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

General: Based on observation, the mat beneath the table in the Toddler B 108 room was rolled along the edges, creating a tripping hazard.

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, a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential was not presented for one (1) staff member (DOH: 10/15/2024). An interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, one (1) staff member (DOH: 10/15/2024) did not complete First Aid and CPR training within ninety days of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for one (1) staff member (DOH: 10/15/2024).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member's purse was stored next to the sink in the Toddler B 108 classroom, where it was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Toddler 1 classroom, two (2) ceiling tiles near the door were stained with brown spots, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the center during morning snack, portioned out servings of milk from gallon jugs were poured into individual cups and served to children. The staff in charge reported that the center does not have a Food Service permit.

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 following was found: 1) The refrigerator in the Infant 1B classroom was equipped with a thermometer which read forty-eight (48) degrees Fahrenheit. 2) The refrigerator in the Infant 2 classroom was equipped with a thermometer which read forty-nine (49) degrees Fahrenheit.

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, one (1) infant bottle, stored on a counter in the Infant 2 classroom was not covered. Food Service 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, children's food allergies/preferences were posted on the wall near the door in the Toddler B 108 room, where the information was not maintained in a confidential manner.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one electrical outlet in room 129 was not covered. Additionally, observation of Room 114 revealed that two (2) children were placed at a table in bucket seats that were equipped with restraint straps, however the straps were not fastened when the children were left in the seats. The staff in the room reported that the aforementioned children were fourteen (14) and fifteen (15) months old. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH 07/01/18) last completed Pediatric Abusive Head Trauma (PAHT) training on 08/16/18, which had passed its five-year renewal date as of 08/16/23. 2) A staff member (DOH 07/01/16) last completed PAHT on 11/14/18, which had passed its five-year renewal date as of 11/18/23. A review of ECE-TRIS confirmed these findings. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of room 116 revealed that a white noise machine was placed in a crib alongside a sleeping infant. The staff in the room reported that all of the infants in care ranged in age from six (6) to ten (10) months. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the stairs and step stool in the Room 109 restroom were smudged throughout their surface with dirt. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, both small refrigerators in Room 113 and 114 contained indicating thermometers which read fifty (50) degrees Fahrenheit; therefore, the maximum allowable temperature of forty (40) degrees Fahrenheit was exceeded in both of these refrigerators. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, written professional development plans for two (2) staff members (DOH 04/23/04 and DOH 10/11/22) were not presented for review upon request. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 11/22/22, did not have documentation of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 08/02/22, had a TB skin test dated 07/09/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 08/02/22, did not have first aid and (CPR) training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 and interview, black fabric weed block was raised, two (2) inches above the mulch, underneath the large playground equipment on the older children's outdoor playground. This presented a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, a foam cushion, on the adult rocking chair, was heavily soiled and had a wet white, circle-shaped substance. This chair was in the infant III room. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a fifteen-month-old toddler seated at the bucket table in Room 114. The toddler was seated in a bucket seat and was not securely strapped into their seat. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the record for the employee with the hire date of 10/28/2015 had updated Pediatric Abusive Head Trauma training after five (5) years. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 13. Toys and Furnishings.

General: Based on observation of the bucket table in rooms identified as 114, 115 and 116 toddler classrooms did not contain any straps for the seats. Interview with the staff revealed that there were no straps available. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the child care center failed to assure compliance with the emergency regulations specific to the current pandemic regarding the use of machine washable toys. In room 108 and 109 there were baby doll clothes accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, the child care center failed to comply with regulations for employee records. Upon review of the presented staff files it was revealed a staff member with the hire date of 11/13/2000 had lived in the state of Indiana according to written documentation obtained from the Child, Abuse, and Neglect check: however the file did not contain an out of state criminal records check and a sex offender check for the aforementioned staff member from the state of Indiana. Interview with the director revealed there was not an out of state criminal record check or sex offender check obtained for the aforementioned staff member.

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 interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of the KARES surveyor report it was revealed ten (10) staff members were listed as, “current employees". Interview with the staff in charge revealed the ten (10) aforementioned staff members are no longer employed with the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of the staff files and an ECE-TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for four (4) staff members with the hire dates of 01/03/2017, 07/08/2014, 06/01/2017, and 01/03/2017. Interview with the staff in charge revealed this information was unavailable at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of Classroom 109 revealed a child’s hands were not washed after a diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. One staff member in classroom 103 was left alone with eightteen (18) four and five-year-old children for a brief period of time as the second staff member in the classroom left the room to walk a short distance to the kitchenette area to get a gallon of milk for snack and immediately return to the classroom. General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. In classroom 103 a staff member's purse was laying on the floor, accessible to the children in the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the enrollment record for the child with the enrollment date of 08/24/2017 listed a name of a preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the health, safety and comfort of all children in care. Observation of the bathroom in the Explorers III classroom revealed a plunger next to the toilet that was accessible to the children in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that a staff member was free from active Tuberculosis. Record review revealed that a staff member with the hire date of 11/18/2014 did not have documentation from a health professional to verify that the individual was 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, the childcare director failed to ensure all staff completed the required annual state approved training hours. Review of documentation revealed that the staff members with the following hire dates did not complete the required training: 8/1/2000, 8/1/2005 and 9/24/2014. Continued review of documentation revealed a staff member with the hire date of 8/1/2014 did not have a completed Orientation certificate presented for review and had been employed with the childcare center for longer than ninety days. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview revealed the childcare center failed to maintain all requirements regarding the combination of younger toddlers and two- year-old children. Review of documentation revealed fifteen (15) children were scheduled daily to attend the Explorer III Classroom. Continued review of documentation revealed the children with the enrollment dates of 11/12/2013 and 05/22/2013 were two-years-old. Continued review of documentation revealed five (5) children enrolled were under the age of twenty-one months-old. Interview with the Director revealed the children are placed into the classrooms at the beginning of the school year and are not moved until the following school year so they can move as a group. Continued interview revealed the toddlers under the age of twenty-one months-old are combined with the two-year-old children daily for over an hour per day.

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 Review of Documentation and Interview revealed the childcare center failed to maintain all requirements regarding the combination of toddlers and two-year-old children. Review of documentation revealed fifteen (15) children were scheduled daily to attend the Explorer III Classroom. Continued review of documentation revealed the children with the enrollment dates of 11/12/2013 and 05/22/2013 were aged two-years-old. Continued review of documentation revealed eight (8) children enrolled and present during the survey were between twenty-one-months-old and twenty-three-months-old. Review of children's enrollment information revealed the lack of a transition plan signed by the parents allowing the toddlers to be combined with two-year-old children. Interview with the Director revealed the children are placed into the classrooms at the beginning of the school year and are not moved until the following school year so they can move as a group. Continued interview revealed the toddlers are combined with the two-year-old children daily for over an hour per day.

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 childcare center failed to maintain all ceiling requirements. Observation of Classroom 110 revealed several water stains on ceiling 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the childcare center failed to maintain all toilet requirements. Observation of the toilets in the following classroom bathrooms revealed the lack of ventilation to outside air: 105, 106, 110 and 111. Observation of the toilet in the bathroom in Classroom 105 revealed the toilet was not in clean condition as there was urine in the toilet bowl. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all medication requirements. Observation of the Infant Classrooms "113" and "111" revealed diaper rash creams were in baskets and in drawers instead of in a locked box. 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 11. Toys and Furnishings.

General: Based on Observation and Review of Documentation, the childcare center failed to ensure all toys shall be used according to the manufacturer's safety specifications. Observation of the Infant Classroom "113" revealed a Bumbo seat without the mandatory restraint belt. Review of the company website, http://www.recall.bumbousa.com/, revealed on August 15, 2012 Bumbo International Trust conducted a voluntary recall to add a restraint belt and new warnings to the Bumbo® Baby Seat. Infants can maneuver out of or fall from the seat, posing a risk of serious injuries. Working closely with the CPSC, Bumbo has determined that the potential safety issue can be readily corrected in the home by adding a restraint belt. In addition, Bumbo is providing a new warning sticker for consumers to attach to the seat to re-emphasize existing warnings against use of the seat on any raised surfaces. Consumers should stop using their Bumbo Baby Seats immediately, and complete the order form to obtain a free Repair Kit.

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 a child's file with the enrollment date of 4/24/2014 revealed the immunization certificate provided for review expired on 9/23/2015.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all diapering postings. Review of documentation revealed the lack of the proper methods of diapering posting near the diaper changing area in Classroom 109. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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.

General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements. Record review revealed that the center used Kelly Bus Services, a third party transportation service, for two (2) field trip taken during the school year of 2013-2014. Record review revealed that the center is not licensed for transportation.

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 maintain employee records in accordance with regulatory requirements. Record review of employee files revealed staff members with the hire dates 6/6/07 and 1/1/12 Child Abuse and Neglect Check failed to have the results of the background check recorded on the document.

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 maintain employee records in accordance with regulatory requirements. Record review revealed that staff members with the hire dates 8/1/14 and 10/2/12 failed to have a high school diploma, GED certificate or other qualifying document on file for review at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that a staff member with the hire date 8/1/97 tuberculosis test failed to have a “Read Date” to verify that they were free of active tuberculosis at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee’s records in accordance with regulatory requirements. Review of employee’s records revealed that staff members with the hire date 2/1/11, 8/1/10, 8/1/10, 4/23/04, 6/6/07, 8/1/88, 1/1/13 and 6/1/00 failed to complete all fifteen (15) hours of cabinet approved training during their last full year of employment.

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 in Infant Room I revealed an infant asleep in a crib with a pacifier clipped to their clothes. Continued observation in Infant Room II an infant alsleep in a crib with a pacifier clipped to their clothes.

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 Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Interview with staff revealed that sippy cups provided by parents are used during morning snack, lunch and afternoon snack, therefore the center is reusing a single service item. Continued interview revealed that staff members wash the sippy cups in between meals. Record review revealed that the center does not have a food service permit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview the center failed to maintain food service in accordance with regulatory requirements. Observation revealed that 2% milk was located in the refrigerator. Interview with a staff member revealed that 2% milk is served to children age ranging two-years-old to five-years-old.

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 abuse and neglect reporting procedure in the employee handbook indicates that employees are to report concerns of abuse or neglect to the head of the school, then make a report to the authorities and then the head of the school will report all occurrences to the church executive director. This policy is against a complainant’s right to report suspected abuse or neglect regarding a child and remain anonymous. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 25 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, staff members hired on 10-2-12 and 8-1-07 do not have documentation from a medical professional that they are free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 9-6-12 did not complete orientation within the first ninety days of employment as orientation training was completed on 7-17-13. Based on review of documentation, a staff member hired on 10-2-12 did not complete orientation within the first ninety days of employment as orientation was completed on 8-1-13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a child enrolled on 8-20-12 is prescribed an epi-pen that is maintained at the center. The epi-pen was observed to have expired January 2013. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Room 117 Indoor Gross Motor: Based on Observation, it was found that there was one (1) uncovered electrical outlet in this area. Music Room: Based on Observation, it was found that there were three (3) uncovered outlets. Room 111: Based on Observation, it was found that an electrical outlet by the sink was uncovered. Room 114: Based on Observation, it was found that at 10:05 a.m. one (1) child was asleep in a soothing motions glider and another child was asleep in a swing. The teachers reported that the children had been asleep in the devices since 9:30 a.m. and 9:45 a.m. The facility did not have doctor's notes stating that the children were required to sleep in these devices instead of a crib. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 44 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 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. 4) Plastic bags Not In Compliance Findings: Room 111: Based on Observation, it was found that several empty plastic bags were being stored in an unlocked drawer of the unit being used as a changing station. This area is accessible to the children. 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 4) Land-line phone accessible 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. 3) Good repair Not In Compliance Findings: Room 111: Based on Observation, it was found that the electrical outlet fixture by the radio and Halloween bulletin board was pulled away from the wall. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 44 Web site: http://chfs.ky.gov/ Inspection Report 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Music Room: Based on Observation, it was found that the music teacher was supervising thirteen (13) two (2) year old children. The two (2) classroom teachers were sitting in the hallway with the door to the music room closed. The required staff to child ratio when a two (2) year old is present is one (1) staff person for every ten (10) children. Room 110: Based on Observation, it was found that one (1) teacher was supervising eleven (11) two (2) year old children. The teacher stated that the second teacher had left the classroom to check on a pacifier. The required staff to child ratio when a two (2) year old is present is one (1) staff person for every ten (10) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, in Rm. 105 there was an allergy list posted for a child that was not kept confidential making it accessible to anyone in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, thirty-eight (38) out of thirty-eight (38) staff eligible for a professional development plan did not have evidence of a plan on file in the facility. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 4) Current State other than KY In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 4/1/12 did not have evidence of a high school diploma, GED or CCCC on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 11

Room 115: Based on Interview, it was found that the mouth contact toys are washed with soap and water, rinsed and air dried. This procedure does not meet the requirements of the regulation. Mouth contact toys must be sanitized with a sanitizing solution prior to being air dried. Room 116: Based on Interview, it was found that the mouth contact toys are washed with soap and water, rinsed and air dried. This procedure does not meet the requirements of the regulation. Mouth contact toys must be sanitized with a sanitizing solution prior to being air dried. First Aid/Medication 244 - First aid supplies 922 KAR 2:120 - Section 7 (3) If a child becomes ill while at the center: (a) The child shall be placed in a supervised area isolated from the rest of the children; (b) The parent shall be contacted immediately; and (c) Arrangements shall be made to remove the child from the child-care center as soon as practicable. 1) Availability In Compliance 2) Storage In Compliance 3) Inventoried In Compliance 4) Sanitized, if reusable In Compliance 5) Maintained in sanitary manner In Compliance 6) Liquid soap In Compliance 7) Adhesive bandages In Compliance 8) Sterile gauze In Compliance 9) Medical tape In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 44 Web site: http://chfs.ky.gov/ Inspection Report 10) Scissors In Compliance 11) Thermometer In Compliance 12) Flashlight In Compliance 13) Cold pack In Compliance 14) First aid book In Compliance 15) Disposibale gloves In Compliance 16) Cardiopulmonary resuscitation mouthpiece protector In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility took a field trip on 5-9-12 to a play in downtown Louisville. The facility did not obtain permission from the parent or guardian for this specific field trip. The staff person in charge stated that the facility did not obtain permission for individual field trips. Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.