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

General: Based on review of documentation, one (1) staff member (DOH: 08/06/24) did not complete six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. The training was completed on 02/24/25. Review of the ECE TRIS report verified the findings.

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 record for a child (DOE: 05/16/24) contained an immunization certificate that expired on 02/16/25. The staff in charge acknowledged that the child did not have a current immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the personnel file for a staff member (DOH: 03/05/24) contained a tuberculosis test; however, the read date on the document was blurred and was not able to be verified at the time of the inspection. The staff in charge acknowledged the deficiency. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the outdoor play area during the inspection, the following was found: 1) There was large mass of black landscape material that was gathered under two (2) swings. 2) There was a large climbing structure that was covered with a green fuzzy substance, indicative of fungi.

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, of the outdoor play area, there was not sufficient protective surfacing under and around the monkey bars. The dirt was visible. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the immunization certificate for a child with an enrollment date of 5/2/2022 immunization expired on 4/21/2023, therefore, a current immunization certificate was not on file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 07/14/2022 AND AS OF 07/27/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record for the employee with the hire date of 09/19/2019 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the employee with the hire date of 08/31/2021 had completed CPR/First- Aid training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the employee with the hire date of 08/31/2021 had completed orientation training within the first ninety (90) days of employment. Continued review revealed the staff member with the hire date of 09/19/2019 had not updated the Pediatric and Head Trauma training after five (5) years. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The children present were offered and served chocolate milk during breakfast. Only non-flavored milk is allowed to be offered or served. 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 interview and review of documentation, the staff in charge did not present verification that the child with the enrollment date of 08/11/2021 had a current immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been completed to include all of the required documentation to the local emergency management team within the last year. The plan presented was dated for 2020.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the fire and disaster drills records had been maintained for the last twelve (12) months. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the following information was posted and available for public inspection: 1). Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.83)2). 2). There was no description of services provided or current rates for review. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, staff files failed to reveal negative results from a tuberculin test or a written statement from a health care professional stating that staff members with hire dates of 08/17/17, 08/24/18, 09/19/19, and 06/02/10 were free of tuberculosis. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain compliance with regulatory staffing requirements. Observation revealed nineteen (19) children in Group 1. Interview with the staff member revealed the youngest child in the group was five (5) years old. The ratio was out of compliance for approximately one (1) hour. Group #2 contained twenty-two (22) children ranging in age from 6 years through 9 years, with one staff member for more than one (1) hour. General Administration In Compliance Director Requirements In Compliance Employee Records 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to have documentation including a staff member's name, address, date of birth, date of hire, proof of educational requirements, documentation of compliance with tuberculosis screening, and results of background checks, for a staff member with a hire date of 06/02/10. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center's files failed to reveal a high school diploma, GED or other qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential for staff members with hire dates of 09/19/19 and 06/02/10. Interview with staff in charge revealed the documentation was not available at the time of the surevey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, staff members with hire dates of 08/24/18 and 06/02/10 failed to have verification of having received 15 hours of cabinet approved training in the file or on a report from ECE-TRIS. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to provide a daily planned program. Observation revealed children without activities appearing to "hang out" with no direction of a planned activity. Children were observed walking aimlessly or sitting without an activity. Interview with the staff in charge revealed a school activity prevented the children from utilizing the gym in the scheduled time frame, and the weather prevented an outdoor time. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the children were served snack and then allowed to enter into activities for an extended period of time prior to washing their hands after eating. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. Review of the child care center’s staff schedule on 03/20/19 revealed staff currently employed with the child care center. Review of the KARES Surveyor Report revealed staff with a hire date of 09/21/99 was not listed as a current employee of the child care center with a Determination Status of “eligible.” Interview with the staff-in-charge revealed the staff was not a rehire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. Review of employee records for staff with hire dates 11/15/18 and 08/24/18 revealed the child care center failed to maintain the employment status for each staff who have completed fingerprint-based criminal background checks. Interview with the staff-in-charge revealed staff with a hire date of 09/21/99 was not a rehire. It was also believed that the staff with a hire date of 09/21/99 was recently terminated. However, she could not confirm the date of termination. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Supervision Not 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 maintain adequate supervision in accordance with regulatory requirements. Observation revealed children who arrived for care to the child care center by school bus. The children were observed to ring the doorbell to be let in the door of the cafeteria, which is also the room for child care. Interview with staff revealed no one was waiting outside for the children to arrive. Therefore it was determined the child care failed to provide adequate supervision for the children in their care. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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. Observation of the child care center on 03/20/19 revealed two (2) teachers and sixty-eight (68) children grouped together in the school cafeteria. Interview with staff revealed the children ranged in age from five (5) to fourteen (14) years old. The child care center exceeded the staff-to-child ratio and maximum group size by thirty-eight (38) children based on the youngest child in the group. In addition, observation on 04/08/19 revealed a group of twenty-four (24) children with two (2) staff. Interview with staff revealed the ages of the children ranged from five (5) to six (6) years old. Observation revealed one (1) of the staff left the group on several occasions and the staff-to-child ratio was exceeded by nine (9) children on each occurrence. The staff person left for at least ten (10) minutes or less on several occurrences. 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 8. General.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to operation instruction/regulation copy. Upon request, the staff-in-charge failed to provide documented evidence of a current copy of the administrative regulations. The most recent documented reviewed was printed on 10/31/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements with regard to staff-in-charge in the absence of the director. Interview with staff revealed the site director is the staff in charge. The staff usually arrives at 3:00 PM. The staff present stated they were not sure who the staff in charge would be in the site director’s absence. In addition, the staff stated they were unable to provide records for review in the renewal process. The surveyor waited until the children arrived before leaving the center.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to staff meetings. Upon request, the staff present failed to provide documented evidence that recurring staff meetings for the review period were conducted, managed and documented in writing.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to staff evaluations. Upon request, staff failed to provide documented evidence that staff with hire dates 08/17/17, 01/18/16, and 09/21/99 were assessed with regard to their interaction with children in care and classroom performance through an annual written performance evaluation for the review period.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to parent activities. Upon request, the staff failed to provide documented evidence that the child care center coordinated at least one (1) annual activity involving parental or family participation for the review period. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff-in-charge failed to provide a personnel file for staff with a hire date 09/21/99. There was no documented evidence of a current personnel file to include: name, address, date of birth, date of employment, proof of educational qualifications, record of annual performance evaluation, tuberculosis screening, and/or the results of background checks in accordance with administrative regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff-in-charge failed to provide documented evidence that staff with hire dates 08/17/17 and 09/21/99 are free of active tuberculosis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff-in-charge failed to provide documented evidence that staff with hire dates 01/18/16 and 09/21/99 completed fifteen (15) hours of cabinet-approved early care and educational training within each subsequent year of employment. Review also revealed staff with hire dates 10/26/18 and 08/24/18 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Also, documented evidence was not received that staff with dates of hire 01/18/16 and 09/21/99, completed one and one- half (1 ½) hours of cabinet approved pediatric abusive head trauma training once every five (5) years. Additional review of the ECE-TRIS Report confirmed that these staff failed to complete trainings. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the child care center on 03/20/19 revealed two (2) staff and sixty-eight (68) children. The children ran throughout the cafeteria out-of-control and failed to follow the directions of the staff. Children were observed to fight over books. The child care center failed to follow a routine that would prevent or redirect the chaotic behavior by the children. Premises In Compliance 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 the child care center on 03/20/19 revealed a child who entered the cafeteria from the school bus and immediately began to eat a snack. The child was not observed to wash his/her hands before eating the snack. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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 interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff failed to provide documented evidence of Transportation Logs to include the first and last name of the child transported and the time each child arrived to and departed the transportation vehicle. Interview revealed the children were transported for field trips during the review period. Food Service/Food Program In Compliance 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 2:090 · 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, the staff-in-charge failed to provide documented evidence of permission forms signed by the parent of each child, when field trips were taken during the review period. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s policy and procedures revealed administrative regulations shared with staff with a date of 10/31/17. The staff-in-charge failed to provide evidence that the current administrative regulations updated on 02/14/18 were added to the center’s policy and procedures to reflect changes related to background check requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff failed to provide documented evidence of a current written schedule of staff working hours. Interview also revealed staff with a hire date of 09/21/99 was no longer an employee and she had no knowledge of the staff’s last day of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff failed to provide documented evidence of a written annual plan for child care staff professional development for staff with hire dates 08/17/17, 01/18/16, and 09/21/99. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff failed to provide documented evidence of a written record of quarterly practiced earthquake and tornado and monthly fire drills detailing date, time, and children who participated. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain posted documentation in accordance with regulatory requirements. Upon request, the staff failed to provide documented evidence of the most recent Statement of Deficiency (SOD) and Plan of Correction (POC). Review of posted documentation revealed the last SOD/POC was dated 04/27/16. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. At 04:33 p.m., a six-year-old child was observed exiting the middle door of the cafeteria alone, walking down the hallway. Interview with the staff present revealed the staff was unaware the child had exited the cafeteria. Approximately one minute later the child returned on her own. Therefore, the child was not within scope of vision or range of voice. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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 in charge did not present verification that the employee with the hire date of 03/27/2017 had completed new orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee files revealed a staff member with hire date 11/14/16 who listed a previous address in Ohio on his child abuse and neglect check (CAN) form, and did not have an out-of-state criminal record check for Ohio. Upon request, the staff in charge was not able to provide the documentation at the time of the survey and he stated that the staff member has never worked alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee files revealed a staff member with hire date 11/14/16 did not have a statement from a health professional that the individual is free of active tuberculosis. Upon request, the staff in charge could not provide a current statement at the time of the 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 regulatory requirements. Review of the presented employee files revealed a staff member with hire date 2/16/17 did not complete the six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The third (3rd) swing from the end on the metal swing set located on the outside play area was missing a portion of the seat. Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s files revealed two children with the same enrollment date of 8/15/16, did not contain the name of the family’s preferred hospital. Upon request, the staff in charge was not able to provide the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that an individual with a hire date of 1/18/16 failed to have documentation presented to verify that the individual had earned a high school diploma, a GED or a Commonwealth Child Care Credential. Interview with the staff person in charge revealed that the individual was rehired and the addition of the education requirement was overlooked.

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 liability insurance. Review of documentation revealed the center failed to provide documentation at time of survey to verify written proof of liability insurance coverage of at least $100,000 per occurrence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that the child care center director failed to comply with regulatory requirements, specifically staff meetings. Review of documentation revealed the center failed to provide documentation at time of survey to verify the director conducted, managed, and documented in writing staff meetings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented revealed, the center failed to provide documentation at time of survey verifying the maintenance on site of a child abuse/neglect check and criminal record check for a staff member hired 6/1/99.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all staff files presented revealed, the center failed to provide documentation at time of survey verifying the maintenance on site of a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for a staff member hired 6/1/99.

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. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for a child enrolled 8/13/14.

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 fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to maintain a record of documented practiced earthquake/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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to maintain a record of documented practiced 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 3. General Requirements.

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to maintain a record of documented conducted monthly 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 3. General Requirements.

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to maintain a record of documented conducted quarterly earthquake/tornado drills. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically daily activities. Review of the daily scheduled activities presented for review at time of survey revealed the center failed to maintain a daily schedule of activities for the hours during the before school program. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report 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

Open / not marked corrected.

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

General: Based on Review of Documentation the director failed to maintain documentation. Review of the center’s Administrative Regulation revealed a copy printed during 2010, therefore the center failed to have an updated copy of Administrative Regulation 922 KAR 2:090, and 922 KAR 2:120.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation the center failed to maintain employee’s records. Review of employee’s records revealed that employee’s with the hire dates 9/21/99, 6/1/99, 8/4/11, 8/9/11 and 2/8/12 failed to have current documentation from a health professional to verify that the individuals were free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation the center failed to ensure CPR and First Aid coverage during all hours of operation. Observation and Interview revealed that two school age children were present with three staff members with the hire dates of 2/13/14, 10/1/13 and 9/21/99 from 3:00 p.m. to 3:40 p.m. Review of documentation revealed that said staff members failed to be certified in CPR and First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the center failed to maintain employee’s records. Review of employee’s records revealed that an employee with the hire date 9/20/04 completed thirteen out of fifteen hours during his last full year of employment. Further review revealed that an employee with the hire date 8/12/85 failed to have documentation of completing all fifteen hours of cabinet approved training during her last full year of employment.

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 maintain children’s records. Review of children’s records revealed that children with the enrollment dates 6/20/14, 8/20/13, and 6/12/13 failed to have a current immunization certificate on file for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 center failed to maintain children’s records. Review of children’s records revealed that children with the enrollment dates 12/14/07 and 7/31/13 failed to a parent and/or guardian’s signature for emergency medical authorization.

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, there was no document available for review verifying that a staff members with the hire date 9-20-04 and 9-21-99 were free of active tuberculosis. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 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 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 3) 15 hours annually In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, a staff member with the hire date of 8-9-11 failed to complete nine hours of cabinet approved training during her first full year of employment. 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 2:110 · 922 KAR 2:110 - Section 5 Staff Requirements.

General: Based on review of documentation, the facility failed to have proof of a high school diploma, GED or CCC on file for staff members with the hire dates 5-14-12 and 8-9-11.

Open Not marked corrected in the state record

Open / not marked corrected.