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 records for five (5) staff members (DOH: 10/11/2022, 11/13/2024, 09/10/2024, 11/14/2024, and 03/16/2023) 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.

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 personnel record for three (3) staff members (DOH: 08/01/23, 09/26/23, and 07/5/22) did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity, or commonwealth childcare credential at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel record for a staff member (DOH: 09/01/13) did not contain documentation of a current tuberculosis skin test or a statement from a health care professional stating that the adult was free from active tuberculosis on the day of the inspection. 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 personnel record for a staff member (DOH: 09/26/23), did not contain verification of first aid or cardiopulmonary resuscitation (CPR) training or certification. Review of the Early Childhood Education Training Report Information System did not verify that the training had been completed.

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 personnel record for a staff member (DOH: 09/26/23) did not contain verification that six (6) hours of cabinet-approved orientation was completed within the first ninety (90) days of hire. The personnel record for a staff member (DOH: 07/05/22) did not contain verification that fifteen (15) hours of cabinet- approved early care and education training was completed between 07/05/22 to 07/05/23. Review of the Early Childhood Education Training Report Information System did not verify that the trainings had been completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the record for a child (DOE: 08/28/23) did not contain the preferred hospital at the time of the inspection. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, the child care center failed to maintain state regulations. One uncovered electrical wall outlet was found in the Earthworm's Room, on the back wall in the dramatic play area. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 9/01/2013, only completed 14.50 hours of the 15 cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. 2. A staff member hired on 8/01/2017, only completed 12.50 hours of the 15 cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. 3. A staff member hired on 8/01/1998, only completed 13.50 hours of the 15 cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. 4. A staff member hired on 1/10/2019, completed the pediatric abusive head trauma training on 10/18/2017; however, did not renew the training due on 10/18/2022. 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: 1. In the Owls Room, a purse was hanging in an open storage cabinet, accessible to children in care. 2. In the Earthworms Room, a set of keys, a cellphone, and a cup were found on the teacher's desk, accessible to kids in care. 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 In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A review of the facility's liability insurance documentation found that the coverage dates were 1/1/21 through 1/1/22; therefore, the policy was not current. 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, this regulatory requirement was not met. Three (3) staff files (hire dates: 1/3/06, 9/1/14 and 9/1/13) contained results of negative T.B. tests that were no longer current. Two (2) tests were dated 8/23/19 and one (1) test dated 8/21/18, which exceeds the two (2) year time frame. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 8/1/15) completed PAHT training on 8/18/15; however, did not renew the training which was due 8/18/20. 2. One staff person (hire date: 9/1/16) completed PAHT training on 8/18/15; however, did not renew the training which was due 9/1/21. 3. One staff person (hire date: 8/1/17) completed PAHT training on 1/2/16; however, did not renew the training which was due 1/2/21. 4. One staff person (hire date: 8/1/17) completed PAHT training on 3/11/16; however, did not renew the training which was due 3/11/21. 5. One staff person (hire date: 9/1/14) completed PAHT training on 12/2/14; however, did not renew the training which was due 12/2/19. 6. One staff person (hire date: 9/1/15) completed PAHT training on 11/30/15; however, did not renew the training which was due 11/30/20. 7. One staff person (hire date: 9/1/13) completed PAHT training on 11/23/13; however, did not renew the training which was due 11/23/18. 8. One staff person (hire date: 8/1/12) completed PAHT training on 11/26/13; however, did not renew the training which was due 11/26/18. 9. Six (6) staffs (hire dates: 8/1/17, 8/1/08, 8/1/17, 8/1/89, 8/1/12 and 8/1/99) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 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 In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two (2) children (enrollment dates: 9/3/21 and 8/9/21) had immunization certificates that were no longer current as of 12/22/21 and 12/15/21. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the diaper changing area in the young Toddler room revealed the area underneath the changing pad was soiled with wood chip debris. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service 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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview revealed that the upstairs refrigerator did not have a thermometer in it. Interview with the staff in charge revealed the thermometer was not in the refrigerator, but had been misplaced into the freezer with another thermometer. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there was no hospital listed for two (2) children with the enrollment dates of 1/6/2020 and 9/21/2020. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center failed to comply with regulations for director requirements. Review of staff files revealed there was not an annual written performance evaluation presented for three (3) staff members with hire dates of 09/01/1989, 08/01/1998, and 08/03/2008. Interview with the director revealed the requested documentation was unavailable at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a staff member with the hire date of 09/01/1989, failed to have record of tuberculin results or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the director revealed this information was unavailable at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The child care center director did not present for review a current evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team. Interview with the director revealed the requested documentation was unavailable at the time of survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present proof of education for a staff member with a hire date of 8/1/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present, nor did surveyors review of staff file or ECE-TRIS report reveal, documentation of fifteen (15) hours of cabinet-approved training for a staff member with the hire date of 8/1/11. 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 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the older toddler room revealed ten (10) children in care. Interview with a staff member revealed the ages of the children were eighteen (18) months old to two (2) years old. Continued interview revealed the children are in the class together from approximately 8:45 am to 11:45 am. 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the nursery revealed two (2) high chairs with no safety belts. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation 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

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. Interview with both directors revealed the kindergarten children went on a field trip to Bernheim Arboretum in the Fall 2015. Continued interview with one of the directors revealed the center used Miller Transportation to transport the children on the field trip. Review of transportation logs dated 10/20/15 and review of field trip permission forms revealed the children went on a field trip to Bernheim Arboretum on 10/20/15. Review of the center’s license revealed the center is not approved for transportation services. Interview with both directors revealed they were unaware that the center had to receive prior approval from the cabinet before arranging third party transportation services for field trips. 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.125 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left unattended: (a) At the site of aftercare delivery; or (b) In a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. 907 - Parent Transport during Field Trip Not Applicable 922 KAR 2:120. Section 12. Transportation. (21) A parent may use the parent’s vehicle to transport the parent’s child during a field trip. Food Service

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements. Interview with both directors revealed the kindergarten children went on a field trip to Bernheim Arboretum in the Fall 2015. Continued interview with one of the directors revealed the center used Miller Transportation to transport the children on the field trip. Review of transportation logs dated 10/20/15 and review of field trip permission forms revealed the children went on a field trip to Bernheim Arboretum on 10/20/15. Review of the center’s license revealed the center is not approved for transportation services. Interview with both directors revealed they were unaware that the center had to receive prior approval from the cabinet before arranging third party transportation services for field trips.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Three’s Room revealed a bottle of hand sanitizer stored in an unlocked cabinet underneath the sink, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation of the child care center on 11/23/15 revealed a staff member hired 9/1/15 was present during the survey. Review of staff files revealed the staff member hired 9/1/15 listed three (3) Hawaii addresses on her Child Abuse & Neglect Check (CAN) signed 9/4/15. Continued review of staff files revealed the center failed to have a Hawaii Criminal Records Check (CRC) on file for this staff member at the time of survey. Interview with one of the directors revealed this staff member lived in Hawaii in 2012. Interview with both directors revealed the center failed to have a Hawaii CRC on file at the time of survey. Observation of the child care center on 11/23/15 revealed a staff member hired 8/1/15 was present during the survey. Review of staff files revealed the staff member hired 8/1/15 listed one (1) Indiana address on her CAN signed 8/1/15. Continued review of staff files revealed the center failed to have an Indiana CRC on file for this staff member at the time of survey. Interview with both directors revealed the center failed to have an Indiana CRC on file at the time of survey. The directors indicated that neither staff had worked alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of both Two’s Rooms revealed a plastic bag holder containing plastic bags hanging from the diaper changing table, accessible to children in care. Continued observation of one of the Two’s Rooms revealed two (2) bags of plastic bags stored in an unlocked cabinet underneath the sink, accessible to children in care. Observation of one of the downstairs bathrooms revealed a plastic bag containing plastic bags stored on a hook on the wall, in reach of children in care. Observation of the girl’s bathroom on the 2nd floor revealed a plastic bag holder containing plastic bags stored on the end of a stall, in reach of children in care. Observation of the Music Room revealed a bottle of all-purpose cleaner stored on a lower shelf in an unlocked cabinet, 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 8. Kitchen Requirements.

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of one of the Two’s Rooms and observation of the 1st floor kitchen revealed a class of preschool children prepared and baked muffins at the childcare center during the survey. Review of documentation revealed the center failed to present a food service permit for review at the time of survey. Interview with director revealed the center has not been approved for a food service permit by the local health department.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, Observation, and Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Interview with both directors revealed the staff members keep the attendance records for each classroom in their respective rooms and submit them after completed. Observation of the Threes & Fours Room on 11/23/15 revealed fifteen (15) children were present. Review of attendance records for 11/23/15 for the Threes & Fours Room revealed the staff member failed to document the arrival times of the children in the classroom. Observation of the Older Toddlers Room on 11/23/15 revealed ten (10) children were present. Review of attendance records for 11/23/15 for the Older Toddlers Room revealed the staff member failed to document the arrival times of the children in the classroom.

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 Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff policies and procedures revealed the absence of a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Interview with both directors revealed the center failed to have this policy on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed a staff member with a hire date of 08/01/2014 did not contain a copy of a criminal record check, further review revealed that the requirement of a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470; was not met. Interview with the director revealed she was not aware of the missing documents.

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. Upon observation of the young toddlers returning from outside play it was observed the children were not assisted or prompted in hand washing procedures.

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. Upon observation in the Young Two’s, the staff member did not maintain personal cleanliness by washing her hands with liquid soap and water before a diapering a child.

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, and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play equipment revealed that the climbing monkey bar climbing apparatus had a broken piece on the wooden slat located at the top of the climbing area, further observation revealed the drawbridge to have a piece of the wooden slat broken near the edge exposing the chain underneath and creating a safety hazard. Interview with the director revealed she was not aware of the items that were in need of repair.

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 staff, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the daily sign in sheet at 9:50 a.m. for the kindergarten classroom-school revealed that the child care center had not documented the daily attendance for the arrival of each child. The staff in charge revealed the children arrive at 9:00 a.m. and she did not sign the children in until later in the morning.

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 child care center failed to maintain written documentaion in accordance with regulatory requirements. review of documenation revealed the child-care center did not maintain a written schedule of staff working hours.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Based on observation in the classrooms, the daily activity of programming was not posted in writing in a conspicuous location with each age group 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, a staff member hired on 09/01/00 failed to submit a background check for a current out of state residency.

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, a staff member hired 09/01/10 failed to have a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential in her personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, children in the Five Day, Three (3) and Four (4) year old classroom, failed to wash their hands upon completion of a snack. 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, a staff member in the Five Day, Three (3) and four (4) year old room, wiped her nose and did not wash her hands before returning to an activity.

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 several pieces of plastic strips on the playground in addition to a piece of a black garbage bag.

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, an area close to the fence was sectioned off with railroad ties. One of the railroad ties on the left side of the area had a nail sticking out.

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, a request by a child for additional cereal was denied by staff. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, all classrooms did not have completed sign in sheets.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a list of children and their allergies was posted on a bulletin board in the Fours/Fives classroom. The list was in a conspicuous area and could be viewed by anyone in that classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff persons hired 9/4/12 and 9/20/10 did not have evidence of a high school diploma, GED or CCCC on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled 9/2/12 did not have evidence of a current immunization certificate on file in the facility. The certificate on file expired 3/23/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Classrooms(6 rooms): Based on Observation, children who stayed for extended care and were present for more than 3 1/2 hours were not provided with a cot or two inch thick waterproof mat to be used during rest time. An interview with staff revealed that children were using cloth rugs or towels brought from home as their rest mats. The director indicated that she thought that the cloth rugs or towels would be sufficient since the children did not typically sleep and were only resting for a short period. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 40 Web site: http://chfs.ky.gov/ Inspection Report 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 2) Meets Standards In Compliance 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided Not In Compliance Findings: Classrooms(6 rooms): Based on Observation, sheets and covers were not provided for the children. The children's rest materials consisted of a cloth rug or towel that was being used as the rest mat. 3) Sanitary Storage Not In Compliance Findings: Classrooms(6 rooms): Based on Observation, the cloths used for rest were not stored in a sanitary manner. The children's rest mats consisted of cloth rugs or towels. The rugs and towels were hung on hooks with the cloths hanging so that they touched and overlapped one another. The director was unaware of this regulatory requirement. 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 2) Laundered In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.