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

General: Based on observation, interview and review of documentation, a staff member in the Bloomers/Preschool Classroom was heard using a highly elevated tone during a walkthrough of the center conducted on 02/12/24. The staff member was heard communicating with the children in their care by shouting. Per interviews, the staff member consistently uses an aggressive and elevated tone when speaking with the children. Per interviews, a staff member in the Infant classroom called children by inappropriate nicknames and used phrases such as "shut up."

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the record for a staff member (DOH: 03/27/23) did not contain verification that the one and one-half hours (1.5) cabinet-approved pediatric abusive head trauma (PAHT) training that was due on or before 08/09/22 had been completed. The staff member’s (PAHT) training expired on 08/09/2022. Review of ECE-TRIS system verified this information. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 observation during the inspection, the following was found: Growing Pioneers Room 1) The latch would not connect into the strike plate, causing the door not to close properly. 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 13. Toys and Furnishings.

General: Based on observation during the inspection, the following was found: Little Learners Room 1) The child size vinyl couch within the library area was cracked and missing pieces of vinyl, the inside absorbent material was exposed. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Kitchen 1) There were dried food particles, dust, and debris on the bottom shelf of the LG refrigerator freezer. 2) There were dried food, dust, and debris on a shelf of the Advantco refrigerator. 3) There was a dried yellowing powdery substance inside of a shelf attached to the interior door of the Advantco refrigerator. 4) There were dried food particles on the bottom shelf of the Frigidare freezer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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. The exterior door leading into the child care center was in disrepair. There was a piece of the door that was broken, causing the door to not open and close properly. 2. Observation of the exhaust fan within the bathroom revealed it was not working properly.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff in the Preschool classroom helped wipe a child's nose and did not wash their afterwards. 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulation was not met. There were stacked chairs in the One's classroom which pose a tipping/safety hazard for the children in care. 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, two staff with hire dates of 11/7/16, and 8/5/21, did not have annual evaluations on file at the facility. Employee Records 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 7. First Aid and Medicine.

General: Based on review of documentation, one staff hired on 8/22/22, did not complete the required CPR/First Aid training. This staff member has been employed longer than three months. A review of ECE-TRIS confirmed this finding. 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulation was not met. The following was found: 1.) Four staff with hire dates of 2/23/22, 8/5/21, 12/6/21, and 1/25/22, did not complete the required Orientation training within the first three months of employment. They all completed the training in June of 2022. 2.) One staff hired on 8/22/22, did not complete the required Orientation training. The staff has been employed for more than three months. The ECE-TRIS system was reviewed and confirmed these findings. 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, there were two stained ceiling tiles in the Infant room. Hygienic Practices 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 3. General Requirements.

General: Based on observation, a child in the Preschool classroom had help wiping their nose, but did not wash their hands afterwards.

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, this regulation was not met. The staff changing diapers in the One's classroom did not follow the proper procedures for sanitizing the changing pad between children. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the thermometer in the One's classroom refrigerator was not working on the day of inspection so the refrigerator temperature could not be determined. In addition, the refrigerator had a lot of condensation in the back. 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, one child enrolled on 6/29/22, did not have evidence of an up to date immunization certificate on file at the facility. The certificate on file expired on 11/28/22. Written Documentation Not In Compliance

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, this regulation was not met. Five staff did not have updated professional development plans. Hire dates for the staff are 1/11/16, 11/7/16, 8/26/19, 8/26/19, and 8/5/21. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Observation of a video tape, interviews with staff and a review of statements from staff involved with the incident show that the health, safety and comfort of a child was jeopardized when the child was inappropriately handled by a staff member.

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: the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the back outdoor play area revealed a pile of old fence rods/poles and chain link fencing in a ditch near the left side fence within the playground. The staff in charge agreed the fencing was present. Equipment In Compliance Transportation In Compliance 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: physical safety. 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 was no physician listed for a child with the enrollment date of 7/13/2020. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Upon entry into the child care center at 09:15 am., there were fourteen children present with one (1) staff in the three/four year-old classroom. Interview with the staff revealed the children ranged in age from three to four-years old. Therefore exceeding the minimum staff to child ratio by two. Within five (5) minutes, the classroom was reduced to twelve (12) children. General Administration In Compliance Director Requirements Not In Compliance

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, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. Observation in the one-year-old classroom revealed a pair of scissors standing straight up in the sink basin. The scissors were within reach of the children. 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 child care center failed to maintain premises in accordance with regulatory requirements. The return air vent in the one-year-old classroom had a visible build-up of black residue and dust. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding first aid and medication. Observation of the changing table in the infant classroom revealed a tube of diaper cream was not labeled. Interview with the staff revealed the cream was not designated for an individual infant. Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The playground area located at the rear off the building contained numerous tree limbs and branches, along the inside of the fence line. Continued observation revealed numerous metal fence post laying on the ground, accessible to the children. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: 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 regulations. In the outdoor play area, several large branches were scattered along the back perimeter of the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, the child care center failed to comply with regulatory requirements regarding background checks. Observation revealed the staff-in-charge hired 4/2/18 was present for the duration of the survey. Review of staff files revealed the staff-in-charge’s hire date was clearly documented as 4/2/18 on multiple documents. The staff-in-charge and owner/director acknowledged the hire date was listed as 4/2/18 in the staff file. Interview with owner/director and review of the KARES system revealed the staff-in-charge’s fingerprints had not been submitted to an authorized collection site for the Kentucky National Background Check Program (NBCP). The owner/director and staff-in-charge revealed the staff-in-charge has not worked alone with children in care. Observation revealed a staff member hired 1/22/18 was the sole caregiver of four (4) children ages three-years-old to four-years-old in the Three-and-Four-Year-Old Room and other areas of the center from approximately 10:56a.m.-1:09p.m. Review of staff files revealed completed background checks for the staff member hired 1/22/18 were not presented for review at the time of survey. Review of the KARES system revealed the aforementioned staff member’s name was not listed on the records for this center. The owner/director and staff-in-charge revealed the background checks were completed; however, they could not locate this documentation at the time of survey. Observation revealed the Infant Room and the One-and-Two-Year-Old Room were adjacent to one another, and the door connecting the rooms remained open during the survey. There was one (1) infant in the Infant Room and three (3) one-year-olds in the One-and-Two-Year-Old Room. For a large part of the survey, the sole caregiver in the Infant Room and the sole caregiver in the One-and-Two-Year-Old Room had visibility of all four (4) of the aforementioned children by way of the open door; however, at 11:19a.m., the staff member in the Infant Room walked to areas in the Infant Room which were out of the scope of vision of the children in the One-and-Two-Year-Old Room; thereby, leaving the staff member in the One-and-Two-Year-Old Room with sole supervisory authority over three (3) one-year-olds for an undetermined amount of time. Review of staff files revealed the staff member in the One-and-Two-Year-Old Room was hired 4/9/18. Review of staff files and the KARES system and interview with owner/director revealed the NBCP had not been completed for the staff member hired 4/9/18. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Proof of liability insurance coverage issued by Reisert Insurance Inc. was presented for review at the time of survey; however, subsequent review of documentation and interview with owner/director revealed the policy was cancelled effective 4/19/18. Current proof of liability insurance issued by Scottsdale Insurance Company was subsequently presented for review with an effective date of 5/22/18; however, proof of insurance coverage from 4/20/18 – 5/21/18 was not presented for review at the time of survey. The owner/director revealed she could not provide verification of any insurance coverage during the aforementioned timeframe. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 1/11/16. The owner/director and staff-in-charge revealed this documentation was not available for review at the time of survey. 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, the child care center failed to maintain the premises in accordance with regulations. The door to the storage closet which is located across the hallway from the children’s bathrooms was open during the survey, and inside the closet, there was a cart stocked with cleaning and paint supplies right next to the open door, 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulations. In the Infant Room and the One-and-Two-Year- Old Room, the hot water temperature of the sinks exceeded one-hundred-twenty (120) degrees Fahrenheit. A staff member acknowledged the water was too hot. In one of the hallway bathrooms, the sink was not equipped with hot water. The owner/director revealed the hot water may have been turned off while the sink was being repaired.

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 in accordance with regulations. In the children’s bathrooms, there was fecal matter in one of the toilets. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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. The outdoor play area consisted of a very large grassy area, with no playground equipment at all. The outdoor play area appeared to be fenced in; however, the owner/director revealed a small section of the grassy area within the fence was actually not the property of the child care center; therefore, she is in the process of having a fence installed to mark the land boundary for the center.

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 interview, the center failed to maintain equipment in accordance with regulations. The outdoor play area consisted of a very large grassy area, with no playground equipment at all. Observation and interview with owner/director revealed there was no gross motor equipment for the children to use on the playground; however, she stated she was in the process of addressing the issue. 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 review of documentation and interview, the child care center failed to maintain food service in accordance with regulations. A food service permit was not presented for review at the time of survey. The owner/director revealed this documentation was not available for review at the time of survey. 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 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 a current immunization certificate was not presented for review at the time of survey for one (1) child. The owner/director and staff-in-charge acknowledged this documentation was not available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

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, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records from 4/9/18- 4/12/18 revealed several children were signed in, but not signed out on the DCC-94E form.

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 child care center failed to maintain written documentation in accordance with regulations. A current written annual plan for child care staff professional development was not presented for review at the time of survey for one (1) staff member hired 1/11/16. The owner/director and staff-in-charge 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on observation, review of documentation, and interview, the child care center failed to maintain written documentation in accordance with regulations. Observation revealed a staff member hired 1/11/16 arrived at the center at a later time during the survey. Review of staff files revealed a Criminal Records Check (CRC) dated 1/13/16 was presented for review at the time of survey for the staff member hired 1/11/16; however, the CRC was incomplete as the CRC stated, “Your request is potentially incomplete for the reason(s): Incomplete/No DOB.” Review of the KARES system revealed the staff member hired 1/11/16 has been entered into the records for the center; however, the staff member’s eligibility status has not been determined. The staff-in-charge acknowledged that the CRC indicated that the request was incomplete, and she revealed there was no additional documentation available for review at the time of survey. Consequently, the center failed to maintain documentation of completed background checks on file for this staff member at the time of survey. 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 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 center failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for a staff member with a hire date of 07/17/17.

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 center failed to provide written documentation of completed one and one-half (1 ½) hours of pediatric abusive head trauma training within the first year of employment for staff members with hire dates 01/11/16 and 05/02/16. In addition, upon request, the child care center failed to provide evidence of completed fifteen (15) hours of cabinet-approved early care and education training for staff with hire dates 05/02/16. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 premises in accordance with regulatory requirements. Observation of the child care center bathroom revealed toxic cleaning supplies and other chemicals labeled “Keep out of Reach of Children” were stored in accessible reach of children when a child used the toilet. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements regarding TB verification. Record review of eight (8) current employees revealed four staff members with hire dates of 1/11/16, 4/6/16, 4/7/16, and 5/2/16 did not receive TB testing, TB verification or reports from their doctors until after their hire dates. In all instances, required TB verification documentation was received from 2 to 8 days after their respective hire dates.

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 comply with regulatory requirements. Observation revealed a large sliding tube lying on its side just outside the fenced carport adjoining the outdoor toddler play area. Interview with the licensee revealed that this equipment belongs to the previous owner, who was supposed to have removed it.

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 comply with regulatory requirements. Observation revealed an unattached chain link fence gate stored under the carport within the area fenced off as a toddler play area. The fence gate appeared to be the missing gate used to separate the toddler play area from the older children's play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements. Observation revealed the older children's outdoor play area had six (6) slides. In all instances, the ground was visible revealing inadequate protective surface material. Observation further revealed a slide located in the separate toddler play area without any protective surface material.

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 regulatory requirements. Record review of ten (10) current children's files revealed three (3) children had no preferred hospital information, and another four (4) children had no physician information on their enrollment information. The licensee stated in interview that she was unaware and would address the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation revealed the child care center failed to comply with general administration regulatory requirements. Interviews conducted on 8/5/15, 8/6/15, and 8/7/15 revealed a child (ED: 9/26/12) received medical treatment due to a playhouse falling on her on the playground on 5/28/15. Interviews revealed the child received medical treatment after being picked up by her parent on 5/28/15. Review of DRCC records revealed there is no record of the facility making a notification that a child received medical treatment from an accident or injury sustained at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, observation and interviews the child care center failed to comply with general administration regulatory requirements. Review of DRCC records revealed the approved capacity on file is twenty-five (25). Continued review of DRCC records revealed that there was nothing on file from the facility to increase their capacity. Observation of the classrooms was conducted upon arrival at 9:35am on 8/6/15. Observation of the infant classroom revealed five (5) children present, observation of the school age classroom revealed eleven (11) children present, and observation of the two-year-old to three-year-old classroom revealed ten (10) children present, which is a total of twenty-six (26) children. Observation of the classrooms was conducted again upon departing the facility at 10:40am and the following was observed: infant classroom had five (5) children present, school age classroom had ten (10) children present and the two-year-old to three-year-old classroom had eleven (11) children present, which is a total of twenty-six (26) children. The director acknowledged the facility had too many children present during surveyor’s visit. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation the child care center director failed to supervise staff conduct to ensure implantation of center policies. Based on interviews conducted on 8/5/15, 8/6/15, and 8/7/15 a child (ED: 9/26/12) was released for pick-up by an uncle. Continued interviews revealed a staff member (DOH: 4/6/15) did not follow policy by releasing a child (ED: 9/26/12) who was not listed on the child’s pick-up list. Review of the child's (ED: 9/26/12) enrollment file revealed her uncle is not listed as a person who can pick up the child. Review of the facility policy states “child will not be released to anyone unless they are on your emergency list.” Interview with the staff in charge on 8/11/15 revealed the emergency list is also known as the authorized pick-up list and that the aforementioned staff member (DOH: 4/6/15) did not follow the policy when she released a child (ED: 9/26/12) to her uncle. 265 - Health, Safety, Comfort Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (l) Provide for the health, safety, and comfort of each child; Premises 505 - 35 Square Feet per Child Discussed 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 922 KAR 2:120. Section 4. Premises Requirements. (6) Exclusive of the kitchen, bathroom, hallway, and storage area, there shall be a minimum of thirty-five (35) square feet of space per child. Written Documentation

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation regulatory requirements. Review of a child's (ED: 9/26/12) enrollment file on 8/6/15 revealed that there were no incident reports in it. Interviews conducted on 8/5/15 and 8/6/15 revealed the child fell (ED: 9/26/12) on the playground on 5/28/15 and that an incident report was completed. Interview with the staff in charge on 8/6/15 revealed she is not sure what happened to the incident report for 5/28/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation in the school-age classroom revealed the child-care child care center did not provide a daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following child with the enrollment date of 08/01/2013 did not contain a listing for their family physician. Interview with the director revealed she was not aware the information was missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements the child care center failed to post documentation in accordance with regulatory requirements. Based on review of the documentation the center did not have a posting of information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation in the school-age classroom revealed no schedule of daily activities, to include dates and times of activities to be conducted with the children in each classroom. Interview with the director revealed she was not aware the daily schedule was not posted.

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 good repair. Observation revealed a step on the rear deck used for entry has a loose stair tread. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ 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 2. Child Care Services.

General: Based on Observation, the child care center failed to maintain minimum staff-to-child ratios in accordance with regulatory requirements. Observation revealed one staff person was supervising a total of 16 children on the playground. The children ranged in age from 3 yrs to school age.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and intervew, the child care center failed to provide a separate area or room for school age care. Observation revealed there was no designated area or room for school age children. Interview with the Director disclosed that the school age children are sent to the building next door (Pat's Play School #3) which is under separate license.

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 ensure that non-school age children wash their hands with liquid soap and warm running water upon arrival at the cente and that they wash hands after toileting or a diaper change. Observation revealed several children arrived at the center without having hands washed upon arrival. Observation also revealed the Director performing a diaper change without washing the child's hands afterwards. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that staff wash their hands with liquid soap and running water before and after diapering each child. Observation revealed the Director failed to wash her hands before diapering a child. The Director donned gloves in lieu of handwashing.

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 ensure that the outdoor play area was well maintained. Observation revealed grass and weeds growing in the mulch. Weed control fabric was also observed showing through mulch in several locations where the protective surface was not of sufficient coverage.

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 ensure that indoor and outdoor equipment shall be in good repair. Observation revealed a small walking bridge has loose handrails, protruding rusted nails and cracked, splintering wood on handrails.

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 ensure that the cold storage facility used for storage of perishable foods in a non-frozen state had an indicating thermometer or other appropriate temperature measuring device. Observation revealed that neither the large refrigerator or the small refrigerator in the infant had thermometers, therefore the required temperature of forty degrees fahrenheit could not be determined.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a current immunization certificate for a child enrolled on 1-15-2014

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 a written record for each child which is completed and signed by the parent and retained on the first day the child attends the child care center. Review of documentation disclosed that the child's enrollment form was not signed or dated by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a written annual plan for child care staff's professional development. A review of documentation disclosed the following staff persons did not have a professional development plan on file: Staff with dates of hire: 9-18-2007, 1-5-2014, 5-15-2014, 2-6-2012, 10-14-2013 (2 staff).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post a description of services provided by the child care center including current rates for child care in a conspicuous location which was available for public inspection.

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 center failed to cover an outlet near the changing table. Further observation revealed that there were plastic gloves on a low open shelf attached to the changing table making the gloves accessible to children. Programming

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, duct tape was used on the ceiling to tape a damaged area. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 Web site: http://chfs.ky.gov/ 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 6. Sleeping and Napping Requirements.

General: Based on observation, the center failed to have a firm mattress in the crib.

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 center failed to post the proper methods of diapering and handwashing near the diaper changing 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 9. Food and Meal Requirements.

General: Based on observation, the center failed to provide tortillas that consisted of whole or enriched grain during lunch. 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, four children failed to have walking permission slips to the center’s playground located across the parking lot at a related licensed center. Written Documentation

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, the center failed to provide tortillas that consisted of whole or enriched grain during lunch.

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, staff members with the hire dates 10/20/10, 7/27/11, 1/12/11 and 9/18/07 failed to have an annual written performance evaluation on file 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, the center failed to have proof of education on file for a staff member with the hire date 10/4/12 on file for review. Based on review of documentation, staff members with the hire dates 10/20/10, 7/27/11, 1/12/11 and 9/18/07 failed to have an annual written performance evaluation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have proof of education on file for a staff member with the hire date 10/4/12 on file for review.

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, staff members with the hire dates 10/20/10 and 1/12/11 failed to complete all fifteen hours of cabinet approved trainings during their last full year of employment. Based on review of documentation, staff members with the hire dates 2/6/12 and 3/2/12 failed to complete all nine hours of cabinet approved training during their first full year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete 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; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, staff members allowed children to watch television from 10:50 a.m. to 11:10 a.m. without including electronic viewing on their planned program of activities.

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, children were not prompted to wash their hands after lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to post the Disaster Evacuation Preparedness Plan including a written plan for evacuation in the event of a threatening situation that may pose a health or safety hazard to the children, a designated relocation site and evacuation route, procedures for notifying parents of the relocation and ensuring family reunification, procedures to address the needs of children including children with special needs, instruction relation to the training of staff or the reassignment of staff duties, coordination with local emergency management officials, a program to ensure that appropriate staff are familiar with the plan’s components and retain an updated copy of the plan for evacuation, provide an updated copy to appropriate local emergency management officials and provide a copy to each parent at the time of enrollment and when updated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to include the time of earthquake drills. Based on review of documentation, the center failed to include the time of the tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to include the times of the fire drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, multiple staff members failed to have a signed orientation procedure in their file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to post the Disaster Evacuation Preparedness Plan including a written plan for evacuation in the event of a threatening situation that may pose a health or safety hazard to the children, a designated relocation site and evacuation route, procedures for notifying parents of the relocation and ensuring family reunification, procedures to address the needs of children including children with special needs, instruction relation to the training of staff or the reassignment of staff duties, coordination with local emergency management officials, a program to ensure that appropriate staff are familiar with the plan’s components and retain an updated copy of the plan for evacuation, provide an updated copy to appropriate local emergency management officials and provide a copy to each parent at the time of enrollment and when updated.

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 center was not set up for infant care 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 center was not set up for infant service at the time of the survey. Food Service 910 - Bottle Feeding Discussed 922 KAR 2:120. Section 3. General Requirements. (11) While bottle feeding an infant, the: (a) Child shall be held; and (b) Bottle shall not be: 1. Propped; 2. Left in the mouth of a sleeping infant; or 3. Heated in a microwave 960 - Bottles Discussed 922 KAR 2:120. Section 8. Kitchen Requirements. (9) Bottles shall be: (a) Individually labeled; (b) Promptly refrigerated; (c) Covered when not in use; and (d) Consumed within one (1) hour of being heated or removed from the refrigerator. Posted Documentation

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center was not set up for infant care at the time of the survey. 420 - Infant Sleep Position Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (1) An infant shall sleep or nap on the infant’s back unless the infant’s health professional signs a waiver that states the infant requires an alternate sleeping position. 430 - Positioning Device Required by Physician Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (3) Rest time shall include adequate space specified by the child’s age as follows: (a) For an infant: 3. No positioning device or monitor unless the device or monitor is required by the infant’s parent or health professional; 435 - Bedding/Toys in Crib Discussed 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (3) Rest time shall include adequate space specified by the child’s age as follows: (a) For an infant: 4. No loose bedding; and 5. No toys or other items except the infant’s pacifier; Premises

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 center was not set up for infant service 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 5. Infant and Toddler Play Requirements.

General: Based on observation, the center was not set up for infant service 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 center was not set up for infant service 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 center was not set up for infant service at the time of the survey. 725 - Playpens/Play Yards Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (5) Playpens and play yards shall: (a) Meet federal standards as issued by the Consumer Product Safety Commission, including 16 C.F.R. 1221; (b) Be manufactured for commercial use; and (c) Not be used for sleeping or napping.

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 center was not set up for infant service 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 center was not set up for infant service at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 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 3. Records.

General: Based on review of documentation, the center failed to post the Disaster Evacuation Preparedness Plan including a written plan for evacuation in the event of a threatening situation that may pose a health or safety hazard to the children, a designated relocation site and evacuation route, procedures for notifying parents of the relocation and ensuring family reunification, procedures to address the needs of children including children with special needs, instruction relation to the training of staff or the reassignment of staff duties, coordination with local emergency management officials, a program to ensure that appropriate staff are familiar with the plan’s components and retain an updated copy of the plan for evacuation, provide an updated copy to appropriate local emergency management officials and provide a copy to each parent at the time of enrollment and when updated.

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 revealed two (2) staff members did not have a current negative TB skin test 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 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 of a staff member's (hire date 03/02/2012) personnel file revealed the absence of documentation to verify completion of the required orientation training. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation revealed two (2) staff members had not completed the required fifteen (15) hours of annual training. 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. 2) 9 hours-first year In Compliance 317 - Driver requirements Not Applicable 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 Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable 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 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation of the playground it was revealed grass was growing up through the mulch. Further observed revealed portions of the landscaping material was exposed.

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

General: Based on review of documentation, of ten (10) children's files revealed two (2) children did not have current immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation revealed three (3) staff members did not have a current written annual evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Room #2: Based on observation the proper diapering and handwashing procedures were not posted. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.