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

General: Based on observation and interview, the light in the hallway bathroom for school-age children was not working the day of survey.

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 ceiling in the School Age classroom contained yellow/brownish circular stains, 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the diaper changing pad in the hallway bathroom had small punctures in the protective covering. The punctures render the pad unable to be properly sanitized.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain the employment status of a staff member (DOH: 10/15/19) who has submitted to a fingerprint-based criminal background check. The Kentucky Application Registry and Employment Screening (KARES) report had the employment status as eligible but separated at the time of review. However, the staff in charge identified the individual as an active employee and provided an employee record for the individual for review. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/16/2024 AND AS OF 10/04/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, staff members (DOH: 11/18/13 and 10/15/19) did not have an annual written performance evaluation presented for 2023 at the time of review. 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 interview and review of documentation, staff members (DOH: 04/28/24 and 09/30/21) did not have a current negative tuberculosis test, stating individual is free of active tuberculosis; or a copy of a negative tuberculin results. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, on the Infant room diaper changing area surface there were Clorox disinfecting wipes, bleach water, and Glade air freshener that was not inaccessible to children. The staff in charge acknowledged the presence of the referenced items. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the diaper changing area had Glade air freshener, tape dispenser, nose bulb, baby shoe, Clorox wipes, and bleach water on the surface. Therefore, the changing area surface was not free of items not used for diaper changing at the time of review. 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 outdoor play equipment used to slide and swing did not have adequate protective surface beneath them at the time of review. The sole ground service consisted of dirt and grass. Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator in the Infant room did not have a thermometer or other appropriate temperature measuring device at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children (DOE: 05/21/24 and 07/02/24) did not have current immunizations certificate at the time of review.

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, enrollment forms for three (3) children (DOE: 07/23/24, 10/02/23, and 09/15/24) did not have contact information for their physician at the time of review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 11/18/13 and 10/15/19) did not have a written annual plan for child-care staff professional development for 2023 at the time of review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, proper methods of diapering and handwashing were not posted in the Toddler room, above or near the diaper changing area, at the time of review. Animals 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 6. License Issuance.

General: Based on observation and interview, the child-care provider was unable to provide written proof of liability insurance coverage of at least $100,000 per occurrence that has a current effective date. The presented liability insurance coverage expired on 03/04/2023. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ceiling in the bathroom at the rear of the toddler room had stains, indictive of water damage, and the bathroom wall(s) had streaks of a brown substance. The toddler room ceiling had stains, indictive of water damage. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the light on the ceiling in the bathroom at the front of the toddler room did not have a protective covering or shield over the light bulb. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview in the infant room, the two (2) cribs had a manufacturer date of 2010 which does not comply with 16 C.F.R. 1219-1220 which states that beginning 6/28/2011, all cribs manufactured and sold (including resale) must comply with new and improved federal safety standards. The child-care provider was unable to present verification of the crib manufacturer's safety compliance standards. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the meal schedule was not current for the week of 03/13-17/2023 as the meal schedule was dated 02/05-11/2023. The meal schedule was not posted in a conspicuous place as it was posted in the kitchen. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child-care provider did not present a current immunization certificate or healthcare provider statement for review for five (5) children with enrollment dates of: 2-13-23, 2-10-23, 2-13-23, 2013, 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the child-care provider revealed there was no current enrollment information containing a written record for two (2) children with the enrollment years of 2013 and 2018; specific enrollment dates were unable to be provided. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a written record of practiced fire drills conducted monthly detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3 was not presented for the month of February 2023. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, written proof of liability insurance coverage of at least $100.000 per occurrence was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a five (5) month old infant and a seven month (7) old infant that was not secured with a safety restraint while sitting in a bucket seat within the Infant room. 2. There was an electrical outlet above a sink in the bathroom located within the Preschool room that did not contain a protective covering. 3. There was a black box and a white sticky pad that was sitting on the floor adjacent to the toilet within the small bathroom that was accessible to the children. Interview with the staff in-charge revealed the black box and the white sticky pad was to catch rodents.

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: Upon request, a current fire marshal report was not presented for review on the day of the inspection. The document presented was dated 6/11/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a current copy of the administrative regulations 922 KAR 2:090 and 922 KAR 2:120 was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Upon request, verification that the child care center conducted, managed, and documented in writing recurring staff meetings was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current written staff evaluation was not presented for review on the day of the inspection for two (2) staff members with the hire dates, 11/18/2013 and 05/15/2011.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, verification that the director coordinated at least one (1) annual activity involving parental or family involvement was not presented for review on the day of the inspection. 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: Upon request, a current statement from a health car professional stating that the staff member with the hire date 11/01/2007 was free of active tuberculosis or a copy of a negative tuberculin results was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, verification that the child care center has hired two (2) substitutes in case of need was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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: Upon request, verification that three (3) staff members with the hire dates 11/18/2013, 11/01/2007 and 05/15/2011 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE- TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the aforementioned staff members. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a black purse sitting on a low shelf within the School-Age room that was accessible to the children. Interview with the staff member revealed the purse belonged to him/her. 2. There were two (2) bottles of seventy (70) percent Isopropyl Alcohol that was sitting on a low shelf located within the School-Age room that was accessible to the children. The warning label on both bottles stated, “Keep Out of Reach of Children.” 3. There was one (1) can of Antibacterial-Disinfectant Spray sitting on a low shelf located within the school-Age room that was accessible to the children. The warning label on the can stated, “Keep Out of Reach of Children.” 4. There were two (2) spray bottles of Tide Antibacterial Fabric spray that was hanging from a low shelf located within the School-Age room that was accessible to the children. The warning label on both of the bottles stated, “Hazardous to humans and domestic pets.”

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a concrete drain that did not contain a lid, leaving a large, jagged hole protruding from the ground located within the outside play area. 2. There were two (2) metal floor air vent covers located within the School-Age room that were bent and damaged, causing the metal vent covers to contain sharp, pointed edges. 3. The handwashing sink in the bathroom located within the Preschool room was missing the left hot water handle.

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: Upon request, a list of emergency numbers posted by the telephone or maintained in the telephone contacts that include 1. Police, 2. Fire station, 3. Emergency Medical care / rescue squad and 4. Poison control center was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a portion of the walls and the ceiling that contained drywall puddy. The drywall mesh was visible. Therefore, the walls and ceiling were not finished and smooth for cleaning. 2. There was a green wall that was peeling paint located within the Infant room. 3. The plywood wall in the bathroom located within the Preschool room was partially attached to the wall, leaving a one half (1/2) inch gap in the wall. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the bathroom within the Preschool room revealed the air vent was not working properly. Therefore, there was no ventilation to outside air. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Observation of two (2) diapering procedures within the Infant room revealed after the diapering procedures were completed, the staff member stored the soiled diapers in a plastic bag that was sitting on the changing table area. The Infant room did not have a container with a lid to store the soiled diapers. First Aid/Medication 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 7. First Aid and Medicine.

General: Observation of a staff member changing a one (1) year old child’s diaper located within the Infant room revealed that the staff member applied Vaseline to the child’s bottom before completing the diapering procedure. Interview with the staff in-charge revealed the parent of the child did not give written permission for the staff members at the child care center to apply the Vaseline on the child. Outdoor Play Area In Compliance Equipment 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 13. Toys and Furnishings.

General: Observation of the outside play area revealed there were two (2) Little Tyke plastic riding toys that contained large plastic eyes that were broken, leaving sharp, pointed edges on both of the riding toys. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the small black refrigerator located within the Infant room revealed the exterior of the refrigerator contained a build-up of a dried, flaky, white substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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: Observation of the small black refrigerator located within the Infant room revealed there were four (4) bottles that were not labeled for whom the bottles were intended. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Infant room revealed there was a five (5) month old child sitting in a bouncy seat eating from a bottle that was propped in his/her mouth. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review on the day of the inspection for three (3) children with the enrollment dates; 08/02/2021, 02/05/2021 and 12/31/2021.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of children’s records revealed the following: 1. There were three (3) children’s files with the enrollment dates, 08/02/2021, 08/11/2021 and 08/11/2021 whose files did not contain a preferred hospital. 2. There were two (2) children’s files with the enrollment date 4/6/2020 whose files listed a non-existing hospital. Therefore, a preferred hospital was not listed for the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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 8. General.

General: Upon request, job descriptions for the staff members employed at the child care center were not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written annual professional development plan was not presented for review on the day of the inspection for two (2) staff members with the hire dates 11/18/2013 and 05/15/2011. 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 9. Records.

General: Upon request, a diagram and a written plan outlining the course of action in the event of a natural or manmade disaster was not presented for review on the day of the inspection. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 05/13/2021 AND AS OF 06/15/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on a review of documentation the child care center director failed to have documentation showing staff meetings had been conducted and documented. Interview with the staff in charge revealed documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential for a staff member with a hire date of 10/02/2019. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

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. A staff member with a hire date of 10/02/2019 failed to have verification of orientation and PAHT training contained in the file. Further review revealed an ECE-TRIS report also failed to reveal the trainings had been completed. Interview with staff in charge revealed the documentation was not available at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the restroom located in the Preschool/School Age room revealed a hole in the ceiling adjacent to the light fixture. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation revealed several wooden slats missing from the privacy fence. A pic-nic table had been propped against the fence to deter children from accessibility, however the table did not cover the entire area, leaving the fence in poor repair. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed: a scooter with wheels which would not roll, a bent and broken hula hoop, and a large yellow rocking fish without handles on which to hold. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to assure compliance with the food service requirements. Observation revealed a package of chicken legs thawing in the sink, failing to comply with acceptable thawing practices.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with food service requirements. A review of documentation revealed a posted menu dated 3/1/2021-3/5/2021. A current menu for the week of 3/8/2021 was not available at the time of the survey. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of children's files failed to reveal an immunization certificate for children with enrollment dates of: 1/5/21, 1/5/21, 1/5/21, and 1/5/21. 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

Category: health medication. 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 files in accordance with regulatory requirements. Files for children with enrollment dates of 2/5/21 and 1/17/17 failed to have a physician's contact information. Interview with the staff in charge revealed the documentation was not available. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain postings in accordance with regulatory requirements. The child care center failed to post each statement of deficiency issued by the cabinet for the current year and the plan of corrections submitted by the provider to the cabinet for the current year. A letter stating the plan of corrections had been accepted by the cabinet was posted. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with emergency regulations 922 KAR 410e Section 7 (1) stating that : Children and adults shall be screened for fever and contagious symptoms upon the entry of the child care center. Observation revealed the surveyor was not screened 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired on 10/02/19. Interview with the staff in charge revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed two (2) staff members hired on 05/15/11 and 10/022/19 failed to have a record of a negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with director revealed this documentation was not on file at the time of the survey. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to maintain Equipment in accordance with regulations. Observation of the cot placement during nap time revealed the cots were not spaced twelve (12) inches apart to allow free and safe movement. Interview with the staff in charge revealed an acknowledgement that the mats were placed too close to each other. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen, located in the rear of the building, revealed a build-up of grease on the wall behind the stove. An interview with the staff in charge revealed that the wall behind the stove did have a build-up of grease on it that needed cleaning. 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. A review of ten (10) children’s files revealed there is no hospital listed for a child with the enrollment date of 08/19/19. Interview with the staff in charge revealed the documentation was not available at the time of the survey. 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 maintain adequate supervision in accordance with regulatory requirements. Observation of the Toddler Room at 10:55 during a bathroom break revealed a staff member was supervising a group of children in the bathroom. One (1) child was observed to leave the bathroom unnoticed, walk around a corner and across the classroom, out of the scope of sight and sound of the staff member. The child played with the lid of a trash can for approximately two (2) minutes before a staff member from another classroom noticed and redirected the child. Continued observation revealed two (2) children left the bathroom unnoticed, and wrestled behind the door, which was partially closed. Interview with the staff member revealed the children were all two (2) years old. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. A review of documentation revealed that a copy of current regulations including 922 KAR 2:120 and 922 KAR 2:280 was not available. Interview with the staff member in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Toddler Room revealed a staff member used a very harsh tone when speaking to the children for the duration of the survey. During a bathroom break at 10:50 am, the aforementioned staff member used a loud, harsh tone, and was heard from the bathroom with the door partially closed and across a classroom saying, "You peed on yourself! You just sat there in that chair and peed on yourself!" This was said in front of the other children in the classroom, who were all in the bathroom at the time. Interview with the staff member revealed the child was two (2) years old. 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 observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that staff members with hire dates of 05/23/16 and 05/15/17 had completed fifteen (15) annual hours of cabinet approved early care and education training. Review of ECE-TRIS reports revealed that the training hours were not completed within the employees' review period. 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: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room revealed two (2) infants sleeping in cribs were covered with a large blanket, which was loose near their face. Interview with the staff member revealed the infants were ten (10) months old. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises is accordance with regulatory requirements. Observation of the floors in both bathrooms revealed an accumulation of dirt on the floors. Observation of the Preschool Room revealed freying carpet around a vent in the floor.

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 is accordance with regulatory requirements. Observation of the wall in the bathroom located near the infant room revealed a baseboard to the left of the sink was missing, exposing a hole and drywall. Observation of the Infant Room revealed seven (7) long, narrow holes in the floor.

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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Toddler Classroom during a bathroom break revealed all six (6) children in the classroom were in the bathroom at the same time. Both boys and girls sat on five (5) training chairs, which were arranged very close to each other in a row against the wall. One child sat on the toilet directly in front of the training chairs. Interview with the staff member revealed the children were all two (2) years old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises is accordance with regulatory requirements. Observation of the sinks in the two bathrooms and in the Infant Room revealed the hot water temperature measured 138 degrees. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Room revealed two (2) cribs had loose-fitting sheets.

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 Toddler Room revealed the six (6) yellow bucket seats in the feeding tables had slots for seat straps; however, all of the seat straps were missing. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the kitchen revealed the temperature measured fourty-eight (48) degrees. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer in the kitchen revealed the temperature measured twelve (12) degrees.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the Infant Room revealed four (4) bottles were not labeled and two (2) bottles were not covered. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records at 9:45 am on the date of the survey revealed that two (2) children were signed out for the day at 5:30 pm. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the staff persons interaction with children in care and classroom performance for the employees with the hire dates of 11/15/2011, 11/10/2010, and 05/23/2016. 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 6. License Issuance.

General: Based on review of documentation, interview, and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the criminal records check (CRC) had been submitted/conducted within the required timeframes as required by 922 KRS1:470, for the employees with the hire dates of 05/23/2016 and 09/05/2017. The staff were not observed working alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employee with the hire date of 09/05/2017 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

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 child care director did not present verification that the record for the employee with the hire date of 08/08/2012 contained 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.

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 child care director did not present verification that the record of the employee with the hire date of 09/05/2017 had completed new orientation training within the first ninety (90) days of employment. Continued review revealed staff members with the hire dates of 11/01/2007, 11/11/2010, 11/15/2011, and 11/18/2013 had not completed Pediatric Head Trauma within the required timeframes. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The doorway edges of the blue half wall separating the two/three-year-old classroom were rough to the touch. The wall board had chipped away, exposing the drywall. The walls in the three/four-year-old classroom contained a buildup of dirt residue. Observation of the second infant room revealed the window sill to have a build-up of dirt debris.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the two (2) restrooms revealed several broken tiles on the floor, exposing the sub-floor underneath. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. A staff member conducted a diaper change on a twelve-month-old child; upon completion, the staff did not wash the infant’s hands prior to placing him/her on the floor to play.

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. A staff member conducted a diaper change on a twelve-month-old child; upon completion, the staff did not wash their hands prior to picking up another infant. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area, along the inside of the fence line, there were several discarded plastic bottles and paper wrappers accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The fence on the playground, located behind the child care center, contained two (2) broken slats that were in need of repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The child-sized chairs located in the classrooms were stained with a dark residue on the backs and seats of the chairs, along with a grimy build-up on the legs. Transportation Not Applicable 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 the kitchen, located in the rear of the child care center, revealed the walls and baseboards to have a grimy, greasy build-up.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the stove located in the kitchen revealed the inside of the oven contained a build-up of charred food debris on the bottom surface. There was also a buildup of dried grease on top of the back of the stove. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for children with the enrollment dates of 09/08/2016 and 09/19/2017 contained information listing a name of a preferred hospital. Continued review revealed the record for a child with the enrollment date of 10/30/2017 did not contain information listing a physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director 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 had been submitted to the local emergency management team within the last year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the director did not provide verification that the daily attendance record for 12/18/2017, reflected the correct number of children in attendance. Review of the attendance record revealed that only seven (7) of the eighteen (18) children present had been signed in. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for two (2) staff members hired 11/15/11 and 11/10/11. Interview with owner revealed an evaluation had not been completed for these staff members. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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 and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (3) staff members hired 11/15/11, 11/18/13 and 11/10/10. Continued review of staff files revealed documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for two (2) staff members hired 11/15/11 and 11/18/13. Interview with owner revealed training hours and PAHT were not available for review at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, Observation, and Interview, the child care center failed to maintain the premises in accordance with regulations. Review of the center’s floor plan revealed the two-year-old room is included in the center’s approved licensing space; however, observation of the two-year-old room revealed the room was being used as a storage area as the room was filled with multiple child toys, stacked chairs, a crib filled with baby equipment, and other equipment. Interview with owner revealed the room was being used as a storage room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of first bathroom, used by children, revealed the ceiling vent had paint chipping away from the ceiling, and the light failed to turn on. Observation of the second bathroom, used by children, revealed the sink was cracked and was not secured to the floor pedestal. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 regulations. Review of ten (10) children’s files revealed the written record for one (1) child (enrollment date 11/25/16) failed to contain preferred hospital information. Interview with owner revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed the center failed to present an evacuation plan for review at the time of survey. Interview with owner revealed she could not locate this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation and interview with owner revealed several children were signed in, but not signed out on the attendance records for the week of 1/1/17 to 1/7/17.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs presented for review at the time of survey revealed a fire drill was not documented for December 2016. Interview with owner revealed the drill was conducted; however, she could not locate this documentation at the time of 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 3. General Requirements.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake and tornado drill logs revealed an earthquake drill was not documented for the 4th quarter 2016. Interview with owner revealed the center failed to conduct an earthquake drill for the 4th quarter 2016. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation and interview with owner revealed the center failed to post in a conspicuous place and make available for public inspection each statement of deficiency and plan of correction issued by the cabinet during the current licensure year. Animals 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. Based on a review of documentation, a staff member with a hire date of 08/08/12 failed to have negative results of a tuberculin test or a statement from a health care professional stating the individual is free of tuberculosis. Based on interview with staff in charge, the deficiency was acknowledged.

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 comply with hygienic practices in accordance with regulatory requirements. Based on observation, three toddler children entered into the program without washing their hands upon arrival. The aforementioned children were also observed to begin eating without washing their hands. Based on continued observation, nine (9) children ranging in age from two (2) years through four (4) years, were observed eating snack and failing to wash their hands prior to resuming into an activity. Based on interview with staff in charge, the deficiency was acknowledged.

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, and interview the child care center failed to comply with the regulatory requirements regarding first aid. Based on observation, the first aid kit failed to contain medical tape and a working flashlight. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation, the area designated as the playground, contained debris including a plastice drink lids, a plastic bag and a several pieces of garbage. Also observed was a very large branch protruding through the fence from a neighboring yard, creating a safety hazard for the children. The fence had numerous bushes and greenery growing through several areas. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, a red and yellow Tonka truck had a broken rear wheel. Also observed was a large, yellow rocking fish that was missing a handle to hold on to while rocking. Based on continued observation, the toilet in the bathroom had a large bolt sticking up from the base approximately two (2) inches long, creating a safety hazard. Based on interview with staff in charge, the deficiencies were acknowledged.

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. Based on observation, three (3), one- year old children, failed to be served whole milk for breakfast. Based on staff in charge interview, she acknowledged the children did not receive whole milk with their meal.

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 the children's records in accordance with regulatory requirements. Based on a review of ten children's files, a child enrolled on 04/15/13 failed to have in writing, a person designated to pick up the child in the parent's absence. Based on continued review, all ten of the children's files reviewed failed to contain information listing a preferred hospital. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentaion, there were no job descriptions available for review. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, there was not a written policy available for review stating that what was learned in orientation would be used in the classrooms. Based on interview with staff in charge, the deficiency was acknowledged.

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, Review of Documentation, and Observation, the child care center director failed to assure compliance with regulatory requirements. Interview with parent revealed a four-month-old infant was not strapped into her car seat when the child care center transported her home on the child care center van on 9/16/15. Interview with owner on 9/24/15 revealed on 9/16/15 the infant was strapped into her car seat at the top but was not strapped into her car seat at the bottom. Continued interview with owner revealed on 9/16/15 a staff member was in the process of strapping the infant into the car seat, but before she could finish strapping the infant in, a volunteer loaded the infant on the van. Review of owner’s voluntary statement revealed her statement was consistent with her interview. Observation of the child care center van on 9/23/15 at approximately 4:40pm revealed a one-year-old child, enrolled on 9/14/15, was seated in the back seat of the van. Continued observation revealed the seat belt was strapped across the child’s car seat to secure the car seat in place; however, the child was not strapped into the car seat. The van was observed to drive away with the child improperly restrained in the car seat. Interview with driver on 9/24/15 revealed the child was not strapped into his car seat because she could not adjust the car seat straps to fit across the child’s body. Review of driver’s written statement revealed her statement was consistent with her interview. Observation of the child care center van on 9/23/15 at approximately 4:40pm also revealed a three-year-old, enrolled on 9/14/15, and a four-year-old, enrolled on 9/14/15, were seated in the back seat of the van. Continued observation revealed the two (2) children were buckled in with seatbelts; however, the children were not in car seats or booster seats. Interview with driver on 9/24/15 revealed she was aware the children were not in car seats or booster seats. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Observation of the child care center van on 9/23/15 revealed a driver,hired 6/1/13, transported six (6) children ages one-year-old to four-years-old in the child care center van. Interview with driver, director, and owner on 9/24/15 revealed the driver hired 6/1/13 regularly transports children in the child care center van. Review of Kentucky Driver History Record dated 8/12/15 for the driver hired 6/1/13 revealed the driver’s license was suspended on 4/5/14 and re-instated on 6/23/14 which was within the last five (5) years. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Based on Observation, Interview, and Review of Documentation it was revealed that on 9/16/15 a four-month-old enrolled on 8/17/15 was not properly harnessed in her car seat and on 9/23/15 a one-year-old enrolled on 9/14/15 was not properly harnessed in his car seat prior to being transported on the center's van. Review of the center’s transportation policies revealed the policy states “Each child shall be individually belted or harnessed in a seat”; therefore, the center did not follow its own policies. Observation of the child care center van on 9/23/15 revealed the driver transported six (6) children ages one-year-old to four-years-old in the child care center van. Continued observation revealed the driver was the sole caregiver of the six (6) children on the van. Review of the center’s transportation policies revealed the policy states “Van driver will not supervise more than four (4) children under the age of 5 alone”; therefore, the center did not follow its own policies.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation on 9/24/15 revealed the center failed to have a plan for ensuring staff perform duties relating to transportation properly. Interview with owner on 9/24/15 revealed the center did not have this plan on file at the time of survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation on 9/24/15 revealed the center failed to have safety procedures for transporting a child, loading and unloading a child, and providing adequate supervision of a child prior to transporting a child. Interview with owner on 9/24/15 revealed the center did not have these procedures on file at the time of survey.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van on 9/23/15 at approximately 4:40pm revealed a three-year-old, enrolled on 9/14/15, and a four-year-old, enrolled on 9/14/15, were seated in the back seat of the van. Continued observation revealed the two (2) children were buckled in with seatbelts; however, the children were not in car seats or booster seats. Interview with driver on 9/24/15 revealed she was aware the children were not in car seats or booster seats.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van on 9/23/15 revealed a driver transported six (6) children ages one-year-old to four-years-old in the child care center van. Continued observation revealed the driver was the sole caregiver of the six (6) children on the van.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, Review of Documentation, and Observation, the child care center director failed to assure compliance with regulatory requirements. Interview with parent revealed a four-month-old infant was not strapped into her car seat when the child care center transported her home on the child care center van on 9/16/15. Interview with owner on 9/24/15 revealed on 9/16/15 the infant was strapped into her car seat at the top but was not strapped into her car seat at the bottom. Continued interview with owner revealed on 9/16/15 a staff member was in the process of strapping the infant into the car seat, but before she could finish strapping the infant in, a volunteer loaded the infant on the van. Review of owner’s voluntary statement revealed her statement was consistent with her interview. Observation of the child care center van on 9/23/15 at approximately 4:40pm revealed a one-year-old child, enrolled on 9/14/15, was seated in the back seat of the van. Continued observation revealed the seat belt was strapped across the child’s car seat to secure the car seat in place; however, the child was not strapped into the car seat. Interview with driver on 9/24/15 revealed the child was not strapped into his car seat because she could not adjust the car seat straps to fit across the child’s body. Review of driver’s written statement revealed her statement was consistent with her interview. Children's Records

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, Observation, and Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Interview with owner and parent revealed a child enrolled 8/17/15 was transported by the child care center van on 9/16/15. Observation on 9/23/15 revealed children enrolled 6/18/14, 8/2/14, 8/5/15, and three (3) children enrolled 9/14/15 were transported by the child care center van. Review of children’s files on 9/24/15 revealed the center failed to have transportation agreements on file at the time of survey for all seven (7) children. Interview with owner on 9/24/15 revealed she did not have transportation agreements for these children.

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, interview and observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records revealed that the arrival and departure times for the children had been chronicled prior to some children arriving and prior to all children departing. Interview with the director revealed that the owner details all of the arrival and departure information prior to the beginning of the day and the staff members circle the children that attended and cross off the ones that do not attend. Based on observation, nine (9) children were in attendance at the start of the survey. Based on review of records, fifty-three (53) children were signed in and out for the day.

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 the regulatory requirements as it pertains to the health, safety and comfort of the children in care. Observation revealed a broken outlet plate on the wall located in the One-Year-Old Room directly behind the kidney shaped table, placing the sharp edges within reach of the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff records revealed that staff with the hire date of 8/16/14 failed to have verification that a criminal records check had been submitted. Interview with the director revealed that the documentation was not available for review at the time of the survey. Said staff member was not observed working alone with children; however is the van driver and the van monitor was not observed leaving the premises with the group that was transported. Interview with the director revealed that the van monitor was not accompanying the driver on the route as she had just been dropped off at school. Based on interview with the director, the van driver with the hire date of 8/16/14 was alone with school age children at approximately 8:35 a.m. as he transported them to school.

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, observation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of attendance records revealed fifty-three (53) children were signed in for attendance and signed out in advance for a time later in the day. Observation revealed nine (9) children in attendance that had already been signed out for the day. Based on review of records the director failed to assure that each mandatory record had not been falsified. Interview with the director revealed that the owner of the child care center signed all of the children in and out prior to the attendance and the director would circle the children that actually attended on the day of attendance.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff records revealed that staff with the hire date of 8/16/14 failed to have verification that a criminal records check had been submitted. Interview with the director revealed that the documentation was not available for review at the time of the survey. Said staff member was not observed working alone with children; however is the van driver and the van monitor was not observed leaving the premises with the group that was transported. Interview with the director revealed that the van monitor was not accompanying the driver on the route as she had just been dropped off at school. Based on interview with the director, the van driver with the hire date of 8/16/14 was alone with school age children at approximately 8:35 a.m. as he transported them to 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 regulatory requirements. Review of staff records revealed that staff with the hire date 3/12/12 failed to have documentation from a health care professional that stated the individual was free from active TB at the time of the survey. Interview with the director revealed that the documentation was not available 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 Observation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with the hire dates of 3/8/10, 2/6/12 and 3/12/12 failed to have documentation to verify that they had completed fifteen (15) hours of cabinet approved early care and education training during the previous year of employment. Interview with the director revealed that the training had not been completed and documentation was not available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed the van drivers with the hire dates of 3/8/10 and 8/15/14 failed to have a driver’s history report available for review at the time of the survey. Interview with the director revealed that she was unaware of the documentation at that time. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom located in the Two and Three Year Old Room revealed toxic cleaning supplies under the sink and a mop in the corner, accessible to children. Additional observation of the Two and Three Year Old Room revealed a purse belonging to the staff sitting on top of the cots 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 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the food trays located in the kitchen cabinets revealed dead bugs lying on them. Additional observation revealed rodent poison and traps located on the floor of the kitchen 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 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant Room revealed two vinyl floor tiles torn and broken, exposing the subfloor. Observation of the Two and Three Year Old Room revealed a section of red paint chipping off, exposing the drywall in an area that was accessible to the children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 Infant Room revealed a diaper changing pad that had rips in the vinyl exposing the interior absorbent material, rendering the changing surface unhygienic 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 Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation revealed a plastic grocery bag attached to the outdoor water faucet that was filled with additional bags of soiled diapers. Observation of the classrooms revealed that there were not infants or toddlers in care on the day 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 Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation revealed a wooden door propped against a rail. Additional observation revealed that the hinges attached to the door contained protruding, sharp screws that were on ground level at the time of the survey. Continued observation revealed that the outdoor play area had access to stairs leading to a lower level. Observation revealed that the plastic gate used as a barrier to the steps was missing a piece, rendering it an unstable barrier. Ongoing observation revealed a broken infant swing located in the outdoor play area and a piece of purple plastic from a broken child’s golf club.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation of the One-Year-Old Room revealed a kidney shaped table with three (3) of the six (6) chairs cracked and presenting sharp edges. Observation of the Two and Three-Year-Old Room revealed a child size green vinyl chair that was worn and peeling, failing to remain in good repair 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 revealed two (2) water/sand tables that were missing legs. Additional observation revealed that one (1) of tables contained frozen water and leaves as it failed to be covered at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and review of records, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed toys located in the Infant Room and the Two and Three-Year-Old Room that failed to have working batteries at the time of the survey for the toys to be used according to manufacturer’s specifications. Review of DRCC records revealed a statement of deficiencies had identified the same concern. Additional review of DRCC records revealed a plan of correction from the previous year that stated the director would monitor and maintain toys to ensure daily compliance. Based on observation, the director failed to follow the plan of correction.

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 comply with transportation regulatory requirements. Review of transportation documentation revealed that records of transportation services were not presented for review. Interview with the director revealed that she did not have additional records at the time of the interview, to present. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of records revealed that insurance was presented for two (2) of the three vehicles used to transport. Interview with the director revealed that the insurance documentation for the third vehicle, a fifteen (15) passenger, white, Chevy Van, year 2000, was located in the van, that was in the shop at the time of the survey. Additional review of transportation records failed to reveal driver’s history reports for the employees that transport the children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, interview and review of records, the child care center failed to comply with regulatory requirements regarding transportation. Observation failed to reveal emergency reflective triangles, a device to cut the restraint system or first aid supplies in the 2003 Chevy Van and the 1997 Mercury Villager. Additional observation failed to reveal a fire extinguisher in the 2003 Chevy Van. Interview with the director revealed that the missing equipment should have been found in the vans; however, the items were unable to be presented for review. Review of DRCC records revealed that this deficiency was cited in 2013 and a plan of correction stated that the driver and director would ensure compliance as of 11/21/2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the director revealed that the fifteen (15) passenger van was in the shop and unable to be inspected to verify that the vehicle used to transport children met the Transportation Cabinet’s requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, interview and review of records, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records failed to reveal documentation for a daily inspection of the tires, lights, signals, mirrors, gauges and wiper blades. Observation of the 1997 Mercury Villager revealed a busted tail light on the left rear side, a missing panel on the interior of the passenger side door and rear doors that would not open. Observation of the 2003 Chevy Van revealed a cracked and broken casing around the front passenger airbag and rear doors that would not open. Interview with the director revealed that she was not aware of these issues, which would have been identified in a daily inspection, had it been performed. Review of DRCC records revealed this deficiency was cited in 2013 and a plan of correction stated that the driver would monitor and maintain daily compliance as of 11/4/2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records revealed that the driver had documented the times that each child got on and off of the vehicle, failing to meet the regulatory requirements of the documentation being completed by a staff member other than the driver.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed food trays located in the kitchen cabinets with dead bugs lying on them, failing to keep the surfaces of items used for food sanitary and clean.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed eight (8) cans of food sitting on the floor, failing to keep food stored on a clean surface at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed a child with the enrollment date of 9/26/14 did not have documentation of a current immunization certificate available for review.

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 regulatory requirements. Review of children’s records revealed the center failed to maintain written permission forms for each trip off the premises signed by the child’s parent. Interview with the director revealed that the documentation was not available for review at the time of the survey. 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 Observation, on 01/23/2014 at 1:16 P.M., a three year old child was alone and asleep on a cot in the infant room and was not within scope of vision of the volunteer in the three year old classroom. Further observation revealed at 1:20 P.M., all of the children were woke up from their nap including the three year old in the infant room and at that time she was brought back into the three year old classroom by the volunteer with the unknown hire date. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, on 01/23/2014, a volunteer with an unknown hire date was in direct contact and alone with the children in the three year old classroom without a completed Criminal Record Check (CRC) or a completed Child Abuse and Neglect Check (CAN) on file for review. Interview with staff in charge revealed that the volunteer began helping at the center around the beginning of January 2014.

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, on 01/23/2014, a staff member with a hire date of 01/04/2010 and volunteer with an unknown hire date were alone with eleven children. Review of documentation revealed that neither the staff member nor the volunteer was currently certified in First Aid and CPR. Interview with staff in charge revealed that the staff member with the hire date of 01/04/2010 was certified in First Aid and CPR, however, her certification had expired. Premises

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, numerous children were sleeping directly on cots without a sheet.

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 upon arrival on 1/8/14 at 7:30 a.m., nine children were present with one staff member with the youngest child being eight months old. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation on 1/3/14 at 9:30 a.m., ten children were present at the center with only six children signed in to the center, therefore the center failed to record the arrival times of four children.

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, from 10:37 A.M. until 10:39 A.M. on November 4, 2013, 8 children aged from 3-4 years old were unsupervised when the staff member left the Schoolage Classroom to retrieve supplies from the Preschool Classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not provide documentation for review to show that staff meetings have been conducted during the licensure year. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview, there have been no evaluations completed on staff to assess the interaction between the children and themselves.

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, there are outlet covers missing in the preschool and school age classrooms. Further observation revealed that in the bathroom in the preschool classroom, there was a plunger that is accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, employees with the rehire dates of 10/23/2013 and 10/30/2013 did not have a Criminal Record Check (CRC) available for review, therefore, the center did not submit the CRC request on the initial date of hire. Further review of documentation revealed that an employee with the hire date of 06/01/2013 and the employees with the rehire dates of 10/23/2013 and 10/30/2013 had no Child Abuse and Neglect (CAN) Check available for review, therefore, did not abide by 922 KAR 1:470 by submitting a CAN Check within five days of hire. Observation of the facility revealed that all three aforementioned employees were working alone with children.

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 personnel file was not presented for review for an employee with the rehire date of 10/30/2013.

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, employees with the rehire dates of 10/23/2013 and 10/30/2013 did not have documentation from a health professional to verify that they were free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, employees with the following hire dates did not complete the required amount of state approved training: 03/08/2010 (0 of 15 hrs), 11/05/2010 (6 of 15 hrs), 11/10/2010 (6 of 15 hrs) and 02/06/2012 (0 of 9 hrs).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the required background checks for the current driver with the rehire date of 10/30/2013 were not presented for review. Further review of documentation revealed that it could not be determined if the driver holds a current valid driver’s license as it was not presented for review. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the preschool classroom, there are no accessories provided for the children to use with the dramatic play toys.

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, there was a toy attached to the side of the crib in the infant classroom.

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, under the sink in the bathroom in the preschool classroom, there was bleach and other cleaning items in which the label read "Keep out of reach of children" and was accessible to children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, 17 children were in a space measured for only 13 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, in the preschool classroom, there are floor tiles that are peeling up at the corners exposing the floor to the children.

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, a sink is not available in the area immediately adjacent to a changing area that is used for the infants and toddlers. Interview with the director revealed that children have been using the sink in the kitchen to wash their hands after diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child entered the facility and did not wash his hands prior to eating breakfast. Further observation revealed that the children in both the preschool and school age classrooms did not wash their hands after snack.

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 diaper pad used for diaper changes is torn and has holes throughout the surface 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, a blue and yellow climbing/sliding aparatus has no protective covering to protect the children if they fall in or around the fall zone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the back of the playground, the large gate does not fully close, allowing children the ability to leave the outdoor play area.

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, numerous toys in the infant, preschool and school age classrooms that require batteries are not in working order. Further observation revealed that the yellow chairs in the preschool and school age classrooms are extremely soiled and dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the staff member that transports children has not practiced emergency procedures since July of 2013.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the child care vehicles identified as a 2000 Chevrolet and a Mercury Villager do not contain a fire extinguisher, First aid supplies, Emergency reflective triangles or a cutting device.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a daily inspection log of the vehicle documenting checks for tires, lights, signals, mirrors, gauges, and wiper blades, safety restraints, fuel and lack of debris was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the transportation records did not reflect the time each child gets on and the time each child gets off of the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Interview of the director, the kitchen sink has been used to wash children's hands after diaper change.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, the formula for the bottles is brought by the parent to the center in a can and the bottles are prepared by a staff member at the center.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the daily schedule in the preschool and school age classrooms reflect meal schedules that are less than two hours between breakfast and snack and between snack and lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a child with the enrollment date of 07/29/2013 had only an expired immunization on file for review. Further review of documentation revealed that the immunization certificate expired on 11/02/2013.

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, a permission to transport signed by a legal guardian was not presented for review for a child with the enrollment date of 07/03/2013. Further review of documentation revealed that the aforementioned child was transported by the center on 11/04/2013. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, at 8:30 A.M., 20 children were in attendance at the center, however, only 6 children were signed in.

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, there was not an updated staff schedule available for review.

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, a written annual plan for child-care staff professional development was not presented for review.

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 Review of Documentation, a fire drill was not performed or documented in October.

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 information on the Kentucky Consumer Product Safety Program and the program's website is not posted within the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there is not a diagram outlining the course of action in the event of a natural or manmade disaster posted in a prominent place.

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 posted daily activities in the school age classroom are from August. Further review of documentation revealed that the daily activities in both the preschool and infant classrooms are also outdated.

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, it was determined the facility failed to post or follow a planned program. Observation revealed a classroom of four (4) two-year old children running chaotically around the classroom while the staff member sat in a chair watching the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined the facility failed to use a listening device as an education tool. Interview revealed the children are listening to mainstream hip-hop and country music radio stations.

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 interview, it was determined a staff member uses profane language with the children.

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 interview, it was determined the facility failed to include listening devices as part of a planned program. Interview revealed the children are listening to mainstream hip-hop and country radio stations while the director is out of the building.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was determined the facility failed to post a dated schedule of daily activities for any classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, staff with hire date11-5-10 had TB screening results on file that were not current after 8-5-12. Two staff volunteers with hire date 11- 2011 failed to have results of negative TB screening on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR Not In Compliance Findings: General: Based on review of documentation, staff with hire date 9-11-12 and named to be the driver who transport children alone did not have current CPR training. 2) First Aid Not In Compliance Findings: General: Based on review of documentation, staff with hire date 9-11-12 and named to be the driver who transport children alone did not have current First Aid training. 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, Staff with hire date 11-10-10 had documentation for only 13 hours of training. Staff with hire date 3-1-2010 had documentation for only 10 hours of training and stafff with hire date 7-1-11 had documentation for only 13 hours of training. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, child enrolled 11-3-11 had an immunization certificate on file that was not current after 8-24-12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Classroom 4: Based on Observation, the minimum staff to child ratio for infants was not met as there were six children, with the youngest being 3 months, and one staff member present at the time of the survey. 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 5 Staff Requirements.

General: Based on Observation, a staff member with the hire date of 10/11/11 failed to provide qualifying documentation of educational requirements. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 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 (1)

General: Based on Observation, there was no documentation on file for two employees with the hire dates of 04/06/10 and 03/08/10 providing evidence that the employees were free of active tuberculosis. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, a staff member with the hire date of 01/07/11 failed to complete six hours of cabinet approved orientation training. 2) 9 hours-first year Not In Compliance Findings: General: Based on Review of Documentation, six employees with the hire dates of 11/10/10, 11/05/10, 04/06/10, 09/17/10, 12/09/10, and 04/06/10 failed to receive nine hours of training during their first full year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, an employee with the hire date of 03/08/10 completed 11 hours of training during her last full year of employment. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 42 Web site: http://chfs.ky.gov/ Inspection Report Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: Classroom 2: Based on Observation, there was no documentation of programming activities posted. 2) Followed Not In Compliance Findings: Classroom 2: Based on Observation, there was no documentation of programming activities available, therefore, it could not be followed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Classroom 4: Based on Observation, and interview with staff, a three year old child was napping in the classroom with infants. The classroom staff member indicated that the three year old was just in the room for nap time. Review of the daily schedule revealed that nap time was for two hours. Classroom 1: Based on Observation, and interview with classroom staff, there were four children in the classroom ranging in age from 18 months to 3 years old. The staff member indicated that the children in the classroom during the observation were scheduled to be in the class together all day. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Classroom 4: Based on Observation, there were two electric heaters that were sitting on the floor and in use. They were both within reach of children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: Classroom 1: Based on Observation, there was bottle of Clorox cleaner stored in a cabinet located under the sink in the bathroom. The cabinet was not locked and was within reach of children. 7) Personal belongings of staff Not In Compliance Findings: Classroom 2: Based on Observation, there was a staff member's purse sitting on a chair at the beginning of the survey. It was later moved to a coat hook, but was still accessible to children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 42 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 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

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

Classroom 4: Based on Observation, a staff member was observed changing two different infants' diapers without disinfecting the changing table between uses.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Classroom 3: Based on Observation, there was not twelve inches of space between any of the cots, and several of the cots were touching. Classroom 2: Based on Observation, five of the seven cots were lined up in a row with less than twelve inches in between them. Classroom 1: Based on Observation, all four cots were positioned side by side, with less than twelve inches between them,

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, there were no prearranged plans available for review at the time of the survey. The director stated that all documentation pertaining to transportation was left at her home.

Open Not marked corrected in the state record

Open / not marked corrected.