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

General: Based on interview, and review of documentation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interview with multiple sources confirmed a six-year-old child was left alone, unsupervised in the basement school age room for no less than fifteen (15) minutes and no more than forty-five (45) minutes on 7/11/16. Review of written documentation presented at the time of the survey confirmed a six-year-old child was left alone, unsupervised in the basement school age room. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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. There was no written record for a child in care with the enrollment date of 7/5/16 presented for review that consisted of: 1)identifying information about the child, 2)parent contact information, 3)family physician information, 4)preferred hospital, 5)names of authorized escorts, 6)child's medical history, and 7)authorization signed by the parent for the child care center to seek emergency medical care for the child in the parent's absence. Interview with the staff in charge revealed she was not able to locate the written record for the child with the enrollment date 7/5/16 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, Interview, and Observation, the child care center director failed to assure compliance with regulatory requirements, i.e. the director failed to provide for the health, safety, and comfort of a ten-year-old child on 10/28/15. Review of incident report revealed on 10/28/15 a ten-year-old child fell out of a hammock on the playground and hit her head against a log. Interviews with director, staff members, and parent were consistent with incident report. Continued interviews with director and staff members revealed the child was lying in the hammock while at least two (2) other children were pushing her, causing the hammock to be used in an inappropriate manner. Continued interviews with director and staff members revealed at least one (1) staff member observed the child being pushed in the hammock and instructed the children to stop; however, the staff member failed to take further action and ensure the children had actually stopped. Consequently, the child fell out of the hammock and hit her head on a log, sustaining a large knot on her head which required medical attention. Further interviews with director and staff members revealed the log which the child hit her head on was in close vicinity to the hammock, creating a foreseeable hazard at the time of incident. Observation of the playground on 11/30/15 revealed a few logs were still in very close vicinity to the hammock; thereby, continuing to create a foreseeable hazard. Review of documentation revealed the director presented first aid/CPR certification for one (1) of the staff members at the time of survey. Interview with director revealed the aforementioned staff member was present and on duty at the time of incident on 10/28/15; however, interviews with director and several other staff members revealed the aforementioned staff member was not the staff member who administered first aid to the ten-year-old child on 10/28/15. Interview with director revealed none of the staff members who actually administered first aid to the ten-year-old child or assisted in the administration of first aid were currently certified to administer first aid/CPR at the time of incident. Outdoor Play Area

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 Review of Documentation, Interview, and Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Review of incident report revealed on 10/28/15 a ten-year-old fell out of a hammock on the playground and hit her head against a log. Interviews with director, staff members, and parent were consistent with incident report. Continued interviews with director and staff members revealed the log which the child hit her head on was in close vicinity to the hammock, creating a foreseeable hazard at the time of incident. Observation of the playground on 11/30/15 revealed a few logs were still in very close vicinity to the hammock; thereby, continuing to create a foreseeable hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based in interview, the child care center failed to comply with regulatory requirements. Based on interview with the staff in charge, the center failed to report to DRCC an incident resulting in a child receiving medical treatment for an injury that occurred at the center. Further interview, revealed that the staff in charge was unaware of the regulatory requirement to report incidents that did not result in treatment from an emergency room. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation conducted on 10/13/15, a heating device used for warming bottles was located on the top of a small, black refrigerator observed in the infant room. Based on further observation, the infant room contained nine (9) children under the age of 15 months, including children who were observed walking. Based on further observation, a child was holding onto the refigerator as she walked the perimeter, where a dangling cord to the bottle warming device was hanging and was accessible to the child. Based on continued observation, in the Toddler I room, a large, thick, white cord to the air conditioner, was hanging and lying on the top of a child's stove, in a kitchen set, and accessible to the six (6) children observed. Based on interview with the staff member in the Toddler I classroom, the children were all one year old. Based on continued observation, in the Little Explorer's classroom, an electrical wax warmer, containing melted wax was observed to be on a table and accesssible to children. Based on observation in the Preschool II classroom,and in the Two's I classroom, an electrical outlet was observed to be uncovered. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation conducted on 10/13/15, a heating device used for warming bottles was located on the top of a small, black refrigerator observed in the infant room. Based on further observation, the infant room contained nine (9) children under the age of 15 months, including children who were observed walking. Based on further observation, a child was holding onto the refigerator as she walked the perimeter,where a dangling cord to the bottle warming device was hanging and was accessible to the child. Based on continued observation, in the Toddler I room, a large, thick, white cord to the air conditioner, was hanging and lying on the top of a child's stove, in a kitchen set, and accessible to the six (6) children observed. Based on interview with the staff member in the Toddler I classroom, the children were all one year old. Based on continued observation, in the Little Explorer's classroom, an electrical wax warmer, containing melted wax was observed to be on a table and accesssible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation in the Preschool classroom revealed an electrical plug under the blue file holder to not be covered. Continued observation revealed an extension cord in reach of children to have not have plugs covered at the time of the survey. Observation in the Toddler I revealed an electrical plug by the housekeeping area and one by a poster to not be covered at the time of the survey. Observation in the Toddler I classroom revealed a child drinking from a sippy cup she was carrying around. Continued observation revealed the child dropped the sippy cup on the floor at which time another child picked it up and began to drink from it. Further observation revealed a staff member took the sippy from the second child and returned it to the first child who began to drink from it again with no cleaning. Observation in the Infant Room II classroom revealed a staff member to move an infant about two (2) feet across the floor by the arm when two (2) infants were close to one another. Interview with the director revealed the staff moving an infant by the arm was not appropriate.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on Observation and Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Preschool Classroom on 5/22/15 revealed a staff member hired 1/28/15 was the sole caregiver for seven (7) children ages four-years-old to five-years-old for the duration of the survey. Review of staff files revealed the center was missing page five (5) of five (5) of the Criminal Records Checks (CRC) for the staff member hired 1/28/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation of the Preschool Classroom on 5/22/15 revealed a staff member hired 1/28/15 was the sole caregiver for seven (7) children ages four-years-old to five-years-old for the duration of the survey. Review of staff files revealed the center was missing page five (5) of five (5) of the Criminal Records Checks (CRC) for the staff member hired 1/28/15. Continued review of staff files revealed the center failed to request a CRC on or before the first day of employment for staff members hired 7/7/14, 5/11/15, and two (2) staff members hired 2/11/15: For the staff member hired on 7/7/14, the CRC was requested on 7/9/14; for the staff member hired 5/11/15, the CRC was requested on 5/14/15; for the staff member hired 2/11/15, the CRC was requested on 2/19/15; and for the other staff member hired 2/11/15, the CRC was requested on 2/24/15. Review of staff files revealed the center failed to have a Child Abuse & Neglect check (CAN) on file for a staff member hired 2/11/15. Interview with director revealed a CAN for the staff member hired 2/11/15 was submitted and rejected by the cabinet four (4) times; however, the director failed to present documentation of the submissions made to the cabinet at the time of survey. Continued review of staff files revealed the center failed to submit a CAN to the cabinet no later than five (5) working days after the date of employment for staff members hired 7/7/14 and 3/10/15: The CAN for staff member hired 7/7/14 was received by the cabinet on 8/4/14 and the CAN for staff member hired 3/10/15 was received by the cabinet on 5/1/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to have a high school diploma, GED, or Commonwealth Child Care Credential on file for staff members hired 2/2/15 and 2/11/15. Interview with the director revealed the staff member hired 2/11/15 has not submitted any educational documentation to the center yet. Continued review of staff files revealed the center failed to have documentation on file that a staff member hired 4/27/15 was currently enrolled in high school.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a copy of negative tuberculin results for a staff member hired 4/7/03 is no longer current as it is dated 3/30/13. Continued review of staff files revealed a copy of negative tuberculin results for the director hired 11/3/14 is no longer current as it is dated 5/3/13. Interview with director revealed she is awaiting results of tuberculin tests for herself and the staff member hired 4/7/03. Further review of staff files revealed no statement on file from a health professional indicating a staff member hired 4/27/15 is free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation of the child care center on 5/22/15 at 7:33am revealed the cook with hire date of 8/24/09 was acting in a supervisory role by escorting a school-aged child to the bus stop by herself. Review of staff files revealed the cook failed to have documentation of fifteen (15) hours of cabinet approved training on file at the time of survey. Interview with director revealed the cook hired 8/24/09 has not completed fifteen (15) hours of cabinet approved training. Further review of staff files revealed staff members hired 9/12/13 and 4/23/14 failed to have documentation of fifteen (15) hours of cabinet approved training on file at the time of survey. Review of staff files revealed staff members hired 4/23/14 and 6/9/14 failed to complete orientation within the first three (3) months of employment: The staff member hired 4/23/14 completed orientation on 11/13/14 and the staff member hired 6/9/14 completed orientation on 5/9/15. Continued review of staff files revealed the center failed to have documentation of orientation on file for a staff member hired 2/2/15.

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 Observation and review of documentation, the child care center failed to comply with regulatory requirements. Observation of the Toddler II classroom failed to reveal a minimum number of materials for dramatic play at the time of the survey. Review of documentation failed to reveal a lesson plan in the Infant classroom, Preschool classroom and School Age classroom 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 5. Infant and Toddler Play Requirements.

General: Based on Observation and interview, the child care center failed to comply with regulatory requirements. Observation in Toddler I and Toddler II classrooms revealed one (1) year old children and two (2) year old children to be combined the entire day of the survey. Interview with the director revealed she was unaware of the one (1) hour limit for one (1) year- old children to be combined with older aged children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements. Observation in the Infant Room II classroom revealed an infant sleeping on a boppy pillow with a blanket over a portion of the face.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the School Age classroom revealed cobwebs hanging from the pipes and ceiling. Observation of the boys bathroom in the Preschool area revealed brown matter to be smeared on the window, the wood work of the window and window handle in the right toilet stall at the time of the survey. Observation in Room 208 revealed green matter on the wall close to the baseboard in the block area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in School Age classroom revealed a light shield located over the water cart to be unsecured. Continued observation failed to reveal a shielded light by the Women’s restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in Toddler I classroom revealed paint peeling on the wall under the cubbies. Observation in Toddler II classroom revealed paint peeling on the wall above the heating unit. Observation in Room 208 revealed paint peeling from the wall with a piece of tape on it by the reading loft. Continued observation revealed holes in the wall by the garbage can, the block center and the small wooden table and chair set.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Women’s restroom off the School Age classroom revealed a sink with the water temperature registering 130 (one hundred thirty) degrees Fahrenheit. Observation in the Men’s restroom off the School Age classroom revealed a sink with the water temperature registering 128 (one hundred twenty-eight) degrees Fahrenheit. Observation in the Toddler I classroom revealed a sink with the water temperature registering 126 (one hundred twenty-six) degrees Fahrenheit. Observation of the Toddler II classroom revealed a sink with the water temperature registering 128 (one hundred twenty-eight) degrees Fahrenheit. Observation in Infant I failed to reveal single use disposable hand drying materials, staff member was shaking hands after washing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Women’s restroom off the School Age classroom revealed a toilet full of toilet paper and fecal matter making a sound like running water. Interview with staff revealed an awareness of the broken toilet and being in the process of addressing it. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 28 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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 in Toddler I classroom failed to reveal hand washing for three (3) children before eating food. The children were playing with toys, put toys down then went to table and began to eat.

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 in Toddler I classroom revealed a staff member failed to wash hands before putting on gloves and serving food to children in care.

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 in Toddler I classroom revealed dirt built up on the changing pad. Continued observation revealed debris to be built up under the changing pad. Observation in Room 208 revealed dirt build up on the changing pad. Continued observation revealed debris to be build up under the changing pad on the changing area at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Interview with director revealed the sand box on the playground is not covered when not in use.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Two’s I classroom revealed a container of water and a basket with items in it to be sitting on top of a child’s bedding on a cot causing the bedding to not be 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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the big playground revealed a blue curvy slide to have a hole approximately three (3) inches long by approximately one (1) inch wide at the time of the survey. Observation of the little playground revealed a yellow hand rail on the left side of the steps to the climbing apparatus to be loose 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in Infant II classroom revealed a thermometer in the refrigerator to read 45 (forty-five) degrees Fahrenheit 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 3. Records.

General: Based on Review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of a child’s file with an enrollment date of 5/21/14 revealed the child’s immunization certificate expired on 4/25/15. Review of a child’s file with enrollment date of 2/16/15 revealed the child’s immunization certificate expired on 3/5/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written records failed to contain preferred hospital information for children enrolled 2/22/11, 1/31/14, 8/30/14, and 10/28/14. Continued review of children’s files revealed the written records failed to contain family physician and preferred hospital information for children enrolled 5/21/14, 10/22/14, 10/26/14, 10/29/14, and 2/16/15. Continued review of children’s files revealed the written records failed to contain authorization by the parent for the center to seek emergency medical care for children enrolled 5/21/14 and 2/16/15. Further review of children’s files revealed the written records failed to contain the general health status/medical history for children enrolled 5/21/14 and 2/16/15. Further review of children’s files revealed the written records for children enrolled 5/21/14 and 2/16/15 failed to be signed by the child’s parent.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation failed to reveal a current evacuation plan.

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. Observation in Toddler I classroom revealed six (6) children to be present at the time of the survey. Review of daily attendance records for Toddler I classroom failed to reveal any children signed in at the time of the survey. Continued review of daily attendance records failed to reveal a completed sign in sheet for May 21, 2015.

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. Review of postings in the Preschool classroom failed to reveal a daily schedule 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, the child care center failed to post documentation in accordance with regulatory requirements. Review of postings in the Preschool classroom failed to reveal a daily schedule 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 Interview and Observation there was sufficient evidence that the director failed to comply with minimum regulatory standards in regards to the health, safety and comfort of a child due to allowing children to play in the unfenced area on the blacktop. Interview with staff revealed on 1/19/15 a child with the enrollment date 1/19/15 was playing outside the fenced in playground on the blacktop when she fell down. The incident resulted in said child receiving a broken hand.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation.

General: Based on Interview, the child care center failed to comply with the regulatory requirements. Interview with the director revealed that she reported the alleged child abuse to the Child Abuse Hotline via email on 8/8/14. Continued interview revealed that CPS was at the center on 8/11/14 and 8/13/14 in regards to child abuse that allegedly happened at the center on 8/8/14. Further interview revealed that the center failed to notify DRCC that alleged child abuse was accepted by the cabinet and named an employee with supervisory, disciplinary control and unsupervised contact with a child in care as the alleged perpetrator.

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 Interview, the child care center failed to comply with the regulatory requirements. Observation revealed at approximately 1:35 p.m. an employee who was named an alleged perpetrator was supervising seven (7) two-year-olds during naptime. Further observation revealed that another staff member was present in the classroom. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation.

General: Based on Review of Documentation and interview, the child care center director failed to notify the Cabinet within twenty four (24) hours when two (2) children received medical attention for injuries received while attending the child care center. A three- year- old child received a cut on his eye on 7-21-14 that required outside medical attention and a six-year-old child received a gash to his head that required outside medical attention on 7-22-14. Director Requirements

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 failed to comply with the regulatory requirements. Record review of policies and procedures revealed a page titled “Suspicions of Child Abuse Reporting Procedures” which states “Any staff person who suspects child abuse or neglect will: 1. Report it to their immediate supervisor (site director, assistant site director, center director etc.)” This policy is in violation of KRS 620.030 which requires that a child care worker report to DCBS any suspicion of abuse or neglect against a child, but does not require that any information related to the report be provided to a center director or any other non-related entity and it is also in violation of this administrative regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview with the director, the child care center director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for staff with the hire dates of 11/05/2007, 04/07/2013,05/13/2008,07/06/2012 and 06/16/2003. Interview with the director revealed she could not locate a copy of the current 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.

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation in Room 2A revealed a round plug uncovered on the right side of the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview with the director, the center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no proof of educational qualifications for the staff with the hire dates of 10/24/2011, 01/10/2014, 09/24/2013 and 02/26/2013. Interview with the director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff with the hire dates of 01/10/2014,08/28/2002,10/10/2013 and 05/13/2008 did not contain a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. The TB test was no longer current. Interview with the Director revealed she was not aware that TB tests were no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview with the director, the Child Care Centre failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member with the hire dates of 01/10/2008,08/23/2012,11/05/2007,05/13/2008,01/13/2006,07/06/2012 and 03/06/2013 revealed that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was not met. Further review of the staff files revealed the staff with the hire dates of 10/03/2013 and 01/10/2014 did not had written evidence of having completed new employee orientation from a cabinet approved source. Interview with the director revealed he was unable to locate the documents.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation revealed a sleeping infant in crib with a blanket covering her body.

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 revealed in Toddler Room 1A large areas of paint had chipped off the wall throughout the room. Continued observation in the restroom near the Two's Room 2C revealed tile along the wall in the last stall and tile missing around the drain.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in Two's Room 2B revealed two children who failed to be prompted to wash their hands with liquid soap and warm running water after blowing their nose.

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 in the Infant Room revealed two bottles filled with breast milk/formula failed to be labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview with the director, the Child Care Center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following child with the enrollment date of 11/04/2013 did not contain the child’s general health status, medical history and the contact information to enable a person in charge to contact the child’s family physician or preferred hospital. Interview with the director revealed she was unaware the documentation was not current.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed that the center’s Emergency Preparedness Plan was last updated in 2012 and failed to be updated by December 31 of each year in accordance to KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, Review of Documentation and Observation the child care center failed to maintain written documentation in accordance with regulatory requirements. Interview with staff in charge revealed that each classroom has their own daily attendance sheet. Review of the daily attendance sheet in Two's Room 2C revealed one child’s departure time of 5:30 p.m. was recorded at 9:50 a.m. Record review of the daily attendance sheet at 10:24 a.m. in Preschool Room One revealed that six children’s arrival times were recorded and eleven children were present. Continued review of daily attendance sheet in Two's Room 2B at 10:29 a.m. revealed that two children’s arrival times were recorded and eight children were present. Further review of daily attendance sheet in Two's Room 2A at 10:35 a.m. revealed that four children’s arrival times were recorded and eight children were present.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview with the director, the center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and policies provided by the center revealed that the following staff files with the hire dates of 08/28/2002/,06/14/2010, 10/24/2011,07/06/2012,11/05/2007, 04/07/2013 and 05/13/2008 contained no annual plan for child-care staff professional development for the staff. Interview with the director revealed she could not locate of the missing documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review of drills revealed that the center failed to have documentation of completing an earthquake drill during the first quarter of 2014 including the time, date and names of children who participated 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 3. Records.

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review of 2014 drills revealed that the center failed to have documentation of completing fire drills during February and April including the time, date and names of children who participated at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the center failed to post information on the Kentucky Consumer Product Safety Program and the program's website.

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, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in Toddler Room 1A and Two’s Room 2B revealed that the daily activities failed to include a date.

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 interviews and review of documentation the child care director failed to provide for the health, safety and comfort of each child, i.e., a child was injured when a staff member physically pulled on the child's arm, exerting excessive force, causing swelling of the elbow joint. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation an infant was permitted to sleep in a bouncy seat from approximately 1:18 pm until 1:42 pm. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child was allowed to freely access a supply cabinet located in the gymnasium and use a bottle of hand sanitizer without supervision. The hand sanitizer label stated "keep out of the reach of children".

Open Not marked corrected in the state record

Open / not marked corrected.