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: 10/24/2024) did not complete first aid and CPR training.

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: 10/24/2024).

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, four (4) boxes of Disinfecting Clorox Wipes were stored next to the sink in the Joy classroom, where they were accessible to children.

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 temperature of the refrigerator in the Mercy classroom was 50 Fahrenheit. Per interview, the refrigerator was used for the children's food.

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, one (1) staff member (DOH: 10/10/2024) did not have education verification on file.

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 staff member (DOH: 08/06/2024) did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) staff members (DOH: 10/03/2016, 09/19/2022, 08/01/2023, and 07/01/2022) did not meet the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. A review of ECE TRIS report supported these findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. The immunization certificate for one (1) child (DOE: 08/01/2023) was not valid. Presented immunization certification had no expiration date. 2. One (1) child's (DOE: 08/07/2024) file did not contain immunization certification. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on interview and review of documentation, the background check on file for a staff member (DOH 8/5/19) was conducted by a child care center that closed in 2021. Review of the Employment Authorization form in staff member's personnel file showed a determination of eligibility for the closed child care center. The aforementioned closed child care center was under the same ownership as the center in this inspection; however, the background check for the closed center was expired. Review of a KARES report dated 2/12/24 verified that staff member was not listed as a staff member on Christian Academy of Louisville's roster. The aforementioned staff member remained on the roster of the closed child care center. The staff member in charge acknowledged this deficiency. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 review of documentation, staff members (DOH 8/1/23 and 8/22/23) did not have high school diploma, GED or qualifying documentation from a comparable educational entity, or commonwealth childcare credentials in their staff file at the time of review. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, seven (7) staff members (DOH 10/3/16, 6/21/18, 9/30/19, 11/24/21, 1/22/15, 8/5/19, and 10/30/14) at the childcare center did not have fifteen (15) hours of cabinet- approved early care and education training completed between 7/1/22 and the following 6/30/23, at the time of review. Review of the Early Childhood Education Training Report Information System, dated 2/12/24, confirmed the lack of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a child's (DOE 8/1/23) immunization certificate expired 10/8/23.

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, a child (DOE 7/31/23) did not have physician, preferred hospital, or contact information for either on file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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, the child care center failed to comply with regulatory requirements. Observation of a wall located in room 308 revealed there was one (1) electrical outlet that was not covered. Observation of room 315 revealed there was one (1) electrical outlet that was not covered. Observation of the bathroom located in room 313 revealed there was a plunger stored on the floor adjacent to the children’s toilet. Observation of the circle time area located in room 313 revealed a box fan that was not protected. Continued observation of the fan revealed the fan was sitting on the electrical cord and the fan was wobbly. The fan was accessible to the children. Therefore, the fan was not protected and it was not sitting on a secure surface. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Review of the child care center's license revealed the child care center was only approved to care for preschool children. Observation of the classrooms revealed the child care center was caring for two- year-old children. Interview with the staff in charge revealed in 2017 the center was licensed to care for two-year old children. In 2018 the definition of a toddler had changed and the child care center did not submit a request to add toddlers to the child care center's license; therefore, the child care center was not licensed to care for children ranging from one through two years of age. 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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff records for staff members hired on 01/05/2016, 10/30/2014 and 11/02/2002 revealed the files did not contain verification that the aforementioned staff members had completed one and one half (1 ½) hours of cabinet approved pediatric abusive head trauma training within the last five (5) years. Review of ECE-TRIS report could not verify that the training had been completed. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the handwashing sink located in room 315 revealed the hot water temperature measured eighty (80) degrees Fahrenheit. Therefore, the sink was not equipped with hot water at a minimum ninety (90) degrees Fahrenheit. Observation of the bathroom sink located in room 315 revealed the hot water temperature measured sixty (60) degrees Fahrenheit. 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

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 changing table located in the bathroom off of room 308 revealed the changing pad contained several small cracks, exposing the inside absorbent material. Observation of the changing table located in the bathroom off of room 309 revealed the changing table had a build-up of dust and debris. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of a large climbing apparatus revealed there was not sufficient protective surfacing at the foot of the steps and at the foot of the two (2) blue slides. The ground was visible. Continued observation of the outside playground revealed there were four (4) swings that did not contain sufficient protective surfacing under them. The ground was visible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the black fence located on the outside playground revealed it was chipping black paint; there were some paint chips on the protective surfacing accessible to the children. Continued observation of the fence revealed the double gate did not close properly. The gate pin latch drop rod was not installed properly causing the gate to not be secure; when the double gate was pushed, both gates opened. Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch being served in room 313 revealed not all children were served milk. Some of the children were drinking water. Interview with a staff member revealed the children get to choose what they want to drink and if the child chooses water the staff members do not serve the child milk. Therefore, all of the food components were not served. Also, there was not a request from the parent or a physician to request that a child should not be served milk. 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. Observation of lunch being served in room 312 revealed that the tables were not sanitized before the children's individual plates of food were placed onto the tables. Observation of the small refrigerator located in room 308 revealed there was a dried white substance on the shelf and dried food debris throughout the refrigerator. Observation of the small refrigerator located in room 309 revealed there were dried food particles throughout the refrigerator. Observation of the small refrigerator located in room 312 revealed there was a dried white substance throughout the refrigerator. Continued observation of the small refrigerator located in room 312 revealed the seal that goes around the inside of the refrigerator door contained a heavy build-up of a black substance. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Presented children's files with enrollment dates 07/29/2020 and 07/29/2020 did not a contain a name of a designated person to pick the child up and a name and phone number of a designated person that is to be contacted in an emergency involving the child or impacting the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care was submitted to the local emergency management team within the last year. The document presented was dated 02/14/2018. Posted Documentation In Compliance Animals In Compliance 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 4. Procedures and Payments.

General: Based on observation and review of documentation, there was no verification of completed background checks as requested by Christian Academy of Louisville presented for review for two (2) staff members with the hire dates 12/04/2019 and 08/05/2019. The documentation submitted for review consisted of an Employment Authorization form obtained from another child care entity.

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: Base on review of documentation, the child care center failed to present evidence to verify that staff members with the hire dates 08/05/2019 and 12/04/2019 had submitted their fingerprints to the NBCP. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, the staff member's file with the hire date 08/05/2019 revealed he/she lived in Indiana in the last five (5) years. Further review of staff file revealed it did not contain a criminal record check, child abuse and neglect check and sex offender registry for Indiana. 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 8. General.

General: Upon request, a current copy of regulations was not presented for review. Employee Records In Compliance Programming 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 2. Child Care Services.

General: Based on observation and review of documentation in room 315, there was not a daily activity plan posted at the time of survey. 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 of the walls in the two (2) restrooms located off of rooms 308 and 315, there was peeling paint, leaving the dry wall visible. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and upon request, the staff member did not provide a written annual professional development plan for staff members with hire dates: 11/02/2015, 05/15/2016, 10/17/2018, 10/20/2014, 02/05/2018 and 08/01/2011. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of documentation revealed the child care center failed to post each statement of deficiency issued by the cabinet and each plan of correction submitted by the center during the current licensure year.

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: Review of documentation in room 310 revealed there was not a daily schedule of activities posted for review. Animals Not Applicable

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 child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present proof of education for staff members with the hire dates 2/25/19 and 1/25/19.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present a negative TB assessment or physician statement for staff members with the hire dates 2/25/19 and 1/25/19. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Upon request, the director did not present a preferred hospital listing for child with enrollment date of 7/31/18. 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 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

General: Based on review of documentation and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of staff files failed to reveal a complete CAN results for a staff member with a hire date of 08/06/09. Further review revealed only one page of the document was in the file. Interview with the staff in charge revealed the complete results were unavailable at the time of the survey. 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. A review of documentation failed to reveal completed assessments of each staff member's interaction with children in care and classroom performance through an annual performance evaluation. Interview with the staff in charge revealed the documents were not available at the time of the survey. 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

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. A review of staff files failed to reveal current negative results from a tuberculosis test, or a written statement from a health care professional stating the individual is free of tuberculosis for an employee with a hire date of 10/30/14. Interview with the staff in charge revealed the document was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal 15 hours of cabinet approved child care training for a staff member with a hire date of 10/26/15. 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 equipment in accordance with regulatory requirements. Observation on the playground revealed a plastic log cabin with a missing door, being in disrepair. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

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 children's records in accordance with regulatory requirements. A review of children's files revealed a file for a child enrolled on 02/05/18 failed to contain the name of each person who is designated in writing to pick-up the child, authorization by the parent for the child care center to seek emergency medical treatment for the child in the parent's absence, and medical history. Additonally, a file for a child with an enrollment date of 08/03/17 failed to contain contact information to enable a person in charge to contact the child's preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to assure compliance with regulatory requirements. Upon request, the elementary principal did not provide documentation showing where she is now the director of Christian Academy Preschool and stated that the former interim director resumed a teaching position within the preschool in February 2017. 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 records in accordance with regulatory requirements. Upon request, the file for a staff member whose date of hire was 1/25/17 failed to include verification of educational background. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the director could not verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for fifteen (15) of the twenty-one (21) staff employed. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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 08/12/2015 did not list a name of s preferred hospital. Interview with the director revealed she was not aware 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 and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided it was revealed the center failed to maintain a detailed record of the names of the children who participated in the fire drill for the month of December 2015. The director revealed she was unable to locate the document.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation the childcare center failed to maintain a record of the monthly fire drill conducted for the month of December 2015. The Interview with the director revealed she was unable to locate the document.

Open Not marked corrected in the state record

Category: physical safety. 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 regulations. Review of staff files revealed staff members hired 2/7/14 and 2/10/14 failed to have documentation of fifteen (15) hours of cabinet approved training 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the center failed to maintain hygienic practices in accordance with regulations. Observation of Room 308 revealed the diaper changing pad was torn in several places, exposing the inner padding.

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, the center failed to comply with regulations regarding first aid and/or medication. Observation of Room 308 revealed Tucks medicated cooling pads, Vanicream, and four (4) tubes of diaper rash cream stored in the organizer hanging on the bathroom door. 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of Room 308 and Room 309 revealed the mini- refrigerator temperatures measured between forty-two (42) and forty-three (43) 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, the child care center failed to maintain food service in accordance with regulations. Observation of Room 310 revealed the 2nd shelf of the mini- refrigerator was covered with a dried white, powdery substance.

Open Not marked corrected in the state record

Category: nutrition. 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 regulations. Review of documentation revealed the center failed to post each statement of deficiency and plan of correction issued by the cabinet during the current licensure year.

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 regulations. Review of documentation in Room 308 revealed the director failed to post a daily schedule of activities which included dates and times of activities to be conducted with the children in the room. Review of documentation in Room 311 on 4/23/15 revealed the daily schedule of activities was no longer current as it was dated 4/13/15-4/17/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center did not comply with regulatory requirements. Review of documentation revealed medication administration sheets on a clipboard that was hanging on a wall containing the name of the child the medication was to be administered to that was visible to anyone walking in the room. Further review of documentation revealed a posting with the same child’s name containing a list of food the child was allergic to that could also be seen.

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 child care center director did not maintain compliance with regulatory requirements. Observation of the restroom located in Room 309 revealed a plunger located next to the toilet was accessible to the children. 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 did not maintain employee records in accordance with regulatory requirements. Review of documentation present in each staff members' personnel file revealed a staff member hired on 02/10/2014 did not have a copy of a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child 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 did not maintain employee records in accordance with regulatory requirements. Review of documentation present in each staff members' personnel file revealed a staff member hired on 08/20/2012 had written evidence of having completed fourteen hours of cabinet-approved early care and education training during her subsequent year of employment. 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 3. General Requirements.

General: Based on Observation, the child care center did not maintain the premises in accordance with regulatory requirements. Observation revealed Swiffer mops equipped with a floor cleaner that carries a warning to keep out of reach of children was in each of the four restrooms.

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 did not comply with hygienic practices in accordance with regulatory requirements. Observation revealed three children were not prompted to wash their hands before participating in group activities upon arrival to the center.

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 Review of Documentation, the child care center did not comply with regulatory requirements regarding medication. Review of documentation revealed a medication administration sheet listing three different medications to be administered to a child but did not list the name of the child to receive the medication.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center did not maintain children’s records in accordance with regulatory requirements. Review of documentation present in ten children's files revealed a child with an enrollment date of 08/2013 did not have an enrollment form with identifying information about the child, that included, at minimum, the child’s name, address, and date of birth and information to enable a person in charge to contact the child’s parent at home or place of employment. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center procedure of the Child Abuse Policy in the Employee Handbook and the Faculty Crisis Response Handbook failed to reflect the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030.

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, a child with the enrollment date of 8/15/12, failed to have a current immunization certificate.

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, children with the enrollment dates of 8/11/12 and 8/3/12, failed to have physician information in the enrollment information. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.