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

General: Based on review of documentation the following was found: 1) The file for a child (DOE: 06/14/22) did not contain a preferred hospital. 2) The file for two (2) children (DOE: 07/29/21 and 09/01/20) listed the name of a non-existing hospital; therefore, an operating preferred hospital was not listed. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the lock down drill was not conducted during the first and second quarters of 2023. Interview with the staff in charge confirmed the findings. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the center, an accumulation of dust was on the exhaust fan in the first restroom, located on the right of the hallway. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The file for a child (DOE: 01/22/2014) did not contain a current immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. The immunization certificate in the child’s file was valid until 08/31/2021. 2. The file for a child (DOE: 09/01/2020) did not contain a current immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. The immunization certificate in the child’s file was valid until 09/12/2021.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 04/19/2021) file did not contain contact information to enable a person in charge to contact the preferred hospital. 2. A child’s (DOE: 01/23/2017) file did not contain contact information to enable a person in charge to contact the preferred hospital. 3. A child’s (DOE: 01/22/2014) file did not contain contact information to enable a person in charge to contact the preferred hospital. 4. A child’s (DOE: 01/22/2014) file did not contain contact information to enable a person in charge to contact the preferred hospital. 5. A child’s (DOE: 08/11/2021) file did not contain contact information to enable a person in charge to contact the preferred hospital. 6. A child’s (DOE: 07/29/2021) file did not contain contact information to enable a person in charge to contact the preferred hospital. 7. A child’s (DOE: 02/14/2021) file did not contain contact information to enable a person in charge to contact the preferred hospital. 8. A child’s (DOE: 09/01/2020) file did not contain contact information to enable a person in charge to contact the preferred hospital. During interview, staff verified that the forms were changed and the new form did not contain a preferred hospital. 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 observation, the attendance records of the center were kept outside on the porch. The information was kept outside the center with no one monitoring unless a child entered or left the center; therefore, the center failed to maintain the confidentiality of the children’s information. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the records for the three (3) children with the enrollment date of 11/14/2019 contained information listing a preferred hospital, physician,pick up list and emergency authorization. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the KARES report listed an individual as eligible not employed who was determined to be eligible for employment on 5/22/19. Interview with the director revealed that the individual has been working at the child care center since 6/24/19. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented documentation revealed three (3) staff members with hire dates 6/25/18, 1/23/17 and 7/27/17 whose file did not contain a current annual evaluation. Upon request, the owner did not present a current evaluation for the aforementioned staff members 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 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 regulatory requirements. Review of the presented employee records revealed a staff member with hire date 6/24/19 whose file did not contain a high school diploma, GED or qualifying educational documentation from a comparable educational entity. Upon request, the owner did not present educational documentation for the aforementioned staff member 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 12/1/10 whose file did not contain a current statement from a health professional that she was free of active tuberculosis. Upon request, the owner did not present a current statement for the aforementioned staff member 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. 1) Review of the presented employee records revealed two (2) staff members with hire dates 12/1/10 and 6/25/18 whose file did not contain documentation to verify recent completion of the one and one-half (1 ½) hours of pediatric abusive head trauma. 2) Review of the presented employee records revealed a staff member with hire date 7/27/17 whose file did not contain documentation to verify completion of the nine (9) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the nine (9) hours of cabinet training. Upon request, the owner did not present training documentation for the aforementioned staff members at the time of the survey. 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 regulatory requirements. The light cover over the fluorescent light bulbs in the overflow room was cracked at the time of the 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) Both the toilets located in the first bathroom were not secured to the floor at the time of the survey. 2) The toilet located in the second bathroom was not secured to the floor. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There were several tree branches hanging over and into the outdoor play area at the time of the survey. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) The blinds in the window located in the Infant Room were broken. 2) There was a red and pink chair located in the Infant Room that was stained/dirty at the time of the survey.

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. 1) There were two (2) red and yellow ride in toys located in the outdoor play area that were missing the door. 2) There was a red sit in trike located in the outdoor play area that was missing the steering wheel. 3) A portion of the wood on the second step from the bottom that was attached to the wooden sliding set located in the outdoor play area was broken off exposing the nail. 4) The white picnic table located in the Infant/Toddler outdoor play area had missing/chipped paint on the wooden table and wooden bench. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a green bottle located in the mini-fridge in the Infant Room that was not labeled at the time of the survey. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented documentation revealed three (3) staff members with hire dates 1/23/17, 9/28/17 and 7/27/17 whose file did not contain a current annual professional development plan. Upon request, the owner did not present a current annual professional development plan for the aforementioned staff members at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

General: Based on review of documentation, interview and observation, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of documentation revealed a staff member hired 6/25/18 failed to have documentation verifying a submission of fingerprints to NBCP. Interview revealed the staff in charge was unaware of the requirements of the new regulations regarding processing new hires. Observation revealed the staff member hired 6/25/18 was not working alone in the center but was present with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, 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 one (1) staff member hired 11/9/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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. 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 6/25/18. Interview with staff in charge revealed she needed to obtain proof of education for the 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 revealed two (2) staff members hired 6/25/18 and 1/1/18 failed to have records of negative tuberculin result on file or a statement from a health professional. Interview with staff in charge 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 2:090 · 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 three (3) staff members hired 8/30/16, 1/23/17 and 11/9/16. Continued review of staff files revealed one (1) staff member with a hire date of 8/30/16 had not completed state approved orientation training. Interview with staff in charge revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a Kentucky Driver History Record was not presented for review at the time of survey for the driver hired 9/29/17. Interview with staff in charge revealed this documentation was not available for review at the time of survey. Programming In Compliance 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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of three-four classroom revealed a several areas where paint was chipping and peeling on the classroom walls. Observation in the kitchen revealed paint was peeling from the ceiling. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

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 hygienic practices in accordance with regulations. The center failed to keep all toilet training chairs out of reach of other toilets or toilet training chairs. Observation of the center bathroom revealed three (3) training chairs within reach of each other as well as the toilet. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the three-four classroom revealed two (2) black rugs that had torn and frayed edges. Continued observation revealed on the center playground a white wooden table was broken exposing several nails. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed a written policy that documents the emergency procedures practiced monthly by staff that transport children was not presented for review. Interview with staff in charge revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records revealed documentation of the daily inspection of the child care center van was not presented for review at the time of survey. Interview with staff in charge revealed this documentation was not available for review at the time of survey. Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation 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 records for four (4) children enrolled 1/22/18, 11/20/17, 9/21/17 and 1/15/18 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Continued review of children’s files revealed the written record for two (2) children enrolled 9/21/17 and 1/15/18 failed to contain information from the child’s parent authorizing the center to seek medical attention in case of an emergency for the aforementioned children. Interview with the staff in charge revealed she needed to obtain this information. 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 on 6/27/18 revealed the day of 6/27/18 thirty-three (33) children had been signed in; however, thirty-six (36) 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, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for one (1) staff member hired 11/9/16. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center director failed to assure compliance with regulatory requirements. Interviews with staff revealed children between the ages of three (3) and four (4) years old were told, by a staff member, if they spit on people outside of the center they could/would be killed. Programming In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files revealed a staff member with a rehire date of 01/23/17 failed to have results from a CRC contained in the file. The staff in charge could not locate a CRC that had been processed after the staff member's re-hire date, upon request at the time of the survey. 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 6. License Issuance.

General: Based on review of documentation, the child care center failed to assure compliance with regulatory requirements. A review of documentation failed to reveal an approval of a staff member designated as director on approximately 10/31/16. Staff in charge could not provide verifying documentation when requested during the survey. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of documentation revealed staff members with hire dates of: 12/01/10, 10/31/16, 8/17/12, 12/1/10, 8/30/16 and 1/23/17 failed to have documentation of negative tuberculin results, or a written statement from a health care professional stating the individual is free of tuberculosis. Upon request, the staff in charge could not locate the documentation,

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files revealed that staff member with hire dates of 8/17/12, failed to have documentation of fifteen (15) cabinet approved hours in the file. Upon request, the staff in charge could not locate the documentation. Additionally, a staff member with a hire date of 08/17/12 failed to have documentation showing completion of pediatric and head trauma training. Upon request, the documentation could not be located. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 accordance with regulatory requirements. Observation revealed a large area rug containing the alphabet, was heavily soiled and stained. Transportation 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 the food service in accordance with regulatory requirements. Observation revealed an infant in a rocking sling, was consuming the contents of a bottle that was propped with a blanket.

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 the food service in accordance with regulatory requirements. Observation in the Infant room revealed two (2)uncovered bottles located in the refrigerator. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation during the lunch service revealed the children over the age of two (2) years were served 2% milk. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of sign in and out sheets revealed numerous parent signatures verifying the week's attendance was depicted, prior to the completion of the week. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. A review of postings failed to reveal the most current statement of deficiencies issued by the cabinet regarding the most current annual inspection, and the most recent plan of corrections submitted to the cabinet. The Statement of Deficiencies posted was dated 7/29/15; therefore, it was not the most current. The civil money penalty notice issued by the cabinet on 12/22/16, also failed to be posted in a conspicuous place and made available for public inspection. Animals 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. Observation of the kitchen freezer revealed the thermometer registered twenty (20) degrees Fahrenheit at the time of the survey.

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. Review of ten (10) children’s files revealed two (2) of the files did not contain authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Continued review revealed a child with the enrollment date 7/11/16 did not contain the following: 1. The name and phone number of each person to be contacted in an emergency situation, 2. Family physician, 3. Parents preferred hospital information, 4. Signed written child’s record, 5. Child’s written record retained on file the first day the child attended the child care center. Interview with the director revealed she was unable to locate the documents 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 5. Evacuation Plan.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation presented for review revealed the child care center did not have a current evacuation plan. Continued review of the evacuation plan revealed it was dated for 8/23/16. Interview with the staff in charge revealed she was unable to locate an up dated evacuation plan at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented child care center policies and procedures did not reveal a written orientation procedure at the time of the survey. Interview with the staff in charge revealed she was unable to locate the document 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 2. General.

General: Based on Review of Documentation, and Interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of documents posted revealed the information on the Kentucky Consumer Product Safety Program was not posted in a conspicuous place. Interview with the staff in charge revealed she was unable to locate the document at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch service in the two-year-old room revealed three (3) children requested additional portions of food from staff members. A staff member responded to the children, you can’t have seconds until we make sure there is enough food for the other room. One of the children requested for a second time additional portions and was given the same response that the other room had to be served first to see if there was additional food. The staff in the two-year-old room had the children clean up the lunch plates and start preparing for rest time before the other room ever finished serving food to the children; therefore those who requested additional portions were not served additional food.

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 the back bathroom revealed a cracked ceiling. Observation of the front bathroom revealed six (6) holes in the ceiling. Observation of the kitchen revealed the ceiling was cracked in one area at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to comply with regulatory requirements. Review of presented documentation revealed the child care center did not present current liability insurance at the time of the survey. Interview with the staff in charge revealed she was unable to locate the documentation 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 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Review of presented staff files revealed the child care center did not have staff evaluations on file for two (2) staff members with the hire date 12/1/10 . Interview with the staff in charge revealed she was unable to locate the documents at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the two-year-old room revealed a staff member grabbed a little boy by one arm and lifted him out of the chair he was sitting in. The child made a face as if in pain while the staff member had the child suspended in the air by one arm.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the infant room revealed a staff member with hired 7/19/16 was the sole caregiver of three (3) children. Continued observation revealed a staff member that was standing in the science room to enter the infant room with the aforementioned staff member. Review of presented staff files revealed the staff member hired 7/19/16 did not have a child abuse and neglect (CAN) check on file for review at the time of the survey. Interview with staff in charge revealed the CAN was not on file for the staff member hired 7/19/16 that was the sole caregiver in the infant room with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the infant room revealed a staff member with hired 7/19/16 to be the sole caregiver of three (3) children. Continued observation revealed a staff member that was standing in the science room to enter the infant room with the aforementioned staff member. Review of presented staff files revealed the staff member hired 7/19/16 did not have a child abuse and neglect (CAN) check on file for review at the time of the survey. Interview with staff in charge revealed the CAN was not on file for the staff member hired 7/19/16 that was alone in the infant room. Review of staff files revealed a criminal records check not submitted by the end of the first day of employment for staff members with the hire dates; 6/20/16, 7/5/16, 2/25/16 and 5/26/16. Interview with the staff in charge revealed the staff members never worked alone with children until the criminal record check was completed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 6 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a criminal record check dated 5/9/16 for a staff hired 5/9/16. Continued review of the criminal record check revealed a felony drug charge with the original case filed on 12/30/12 in Jefferson County for the staff hired 5/9/16. Interview with the staff in charge revealed she was not aware of the felony drug charge on the criminal records. Continued interview with the staff in charge revealed she was unable to provide documentation that the charge was not a felony.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a staff hired 7/19/16 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the survey. Interview with staff in charge revealed she was unable to locate the document at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview , the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed three (3) staff members with the hire dates; 4/28/14, 5/9/16 and 7/19/16 did not have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey. Interview with the staff in charge revealed she was unable to locate the documentation 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, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed four (4) staff members did not complete Fifteen (15) hours of cabinet-approved early care and education training. Review of ECE TRIS report confirmed the training hours were not completed. Interview with the staff in charge revealed she was unable to locate the documents at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files for two (2) staff members who drive the van revealed the child care center did not have a current Kentucky driver history record for the two (2) drivers with the hire dates; 12/1/10 and 4/28/14. Interview with the staff in charge revealed she was unable to locate the documents at the time of the survey. Programming

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 the three-and-four-year-old room revealed soiled carpeting. Observation of the science room revealed soiled carpeting. Observation of the two-year-old room revealed a light cover not secured. Observation of the two-year-old room revealed soiled carpeting and chipping yellow paint.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two-year- old room revealed a child using cold water and not properly washing his hands. Interview with a staff member revealed she was unaware that children should wash their hands with warm running water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two-year-old room revealed a staff member throwing garbage away and touching the garbage can then serving food for lunch with no hand washing. Continued observation revealed a staff member helping clean up lunch food and then help children get on cots with no hand washing.

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 comply with hygienic practices in accordance with regulatory requirements. Observation of the diaper changing area in the infant room revealed a torn diaper changing pad exposing the inside absorbent material.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the two-year-old room revealed prescription butt ointment labeled for a child to be in another child’s cubby not in a locked place. Interview with the staff in charge revealed she was not aware that a prescription for a child was in another child’s cubby, not locked up. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a wooden platform with rotten wood. Continued observation revealed a screw protruding from the wooden platform at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the two-year-old room revealed bedding from a child’s cot to be spilling over and touching bedding on two (2) other children’s cots; therefore the bedding was not stored in a sanitary manner at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the three-and-four- year-old room revealed the following: 1. A frayed and raveling rug, 2. Soiled cloth toys, 3. Soiled bean bag. Observation of the science room revealed a soiled USA rug. Observation of the two-year-old room revealed the following: 1.Heavily soiled bean bag, 2. A rug with excessive debris, 3. Heavily soiled baby dolls, 4. A table with a blue vinyl covering that was torn. Observation of the one-year-old room revealed a soiled bean bag and a ABC rug with debris on it. Interview with the staff in charge revealed she was aware of soiled items in the child care center and was in the process of addressing it. Observation of the child care center van revealed the back driver side turn signal was not in working order. Continued observation revealed the back driver side brake light was not working at the time of the survey. Interview with the staff in charge revealed she was not aware the back turn signal and brake light was not working.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of presented documentation revealed the child care center did not have documentation of the monthly transportation evacuation drill practiced for June 2016. Interview with the staff in charge revealed she was unable to locate the documentation of the transportation evacuation drills conducted.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of presented documentation revealed the child care center did not have documentation of the daily inspection completed before the 7/1/16. Interview with the staff in charge revealed she was unable to locate the documentation of the daily inspection conducted before a trip on 7/1/16.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed there was no ventilation to outside air. Interview with a staff member confirmed there was not ventilation to outside air in the kitchen.

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 regulatory requirements. Observation of the refrigerator located in the infant room revealed a thermometer registered forty-five (45) degrees Fahrenheit.

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.

There were two visits made to the child care center 6/16/16 and 6/22/16. General: Based on Observation, and interview the child care center failed to comply with staffing requirements. Observation at 7:10 am on 6/22/16 in the three-and-four-year-old room revealed seven (7) children in care with one (1) staff member. At approximately 7:16 am another staff member entered the room bringing it in ratio. Interview with the staff member revealed the youngest age child in care was six (6) months old. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Review of DRCC records revealed a person listed as director. Interview with the listed director in DRCC documents revealed she has not been employed at the child care center since January 2016. Interview with the owner revealed the listed director has not been employed at the child care center for "some time". He was unsure of when the listed director left employment at the child care center. He stated a new director has been hired by the child care center as of 6/21/16. As of 07/11/2016, the newly hired director had not yet been approved by DRCC. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, The child care center director failed to assure compliance with regulatory requirements. Observation of the one-year-old room revealed an employee hired 6/6/16 to be working alone in the room with six (6) children at 1:00 pm continuing until the surveyor exited at approximately 2:15 pm. Review of staff files revealed the employee hired 6/6/16 did not have a criminal records check and child abuse or neglect check (CAN) on file for review at the time of the survey. Interview with the staff in charge revealed awareness that the criminal record check and child abuse or neglect check (CAN) was not on file at the time of the survey. Review of the central registry check received in DRCC office on 6/29/16 revealed a substantiation of child neglect for the employee hired 6/6/16 who was working alone in the one-year-old room. 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 Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the one-year-old room revealed an employee hired 6/6/16 to be working alone in the room with six (6) children at 1:00 pm continuing until the surveyor exited at approximately 2:15 pm. Review of staff files revealed the employee hired 6/6/16 did not have a criminal records check and child abuse or neglect check (CAN) on file for review at the time of the survey. Interview with the staff in charge revealed awareness that the criminal record check and child abuse or neglect check (CAN) was not on file at the time of the survey. Review of the central registry check received in DRCC office on 6/29/16 revealed a substantiation of child neglect for the employee hired 6/6/16 who was working alone in the one-year-old room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. No staff file was presented for review for a staff member with the hire date of 06/06/2016 that included the following: 1)Written documentation from a health care professional to verify that the individual was free from active TB, 2)Proof of educational qualifications, 3)Child abuse and neglect check, 4)Criminal records check. Interview with the staff in charge confirmed the referenced staff member's hire date.

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 a staff hired 6/6/16 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the survey. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, and Interview , the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed two (2) staff with the hire dates; 5/26/16 and 6/6/16, did not have written documentation from a health care professional to verify that the individual was free from active TB. Interview with staff in charge revealed she was unable to locate the document at the time of the survey. Programming

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 childcare center failed to maintain adequate supervision of children. Upon entry to the childcare center on 08/19/2015 at 1:31 p.m., twelve (12) children aged from three to four-years-old was out of the scope of vision of the staff member in the classroom as the staff member responsible for the supervision of the children was laying in the window sill with her back to the children. Continued observation of the childcare center revealed six (6) children aged from two to three-years-old were out of the scope of vision of the staff member in the classroom as the staff member responsible for the supervision of the children was lying on the floor facing away from the children with their eyes closed. The amount of time the children were inadequately supervised is unknown as the surveyor entered the childcare center at 1:31 p.m. and awoke the two (2) sleeping staff members. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain maximum child to staff ratios. Observation of the Nursery upon entry at approximately 1:33 p.m. revealed one (1) staff member was caring for seven (7) children aged from infant to toddler. Continued observation revealed a second staff member returned from break approximately two (2) minutes after the initial observation. General Administration

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 Observation and Interview, the childcare center failed to assure each staff person would remain awake while on duty. Upon entry of the childcare center on 08/19/2015 at 1:31 p.m., the DRCC Surveyor entered the center through the unlocked front door and observed twelve (12) children sleeping on cots. Continued observation revealed a staff member did not approach the surveyor and the surveyor searched around the front room attempting to find a staff member. In the search of finding a staff member, it was observed that the staff member responsible for the twelve (12) children was lying down on the windowsill of the large picture window, covered in a blanket with a blanket folded as a pillow and facing the window. The Surveyor then opened the squeaky gate at the entrance of the center and stepped around toward the staff member. At that time, the staff member turned toward the surveyor and jumped up asking if the surveyor was from STARS. The Surveyor responded with, “No, I am with licensing, the Division of Regulated Childcare.” The staff member then pointed to the posted license saying, “It is right there.” Continued walk through of the childcare center revealed another classroom located in the rear of the childcare center where a second staff member was lying on the floor with their eyes closed, faced toward the Surveyor, with six (6) children sleeping on cots in the classroom. Interview with the two (2) staff members revealed the ages of the twelve (12) children in the first classroom ranged from three to four-years old and the ages of the six (6) children in the second classroom ranged from two to three-years-old.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation, the childcare center failed to maintain all background check requirements. Observation of the Two-Year- Old Classroom revealed one (1) staff member was caring for six (6) children aged from two to three-years-old. Interview of the staff member in the Two-Year-Old Classroom revealed they had severed employment with the childcare center and was recently rehired on 08/13/2015. Review of documentation revealed the Child Abuse and Neglect (CAN) check and Criminal Record Check (CRC) was not completed upon rehire of the staff member with the rehire date of 08/13/2015.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that the child care center director failed to comply with regulatory requirements, specifically staff evaluations. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the director assessed each staff person's interaction with children in care and classroom performance through an annual written performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented, revealed the center failed to provide documentation at time of survey of a completed criminal records check for any previous state of residence if the person resided outside the state of Kentucky in the last five (5) years for a staff member hired 3/23/13 for the state of Indiana as indicated on CAN check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically CPR/First Aid Coverage. Interview with owner identified two (2) van drivers and two (2) van monitors. Review of the four (4) identified staff members' personnel files revealed the center failed to present documentation at time of survey to verify that the center has at least one (1) person on duty at all times (including during transporting the children on the van) currently certified by a cabinet-approved training agency in infant and child cardiopulmonary resuscitation and infant and child first aid, as well as, at least one (1) person on duty at all times (including transporting the children on the van) currently certified by a cabinet-approved training agency in adult cardiopulmonary resuscitation and first aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. Additionally, the center failed to provide documentation at time of survey of a written record of training participation for each staff member to include: 1. The training source. 2. Location. 3. Date. 4. Number of clock hours completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically driver requirements. Review of the Kentucky driver history record presented at time of survey for an identified driver revealed a suspension of the driver’s license within the last five (5) years. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the child care center failed to comply with regulatory requirements regarding programming, specifically appropriate use of food. Observation revealed a staff member supervising a group of preschool children during a bathroom break. Continued observation revealed the staff member used candy as an incentive for good behavior by telling the children if they sat in the line like they were supposed to, they would get candy and if they did not, they would not get candy.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding premises, specifically building requirements. Observation revealed two (2) light bulbs in the School Age Classroom failed to be in good repair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff hand washing. Observation revealed a staff member wiped a child's nose and did wash hands with liquid soap and running water after.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diaper changing surface. Observation revealed the diaper change surface located in the boy's bathroom contained a tear exposing the absorbent material underneath the protective surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically crib sheets. Observation revealed the center failed to provide tight fitting sheets for each mattress in the cribs located in the Infant Classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of the following information: 1. Preferred hospital for one (1) child. 2. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence for two (2) children.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically evacuation plan. Review of the center’s evacuation plan revealed the plan failed to be in accordance with KRS 199.895; the last date listed on the evacuation plan was 8/23/12.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically daily attendance records. Observation revealed twenty-three (23) children present in attendance on 7/23/15; however, review of documentation revealed twenty-two (22) children had documented arrival times on the center's daily attendance records, presented at time of survey, for 7/23/15.

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, and interview, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically orientation procedure. Review of the center's staff handbook revealed the center failed to provide documentation verifying a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Interview revealed the center did not have an orientation procedure policy to review at time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with DRCC staff the child care center failed to comply with regulatory requirements regarding notification to the cabinet of a change in a director. Review of documentation revealed the childcare center did not submit to the cabinet a name of an acting director within the one (1) week period as required. The previous director had resigned on 06/01/2015 and the required paperwork had not been submitted to DRCC as of 06/23/2015. Interview with DRCC on 06/23/2015 revealed the paperwork had not been submitted. Director Requirements

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, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on documentation review it was revealed that the center could not verify that the criminal records check (CRC) and the child abuse and neglect (CAN) check had been conducted for the employee with the hire date of 06/22/2015. Interview with the director revealed she had resigned on June 1, 2015; however, she was re-hired on 06/22/2015. Observation of the child care center revealed the staff with the hire date of 6/22/2015 was not working alone. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center did not present for review a written orientation procedure. Review of documentation revealed that the child care center did not present a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

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 all required postings. Review of Documentation revealed that the Information on the Kentucky Consumer Product Safety Program was not posted in a conspicuous place at the center.

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, Interview and Observation, the child care center failed to maintain all required background checks. Review of a Child Abuse and Neglect (CAN) check revealed that the staff member with the hire date of 05/01/2014 currently lived out of state in Indiana and previously lived in Georgia. Review of the personnel file for the employee with the hire date of 05/01/2014 revealed the lack of background checks from Indiana and Georgia. Interview with the staff member with the hire date of 05/01/2014 revealed that she currently resides in Indiana and moved from Georgia to Kentucky in 2012. Observation of the school age classroom revealed that the staff member with the hire date of 05/01/2014 was alone with four (4) school age children for approximately three (3) hours.

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 center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member hired on 03/31/2014 did not have 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. Staff Requirements.

General: Based on Review of Documentation, the child care center failed to ensure that all staff members were free from active Tuberculosis. Record review revealed that employees with the hire dates of 04/28/2014 and 05/01/2014 did not have documentation from a health professional to verify that they were free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview revealed that the child care center did not ensure that CPR/First Aid coverage would be provided while children were being transported. Review of Documentation revealed that the driver with the hire date of 04/28/2014 is not currently certified in CPR/First Aid. Interview with staff in charge revealed that the driver with the hire date of 04/28/2014 was alone with children in care while transporting children on 07/03/2014.

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 training documentation. Review of personnel files revealed that the staff member with the hire date of 09/09/2011 had 10.5 training hours presented for review. Interview with staff in charge revealed that the staff member was present for several training hours in which the certificates were not present in her personnel file; however, those certificates could not be presented for verification at the time of the survey.

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 clean ceilings. Observation of the ceiling in the infant classroom revealed water spots on several tiles.

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 building temperature requirements. Observation of a thermometer revealed that the temperature in the building was 64 Degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain toilet requirements. Observation of the second bathroom revealed a lack of ventilation to outside air. 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 child care center failed to maintain a diapering surface that was free of holes or tears. Observation of the diapering pads in the Infant and Two- Year-Old classrooms revealed that they were torn with holes in the surface of the pad.

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 to be safe from forseeable hazard. Observation of the outdoor play area revealed a wooden white platform under the play house. Continued observation of the platform revealed a large hole in the top of the platform that could cause a falling hazard or an injury hazard for a child in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain working toys. Observation of the Infant and Three/Four-Year-Old classrooms revealed that all battery operated toys were not in working order.

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 outdoor equipment as clean and in good repair. Observation of the outdoor play area revealed a play house that was visibly grimy and dirty. Continued observation of the outdoor play area revealed a large wooden play structure with bolts sticking out.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care director failed to maintain vehicle inspection documentation. Review of documentation revealed that the child care center failed to present for review a current certification of inspection from the Transportation Cabinet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center driver failed to maintain a daily pre-trip inspection. Review of Documentation revealed that the pre- trip inspection log presented for review had not been completed since the end of May. Interview with the staff in charge revealed that the driver inspects the van daily, but failed to document his findings.

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, the child care center failed to maintain all menu requirements. Review of Documentation revealed that the posted weekly menu was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's immunization records. Review of children’s files with the enrollment dates of 11/11/2013 and 01/22/2014 revealed the immunization certificates provided for review expired on 07/03/2014 and 01/29/2014 respectively.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Based on observation, it was determined the center failed to have the following supplies in the first aid kit on the vehicle: 1. A thermometer. 2. A CPR protective mask. 3. A working flashlight.

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 review of documentation, it was determined the director failed to provide staff with a current copy of the regulations. Review of documentation revealed the copy of the regulations provided to staff was printed 11/22/10.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Based on review of documentation, it was determined the director failed to provide documentation of completed staff evaluations.

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.

Based on review of documentation, it was determined the director failed to provide documentation of a parental/family involvement activity. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, it was determined the center failed to provide documentation verifying negative TB tests for two staff members with the following hire dates: 6/18/13 and 12/21/13.

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.

Based on review of documentation and observation, it was determined the center failed to follow the program of activities. Review of documentation revealed the schedule in the two- year old room listed 10:15 a.m.-10:45 a.m. as outside time. However, observation revealed at 10:35 a.m. the two-year olds had not gone outside. Further, no children in the center were observed having outside time during the entire survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined the center failed to meet the bread requirement. Observation revealed various cereals, breads, crackers, waffles, etc... which failed to list whole or enriched grain as an ingredient.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined the center failed to keep the following items inassessible to children: 1. Three staff purses assessible to children, were discovered in the toddler, preschool and school-age rooms. 2. A bottle of bleach water was discovered assessible to children in the preschool room. 3. A bottle labeled "keep out of the reach of children" was discovered assessible to children in the preschool room. 4. Plastic bags were discovered in the school-age room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined the center failed to maintain the premises in good repair. Observation revealed weather stripping hanging away from the around the window in the preschool classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, it was determined that two light fixtures in the toddler room were not kept in good repair. Observation revealed the light bulbs were not working.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined three children failed to wash their hands upon arrival to the center between 8:30 a.m.-9:00 a.m. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined two staff members failed to wash hands in the following areas: 1. Before changing diapers. 2. Before serving food.

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.

Based on observation, it was determined the diaper pad in the back bathroom located outside of the preschool room, contained a rip in the protective surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, it was determined the center failed to maintain the following playground conditions: 1. Grass was observed growing through the mulched area. 2. Sharp metal objects were observed protruding from the slide. 3. Loose screws were observed within the wooden playset, causing it to be unstable. 4. Loose rope and frayed tarp was discovered within the sandbox. 5. The basketball goal was not secured, causing it to become a hazard if it were to fall over. 6. A metal shovel was discovered lying on the ground assessible to children. 7. The door to the playhouse was broken and lying on the ground. 8. A rusty pipe with rigid edges was discovered protruding from the ground by the fence. 9. A small opening large enough to fit a child's head was discovered between the fence and the building.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, it was determined the center failed to provide adequated protective surface for swinging.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation it was determined the center failed to retain the following enrollment information on the first day of enrollment for two children: 1. Enrollment date 2. Emergency authorization 3. Parent signature 4. Hospital information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, it was determined the center failed to include the following components as part of the written evacuation plan: 1. Procedures for notifying parents of the relocation and ensuring family reunification. 2. Procedures to address the needs of individual children including children with special needs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, it was determined the center failed to provide daily attendance records which included dates.

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.

Based on review of documentation, it was determined the center failed provide documentation of a policy that states employees must implement the procedures taught in the state orientation within their classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddler/Two's Room: Based on observation, there were ten children in attendance in the area designated for two year olds. Measurements of the space revealed an area that was 280 square feet, suitable for a maximum capacity of eight children. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 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. 1) Winter Temperature sixty-five to seventy-five In Compliance 2) Summer Temperature sixty-eight to eighty-two In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 41 Web site: http://chfs.ky.gov/ Inspection Report 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children Not In Compliance Findings: One Year Room: Based on observation, a large classroom was divided into two classrooms, the Toddler/Two's and the One-Year-Room. Observation revealed cabinetry and tables were used to create a barrier that divided the room into two halves; however, the "barrier" did not extend the length of the room and to prevent the one-year-olds from wandering into the Toddler/Two's area the staff had to constantly re-direct. Throughout the survey period staff were observed chasing one and two year old children as they were running from one side of the room to the other. 4) Traffic Pattern Not In Compliance Findings: One Year Room: Based on observation, a large classroom was divided into two classrooms, the Toddler/Two's and the One-Year-Room. Observation revealed in order to access the Kitchen of the facility, you had to walk through the One-Year-Room. Staff were observed carrying food service supplies and food through the One-Year-Room. 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance 4) Not damp In Compliance 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 41 Web site: http://chfs.ky.gov/ Inspection Report 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 6) Equipped with an easily cleanable, covered waste receptacle In Compliance 7) Immediately adjacent to a changing area used for infants and toddlers In Compliance 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance General Premises 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: General: Based on observation, there was a can of spray room freshener stored on top of the paper towel holder in the bathroom. The can was labeled "Keep Out of the Reach of Children" and was easily accessible to the school age children. 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 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage In Compliance 2) Locked In Compliance 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Outdoor Designated Area In Compliance 3) Not in the presence of children 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

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, a document entitled "Food Allergies" was posted in each classroom. Review of each of the postings revealed individual children were identified by first and last name along with a list of foods they were allergic to. For example: the posting in the School Age Room identified five children and their individual allergies which included milk, peanut butter and honey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 12

General: Based on observation, five children arrived for care at 9:40 a.m. One infant was seated in an infant carrier. As the other four children departed the van the staff stated the smaller children were seated in the two car seats and the other two children (three and four years of age) were too big for a car seat. There were no booster seats available on the van for these children who were less than seven years of age and between forty and fifty inches tall (as required by 49 C.F.R. 571.213). 307 - Pre-trip Inspection 922 KAR 2:120 - Section 12 (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 1) Tires In Compliance 2) Lights In Compliance 3) Signals In Compliance 4) Mirrors In Compliance 5) Gauges In Compliance 6) Wiper blades In Compliance 7) Safety restraints In Compliance 8) Fuel In Compliance 9) Free of debris In Compliance 308 - Ratios 922 KAR 2:120 - Section 12 (9) (a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 1) Ratios In Compliance 2) Lone driver In Compliance 309 - Seating 922 KAR 2:120 - Section 12 (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 1) Each child has a seat In Compliance 2) Belted In Compliance 3) Remain seated In Compliance 310 - Child Unattended 922 KAR 2:120 - Section 12 (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 1) At site In Compliance 2) On vehicle In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddler/Two's Room: Based on observation, there was no posting that contained the directions for diapering a child posted in the bathroom located in the hallway of the facility. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 40 of 41 Web site: http://chfs.ky.gov/

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

classrooms: Based on observation, the child care center failed to follow the most current policy of the American Academy of Pediatrics in regards to safe sleep placement. A three- month-old infant was observed sleeping in a crib while lying on his stomach. There were also two loose blankets in the crib that was not being used and one blanket draped over the side of the crib.

Open Not marked corrected in the state record

Open / not marked corrected.