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

General: Based on review of documentation and interview, the personnel file for one (1) staff member (DOH:02/17/22) did not contain a current written statement from a health care provider stating that the staff member was free of active tuberculosis or a negative tuberculin result. The document that was presented for review was dated 03/23/22.

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: Cafeteria 1) There were several brown stains on the ceiling tiles, indicative of water damage. 2) A ceiling tile located above a television was broken in multiple areas.

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 during the inspection, the following was found: Boys Bathroom 1) The water temperature measured one hundred twenty-seven (127) degrees Fahrenheit. Girls Bathroom 1) The water temperature measured one hundred-forty (140) degrees Fahrenheit.

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, five staff members' (DOH: 02/08/24, 03/17/16, 03/01/06, 03/01/06, and 03/02/06) personnel files did not contain a current statement from a health care professional that the staff members were free of active tuberculosis, or a copy of a negative tuberculin results at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two staff members (DOH: 06/28/24 and 02/08/24) did not complete the required cabinet-approved six (6) hour orientation training within ninety (90) days of employment. 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 3. General Requirements.

General: Based on observation of the second hallway bathroom, one bottle of Purell Disinfectant and one can of Lysol Disinfectant was accessible to children through an unlocked handwashing sink vanity. The warning labels stated, “Keep Out of Reach of 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, a corner of an air vent was partially attached to the ceiling in the Ones and Twos Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, ceiling tile contained a brown stain, indicative of water damage, in the Ones and Twos Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: First Hallway Bathroom 1) The hot water temperature measured over one-hundred and twenty (120) degrees Fahrenheit. Second Hallway Bathroom 1) The hot water temperature measured over one-hundred and twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Threes, Fours, and Fives Room 1) A wooden bench with a vinyl seat contained a large crack, and the inside absorbent material was exposed. Ones and Twos Room 1) Two adult size gliders contained peeling vinyl, and the inside absorbent material was exposed. Transportation Not Applicable 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 of the kitchen, the oven contained a black burnt substance throughout. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, a child’s enrollment record (DOE: 10/04/23) did not contain a preferred hospital and a family physician. 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 11. Staff Requirements.

General: Based on interview and review of documentation, the childcare center failed to present a verification of current records of Pediatric Abuse and Head Trauma (PAHT) training for staff persons hired on 03/01/2006, 03/02/2006, and 03/01/2006. A review of ECE-TRIS supports this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the Threes/Fours classroom, one (1) bottle of Purell Professional Surface disinfectant solution was located in the children's play standing sink. The item was accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, ten (10) children with enrollment dates on 12/08/2019, 12/09/2019, 01/29/2018, 06/14/2021, and 10/07/2021 did not have information on file to enable the person in charge to contact the child's preferred hospital and seek emergency medical care for the child in the parent's absence. The child with an enrollment date of 10/07/2021 also did not have information on file to enable the person in charge to contact the child's physician. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, an annual written performance evaluation for a staff member hired 03/02/06 was not available for review. 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, four (4) staff members hired 02/17/20, 03/01/06, 03/02/06 and 03/07/16, completed nine (9) hours of annual training from 07/2021 to 06/2022, and a staff member hired 03/01/06 completed ten (10) hours of annual training from 07/2021 to 06/2022. 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 2. Child Care Services.

General: Based on observation and interview on 07/13/22, seven (7) children listened to a variety of music from 9:15 am until approximately 11:00 am in the Toddlers classroom. Twenty-five (25) children ate lunch while they listened to music in the Dining 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 and interview on 07/13/22, seven (7) children listened to a variety of music from 9:15 am until approximately 11:00 am in the Toddlers classroom. The music was not part of their planned program activities in the Toddlers classroom. 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 and interview, brown water stains were visible on the ceiling and ceiling vent in the two-year-old children's classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1) Five (5) children did not wash their hands with liquid soap and warm, running water after they ate breakfast in the dining room. 2) Fifteen (15) children did not wash their hands with liquid soap and warm, running water after they ate lunch in the dining room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service 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, the following was found: 1) Two (2) children enrolled on 06/14/2, and 03/29/22 did not have a preferred hospital listed in their enrollment information. 2) Two (2) children enrolled on 04/01/13 and 03/29/22 did not have the phone number for their physician listed in the enrollment information. 3) Three (3) children enrolled on 03/29/22, 08/23/19, and 03/17/22 did not have allergy information listed on their enrollment form(s). Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 03/02/06 did not have her professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

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: A review of documentation revealed a fire marshal inspection dated 4/2/2018. Interview with the staff in charge revealed a more current inspection document was not available at the time of the survey. The inspection document stated it had been provided as a "good faith inspection". Therefore, current compliance with the State Fire Marshal laws could not be verified. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal recurring staff meetings had been conducted, managed and documented. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal annual staff evaluations had been conducted on staff members assessing each staff member's interaction with children in care and classroom performance. Interview with the staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 outdoor play area in accordance with regulatory requirements. Observation of the play area revealed trash around the play equipment including cellophane, a styrofoam cup, and a snack bag. The playground also contained pieces of equipment not in use such as a basketball goal, not set up for play and failing to contain a net. The play area appeared to be used for storage for a large blue dollie, a large black metal frame with wheels, and other large pieces and parts of equipment.

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. Observation revealed a large, unstable wooden structure containing rusty screws protruding out from the structure. A yellow climbing structure had a quarter size damaged area with very sharp metal edges exposed. Metal braces used to secure the climbing structures to the ground were not flat to the ground and created tripping hazards. In interview, the staff in charge acknowledged the aforementioned items.

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. Based on observation, multiple climbing structures failed to have any protective covering beneath the structure. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment. In the outdoor play area, multiple climbing structures revealed excessive amounts of peeling paint which was accessible to the children. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with food service requirements. Observation revealed an infant being fed a bottle while in a walker type structure and not held by the staff member.

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 child care center failed to comply with food service requirements. Observation revealed several cans of formula on a shelf in the infant room. Interview revealed that staff members measure the forumula to be put in the bottles, failing to be prepared by the parent. Children's Records In Compliance Written Documentation 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a current evacuation plan in the event of a fire, natural disaster or other threatening situation that may pose a health or safety hazard to a child. The emergency preparedness plan posted revealed a date of 4/1/2019. Interview with the staff in charge revealed a more current plan was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain written documentation. A review of attendance records for 4/26/2021 revealed the number of children signed in and out for the day was not representative of the number of children observed in the center. Interview with the staff in charge revealed the attendance record did not accurately reflect the attendance of the day.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation. A review of documentation failed to reveal a written annual plan for child care staff professional development. Based on interview with staff in charge the documentation was not available at the time of the survey.

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 child care center failed to maintain written documentation. Based on a review of documentation, the children participating in the tornado, eathquake and fire drills failed to be documented. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with emergency regulations. 922 KAR 2:415e states: Machine washable toys shall not be used. Multiple machine washable toys were observed throughout the center including a baby doll with washable clothers lying in the lobby, a Cabbage Patch doll in the Infant room, and a brown and white stuffed animal in the school age room. Additionally, 922 KAR 2:415 states: Children and adults shall be screened for fever and contagious symptoms upon entry into the child care facility. Observation revealed the surveyor's temperature failed to be assessed upon entry into the center. Also, the emergency regulations state: Each adult shall wear a face mask while in the center. Observation revealed multiple incidents where staff members failed to have a facial covering over their nose and mouth repeatedly.

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: Upon request, the staff in charge did not present verification that the records for employees with the hire dates of 08/04/2019 and 01/23/2020 contained a copy of a negative tuberculosis test or a statement from a health provider indicating that the staff member is free of active tuberculosis. 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: Observation revealed an infant sleeping in the crib with a pacifier that contained an attachment. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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: Observation of the playground revealed a garden hose laying on the ground, creating a a potential tripping hazard. Continued observation revealed an open bag of potting soil accessible to the children. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation in the infant room revealed an infant sleeping in a crib with a sheet that had excessive material. Therefore, the sheet was not tight-fitted to the mattress. 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 8. General.

General: Upon request, the staff in charge did not present verification that a copy of job descriptions had been maintained for the assistant director and director.

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 provide verification that the daily attendance record for 02/06/2020 had accurately reflected the children's sign in and out times. Seven (7) children departed for school, but was not documented as signed out on the attendance report.

Open Not marked corrected in the state record

Category: recordkeeping. 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 an annual plan for staff professional development had been completed for nine (9) of the nine (9) employees. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the staff in charge did not present verification that a daily activity plan had been completed to reflect the current week for the infant, pre-school and school- age classrooms. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for five (5) staff members hired 3/1/06, 9/1/15, 3/7/16, 3/2/06 and 3/2/15. Interview with director revealed an evaluation had not been completed for the staff members.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed the director failed to coordinate at least one (1) annual activity involving parental or family participation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 1/25/19. Interview with director revealed she needed to obtain proof of education for this staff member.

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 regulations. Review of staff files on 2/15/19 revealed the statement of negative tuberculin result on file for seven (7) staff members hired 3/1/06, 9/1/15, 12/12/16, 3/7/16, 3/2/06, 3/2/15 and 3/1/06 were no longer current as they were dated 8/26/16, 12/12/16, 12/27/16, 2/25/16, 9/30/16, 10/27/16 and 9/30/16. Interview with director revealed current documentation was not on file at the time of survey.

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 regulations. 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 one (1) staff member hired 12/12/16. Continued review of staff files revealed two (2) staff member hired 9/1/15 and 12/12/16 had not received Pediatric Abusive Head Trauma training PAHT. Interview with director revealed this documentation was not on file at the time of survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory programming requirements. Review of documentation in the Three’s classroom on 2/15/19 revealed the daily planned program of activities was not current as it was dated for August 2018. Continued review of documentation revealed in the School Age classroom and in the Two’s classroom no daily planned program of activities was posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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 comply with regulatory programming requirements. Observation of the Infant classroom revealed an infant sleeping in a crib with a blanket, which was not tucked and secured and was draped loosely over the child. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Three’s classroom revealed the teacher's purse and personnel belongings were placed on a chair in the back of the classroom, accessible to children. Continued observation revealed in the Two’s classroom plastic bags were located on a shelf accessible to 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 and interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Two’s classroom revealed (1) full ceiling light was not operational in the classroom. Continued observation revealed that in the Girl’s bathroom the ceiling light was not shielded or shatterproof. During interview, the director acknowledged the deficiency.

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, the child care center failed to maintain the premises in accordance with regulations. Observation of the School Age classroom revealed twelve (12) children were present in the classroom. Review of DRCC records revealed the aforementioned room allowed for thirty-five square feet of space for only eight (8) children as documented on the center’s floor plan.

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 of Infant classroom revealed several areas where paint was chipping and peeling from the walls and door leading into the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant changing area revealed an infant’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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant changing area revealed a staff member changed an infant’s diaper, then touched other children and several items, but did not wash her hands with liquid soap and running water after the diaper change.

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 Infant changing area revealed a staff member failed to sanitize the diapering surface after changing a child’s diaper. 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed litter was scattered around the inside perimeter of the play area. This included several plastic cups, bags of trash and empty cans. During interview, the director acknowledged the litter in the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to maintain equipment in accordance with regulations. Observation of the Infant classroom on 2/15/19 revealed three (3) cribs in the classroom that were manufactured on 8/25/10. Review of documentation revealed verification that the cribs met the Consumer Product Safety Commission standards was not presented for review at the time of survey. Interview with director revealed this documentation 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the School Age classroom revealed twelve (12) children lying on cots, which were placed immediately adjacent to one another, with no space in between the cots.

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 Three’s classroom revealed a toy microwave in the classroom had a broken door on the front that was hanging loose.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the outside play area revealed several metal play structures that had paint chipping and peeling from their exteriors. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant classroom revealed an infant in a walker drinking a bottle: therefore, the child was not held while being given a bottle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

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. Observation of the center kitchen revealed the only access to outside air located in the kitchen was a metal door that was not screened. Continued observation revealed a staff member walked an infant through the kitchen during the survey.

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 comply with regulatory requirements regarding food service. Observation revealed the center failed to have a working thermometer or other appropriate temperature-measuring device in the freezer used to store children’s food. Interview with the director revealed acknowledgement of the 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, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the exterior of the stove was soiled with a buildup of a sticky substance and the inside of the stove door was soiled with a brownish buildup/stain.

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, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed four (4) bottles in the mini-refrigerator were not individually labeled.

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 review of documentation and interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation on 2/15/19 revealed the posted menu was no longer current as it was dated the week of 2/4/19. Continued review of documentation and interview with director revealed the director posted a current menu during the course of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of children's files failed to reveal contact information to enable a person in charge to contact the child's physician for children with enrollment dates of 06/13/17 and 11/21/17. Further review failed to reveal a preferred hospital for a child enrolled on 11/21/17. Additionally, children with enrollment dates of 07/02/18 and 07/25/13 failed to have a written record completed and signed on the first day the child attended the child care center. 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 regulations. Review of documentation on 2/15/19 revealed the evacuation plan presented for review at the time of survey was no longer current as it was dated 3/31/17. Interview with director revealed the plan had not been updated.

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 child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 2/15/19 revealed on the day of 2/15/19 twenty-five (25) children had been signed in but thirty (30) children were present at time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. 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 a written annual plan for child care staff professional development was not presented for review at the time of survey for five (5) staff members hired 3/1/06, 9/1/15, 3/7/16, 3/2/06 and 3/2/15. Interview with director revealed a staff professional development plan had not been completed for these staff members. 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 child care center failed to maintain an outdoor play area in accordance with regulations. On the playground, there were several tiny pieces of paper and a few pieces of litter on the ground, and a very long PVC pipe was lying on the ground next to the building.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. 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 12/12/16. The owner/director revealed an evaluation had not been completed for this staff member. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. A high school transcript was presented for review at the time of survey for a staff member hired 9/1/15; however, the document was not entirely legible, and the document failed to clearly identify a graduation date or an official stamp indicating the staff member had graduated. The owner/director revealed this was the only documentation available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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 regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 3/27/17. The owner/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 2:090 · 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 regulations. The documentation of six (6) hours of cabinet-approved orientation presented for review at the time of survey for two (2) staff members hired 3/27/17 and 4/3/17 revealed the orientation was completed on 2/2/18 and 1/31/18, respectively; therefore, the staff members failed to complete the orientation within the first three (3) months of employment. The director acknowledged the orientation was not completed within regulatory timeframes. The Pediatric Abusive Head Trauma (PAHT) training documentation presented for review at the time of survey for the director hired 3/1/06 and three (3) staff members with hire dates of: 3/1/06, 3/2/06, and 3/2/15 revealed the director and the aforementioned staff members completed the PAHT on 1/19/13, which is over five (5) years ago. The owner/director acknowledged the PAHT had not been completed since 1/19/13 for herself and the aforementioned staff members. 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 child care center failed to maintain the premises in accordance with regulations. In the Infant and Toddler Room, there was a small, brown water stain on two (2) ceiling tiles. In the School-Age Room, there was a brown water stain on one (1) ceiling tile.

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 and interview, the child care center failed to maintain the premises in accordance with regulations. In the School-Age Room, one (1) ceiling light panel was severely cracked. The owner/director acknowledged the light panel was cracked.

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, review of documentation, and interview, the child care center failed to maintain the premises in accordance with regulations. At 11:05am, there were ten (10) children ages two-years-old to five-years-old in the School Age-Room. Review of DRCC records revealed the aforementioned classroom only allows for eight (8) children based on the thirty-five (35) square feet of space per child regulatory requirement. The owner/director acknowledged there were ten (10) children in the room at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the front entrance of the center, there was a long, visible crack across two (2) ceiling tiles and one (1) ceiling tile was visibly bulging downward out of the frame. In the Three-and-Four-Year-Old Room, the paint was peeling around the edges of several ceiling tiles. In the Two-Year-Old bathrooms, there was a small hole in the ceiling where the ceiling vents were installed. In the Two-Year-Old Room, there was a long crack across the ceiling on one side of the room. In the kitchen, one (1) floor tile was broken. 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. On the playground, the protective surface surrounding the two (2) small slides failed to sufficiently cover the ground. The owner/director acknowledged the protective surface surrounding this equipment was inadequate.

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. On the playground, a small, but visible piece of wood was missing from the bottom of one of the wooden boards on the fence. The owner/director acknowledged the small hole in the fence. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to maintain equipment in accordance with regulations. In the Three-and-Four-Year-Old Room, the top edge of the large, black toy bucket was cracked. On the playground, the surface coating and edging on the semi-circular table was not in good repair. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulations. In the Infant and Toddler Room, four (4) toddlers were not served milk with their lunch. The owner/director and staff members acknowledged the children were not served milk. 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: 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 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 owner/director acknowledged this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records from 2/13/18 – 2/22/18 revealed several children were not signed in and several children were not signed out on the DCC-94E form.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. A current 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 12/12/16. The owner/director revealed a professional development plan had not been completed for this staff member. Posted Documentation In Compliance Animals Not Applicable

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. The area rugs located in four (4) of six (6) classrooms appeared soiled with black stains. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. At 10:40 a.m., a staff member was in the process of changing an infant’s diaper on the changing table located in the hallway, adjacent to the restrooms. The changing table did not contain a padded surface. 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 the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The Fisher Price small slide located on the playground, did not contain sufficient protective surface underneath the slide. The area located underneath the slide had exposed rock and dirt on the ground covering.

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. The playground located behind the child care center revealed there was a broken wooden slate, on the gate door, which was splintered and had a jagged edge on the bottom, which was accessible to the children. 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 4. Premises Requirements.

General: Based on Observation and interview the child care center failed to maintain equipment in accordance with regulatory requirements. The storage lockers, located in the three to four-year-old classroom revealed there were more than one child sharing a storage bin. Interview with the staff present in the classroom revealed that siblings share the lockers. Therefore, the children were not provided separate storage areas. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

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 regulatory requirements. The stove located in the kitchen revealed the inside of the oven contained a build-up of charred food debris on the bottom surface. 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 regulatory requirements. Upon request the director did not present verification that the records for the children with the enrollment dates of 08/19/2013, 05/04/2015, 04/04/2016 and 06/07/2016 contained information listing a preferred hospital. Contained review revealed the record for the child with the enrollment date of 10/11/2016 did not contain any medical information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director did not present verification that procedures to ensure implementation of parent and children’s rights had been maintained. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of the Two-Year-Old Room upon surveyor’s arrival revealed six (6) children ages three-years-old to four-years-old lying down at rest-time without any adult supervision in the room from 1:31pm-1:32pm. 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 4. Director Requirements and Responsibilities.

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 revealed the childcare center was unable to verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for the employees with the hire dates of 03/01/2006, 03/02/2006 and 04/04/2011 had been completed. Interview with the director revealed she was in the process of addressing.

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, Observation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the employee with the hire date of 03/01/2016 revealed the center could not verify that the criminal record check (CRC) had been completed. Observation revealed the staff with the hire date of 03/01/2016 was working alone from 09:35 a.m. to 10:25 a.m. with six (6) children ranging in age from three to four. Continued observation revealed at 10:25 a.m. an additional child was signed in to the three to four year room, therefore the staff was working alone with seven (7) children from 10:25 a.m. to 11:00 a.m. Interview with the director revealed she was not aware the backgrounds check needed to updated.

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, Observation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the employee with the hire date of 03/01/2016 revealed the center could not verify that the criminal record check (CRC) had been completed. Observation revealed the staff with the hire date of 03/01/2016 was working alone from 09:35 a.m. to 10:25 a.m. with six (6) children ranging in age from three to four. Continued observation revealed at 10:25 a.m. an additional child was signed in to the three to four year room, therefore the staff was working alone with seven (7) children from 10:25 a.m. to 11:00 a.m. Continued review revealed the center was unable to verify that a current child abuse or neglect check (CAN) or criminal record check (CRC) had been completed for the staff member with the hire date of 09/01/2015. Review of documentation revealed the child abuse check (CAN) and criminal records check (CRC) had been ran on 12/11/2014, however the staff was not hired until nine (9) months later on 09/01/2015. Therefore there was not a current Child Abuse or Criminal records check on file. The staff was not observed working alone. Interview with the director revealed she was not aware that she had not completed the checks per regulations.

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 programming requirements. Based on review of the documentation in the one to two year old and the three to five year old classroom it was revealed that the daily activity of programming was not posted in writing in a conspicuous location with each age group of activities that are individualized and developmentally appropriate for each child served. Interview with the director revealed she was not aware the information was not posted.

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 with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the one to two-year old classroom it was revealed that several toys that were not maintained according to the manufacturer's safety specifications; the batteries were non-operational. The director revealed she was not aware of the issue.

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 and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation in the kitchen it was revealed the stove had a buildup of grease and splattered food on top of the stove and inside the oven. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: nutrition. 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. Observation of the Two-Year-Old room revealed an employee hired 3/2/15 to be working alone in the room with five (5) children at the start of the survey approximately 9:30 am. The staff member was still alone at the ending time of the survey at approximately 12:35pm. Review of staff files revealed an employee hired 3/2/15 not to have a current Criminal records check and Child abuse or neglect check (CAN) on file for review at the time of the survey. Interview with director revealed she was unaware she needed to run current Criminal records check and Child abuse or neglect check (CAN) on the employee. Director revealed this person had been a substitute in the past for the center and has just returned and become a full time employee.

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 director failed to assure compliance with regulatory requirements. Observation of the Two-Year-Old room revealed an employee hired 3/2/15 to be working alone in the room with five (5) children at the start of the survey approximately 9:30 am. The staff member was still alone at the ending time of the survey at approximately 12:35pm. Review of staff files revealed an employee hired 3/2/15 not to have a current Criminal records check and Child abuse or neglect check (CAN) on file for review at the time of the survey. Interview with director revealed she was unaware she needed to run current Criminal records check and Child abuse or neglect check (CAN) on the employee. Director revealed this person had been a substitute in the past for the center and has just returned and become a full time employee.

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. Review of staff files revealed an employee hired 3/2/15 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal at least one person on duty and present with school age children whom is currently certified in Adult cardiopulmonary resuscitation and First aid training.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that three (3) employees with the hire dates of 3/1/06, and 3/2/06 failed to have fifteen (15) hours of cabinet approved early care and education training.

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 regulatory programming requirements. Observation of the Infant room revealed an infant sleeping in a crib with a ball and rattle. Further observation revealed an infant in a crib with a rattle and loose blanket.

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 the premises in accordance with regulatory requirements. Observation of the School-Age room revealed one (1) light that was very dim and five (5) light bulbs that were not working at the time of the survey. Observation in the Two-Year-Old room revealed a light cover in the back of the room to be cracked. Observation in the Cafeteria revealed a small lamp with a non-protected regular light bulb to be on a high chair. Observation of the back door revealed blankets to be hanging across the top of the door which indicated the back door was not sealed properly. Interview with director revealed the blankets were to help seal the door. She was aware and in the process of addressing the issue.

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 the premises in accordance with regulatory requirements. Observation of the Infant room revealed a vent in the ceiling to be open with no protective covering. Continued observation revealed four (4) cracked and peeling ceiling tiles, and one (1) ceiling tile with brown water spots. Further observation revealed the intake vent to have a dust build up on it. Observation of the Two-Year-Old room revealed five (5) ceiling tiles to be cracked and peeling. Observation of the Four-and-Five-Year-Old room revealed an intake vent taped to the wall which had dust build up, a ceiling vent which had dust build up, and cobwebs hanging from the ceiling to the lights. Observation of the girls and boys bathroom revealed some vinyl flooring that was cracked and missing in places. Interview with the director revealed she was aware of the issue and in the process of addressing 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 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 sinks in the girls bathroom, boys bathroom and kitchen sink revealed the thermometer to register the water temperature at 129 (one hundred twenty nine) degrees Fahrenheit.

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 equipment in accordance with regulatory requirements. Observation of the outdoor playground revealed a Red Barrel playing apparatus by the door to have anchors which had become unsecured from the ground and were exposing screws.

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 equipment in accordance with regulatory requirements. Observation of the Infant room revealed one (1) crib with pink bedding to have a mattress with a pad underneath it. Continued observation revealed one (1) crib in the corner to have two (2) mattresses in it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the hallway revealed green mats used for rest time to have rips and tears causing them to not be in good repair. Interview with the director revealed she was aware of this and in the process of addressing it.

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 regulatory requirements. Observation of the outdoor playground revealed a Red Barrel playing apparatus located on the left side of the playground, next to the race car to have red peeling paint exposing blue paint.

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, the child care center exceeded 35 square feet per child. Observation of the 3-4 year old classroom revealed five children in care. Review of DRCC records revealed that the 3-4 year old classroom measures for a maximum of 3 children to allow the children 35 square feet per child.

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 floors and ceilings were not in good repair. Observation of the girls' bathroom revealed several places on the linoleum that was pulled up and no longer attached to the floor. Continued observation of the center revealed numerous water spots on the ceiling in the toddler classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center did not maintain the toilet to be good repair. Observation of the boys restroom revealed a large food can that was catching leaking water from the toilet tank. Hygienic Practices

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 diapering surface was not free of holes or tears. Observation of the changing pad in front of the restrooms revealed tears and rips.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the refrigerated food was not being kept at a temperature of forty degrees Fahrenheit or below. Observation of the thermometer in the refrigerator revealed that the refrigerated food is being stored in a refrigerator that registered at 45 degrees Fahrenheit. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 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 8. Kitchen Requirements.

General: Based on Observation, the frozen food was not being kept at a temperature of zero degrees Fahrenheit or below. Observation of the thermometer in the freezer revealed that the frozen food is being stored in a freezer that registered at 20 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 Observation and Interview, the center prepares bottles with formula that was provided by the parent. Observation of the infant classroom revealed that there were no prepared bottles in the refrigerator and on top of the refrigerator was three cans of powder formula. Interview with infant room staff revealed that the parents bring bottles with water, but the staff measure the formula and prepare the bottles.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center did not obtain all required enrollment information on the first day of enrollment. Review of enrollment forms revealed that a child with the enrollment date of 01/20/2009 did not have emergency medical authorization on file for review. 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 Observation and Review of Documentation, the child care center failed to maintain accurate attendance records. Observation of the center on 02/27/2014 revealed that 16 children were in attendance. Review of attendance sheets revealed that only 9 children were signed into the center.

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 and Interview, the child care center did not maintain a current staff schedule. Review of the staff files revealed that two staff members on the staff schedule were no longer employed at the center. Interview with the staff in charge confirmed that the two staff members listed on the schedule no longer work at the center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 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 Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interview with multiple staff members confirmed that a school aged child had frequently left the school age area and entered the infant classroom where she often retrieved her baby sister and exited the infant classroom with her sister. Further interview confirmed that a toddler exited her programming area and entered another programming area without the knowledge of her teacher. 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 Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, one staff member was observed caring for ten children, ranging in age from one to four-years-old, alone in the dining area for up to six minutes. A second staff member was identified as also being responsible for the referenced group of children. However, the second staff member did not remain in the room with the children, leaving only one staff member to care for them. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, toddlers were cared for with older children for the duration of the day. Interview revealed that one-year-old children were cared for with two-year-old children during the entire day. Premises

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 Interview, eleven children slept in the school age classroom. Review of the center's file in the DRCC office revealed that the referenced school age classroom allowed for thirty-five square feet of space for eight children. Therefore, the center failed to provide thirty-five square feet of space per child.

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, neither of the two restrooms had working ventilation systems. Outdoor Play Area

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, there was no documentation presented for review verifying adequate liability coverage for the new location.

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, multiple cut wires were hanging near a doorway inside of the School Age classroom. Also, the television in the School Age classroom was too large for the ledge that it was placed on and was approximately 4 1/2 feet off of the ground. Based on observation in the library area, the carpet contained a ripped seamed that expanded the full width of the area. Based on observation in the Infant classroom, the door to the classroom was approximately six inches above the ground and presented an entrapment hazard. Premises

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 furnace was located in a locked storage room that contained an excessive amount of stored items, that posed a fire hazard, such as cardboard and paint cans.

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 cafeteria area there were two ceiling tiles that were sagging and no longer secured. There was a large crack in the ceiling in the Fours classroom. Multiple areas of the walls in the School Age classroom were not smooth or in good repair. Also, the door jams in the Threes room and the Fours room contained areas of splintered wood, which also creates a safety hazard.

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 no equipment on the playground that was appropriate for school aged children. The metal structures that were on the playground were not anchored. Also, a large collapsable basketball goal was stored on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, no Food Service Permit was presented for review for the new location.

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, the thermometer located inside the refrigerator measured the temperature of the refrigerator as being 50 degrees Farhenhiet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

2: Based on observation, there were thumb tacks on the changing table that were accessible to children and could pose a choking hazard. School Age: Based on observation, above the exit sign, the ceiling appears as if it may collapse into the classroom. Around the door, the floor is very dirty due to the water gathering and may pose a health hazard to a child. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 42 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: 2: Based on observation, there was Lysol and two types of hand sanitizer accessible to the children next to the changing table. All the forementioned items have the label that reads "keep out of reach of children." 4) Plastic bags Not In Compliance Findings: 2: Based on observation, there was a plastic bag containing teaching supplies on the floor next to the changing table. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry Not In Compliance Findings: School Age: Based on observation, water was coming from the ceiling tiles and falling onto the floor. 6) Lights good repair Not In Compliance Findings: School Age: Based on observation, light fixture covers appear to be loose in several areas and could fall down. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

2: Based on observation, the diapering surface is a play mat on a table that can not be disinfected. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 42 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

2: Based on observation, the proper methods of diapering and hand washing are not posted within the classroom. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Infant: Based on observation, in the infant room there was a window air conditioning unit that was not properly vented out of a window. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 7) Personal belongings of staff Not In Compliance Findings: Infant: Based on observation, in the middle classroom there was a staff member's purse sitting on a toy box bench within reach of children. General Premises 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 2) Summer Temperature sixty-eight to eighty-two Not In Compliance Findings: General: Based on observation, the temperature of the building was at least 83 degrees and the air conditioner was not working properly. 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 Food Service - Classroom 261 - Bottles 922 KAR 2:120 - Section 8 (10) Bottles shall be: (a) Individually labeled; (b) Promptly refrigerated; and (c) Covered when not in use. 1) Individually labeled Not In Compliance Findings: Infant: Based on observation in the infant room there were four (4) bottles that were not properly labeled with a child's name. 2) Promptly refrigerated Not In Compliance Findings: Infant: Based on observation in the infant room, there was one (1) unrefrigerated bottle of infant formula on the table. 277 - Parent provided formula/breast milk 922 KAR 2:120 - Section 9 (16) A parent who provides formula or breast milk to the center for the child shall prepare the liquid and label its container. 2) Labeled In Compliance Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 1) Identification Information Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her identification information available upon request. 2) Parent Contact Information Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her parent contact information available upon request. 3) Physician Contact Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her physician contact information available upon request. 4) Designated Pick-up Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her designated pick-up information available upon request. 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her medical information available upon request. 2) Emergency Authorization Not In Compliance Findings: General: Based on review of documentation, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her emergency authorization information available upon request. 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 2

General: Based on observation in the infant/toddler room there was one staff with seven (7) children, the youngest was six (6) weeks old. Observation in the age two (2) to age six (6) classroom revealed that there was one staff with 11 children. 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 Employee Records

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on record review, a staff member hired on 4-30-12 did not have verification of a high school diploma, GED or Commonwealth Care Credential on file.

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 record review, a staff member hired on 4-30-12 did not have a negative TB skin test or physician's statement on file. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Infant: Based on observation, a two-year-old child enrolled 10-24-11 was enrolled in the infant/toddler room and spending the entire day in that classroom with the infant children. Premises - Classroom

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, a child enrolled on 10-24-11 did not initially have her file on the center premises, and did not have her immunization certificate available upon request. Written Documentation

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 (1)

General: Based on review of documentation, there was not a document available for review verifying that an employee with the hire date of 3/1/06 was free of active tuberculosis. 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 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 2) Type II Not Applicable 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 In Compliance 2) 9 hours-first year 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. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, eight (8) employees with the hire dates of 3/1/06, 3/1/06, 3/1/06, 3/1/06, 3/1/06, 3/1/06, 3/1/02, and 6/1/07 failed to complete fifeteen (15) hours of cabinet approved training during their last full year of employment. 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 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 2

General: Based on observation, the personal information regarding a child's vaccination history was not kept confidential as it was posted on the wall in front of the office.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Twos: Based on observation, six (6) sleep mats were not free from holes, rips, or tears. Preschool: Based on observation, at least seven (7) of the twenty-four (24) cots were torn and tattered on the edges of the mesh. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 39 Web site: http://chfs.ky.gov/ Inspection Report 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

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, there was no current immunizatation certificate available for review for one (1) child with the enrollment date of 2-11-08.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.