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

General: Based on interview and review of documentation, the following was found: 1. The record for eight (8) children (DOE: 08/28/2024, 04/11/2024, 07/24/2024, 08/21/2024, 03/07/2024, 02/28/2024, 05/14/2024, and 03/01/2024) did not contain authorization by the parent for the provider to seek emergency medical care for each child in the parents' absence. 2. The record for one (1) child (07/24/2024) listed a non-existent hospital (Kosair Children's Hospital) as the child's preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) staff (DOH: 01/08/08 and 08/30/19), did not complete fifteen (15) hours of cabinet-approved early care and education training between 07/01/22 and 06/30/23. Review of the Early Childhood Education Training Report Information System (ECE TRIS) confirmed the training had not been completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the file for a child (DOE: 09/04/23) did not contain contact information for the family physician at the time of review. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 7/7/22, did not include a physician’s phone number in the enrollment information. A child enrolled on 6/30/22, did not include a preferred hospital in the enrollment information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 8/31/01, did not have a professional development plan on file.

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, earthquake, tornado and lockdown drills for the third quarter of 2022 were conducted but the center failed to document the drills. Posted Documentation In Compliance Animals Not Applicable

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 interview and review of documentation, the staff in charge did not provide verification that a fire marshal report had been maintained for review. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not 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 14. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center maintained a policy for ensuring staff duties during transportation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center maintained policies and procedures relating to an emergency plan for evacuating 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 14. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that a transportation policy had been maintained for safety procedures for loading and unloading a child. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record for a child with the enrollment date of 08/26/2021 contained information listing the name of a preferred hospital. Written Documentation In Compliance 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 interview and review of documentation, there was no posting of the proper methods of diapering at the diaper changing area. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request safety procedures for transporting a child, loading and unloading a child and providing adequate supervision of a child was not presented for review at the time of the survey. Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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. Upon request a current immunization certificate was not presented for a child with the enrollment date 6/18/19.

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, 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 two (2) children with the enrollment dates of 11/11/19 and 6/2/19. There were no names of persons who are designated in writing to pick-up the child; or the name and phone number of each person to be contacted in an emergency for the child with the enrollment date of 6/2/19. 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 In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation 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 07/30/01 and 1/9/17 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 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 of Room 101 revealed two (2) holes in the concrete wall next to a shelf containing puzzles and blocks. Observation of Rooms 105 and 107 revealed an accumulation of dust on the ceiling tile surrounding a vent. 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 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 sink in the boy's bathroom revealed the hot water temperature exceeded 120 degrees. 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. Observation of Room 109 revealed none of the eight (8) children in the classroom washed their hands after eating a snack. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed what appeared to be a blue plastic support beam was detatched from the slide on a Little Tikes play structure.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed the mulch did not sufficiently cover the area under four (4) slides. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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. Observation of Room 101 revealed a telephone which was used as a toy was cracked in the front, creating a pinching hazard. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

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 staff member in charge did not present a current written evacuation plan. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation of the music room revealed two (2) outlets were missing covers and were accessible to children at the center. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a staff member with the hire date of 01/01/2017 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential) on file. Interview with the director revealed this information was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed one (1) staff member with a hire date of 01/01/2017 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of 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 comply with regulations regarding premises. The carpet in the music room was torn and frayed, exposing fabric at the seams causing a tripping hazard. In the following rooms there was chipped paint on the wall: Ms. Katie's, Mr. Clint's, Room 107, and rhe two’s room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. There were multiple nap cots that are torn and tattered exposing fabric at the seams. Further observation revealed ten (10) four-year-old children laying on the same aforementioned nap cots.

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 comply with regulations regarding equipment. The blue and black throw rug in the Ms. C's room was torn and frayed, exposing fabric at the seams. Observation in Ms. K's room revealed a red and black kitchen set with several areas of chipping paint. Observation of Mr.C’s room revealed a purple kitchen set with several areas of chipping paint. In the music room there was a wooden file cabinet that was torn and broken on the edge that revealed a protruding nail accessible to children. Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations regarding Written Documentation. Review of attendance records revealed nine (9) children were signed out from 3:00pm for the date of the survey 10/04/2017 and that time had not yet arrived. Interview with the director revealed this is normal practice for the child care facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulations. The Mr. C’s room and Room 107 had no daily activities posted. 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, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of Room 105 from 1:44pm-2:04pm revealed the room was very dark and surveyor could not clearly see all of the children who were lying down on mats for rest time. Continued observation revealed only a small light/lamp was being used by the staff member to see the children. Further observation and interview with staff member revealed there were twelve (12) children ages four-years-old to five-years-old in the room. Observation of Room 101 from 1:45pm-2:05pm revealed the room was very dark and surveyor could not clearly see all of the children who were lying down on mats for rest time. Continued observation revealed only a small light/lamp was being used by the staff member to see the children. Further observation and interview with staff member revealed there were nine children ages four-years-old to five-years-old in the room. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Review of field trip permission forms and interview with director revealed the children went on a field trip to Slow Poke Farm on 10/10/16. Continued interview with director revealed the center used Miller Transportation to transport the children on the field trip. Review of the center’s license and DRCC records revealed the center is not approved for transportation services. During interview, the director acknowledged that the center’s license indicates that the center is not approved for transportation services. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation and interview with director revealed written documentation of more than one (1) staff meeting was not presented for review at the time of survey.

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 one (1) staff member hired 7/30/01. Interview with director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of Room 101 revealed one (1) uncovered outlet located behind the children’s cubby shelves and a small bottle of hand sanitizer in an unlocked cabinet, accessible to children in care. Observation of Room 103 revealed one (1) uncovered outlet located behind a purple, children’s play cabinet, accessible to children in care. Observation of the Music Room revealed two (2) bottles of hand sanitizer on a table, accessible to children in care. Observation of the women’s bathroom used by children in care revealed a plunger next to one (1) of the toilets, accessible to children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation Interview, the child care center failed to maintain employee records in accordance with regulations. Review of the staff schedule presented for review at the time of survey revealed “Music Teacher” was listed on the schedule, and the music teacher’s hours were listed as “Tuesday, Wednesday 9:30 until finish.” Interview with director revealed the pastor of the church is the music teacher. Continued interview with director revealed the pastor has served as the regular music teacher for the child care center since 9/12/15. Review of staff files revealed a Child Abuse & Neglect Check (CAN) was not presented for review at the time of survey for the pastor/music teacher hired 9/12/15. Interview with director revealed a CAN was never submitted for the pastor/music teacher; therefore, a CAN was not available for review at the time of survey. Continued interview with director revealed the pastor/music teacher has not worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of the staff schedule presented for review at the time of survey revealed “Music Teacher” was listed on the schedule, and the music teacher’s hours were listed as “Tuesday, Wednesday 9:30 until finish.” Interview with director revealed the pastor of the church is the music teacher. Continued interview with director revealed the pastor has served as the regular music teacher for the child care center since 9/12/15. 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 the pastor/music teacher hired 9/12/15. Interview with director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of the staff schedule presented for review at the time of survey revealed “Music Teacher” was listed on the schedule, and the music teacher’s hours were listed as “Tuesday, Wednesday 9:30 until finish.” Interview with director revealed the pastor of the church is the music teacher. Continued interview with director revealed the pastor has served as the regular music teacher for the child care center since 9/12/15. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for the pastor/music teacher hired 9/12/15. Interview with director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of the staff schedule presented for review at the time of survey revealed “Music Teacher” was listed on the schedule, and the music teacher’s hours were listed as “Tuesday, Wednesday 9:30 until finish.” Interview with director revealed the pastor of the church is the music teacher. Continued interview with director revealed the pastor has served as the regular music teacher for the child care center since 9/12/15. 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 one (1) staff member hired 12/9/14 and the pastor/music teacher hired 9/12/15. Interview with director revealed she could not locate this documentation for the staff member hired 12/9/14 at the time of survey. Continued interview with director revealed the pastor/music teacher has not completed the required training. Continued review of staff files revealed documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey one (1) staff member hired 12/9/14 and the pastor/music teacher hired 9/12/15. Interview with director revealed this documentation was not available for review at the time of survey for the staff member hired 12/9/14. Continued interview with director revealed the pastor/music teacher has not completed PAHT. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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 3. General Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of Room 101 and 105 revealed a pair of adult scissors stored in a desk organizer on a table, accessible to children in care. Observation of Room 103 revealed Lysol spray sitting on the cubby shelves near the door, accessible to children in care. Observation of the Music Room revealed a container of disinfectant wipes placed on a table, accessible to children in care.

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 regulations. Observation of Room 101 and 105 revealed a pair of adult scissors stored in a desk organizer on a table, accessible to children in care.

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 regulations. Observation of the girls’ bathroom revealed the vent was covered with dust.

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 regulations. Observation of Two-Year-Old Room revealed two (2) ceiling tiles that were not secured in place as the tiles were slightly bulging out of the frame.

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 regulations. Observation of the girls’ bathroom revealed the sink hot water temperature measured eighty-five (85) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed very visible, circular spots of black landscape fabric at the bottom of the light pink, yellow, and hot pink slides; therefore, the protective surface at the bottom of these slides failed to sufficiently cover the ground. During interview, the director acknowledged the protective surface at the bottom of these slides failed to sufficiently cover the ground. 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 regulations. Observation of the Music Room revealed a crack in the seat of one (1) of the wooden, child-sized chairs. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of field trip permission forms and interview with director revealed the children went on a field trip to Slow Poke Farm on 10/10/16. Continued interview with director revealed the center used Miller Transportation to transport the children on the field trip. Review of documentation revealed a plan for ensuring staff perform duties relating to transportation properly was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of field trip permission forms and interview with director revealed the children went on a field trip to Slow Poke Farm on 10/10/16. Continued interview with director revealed the center used Miller Transportation to transport the children on the field trip. Review of documentation revealed a contract, agreement, or document detailing arrangements with Miller Transportation for the field trip was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of field trip permission forms and interview with director revealed the children went on a field trip to Slow Poke Farm on 10/10/16. Continued interview with director revealed the center used Miller Transportation to transport the children on the field trip. Review of documentation revealed safety procedures for transporting a child, loading and unloading a child, and providing adequate supervision of a child was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of field trip permission forms and interview with director revealed the children went on a field trip to Slow Poke Farm on 10/10/16. Continued interview with director revealed the center used Miller Transportation to transport the children on the field trip. Review of transportation records revealed documentation of the first and last name of the children transported and the time each child got on and the time each child got off the vehicle was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey. Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. 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 records for two (2) children failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Interview with director 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 2:110 · 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 attendance records for the Two-Year-Old Room for 12/1/16 revealed all of the children in the class were signed in to the center; however, continued review revealed none of the children were signed out. Interview with director revealed all of the children in the center arrive thru the car rider line and are signed in upon arrival. However, only the children who leave early are signed out, but the children who go home thru the car rider line at the end of the day are not signed out.

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 earthquake and tornado drill logs presented for review at the time of survey revealed an earthquake and tornado drill were not documented for the 4th quarter 2015. Continued review revealed the times of the earthquake and tornado drills conducted in the 1st, 2nd, and 3rd quarter 2016 were not documented. Interview with director revealed the 4th quarter drills were conducted; however, she acknowledged the drills were not documented. During continued interview, the director acknowledged the times of the drills were not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member was not presented for review at the time of survey. Interview with director revealed the center did not have this written policy.

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 and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake and tornado drill logs presented for review at the time of survey revealed an earthquake and tornado drill were not documented for the 4th quarter 2015. Interview with director revealed the drills were conducted; however, she acknowledged the drills were not documented. 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 director revealed the center failed to post in a conspicuous place and make available for public inspection information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. Review of the daily schedule in the Two-Year-Old Room revealed a gap in the schedule for which no programming was scheduled from 2:00pm-2:55pm. Review of the daily schedule in Room 105 revealed gaps in the schedule for which no programming was scheduled from 10:15am-11:00am and from 2:00pm-2:55pm. Review of the daily schedule in Room 101 revealed gaps in the schedule for which no programming was scheduled from 10:30am-11:00am and from 2:00pm-2:55pm. Interview with director revealed the children are engaged in programming all day; however, she acknowledged the aforementioned time frames were not documented on the daily schedules. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on observation a staff member was alone caring for nine (9) children in the three year old room, and a staff member alone with ten (10) children in the pre-school room. Based on a review of documentation the aforementioned staff with hire dates of 12/09/14 and 02/23/15, failed to have completed background checks contained in the personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of 12/09/14, and 02/23/15 failed to have completed background checks contained in the personnel file. Based on interview with staff in charge, she stated she was unaware the background check service used was not an acceptable service for Kentucky background checks.

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 02/23/15 failed to have a high school diploma, GED, or other qualifying entity having supervisory power over a minor. Based on an interview with the staff in charge, she was unaware the document had not been received into the file,

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview. the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation, ten children in the preschool class, nine children in the two year old class, and nine children in the three year old class failed to wash their hands after eating lunch. Based on observation in the preschool and three year old class, all nineteen children failed to wash their hands after eating snack. Based on interview with the staff in charge, she acknowledged the children did not wash their hands.

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 submitted for inspection at the time of the survey, failed to contain tape. Based on interview with staff in charge, she acknowledged the absence of tape in the kit.

Open Not marked corrected in the state record

Category: health medication. 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, twenty-eight children were observed eating lunch without milk. Based on continued observation, twenty-five children failed to have a fruit and vegetable, or two fruits, or two vegetables contained in the lunches brought from home. Based on an interview with the staff in charge, parents had submitted for each child's file, written statements requesting the child only be served food which had been brought from home, but were not due to dietary restrictions. 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 Review of Documentation, and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of ten children's files, ten children with enrollment dates of: 04/17/15, 04/17/15, 6/01/15/, 09/01/15, 08/25/15, 08/28/15, 08/31/15, 03/22/15, 08/25/15, 09/18/15, failed to have a preferred hospital designated in the enrollment information. Based on interview with staff in charge, she was unaware that a preferred hospital was required information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

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 no documentation revealing that an annual emergency preparedness plan had been submitted on an annual basis. Based on an interview with the staff in charge, she believed an emergency preparedness plan had been submitted but could not locate the documentation.

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, it was determined the center failed to comply with regulatory requirements regarding general administration, specifically Fire Marshal. Review of documentation presented at time of survey failed to verify that the center is currently in compliance with the State Fire Marshal requirements established in KRS 227.220. The date listed on the last completed Fire Marshal report was 1/25/12.

Open Not marked corrected in the state record

Category: physical safety. 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 center failed to comply with regulatory requirements regarding director requirements, specifically staff evaluations. The center failed to provide documentation for review at time of survey verifying a completed annual written performance evaluation for eight (8) staff members with the following hire dates: 7/30/01, 1/8/08, 2/8/08, 8/31/09, 1/26/10, 9/2/11, 9/9/12 and 9/30/13.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically education. The center failed to provide documentation for review at time of survey verifying: 1. Highschool diploma: 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250 for a staff member hired 1/26/10.

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, it was determined the center failed to comply with regulatory requirements regarding programming, specifically program of activities followed. The center failed to provide documentation for review at time of survey, verifying a daily planned program posted in writing in a conspicuous location with each age group and followed for Room 104.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding premises, specifically inaccessible items. Observation revealed the personal belongings of staff were accessible to the children; a staff's bottle of "Coke" and cup were observed on a shelf in Room 101 while children were present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed that after the children were finished eating lunch in Room 105, they failed to wash hands before beginning to play with the toys.

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, it was determined the center failed to comply with regulatory requirements regarding first aid supplies. Observation revealed the center failed to include a working flashlight with the first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically indoor/outdoor equipment. Observation revealed a large crack in a lid cover belonging to the large plastic toy truck on the outdoor playground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. The center failed to provide documentation for review at time of survey verifying a current immunization certificate for the state of Kentucky within thirty (30) days of the child’s enrollment for a child enrolled 3/13/14.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically professional development. The center failed to provide documentation for review at time of survey verifying a written annual plan for child-care staff professional development for eight (8) employees with the following hire dates: 7/30/01, 1/8/08, 2/8/08, 8/31/09, 1/26/10, 9/2/11, 9/9/12 and 9/30/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to provide written notification to the cabinet to allow for approval prior to implementation for a change of service regarding transportation as the center arranged transportation via third party for a field trip on October 11, 2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation in the boys' bathroom, there were two mini blind cords hanging within reach of the children, creating a potential choking hazard, next to the toilet approximately one foot and three feet off of the floor.

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 purse was hanging on a hook in the pre-school classroom approximately three feet from the ground, accessible to 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 girls bathroom the light bulb was not shielded or a shatter resistant bulb.

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, in the pre-school classroom the children did not wash their hands after eating their morning 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 changing station in the boys' bathroom is not padded.

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, a child enrolled on 9-3-13 did not have a current immunization record 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, daily attendance records do not document departure times for the children or have signatures or initials of designated person.

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, drills completed did not include the children's names that participated.

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, center did not have posted the previous year's plan of correction or statement of deficiency.

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, at the diaper changing station in the boys bathroom, there was not diaper changing proceedures or hand washing proceedures posted at the diaper changing station or sink. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, staff person with hire date 2/8/08 did not have a current evaluation on file and 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

General: Based on Observation, staff persons with hire dates 8/1/01, 9/2/11, 7/30/01, 1/26/10, 8/2/10 and 2/8/08 did not have a current professional development plan on file. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 4) Current State other than KY In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not In Compliance Findings: General: Based on Observation, staff person with hire date 9/2/11 did not have an out of state background check from Tennessee on file. Staff with hire date 10/25/11 did not have an out of state background check from Illinois on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire date 9/19/12 did not have evidence on file of meeting the educational requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, Staff #1, hired 9/2011, failed to have educational documentation included in her personnel file. The director acknowledged the findings and indicated that she was in the process of addressing the issue.

Open Not marked corrected in the state record

Open / not marked corrected.