the preschool area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the restroom revealed a light fixture containing two (2) bulbs that failed to be covered. Adjacent to the light fixture was a vent which was dangling down from the hole in which it belonged. A hole approximately 2 inches by 3 inches was observed in the front Toddler II room and was approximately 12 inches up the wall from the floor making the hole accessible to children. The Toddler II room also contained debris on the floor .

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 regulatory requirements. Based on observation in the school age room, the ceiling contained two (2) holes for ventilation which failed to contain the vent. A wall in the school age room was missing a section of baseboard. An exterior door was framed with wooden 2x4's which contained bolts, staples and a large nail protruding from the unfinished wood. In the entry area, a half wall failed to be finished displaying drywall with pieces missing and crumbling onto the floor. Also observed was dry wall dust on the infant floor.

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 regulatory requirements. Based on a thermometer reading, the water temperture was in excess of 120 degrees Fahrenheit.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation a toilet in the bathroom revealed the toilet was missing a lid, allowing the toilet to be closed. Hygienic Practices Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area. Observation of the playground revealed the play area was not completely surrounded, as the complete front of the area which was approximately 60 feet wide failed to be enclosed by a fence. The rear fence was not complete, allowing for children to walk out of the area both through the area adjacent to a single family home or by the open section allowing for exit down the side of the building. Approximately 20 feet of the fence was approximately 18 inches up from the ground allowing for a child to fit underneath.

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 outside play area in accordance with regulatory requirements. Upon entering into the play area from the building, an excess of broken and splintered glass was scattered throughout the playground. A piece of white plastic and a large piece of blue plastic, an empty pack of cigarettes and other debris were also found throughout the playground. A large nail approximately one inch long was protruding out from a fence post.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, the playground failed to be in good repair. Remnants of two (2) wooden posts were sticking up from the asphalt creating a tripping hazard. One side of the fence had three(3) missing slats, and one (1)broken slat. One of the posts of the fence contained a large nail protruding approximately one inch. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain the equipment in accordance with regulatory requirements. A review of documentation revealed seven (7) assembled cribs and one (1) unassembled crib in the Infant room. The cribs displayed a manufacturing date prior to 6/28/11. A document verifying compliance with the Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220 was submitted; however, there were no identifying factors to correlate the cribs to the letter of compliance. Food Service In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the girls' restroom revealed a crack in the toilet seat base. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 01/24/2018 AND AS OF 04/13/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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.

Based on observation, the child care center director failed to assure compliance with regulatory requirements in regards to the staff in charge. During complaint survey, observation of the center revealed one staff member and one child present. The staff member present stated she did not have access to any employee files due to being kept up by director. Therefore, the staff in charge was unable to fulfill the duties of the director in the director's absence.

Open Not marked corrected in the state record

Category: recordkeeping. 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. The center failed to ensure that all staff were free from active tuberculosis in accordance with regulatory requirements. Review of staff files and interview revealed that the staff members with hire dates of 5/14/15 and 5/1/13 did not have a current/up to date statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for three (3) staff members hired 5/14/15 5/1/13 and 10/12/15. Interview with owner/director revealed the staff members have not completed the PAHT yet. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the completion of snack service revealed animal crackers, water, used container of grape cranberry juice cocktail and an empty container of apple juice. Review of documentation revealed the grape cranberry juice cocktail and apple juice were not one hundred percent (100%) juice. Interview with the child care center director revealed she was unaware that the grape cranberry juice cocktail and apple juice were not one hundred percent (100%) juice.

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 childcare center failed to comply with regulatory requirements. Review of employee records revealed an employee hired on 4/19/16 had a criminal record check completed on 4/13/16 documenting a guilty verdict for a felony drug charge on 7/13/15. Interview with the director revealed that the individual was a van monitor and that the criminal record was reviewed; however the felony drug conviction in 2015 was not recognized as a factor in prohibiting employment with the childcare center. Continued interview with director revealed that the individual had not reported to work since 7/1/16 and coupled with the new awareness of the requirement related to the criminal record, the individual would not be permitted to remain employed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the childcare center director failed to assure compliance with regulatory requirements. Review of employee records revealed that a current evaluation was not submitted for review for an employee hired on 1/13/15. Interview with the director revealed that current written evaluation had not been completed and was not available for review at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the childcare center failed to maintain employee records in accordance with regulatory requirements. Review of records revealed employees hired on 7/19/16, 7/18/16 and 5/26/16 failed to have a criminal record check submitted in a timely manner. Interview with the director revealed that the employees had been recently hired and a criminal record check had not yet been submitted at the time of the inspection. The identified employees were not observed working alone with children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 6 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the childcare center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed an employee hired on 4/19/16 had a criminal record check completed on 4/13/16 documenting a guilty verdict for a felony drug charge on 7/13/15. Interview with the director revealed that the individual was a van monitor and that the criminal record was reviewed; however the felony drug conviction in 2015 was not recognized as a factor in the requirement to discharge the individual from employment with the childcare center. Continued interview with director revealed that the individual had not reported to work since 7/1/16 and coupled with the new awareness of the requirement related to the criminal record, the individual would not be permitted to remain employed.

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 childcare center failed to maintain employee records in accordance with regulatory requirements. Review of records revealed employees hired on 6/15/16 and 1/13/15 did not submit a current statement from a health care professional stating that the individuals were free from active TB at the time of the inspection.

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 childcare center failed to maintain employee records in accordance with regulatory requirements. Review of ECE TRIS records and employee records revealed that employees hired on 1/13/15 and 5/4/15 did not have documentation to verify that the individuals had completed the required fifteen (15) hours of early care and education training during the previous year of employment. Interview with the director revealed that additional documentation was not available to present for verification at the time of the inspection.

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 childcare center failed to comply with regulatory programming requirements. Observation in the Infant Room revealed three (3) of the four (4) cribs with resting infants in them, also contained toys 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 4. Premises Requirements.

General: Based on Observation, and interview, the childcare center failed to maintain the premises in accordance with regulatory requirements. Observation of the Toddler Room revealed an exterior door that while closed, continued to provide exposure to the outside elements and an opportunity for entrance of vermin around the gaping door frame. Interview with the director revealed that the door served as an emergency exit and even though she had an awareness of the failure to protect the opening, she was not aware that measures could be taken to close the gap between the door and the door frame.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed that there was not a shaded area of play provided for infants or toddlers. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of records and interview, the childcare center failed to comply with regulatory requirements regarding transportation. Observation in the 2006 Ford Van revealed multiple car seats and booster seats. Interview with the director revealed that the car seats and booster seats observed were used by children on a daily basis. Review of documentation on the car seats and booster seats revealed that one (1) booster seat had a warning statement which read, “Do not use after December 13, 2015”. Interview with the director revealed that she had not been aware that the car seats and booster seats had expiration dates prior to the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed that there failed to be adequate ventilation to outside air.

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 observation, the childcare center failed to maintain written documentation in accordance with regulatory requirements. Review of the daily attendance record revealed twenty-two (22) children signed into care. Observation of the childcare center revealed twenty-nine (29) children in attendance. Based on review of records and observation, seven (7) children failed to have their time of arrival and attendance documented at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, it was determined that the center failed to comply with regulatory requirements regarding general administration. Observation on 10/14/14 at approximately 7:30 p.m. revealed the director working directly with the children in a school-age classroom, assisted by a second staff member, with four (4) children present. During an interview with the director on 10/14/14, the director stated that she was aware she was under investigation by DCBS because a CPS worker contacted her by phone and visited the center regarding a child abuse allegation against her. Additionally, the director acknowledged that she was working directly with children because she stated that she was advised by her attorney that she could work with the children, which is why she would also be transporting the children home as the van driver for the evening van route. Director Requirements

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, and interview, it was determined the director failed to comply with regulatory requirements regarding the health, safety and comfort of the children. On 9/26/14, observation revealed that the van was sitting in the parking lot in front of the building until approximately 2:25 p.m. At that time, two (2) staff members were observed escorting four (4) children into the van. At approximately 2:30 p.m. the driver was observed placing the van in reverse and starting to back out of the parking space when she was stopped by the surveyor. Once the van was stopped, four (4) children were observed on the van. Two (2) of the children were observed in individual seatbelts and the remaining two (2) children were observed seated in one (1) seat, belted together by one (1) seatbelt. During an interview with the driver on 9/26/14, she stated that she was aware the two (2) children were secured by one (1) seat belt because “that’s just how they do”. Additionally on 9/29/14, observation revealed at approximately 4:30 p.m., the driver was observed placing the van in reverse and starting to back out of the parking space when she was stopped by the surveyors. Once the van was stopped, eight (8) children were observed on the van. Seven (7) children were observed securely fastened in individual seatbelts, while one (1) child was observed without a seatbelt securely fastened. During an interview with the driver on 9/29/14, she stated that she ensured all of the children had their seatbelts securely fastened; however, the one (1) child that did not must have unbuckled his own seatbelt. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically CPR/First aid coverage. Observation revealed on 9/26/14 and 9/29/14 the same driver and monitor solely present both days on the vehicle with the children. Review of documentation revealed the center failed to provide documentation for review at time of survey verifying current CPR and First Aid certification for neither the driver hired 6/2/14 nor the monitor hired 7/22/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically providing seatbelts for each occupant. On 9/26/14, observation revealed that the van was sitting in the parking lot in front of the building until approximately 2:25 p.m. At that time, two (2) staff members were observed escorting four (4) children into the van. At approximately 2:30 p.m. the driver was observed placing the van in reverse and starting to back out of the parking space when she was stopped by the surveyor. Once the van was stopped, four (4) children were observed on the van. Two (2) of the children were observed in individual seatbelts and the remaining two (2) children were observed seated in one (1) seat, belted together by one (1) seatbelt. During an interview with the driver on 9/26/14, she stated that she was aware the two (2) children were secured by one (1) seat belt because “that’s just how they do”. Additionally on 9/29/14, observation revealed at approximately 4:30 p.m., the driver was observed placing the van in reverse and starting to back out of the parking space when she was stopped by the surveyors. Once the van was stopped, eight (8) children were observed on the van. Seven (7) children were observed securely fastened in individual seatbelts, while one (1) child was observed without a seatbelt securely fastened. During an interview with the driver on 9/29/14, she stated that she ensured all of the children had their seatbelts securely fastened; however, the one (1) child that did not must have unbuckled his own seatbelt.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding transportation. Observation revealed on 9/29/14, the vehicle used to transport children was observed from approximately 4:12 p.m.-4:30 p.m. During that time, the driver was seen escorting five (5) children into the building from the vehicle and five (5) children out of the building onto the van. Observation revealed during the time the driver was escorting children, a monitor was observed in the front passenger seat and three (3) children remained on the vehicle for the duration of the observation. Additionally the vehicle's engine remained on with the key in the ignition for the duration of the observation. During the interview with the driver and monitor, both admitted that the vehicle's engine remained on without the driver in the seat; however, the monitor stated that she thought the engine could remain on if the monitor was in the front.

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 regulatory programming regulations. Based on observation during the walk-through conducted at the center on 09/11/14, an infant was observed sleeping with her head on a folded blanket and a loose blanket was lying in the crib along with a diaper bag. Premises

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 maintain the premises in accordance with regulatory requirements. Based on observation a staff member's purse was hanging from a doorknob in the classroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/

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 and interview with the Director, the Child Care Center failed to comply with regulatory requirements.The current child abuse policy states “report immediately to the site director any instance of suspected child abuse or neglect”. The center’s current policy does not meet the minimum standard of the procedure to inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030. The Director revealed she was not aware of the change.

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 with the Director, the Child Care Center Director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for staff with the hire dates of 04/26/2013 and 05/07/2013 Interview with the Director revealed she could not locate a current copy of the evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the Director, the Child Care Center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff with the hire date of 01/02/2014 did not contain a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Interview with the Director revealed she was not aware that TB test was no longer current.

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 with the Director, the Child Care Center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member with the hire dates of 04/26/13 and 05/07/13 revealed that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was not met.Interview with the Director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the Child Care Center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for employee with the hire date of 06/02/2014 did not contain an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the Director, the Child Care Center failed to maintain the premises in accordance with regulatory requirements. Observation of the girls restroom revealed the baseboard trim was missing and had exposed concrete that was cracked and had a rough surface. Interview with the Director revealed she was not aware of the missing trim. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the Director, the Child Care Center failed to comply with the regulatory requirements regarding first aid/and or medication. Observation of the first aid supply kit revealed no working flashlight. Interview with the Director revealed she was unaware of the batteries were not working.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the Child Care Center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the infant room revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational.

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 with the director, the child care center failed to maintain children's records in accordance with regulatory requirements. Based upon review of documentation of the children’s records it was revealed that the following child with the enrollment date of 09/25/2013 did not contain a current immunization certificate. Interview with the Director revealed she was not aware of the missing documentation.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the Director, the Child Care Center failed to maintain written documentation in accordance with regulatory requirements. Review of the policies provided the Child Care Center did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Interview with the Director revealed she was unable to provide an orientation policy.

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, and interview with the Director, the Child Care Center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills detailing the children who participated in accordance with 922 KAR 2:120, Section 3; since August of 2013. The Director was unaware of the requirement.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the Director,the Child Care Center failed to maintain written documentation in accordance with regulatory requirements. Review of the centers earthquake/tornado drills revealed no drill have been conducted since December of 2013. Interview with the Director revealed she had not documented the drills. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child-care center failed to post documenation in accordance with regulatory requirements. The Child Care Center did not post the statement of deficiency issued by the cabinet on a site visit on 1/29/2014 in a conspicuous place and make available for public inspection,further observation revealed the center did not have a posting of information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. The Director revealed she was not aware of the requirement. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to maintain minimum staff-to-child ratios in the following instances: 1. Observation revealed at approximately 9:20 a.m. one staff member was observed standing at the building entrance looking out of the doorway for approximately five minutes, no children were observed with the staff member. At approximately 9:30 a.m. a different staff member came to the building entrance to open the door for the survey. Upon entry into the building, surveyor verified a total of eight children (ages infant-two) sitting in the hallway at the back of the building, with only two supervising staff members, including the staff member that opened the door for the survey and the staff member that was observed earlier looking out of the doorway. 2. At approximately 10:20 a.m., one staff member was left alone with eight children (ages infant- two) while the assisting staff member stocked supplies for the building such as papertowel, toilet paper and soap. At approximately 10:30 a.m. a third staff member arrived.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was determined the director failed to provide for the health, safety and comfort of each child. Observation revealed the following: 1. A one-year old child was observed sitting in a high chair, while a staff member lifted the high chair with the child still in it and transported the child and high chair from the hallway into a classroom on two separate instances. 2. An infant was observed in a bouncy seat, while a staff member lifted the bouncy seat with the child still in it and transported the child and bouncy seat from the hallway into a classroom on two separate instances. 3. A plunger was discovered in the boy's bathroom and accessible to children. 4. A smoke detector was observed continuously beeping for the duration of the survey in the school-age play area adjacent to the kitchen.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on record review, it was determined the center failed to request a CAN check for a staff member hired 1/7/14. Observation revealed at approximately 9:20 a.m. one staff member was observed standing at the building entrance looking out of the doorway for approximately five minutes, no children were observed with the staff member. At approximately 9:30 a.m. a different staff member (hired 1/7/14) came to the building entrance to open the door for the survey. Upon entry into the building, surveyor verified a total of eight children (ages infant-two) sitting in a hallway at the back of the building with only two supervising staff members, including the staff member (hired 1/7/14) that was alone with the children for approximately five minutes, while the other staff member was looking out of the doorway entrance of the building.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide a statement from a health care professional stating the two individuals with the following hire dates are free from active TB: 11/1/13 and 1/7/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined that the center failed to have at least one staff member present with infant and adult CPR/First Aid training. Observation revealed only two staff members in the building alone with eight children for approximately one hour. Review of staff files revealed no documentation existed verifying infant and adult CPR/First Aid training for either staff member observed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation verifying the completion of the six hour state orientation training within 90 days of employment for two staff members with the following hire dates: 10/17/13 and 5/17/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to post a plan of daily programming or lesson plan in the three's/four's classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined a child was made to wait for a prolonged period of time while restrained in a highchair. Observation revealed at approximately 9:30 a.m. a one year old child was observed sitting in a highchair with no food or activity, in a hallway with seven other children. The child was transported while still in the highchair to the computer room to wait for the remaining children to finish using the bathroom. The child was not removed from the highchair until approximately 20 minutes later when all of the children went to the two's/three's classroom from the computer room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to include an electronic viewing device as part of the planned program. Observation revealed all of the children (ages infant-two) watching a television program in the two's/three's classroom, however the television program was not included in the daily schedule or lesson plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to keep the following inaccessible to children: 1. Observation revealed an unlocked closet in the computer room containing the majority of the center's cleaning supplies. 2. Observation revealed a bottle of hand sanitizer labeled "keep out of reach of children" on the sink in the two's/three/s classroom.

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 review of documentation, it was determined the center failed to maintain a minimum of 35 square feet per child. Observation revealed eight children (ages infant-two) in the two's/three's classroom with two supervising staff members. Review of the DRCC floor plan of the building revealed classroom 3, (currently the two's/three's classroom) licensed capacity is only seven children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to keep the ceiling in good repair. Observation revealed two ceiling tiles in the three's/four's classroom above the art area were water-damaged.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, it was determined the center failed to maintain the temperature of an inside area between 65 to 75 degrees Fahrenheit during the winter. A test of the internal classroom temperature for said classroom revealed that the temperature in the room was 58 degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined a staff member failed to wash hands upon arrival at the center.

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, it was determined the center failed to provide a CPR mouthpiece protector within the first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to hold an infant while feeding a bottle. Observation revealed an infant was sitting in a bouncy seat in a hallway with seven other children upon surveyor's arrival. The infant was transported while still in the bouncy seat from the hallway to the computer classroom to wait for the other children to finish using the bathroom. While in the computer room the infant was given a bottle to drink in the bouncy seat; observation revealed the infant having difficulty trying to hold the bottle to drink and the staff member failed to assist the infant in holding the bottle for the infant.

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, it was determined the center failed to provide documentation of a procedure that states the procedures taught in state orientation training shall be implemented by each child care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to post a schedule of daily activities in the two's/three's classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to post the proper methods of diapering in the changing area of the infant room. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, upon arrival at approximately 10:30 a.m., three preschool age children were being cared for with two twenty-month-old children by one staff member in the infant classroom. Interview with the staff in charge revealed that the children were cared for together in the infant classroom since 9:00 a.m. Review of the daily attendance records revealed that both toddlers and two of the preschool age children were present at 9:00 a.m. Therefore, toddlers were being cared for with older children for more than one hour. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a very large plastic lawn bag containing a small amount of material in comparison to the size of the bag was accessible to the children in classroom #3.

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, multiple ceiling tiles throughout the center showed signs of water damaged, evidenced by large stains.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no liquid soap in the girls' restroom.

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 interview, no fire drills have been conducted during the three months that the center has been opened. Therefore, there was no documentation of drills.

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, no fire drills have been conducted in the three months that the center has been opened.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no staff schedule available upon request.

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, upon the arrival of the surveyor at 8:10 a.m., there was one staff member caring for five children. Interview with the staff member revealed that breakfast was due to be served and that she would be the staff member serving breakfast. The staff member further stated that a second staff member was not due to arrive until 9:00a.m. Review of the posted daily schedule revealed that breakfast was scheduled to be served from 7:30 to 8:30a.m. Observation revealed breakfast was not served until 8:35a.m by the sole staff member present. Therefore, there was not an adequate amount of staff to maintain ratios while the staff member entered the kitchen to gather breakfast.

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 smoke detector located in classroom #1 was not functioning properly as it beeped approximately every thirty seconds. Also, a phone jack outlet was not properly secured to wall and was loosely hanging from the wall in classroom #1. Based on observation in the infant classroom, the crockpot used to warm bottles was sitting on top of a refrigerator next to the changing table. The crockpot was even with the diaper changing surface and was approximately four inches away from the changing table.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no proof of education presented for review verifying that two staff members have earned a high school diploma, G.E.D, or CCU. The hire date of the referenced staff members are 07/01/13 and 07/30/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no current document presented for review verifying that a staff member with the hire date of 07/01/13 was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation upon the arrival of the surveyor, there was one staff member caring for five children. Review of the staff member's file revealed that the sole staff member present did not have first aid or CPR certification. Interview with the referenced staff member confirmed that she is not currently certified in first aid or CPR. Further review of staff files and the staff schedule revealed that there is no first aid or CPR coverage from 6:00a.m to 9:00a.m and again from 4:00p.m. to 12:00a.m. Further interview with the staff in charge revealed that a floater who has the required certifications is present during the evening hours. The floater's work schedule was not documented on the provided written schedule. 330 - Adequate Substitute(s) Discussed 922 KAR 2:110. Section 5. Staff Requirements. (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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 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 5. Staff Requirements.

General: Based on interview, the staff in charge confirmed that the identified substitutes do not have all qualifying documentation on file. The identified substitutes are pending the completion of background checks. 340 - Training Not Applicable 922 KAR 2:110. Section 5. Staff Requirements. (14) In accordance with KRS 199.896(15) and (16), 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 of cabinet-approved early care and education training within the first year of employment, including one and one-half (1 ½) hours of pediatric abusive head trauma training; and (c) Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment, including one and one- half (1 ½) hours of pediatric abusive head trauma training completed once every five (5) years. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet training chair containing urine was located in the girls' restroom. Therefore, the toilet training seat was not emptied and sanitized promptly.

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 interview, medication has regularly been administered to a child with the written consent of the parent. Further interview revealed that the signed consent forms could not be located and presented for review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, medication has regularly been administered to a child with the written consent of the parent. No administration log was available for review. Interview with the staff in charge revealed that the administration logs have been returned to the parent.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the milk that was served to the preschool and school age children was 2% milk. Therefore, the regulatory requirement of serving pasteurized low fat 1% or fat free skim milk to children above the age of two-years-old was not met.

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 breakfast that was served consisted of poptarts and milk. Therefore, the fruit/vegetable component was not served.

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 posted menu stated that the planned lunch would consist of salsbury steak, green beans, peaches, and milk. Therefore, the required bread component was not included on the menu. Children's Records

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, review of ten children's files revealed no authorization for emergency medical treatement for seven children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the times of departure were not consistently documented. There were five children present upon the arrival of the surveyor, one of which left while the surveyor was still present. There were six children signed in with times of arrival denoted. Therefore, the times of departure for the child who left in the presence of the surveyor and another child who left prior to the surveyor arriving were not documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.