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

General: Based on the interview and review of documentation, a staff member's (DOH: 11/01/24) personnel file did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential. An interview with the staff in charge revealed that he/she did not have the requested documents to present.

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 a review of documentation, the Early Care and Education Training Records Information System (ECE-TRIS) revealed one (1) staff member (DOH: 04/08/24) did not complete first aid/ CPR training within the first ninety (90) days 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 11. Staff Requirements.

General: Based on interview and review of documentation, the personnel record for three (3) staff members (DOH: 03/07/24, 03/03/23, and 08/15/22) did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, the following was found: 1) The personnel record for a staff member (DOH: 09/28/22) contained the most recent TB skin test dated 05/23/22, which was no longer current. Through interview with the staff in charge, he/she did not present a current TB skin test for review on the day of the inspection. 2) The personnel record for a staff member (DOH: 04/14/22) contained the most recent TB skin test dated 04/20/22, which was no longer current. Through interview with the staff in charge, he/she did not present a current TB skin test for review on the day of the inspection. 3) The personnel record for a staff member (DOH: 01/25/22) contained the most recent TB skin test dated 02/27/22, which was no longer current. Through interview with the staff in charge, he/she did not present a current TB skin test for review on the day of the inspection. 4) The personnel record for a staff member (DOH: 06/13/22) contained the most recent TB skin test dated 05/23/22, which was no longer current. Through interview with the staff in charge, he/she did not present a current TB skin test for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on interview and review of documentation, the personnel file for a staff member (DOH: 09/10/12) did not contain verification that the required first aid and cardiopulmonary resuscitation (CPR) training had been completed within ninety (90) days of employment at the childcare center. A review of ECE-TRIS verified this information.

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, based on review of documentation the following was found: 1) Three (3) staff members (DOH: 02/06/23, 02/13/23, and 08/15/22) did not complete one and one-half (1.5) hours of pediatric abusive head trauma training that was due one (1) year from the staff members' hire date. 2) Five staff members (DOH: 08/15/22, 01/25/22, 09/02/22, 09/14/21, and 03/03/23) completed zero (0) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 3) Two (2) staff members (DOH: 02/26/23 and 02/10/22) completed six (6) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 4) A staff member (DOH: 06/13/22) completed eight (8) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 5) Four (4) staff members (DOH: 07/05/22, 09/07/22, 10/31/22, and 06/13/22 completed nine (9) of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 6) A staff member (DOH: 08/29/22) completed ten (10) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 7) A staff member (DOH: 04/01/22) completed eleven (11) hours of the required fifteen (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, a child's enrollment information (DOE: 01/27/24) listed a preferred hospital that is no longer active. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no written practiced documentation of quarterly earthquake drills, dates, times, and who participated at the time of review.

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, there were no quarterly documented shelter-in-place drills recorded at the time of review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of video documentation and interviews, a staff member inappropriately handled a child by aggressively pulling them from under a slide by their arm and picking them up by their arms when carrying them to a bench to sit them down.

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 and interview, seven (7) outlets were uncovered in the gym the children used for gross motor play. 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, recurring staff meetings were conducted but were not documented.

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, three (3) caregivers, hired respectively on 8/10/21, 6/28/21, and 2/5/21, did not have an annual written performance evaluation on file. A caregiver, hired on 8/11/21, had an annual written performance evaluation on file that was dated 10/5/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, seven (7) caregivers, hired respectively on 8/29/22, 5/14/22, 7/5/22, 6/2/22, 8/15/22, 6/13/22, and 7/18/22, did not have education verification on file.

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 following was found: 1) A caregiver hired on 3/1/22, did not have TB documentation on file. 2) A caregiver, hired on 5/29/15, had TB documentation on file that was dated 10/27/20, which is no longer current. 3) A caregiver, hired on 12/9/19, had TB documentation on file that was dated 10/16/20, which is no longer current.

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, eleven (11) caregivers, hired respectively on 8/29/22, 7/18/22, 9/7/22, 4/1/22, 2/5/21, 6/2/22, 6/13/22, 8/17/17, 1/26/22, 8/22/22, and 1/13/13, were not CPR/First Aid trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 interview and review of documentation, the following was found: 1) Eight (8) caregivers, hired respectively on 7/18/22, 9/7/22, 2/10/22, 4/1/22, 6/2/22, 3/1/22, 1/26/22, and 8/22/22, did not complete six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. 2) A caregiver, hired on 8/19/22, did not complete the cabinet-approved orientation training in the first three (3) months of employment. However, the training was completed on 11/28/22. 3) A caregiver, hired on 8/10/21, did not complete the cabinet-approved orientation training in the first three (3) months of employment. However, the training was completed on 2/8/22. 4) A caregiver, hired on 4/14/22, did not complete the cabinet-approved orientation training in the first three (3) months of employment. However, the training was completed on 10/10/22. 5) A caregiver, hired on 8/11/21, did not complete the one and a half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the first year of employment. 6) A caregiver, hired on 8/10/21, did not complete the one and a half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the first year of employment. However, it was completed on 8/17/22. 7) A caregiver, hired on 6/13/22, had a pediatric abusive head trauma training on file that was dated 2/21/17; it was not completed every five (5) years. 8) A caregiver, hired on 3/18/21, did not complete any of their training hours within the first year of employment. 9) Three (3) caregivers, hired respectively on 5/29/15, 2/17/04, and 2/19/18, completed seven and a half (7 ½) training hours during a subsequent year of employment. 10) A caregiver, hired on 8/11/21, completed seven and a half (7 ½) training hours within their first year of employment. 11) Two (2) caregivers, hired respectively on 9/10/12 and 1/13/13, completed thirteen and a half (13 ½) training hours during a subsequent year of employment. 12) A caregiver, hired on 2/5/21, completed thirteen and a half (13 ½) training hours within their first year of employment. 13) A caregiver, hired on 9/12/19, completed nine and a half (9 ½) training hours during a subsequent year of employment. 14) A caregiver, hired on 8/7/17, completed fourteen and a half (14 ½) training hours during a subsequent year of employment. 15) A caregiver, hired on 8/11/21, completed six (6) training hours during her first year of employment. 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 and interview, the following was found: 1) Three (3) loose plastic bags were accessible to children in the Caterpillars’ restroom. 2) A thirteen (13) ounce container of Vaseline diaper cream was accessible to children and stored in the Caterpillars’ restroom. The label indicated to "Keep Out of the Reach of Children”. 3) Also, a caregiver’s backpack was on the floor in the Ladybugs room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

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, using a thermometer, the hot water temperature registered sixty-five (65) degrees Fahrenheit in the sinks in the Ladybugs’, Honeybees’ and in the Grasshoppers’ restrooms. The hot water temperature registered seventy (70) degrees Fahrenheit in the sink in the Snails’ restroom. 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 and interview, two (2) children did not wash their hands upon arrival in the Roly Polies’ room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, foam was exposed in the changing mats in the Honeybees’ and Butterflies’ room. Transportation In Compliance Kitchen Requirements 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, a half (1/2) gallon of milk indicated the "best by" date was 12/8/22 in the refrigerator in the Ladybugs’ room. Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, enrolled on 3/2/22, did not have a preferred physician listed on their enrollment form. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1) Three (3) caregivers, hired respectively on 8/10/21, 6/28/21, and 2/5/21, did not have an annual written professional development plan on file. 2) A caregiver, hired on 8/11/21, had an annual written profession development plan on file that was dated 11/19/21.

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, monthly practiced fire drills were conducted but the dates, times and names of children who participated were not documented. Quarterly practiced earthquake, tornado, and lockdown drills were conducted but the dates, times and names of children who participated were not documented.

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 interview and review of documentation, monthly fire drills were conducted but not documented. Quarterly practiced earthquake, tornado and lockdown drills were conducted but were not documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and observation, this regulatory requirement was not met. A staff person hired on 2/5/21 was observed working with two (2) other staffs in the Etrog Classroom (mobile infants) during the visit. This staff person had an informational page of the child abuse/neglect check in her file; however, the results page was not present. She also had a completed criminal records check (CRC) that was dated 3/31/21. A review of the KARES database found that this staff person was not listed as a current staff person and there was no evidence on file at the facility that a fingerprint-background check had been processed in KARES. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A staff person (hire date: 12/20/21) had a completed fingerprint-based background check in KARES with eligible for hire status; however, did not have evidence or results of an out of state background check from South Carolina. The staff person had listed in her file that she previously lived in South Carolina within the past five years; therefore, she would need a criminal records check, child abuse and neglect check and a sexual abuse registry check from this state. 2. A staff person (hire date: 1/20/22) had a completed fingerprint-based background check in KARES with eligible for hire status; however, did not have evidence or results of an out of state background check from Indiana. The staff person had listed in her file that she previously lived in Indiana within the past five years; therefore, she would need a criminal records check, child abuse and neglect check and a sexual abuse registry check from this state. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the Date Classroom (one-year-olds), the surveyor found that none of the bucket seats in the classroom table contained safety straps. A staff person working in the classroom stated they only used safety straps in the high chairs. 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 9. Records.

General: Based on review of documentation, this regulatory requirement was not met. A review of staff files during the inspection found two (2) staff members did not have the date of employment listed in their file. The staff person in charge reviewed information on her computer and then verbally identified the dates of hire as 12/27/21 and 1/20/22.

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, four (4) staff members (hire dates: 12/8/21, 12/20/21, 1/26/22 and 1/20/22) did not have educational documentation on file. 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, this regulatory requirement was not met. The following was found: 1. One staff file (hire date: 2/17/04) contained results of a negative T.B. test that was no longer current. The test was dated 10/9/19 which exceeds the two (2) year time frame. 2. A staff person (hire date: 8/10/21) did not have T.B. documentation on file.

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. A staff person (hire date: 8/10/21) did not complete the required Orientation training. This staff person was employed for more than three months. 2. Nine staff members (hire dates: 6/1/15, 9/10/12, 2/17/04, 8/9/13, 1/31/13, 8/7/17, 9/12/19, 12/9/19 and 2/19/18) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 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, this regulatory requirement was not met. The window sill in the Sunflower Classroom (three - four year olds) contained a large spider web. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. The diaper changing pads in two (2) classrooms (Fig Room and Grape Room) contained tears down the seam which exposed the foam filling. 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 3 of 4 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The facility had written emergency procedures, but no evidence that these procedures were practiced monthly by staff. 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

Category: transportation. Open / not marked corrected.

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

Based upon review of records and interview, an annual check of the Kentucky driver history records in accordance with KRS 186.018 or a driver history records through the state transportation agency that issued the driver’s license has not been conducted for the three (3) drivers that the child center intends to provide transportation services. Programming Discussed Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 14. Transportation.

Based on review of documents and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request a current certification of inspection from the Transportation Cabinet was not presented for review for the two (2) vehicles. Written Documentation In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girl's bathroom located in the basement revealed there was a large brown stain on a ceiling tile that contained numerous black spots, indicative of water damage. Continued observation of the ceiling revealed an area of the ceiling that was peeling paint and there were numerous black spots in the center of the area where the paint was peeling, indicative of water damage. Equipment 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 5. Checks of Other States.

General: Review of presented staff files revealed a staff member with the hire date 02/24/2020 whose file did not contain a Tennessee out of state background check. Interview with the staff in-charge revealed the employee had lived in Tennessee before she was employed at the child care center. Upon request, an out of state Tennessee criminal records check, a Tennessee child abuse and neglect check and a Tennessee sex offender registry information was not presented for review. In interview with the staff in-charge, she stated she did not know that a separate background check had to be completed for the aforementioned staff member. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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: Upon request, a staff evaluation was not presented for review for fifteen (15) staff members with the hire dates; 08/30/2015, 08/09/2013, 02/17/2014, 09/10/2012, 01/13/2013, 08/13/2018, 05/12/2015, 03/08/2012, 03/04/2019, 08/07/2017, 09/27/2019, 09/23/2019, 11/06/2019, 09/12/2019 and 12/09/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the olive classroom revealed an electrical outlet located beside the hand washing sink was not covered. Observation of the estrog classroom revealed an electrical outlet located above the handwashing sink faucet was not covered. 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 presented staff files revealed three (3) staff members with the hire dates; 12/28/2020, 02/24/2020 and 01/23/2020 whose file did not contain a high school diploma, GED, or other qualifying documentation from a comparable educational entity. Upon request, the staff member in-charge did not present educational documentation for the aforementioned staff members.

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: Interview and review of presented staff files revealed six (6) staff members with the hire dates 08/30/2015, 08/13/2018, 03/08/2012, 08/07/2017, 09/27/2019 and 09/12/2019 whose file did not contain documentation to verify completion of the one and one-half (1 1/2) hours of pediatric abusive head trauma training. Upon request, the staff member in- charge did not present the documentation for the aforementioned staff members. Review of ECE-TRIS report did not verify that the training had been completed. Further observation of the presented staff files revealed three (3) staff members with the hire dates 02/24/2020, 02/24/2020 and 09/21/2020 whose file did not contain verification that each staff member had completed six (6) hours of cabinet-approved orientation training within ninety (90) days of employment. Review of ECE-TRIS report did not verify that the training had been completed. Upon request, the staff member in-charge did not present documentation that the orientation training was completed within ninety (90) days of employment for the aforementioned staff members. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the fig classroom revealed a five (5) month old child sleeping in a crib with a pacifier that contained an attachment. Further observation of the fig classroom revealed a four (4) month old child sleeping in a crib with a sound machine lying beside the child's head. 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: Observation of the double sink located in the date classroom revealed, while the surveyor was measuring the water temperature, the water was running into the right side of the sink, the water started backing up into the left side of the sink causing that side of the sink to fill up. The water drained very slowly out of the sink. Observation of the double sink located in the fig classroom revealed, while the surveyor was measuring the water temperature, the water was running into the right side of the sink, the water started to back up into the left side of the sink causing the sink to start filling up with water. The water drained out of the sink very slowly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the restroom located upstairs in between the olive and wheat classrooms revealed the a wall was peeling paint. Continued observation of the restroom revealed there was one (1) ceiling tile that was missing, exposing wires and pipes. Observation of the main hallway ceiling revealed there were several brown stains on the ceiling tiles, indicative of water damage. Observation of a wall located in the lulav classroom revealed a wall was peeling paint and the drywall was exposed. Observation of the ceilings located in the wheat and sunflower classrooms revealed there were multiple brown stains on the ceiling tiles throughout the classrooms, indicative of water damage. Observation of a wall located in the date classroom revealed a hole in the concrete wall, exposing electrical wires. Observation of the library center located in the sunflower classroom revealed a one (1) inch hole in the wall, exposing the concrete. Observation of the ceiling located in the etrog classroom revealed a brown stain on a ceiling tile over the sink, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the hand washing sinks located in the olive classroom, wheat classroom, fig classroom, sunflower classroom, etrog classroom, lulav classroom and the date classroom revealed, the water temperature exceeded one hundred- twenty (120) degrees Fahrenheit. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the changing tables in the olive classroom, wheat classroom, date classroom, fig classroom and etrog classroom revealed a buildup of dust and debris. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Observation of the refrigerator door located in the lulav classroom revealed two (2) boxes of medication labeled 'Humalog 100 Unit / ML Vial' on each box. The medication was not stored in a locked container. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the climbing room revealed there were vinyl steps that were cracked and the inside material was exposed. Further observation of the climbing room revealed multiple vinyl large shaped blocks that were cracked and torn, exposing the inside material. Observation of the outside playground revealed a small green riding toy that was missing the handle bar and a small plastic school bus that was broken, leaving sharp pointed edges protruding from the toy. Continued observation of the outside playground revealed a white picnic table with attached benches that were missing the end caps on both ends of the benches. The ends of the benches were sharp to the touch. Observation of the date classroom revealed two bucket seat tables that each seats eight (8) children. There were no safety restraints in fifteen (15) of the sixteen (16) bucket seats. The tables were used for the children to eat on. Observation of the etrog classroom revealed a large blue vinyl mat and three (3) vinyl blocks that were torn and cracked, exposing the inside material. 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: Observation of the refrigerator freezer located in the sunflower classroom revealed one (1) small dead insect lying on the freezer floor. Continued observation of the refrigerator revealed there was a buildup of debris and food particles throughout the refrigerator. Observation of the refrigerator located in the date classroom revealed there was dried food on the outside of the refrigerator. Further observation of the refrigerator revealed there were two (2) bottom drawers that contained a dried flakey white substance. Continued observation of the refrigerator freezer revealed there was a brown sticky substance on the shelf inside the freezer door. Observation of the white refrigerator freezer located in the olive classroom revealed there was debris and food particles throughout the freezer. Observation of the refrigerator located in the fig classroom revealed nine (9) clear plastic containers that were individually labeled with the children's names and each container was used to store the children's bottles. All nine (9) of the plastic containers had a buildup of debris and a dried white flakey substance inside each container. Children's Records In Compliance Written Documentation 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the child care center did not submit documentation pertaining to procedures in the event of a fire, natural disaster or other threating situations that may pose a health or safety hazard for a child in care. The last document submitted was dated 07/01/2019. Interview with the staff in-charge revealed a current emergency preparedness plan was not available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the child care center did not present a written annual plan for child care staff professional development for fifteen (15) staff members with the following hire dates; 08/30/2015, 08/09/2013, 02/17/2014, 09/10/2012, 09/21/2018, 09/26/2018, 05/12/2015, 03/08/2012, 08/19/2019, 08/07/2017, 09/27/2019, 09/23/2019, 11/06/2019, 09/12/2019 and 12/09/2019.

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 the emergency drills logs, there was no documentation that detailed the date, time, and children who participated in an earthquake drill conducted for the fourth (4th) quarter of 2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

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: Observation and review of documentation in the lulav classroom revealed there was personal information concerning a child that was not kept confidential as it was posted on a wall inside the classroom. The information consisted of dietary and medical information. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:410e. The standards established in 922 KAR 2:410e prohibits the use of machine washable toys. Observation of the fig classroom revealed there was a large vinyl mat lying on the floor covered with a blanket. There were four (4) children lying on the blanket. Further observation of the classroom revealed three (3) boppy pillows that were lying on the shared blanket. Therefore, the children were sharing cloth materials and the cloth materials were not washed in between use of the children. Interview with the staff member revealed the pillows are shared throughout the day. 922 KAR 2:410e requires name based background checks, to include a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check to be requested for all staff members who have been hired since the onset of the current pandemic. Additionally, the results of the required checks must be obtained prior to a new staff member working alone with children, without the direct oversight of an employee who has the required background checks on file. Review of presented staff files revealed two (2) staff members with the hire dates 12/28/2020 and 09/21/2020 did not have a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check. Upon request, the staff in-charge presented a background check from DataSource. The documents presented were not from a cabinet approved source.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, observation and interview, the child care center failed to comply with regulatory background checks requirements. Review of the presented employee records revealed a staff member with hire date 10/16/18 whose finger print report contained an Alabama address and whose file did not contain a Alabama background check. Upon request, the director did not present a Alabama background check for the aforementioned staff member at the time of the survey. Continued interview with the director revealed the staff member with hire date 10/16/18 had not worked alone with children. Observation of the center on 9/5/19 revealed the staff member with hire date 10/16/18 was not working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for three (3) staff members hired 8/27/19, 9/5/18 and 5/31/19. Interview with director revealed she acknowledged the deficiency.

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. Review of staff files revealed one (1) staff member hired 6/1/15 failed to have record of negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with director revealed this documentation was not on file at the time of 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report on 9/5/19 revealed two (2) staff members with the hire dates of 1/15/19 and 5/31/19 had not completed state approved orientation training. Interview with owner revealed this documentation was not on file at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Wheat Room revealed the temperature of the refrigerator used to store children’s lunches measured fifty (50) degrees Fahrenheit. Children's Records In Compliance 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed an evacuation plan written for the center’s current location was not presented for review at the time of survey. Interview with director revealed she needed to update the evacuation plan. 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 5. Checks of Other States.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the out of state background check had been completed for the employee with the hire date of 09/06/2018. The document reviewed revealed the employee had resided in the state of Indiana within the last five (5) years. Continued review revealed the employee with the hire date of 08/13/2018 had resided in Missouri within the last five (5) years. The above-mentioned employees were not observed working alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 09/06/2018 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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 child care director did not present verification that an employee with the hire date of 08/09/2013 met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continued review revealed that the employees with the hire dates of 08/07/2017 and 08/11/2014 had not met the requirement of completing their pediatric abusive head trauma training. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. The wall plate utilized for the on/off switch was broken and contained jagged edges. Continued observation in the Barley Room revealed the north yellow wall had paint that was bubbling and chipping away from the concrete wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that a written plan outlining the course of action in the event of a natural or manmade disaster was posted in a prominent place in the center. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/27/2018 AND AS OF 07/20/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance First Aid/Medication Not In Compliance

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.

Based on interview and review of documentation, the child care center failed to assure regulatory compliance in regard to Medication Administration. Per interviews, Children's Advil Suspension was given to a child who received an accidental injury while at the center. Review of the Authorization for Medication form that was completed for the administration of the medication revealed the 'time to be administered' was identified by the parent as 'as needed'. Therefore, no specific time for administration of the medication was identified. Further review of the document revealed the medication was administered at 9:40a.m. and again at 3:27p.m. on 04/11/2018. Interview with the director confirmed that the center has received and accepted pain relieving medication from parents to be stored at the center and administered 'as needed' with verbal consent from the parent.

Open Not marked corrected in the state record

Category: ratio. 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 in the Pomegranate Room revealed an uncovered electrical outlet which was accessible to the children. Additionally, in the Date Room, a child with an injured foot, which had been wrapped with gauze-like material, had become partially unwrapped, and the child was walking with the unwrapped material dragging in front of and behind, causing the injured child, and other children in the room, to have a tripping hazard, and was unrecognized by the staff members in the class. A child was observed putting a small ball of foil into and out of her mouth, and another child walking throughout the room with a pretzel stick in her mouth, while neither staff member was aware. Interview with the staff revealed there were eight (8) children ranging in age from one (1) year to two (2) years. Also observed in the Date Room was a child with a hammer-type object (used for playing a zylophone) was hitting several children on the head, making them cry. Staff members failed to comfort the crying children, and failed to discipline the child inflicting the pain. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files revealed a staff member with a hire date of 8/7/17 failed to have documentation of a completed Criminal Record Check for the states of New York and Massachusettes. A CAN check revealed the staff member had lived in those states within the past 5 years. Also, a staff member with a hire date of 2/20/17 failed to have documentation of a completed Criminal Record Check for the states of Illinois and Ohio. A CAN check revealed the staff member had lived in those states within the past 5 years. Observation did not reveal either of the aforementioned staff working alone with the children.

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. A review of staff files revealed staff members with hire dates of: 8/10/15, 9/10/12, 8/6/13, 5/12/15, 8/2/15, and 8/19/13 failed to have documentation of 15 hours of cabinet approved training in the file. A review of TRIS records also failed to provide information verifying 15 hours of cabinet approved early care and education training. An interview with the staff in charge revealed the aforementioned staff members did not have the training required. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Date Room revealed multiple pieces of torn paper on the floor during the initial walk-through of the center. Approximately one hour later, when the surveyor returned to the room, the paper was still lying on the floor. Additionally, several bean-type objects were observed lying on the floor throughout the room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 9. Food and Meal Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. A review of documentation revealed the center failed to have a weekly menu prepared and posted in a conspicuous place. Interview with the staff in charge revealed menus were created by each classroom on a daily basis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, the child care center failed to maintain the children's files in accordance with regulatory requirements. Review of documentation, specifically children's files, revealed a file for a child enrolled on 8/31/17 failed to have contact information to allow a person in charge to contact the child's physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation, specifically regarding the emergency preparedness plan, revealed the plan had not been annually updated in accordance with KRS 2:090.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Documentation failed to reveal a written policy that specifies that the procedures that were taught at orientation training shall be implemented by each child care center staff member. The staff in charge stated an orientation policy was not contained in the policies and procedures handbook. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A two-year-old child had her hand closed in a door at approximately noon resulting in bruising and pain, upon waking from nap at approximately three p.m. the child verbalized that her hand hurt, the bruising had increased and had begun swelling per classroom staff member. No attempt was made to have the child's injury assessed by a staff member certified in First Aid or CPR. No attempt to contact a parent was made, until one unsuccessful text was sent at 4:36 p.m., and the child was not picked up until approximately 5 p.m. Upon parents taking the child to the emergency room, it was determined that the child had a fractured metacarpal.

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 assure compliance with regulatory requirements. A two-year-old child had her hand closed in a door at approximately noon resulting in bruising and pain, upon waking from nap at approximately three p.m. the child verbalized that her hand hurt, the bruising had increased and had begun swelling per classroom staff member. At about 4:40 p.m. the two-year-old staff member did inform the director that she believed that the child would need medical treatment. No attempt was made to have the child's injury assessed by a staff member certified in First Aid or CPR. No attempt to contact a parent was made until at 4:36 p.m. one unsuccessful text message was sent and the child was not picked up until approximately 5 p.m. Upon parents taking the child to the emergency room, it was determined that the child had a fractured metacarpal. The center failed to make reasonable and timely attempts to contact the parent regarding an injury that the staff member felt needed medical treatment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for two (2) staff members hired 3/23/16 and 10/10/16. Interview with director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 8/10/15. Interview with director revealed she is in the process of addressing. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Olives and Pomegranate Rooms revealed adult scissors were stored in an unlocked drawer, accessible to children in care. Observation of the Barley Room revealed a staff member’s purse was stored in an unlocked lower cabinet, accessible to children in care. During interview, the director acknowledged the staff member’s purse was stored in the cabinet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Olives and Pomegranate Rooms revealed adult scissors were stored in an unlocked drawer, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Olives bathroom revealed the vent was covered with dust. Observation of the Barley Room revealed cobwebs in the windowsill. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Wheat and Dates Rooms revealed the diaper changing pads were torn along the outer edges. Observation of the Barley bathroom revealed the corner of the diaper changing pad was torn. Interview with director confirmed that the diapering surfaces were used for diapering children. 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, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the Olives Room revealed multiple cans of sunscreen in an unlocked upper cabinet. Observation of the Wheat Room revealed several diaper rash creams stored in containers on a shelf, not in a locked place. Observation of the Dates Room revealed multiple diaper rash creams and sunscreen in an unlocked upper cabinet. Observation of the Barley bathroom revealed several diaper rash creams stored in containers on a shelf and a container full of sunscreens stored on the bottom shelf of the diaper changing table, not in a locked place and accessible to children. Observation of the Grapes Room revealed several diaper rash creams in an unlocked cabinet underneath the diaper changing table. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment In Compliance Transportation Not Applicable Food Service Not 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the interior of the refrigerator located in the Barley Room revealed a temperature measured fifty (50) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Wheat Room revealed a dried brown substance at the bottom of the interior of the refrigerator. Observation of the Barley Room revealed the refrigerator was soiled. Observation of the Pomegranate Room revealed the freezer section of the refrigerator was soiled. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for two (2) children failed to contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake drill logs presented for review at the time of survey revealed an earthquake drill was not documented for the 4th quarter 2015 and the 1st and 3rd quarters 2016. Review of the tornado drill logs presented for review at the time of survey revealed a tornado drill was not documented for the 2nd and 3rd quarters of 2016. Interview with director revealed these drills were not conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation and interview with director revealed the center failed to post in a conspicuous place and make available for public inspection each plan of correction issued by the cabinet during the current licensure year. Animals Not Applicable

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, and interview the child care center failed to comply with general administration regulatory requirements. Review of documentation revealed the policy on file for reporting abuse/neglect requires the employees to report it to the director, which is non-compliant with KRS 620.030. Interview with the director revealed she is not familiar with the reporting laws of Kentucky.

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 employee records regulatory requirements. Review of documentation revealed four (4) employees did not have a criminal records check on file. The aforementioned employees were hired on 2/1/15, 3/4/15, 5/29/15, and 2/1/15. Interview with the director revealed she was not sure if the aforementioned criminal records check had been processed due to a previous change in director. Continued interview with the director revealed the aforementioned employees do not work alone with children.

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 comply with employee records regulatory requirements. Review of employee files revealed nine (9) employees did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection. The aforementioned employees hire dates are as follows: 9/8/15, 9/8/15, 8/10/15, 5/29/15, 6/1/15, 2/1/15, 3/4/15, 2/1/15, and 9/6/15. Interview with the director revealed the aforementioned documentation was not available at the time of inspection.

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 employee records regulatory requirements. Review of employee records revealed an employee (DOH: 5/29/15) did not have six (6) hours of cabinet-approved orientation training on file. Continued review of employee records revealed an employee (DOH: 1/30/13) only had nine (9) hours of cabinet-approved early care and education training on file.

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.

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed the facility did not have written documentation for the rights of children in child-care programs and their parents, custodians, or guardians.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with posted documentation regulatory requirements. Review of documentation revealed the current rates for child care were not posted. Interview with the director revealed she was aware the rates were not posted.

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, the child care center failed to comply with regulatory requirements. Interview with director revealed the center was evacuated on 7/21/15 due to an unconfirmed threat. Continued interview revealed she contacted DRCC office on 7/24/15 at 5:25pm to notify the cabinet of the evacuation. Further interview revealed she did not notify DRCC within twenty-four (24) hours of the evacuation because she was not aware of the reporting regulation. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of an email from Deputy Director of Louisville Emergency Management Agency (EMA) sent to the child care center contact person on 8/4/15 revealed the Louisville EMA did not have a copy of the center’s evacuation plan on file at the time of an emergency evacuation on 7/21/15. Interview with director revealed she was not sure if the evacuation plan had been submitted to the EMA prior to the incident. Interview with head of security revealed the plan had not been submitted to the EMA prior to the incident.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation at 8:54 a.m. revealed a child walked out of the Pomegranate Classroom into the hallway to hang up his jacket and returned to the classroom without being supervised by a staff member.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to assure compliance with regulatory requirements. Upon arrival at 8:17 a.m. a staff member with the hire date 8/19/13 stated that the staff in charge was not present at the center, but would be present shortly. Interview with the director revealed that said staff, with a hire date of 8/19/13, was the staff in charge. Therefore said staff, with the hire date of 8/19/13, was unaware that she was the designated staff in charge.

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 Observation the center failed to maintain employee records in accordance with regulatory requirements. Record review revealed that the center failed to have evidence of requesting Child Abuse and Neglect Check for three (3) staff members with the hire date 8/11/14 within five (5) working days from their hire date. Observation revealed that said staff members were not observed working alone at the time of the survey. Continued review revealed that a staff member with the hire date 8/11/14 listed an address in New York on their Child Abuse and Neglect Check. Further review revealed that said staff member failed to have an out of state Criminal Record Check from New York on file for review. Observation revealed that said staff member was not observed working alone at the time of the survey. Continued review revealed that the center failed to have evidence of requesting Child Abuse and Neglect Check for a staff member with the rehire date 9/8/14. Continued review revealed that the center failed to have evidence of requesting Criminal Record Check no later than the first day of employment for said staff member.

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 maintain employee records. Review of employee records revealed that four (4) staff members with the hire date 8/11/14 failed to have a high school diploma, GED certificate or other qualifying document 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 Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that staff members with the hire dates 9/7/12, 8/19/13 and three (3) staff members with the hire date 8/11/14 failed to have documentation on file stating that they were free of active tuberculosis at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee’s records in accordance with regulatory requirements. Review of employee’s records revealed that staff members with the hire dates 8/20/12 and 8/6/12 failed to have documentation of completing all fifteen (15) hours of cabinet approved training during their last full year of employment. Further review revealed that a staff member with the hire date 8/16/13 failed to complete nine (9) hours of cabinet approved training during her first 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: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Wheat Classroom revealed that a staff member failed to prompt children to wash their hands with liquid soap and warm, running water upon arrival. 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 comply with hygienic practices in accordance with regulatory requirements. Observation revealed that a staff member in the Grapes Classroom revealed that she failed to wash her hands before serving goldfish and water to 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 9. Food and Meal Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documentation in the Barley Classroom revealed that the menu failed to have a date on the snack menu.

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 children’s records in accordance with regulatory requirements. Record review revealed that two (2) children with the enrollment date 7/25/14 failed to have a current immunization certificate on file at the time of the survey.

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 Observation and Review of Documentation the center failed to maintain written documentation in accordance with regulatory requirements. Observation revealed at 9:00 a.m. eleven (11) children were present in the Pomegranate Room. Record review of daily attendance records revealed nine (9) children arrival times were recorded for the day, therefore the center failed to record the arrival times of each child. Continued observation revealed at 9:30 a.m. twelve (12) children were present in the Olive Room. Record review of daily attendance records revealed ten (10) children’s arrival times were recorded for the day, therefore the center failed to record the arrival times of each child.

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 Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed that the center failed to have documentation of conducting earthquake drills during the first, second and third quarter of 2014 including the date, time and the names of the children who participated. Posted Documentation

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 Observation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the child care center failed to post in a conspicuous place the Statement of Deficiencies issued by the cabinet during the current certification period regarding the surveys. Further review revealed that the center failed to post information on the Kentucky Consumer Product Safety Program and the program's website and current rates for the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to maintain adequate supervision of the children at all times. For an approximate five minute period, observatopm revealed one staff member walking nine toddlers approximately five minutes through the building to the indoor play area. During the walk, several toddlers ran ahead of the staff member out of the scope of vision for up to one minute at a time, while the staff member tried to gather all of the toddlers together. Additionally, one child fell behind of the staff member out of the scope of vision for up to one minute at a time, while the staff member tried to gather all of the toddlers together.

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, it was determined the center failed to maintain adequate staff-to-child ratios. Observation revealed one staff member walking nine toddlers through the building to the indoor play area, while another staff member assisted one toddler with a diaper change. After approximately five minutes, the second staff member and toddler joined the group, which became 10 toddlers and two supervising staff members.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was determined the director failed to maintain the health of each child. Observation revealed a plunger in the bathroom of the J-Tots Bet classroom accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation at time of survey of a completed criminal records check for a staff member hired 8/12/13.

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 provide documentation at time of survey verifying: 1.High school diploma: 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250 for seven staff members with the following hire dates: 8/19/13 (2), 5/13/13, 8/6/13, 8/12/13, 8/9/13 and 8/16/13

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 provide documentation at time of survey verifying that the individual is free of active tuberculosis or a copy of negative tuberculin results for nine staff members with the following hire dates: 8/12/13 (3), 8/16/11, 8/9/13, 9/26/11, 8/20/12, 8/16/13 and 3/1/10.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the children waited for a prolonged period of time during an activity and before the activity to begin. Observation revealed 10 children in the J-Tot Bet classroom during aquatic lessons with two caregivers and two swim instructors. Two children were taken individually in the pool at a time for an approximate five minute swim lesson, while the remaining eight children had to stay seated with no activity for approximately 25 minutes while awaiting their turn.

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, it was determined in the J-Care room, approximately four cribs contained sheets that were folder under the mattress, which became loose as the chilren slept.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to keep the following items inaccessible to children: 1. Godol Room-Hand sanitzer observed sitting on a shelf in the program space. 2. Alef and Gimmel Rooms-Plastic bags had been placed on the floor in the program space and, also, on a hook assessible to children in the bathroom. 3. Alef Room-Sunblock was observed in an unlocked cabinet in the program space. 4. J-Tots Bet Room-Paint and primer were observed in an unlocked cabinet in the program space.

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, it was determined the center failed to keep floors in good repair. Observation revealed a rug with several torn and unraveling edges in the J-Care room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on Observation, it was determined the center failed to have a first aid book amoung the first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the center failed to meet the requirements for a serving of milk. Observation and interview revealed the children in the Gimmel room were being served two percent milk.

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, it was determined the center failed to meet the following lunch requirements: (a) Milk; (b) Bread; and (c) 1. Two (2) vegetables; 2. Two (2) fruits; or 3. One (1) fruit and one (1) vegetable. Observation revealed each child brought in their own lunch in the Gimmel room and one child had chicken nuggets, cheese puff, oreo cookies, a honey bun and water. The center failed to supplement the required missing components to the child's 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, it was determined the center failed to provide documentation at time of survey verifying a current immunization certificate for a child enrolled 4/4/13.

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 provide documentation at time of survey of daily arrival and departure times of each child.

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 Observation, it was determined the center failed to provide documentation at time of survey detailing the date, time, and children who participated in earthquake and tornado drills in accordance with 922 KAR 2:120.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to include that staff members must implement what was taught at state required orientation training within the center's existing orientation policy.

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 Observation, it was determined the center failed to post the following: 1. Current statement of deficiencies 2. Current plan of corrections 3. Parent/Child rights 4. Services offered/rates.

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, it was determined proper diaper changing procedures were not posted in the Gimmel room. Animals

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

Infant Room: Based on observation on 03/15/13, eleven infants, between the ages of five months to ten months old, were being cared for by two staff members. Based on review of documentation, the sign in sheet indicated that eleven infants were signed in for care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, a staff member's two children, approximately 11 and 13 years old, were present in the center on multiple occasions. The two school age children were located in the Infant Room and the One and Two Year Room while enrolled children were present. General Administration 142 - Change of Director 922 KAR 2:110 - Section 6 (3) A licensee shall report to the cabinet within one (1) week: (a) Any resignation, termination, or change of director; and (b) The name of the acting director who satisfies the requirement of Section (4) of this administrative regulation. 1) Notice of change Not In Compliance Findings: General: Based on interview and record review it was determined that the center failed to notify the Cabinet with seven days of a change of director. Director Requirements 113 - Staff Supervision 922 KAR 2:110 - Section 4 (1) (g) Supervise staff conduct to ensure implementation of program policies and procedures; 2) Implementation of Procedure Not In Compliance Findings: General: Based on observation a staff member was using her personal cell phone while caring for children in the One and Two Year old room which was a violation of center procedure regarding cell phones and therefore did not meet minimum regulatory standard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview it was determined that the the heath, safety, and comfort of children was not maintained as on multiple occasions, a staff member's children (approximately 11 and 13 years old) directly held and cared for children enrolled and receiving care in the Infant Room and the One and Two Year Room. Employee Records 17 - Submission of background checks timely/Left alone 922 KAR 2:090 - Section 5 (2) A director, employee, volunteer, or any person with supervisory or disciplinary control over or having direct contact with a child shall submit to a background check; and (a) May be employed or work with a child on a probationary basis for up to ninety (90) calendar days, pending completion of a: 1. Child abuse or neglect check described in 922 KAR 1:470; and 2. Criminal records check required by KRS 199.896(19); and (b) Shall not be left alone in the presence of a child if each required background check has not been completed. 3) CRC 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, there failed to be a high school diploma, GED or Commonwealth Care Credential on file for staff members hired on 01/31/13 and 02/01/13. 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 Premises - Classroom 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately Not In Compliance Findings: Three and Four Year Room: Based on observation on 03/15/13 one boy and one girl were both in the toilet room. The boy child was sitting on the toilet and the girl child was washing her hands at the sink located in the toilet room. Equipment - Classroom 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. 2) Meets Standards Not In Compliance Findings: Infant Room: Based on observation, one crib in the center failed to meet the current crib standards mandated by the U.S. Consumer Product Safety Commission.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three and Four Year Room: Based on observation on 03/15/13 there failed to be a minimum space of twelve inches between the cots during nap time while the children were resting.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infants: Based on Observation, there were twelve (12) infants being cared for in the infant classroom. The maximum group size for this age group is ten (10) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) out of the eleven (11) staff eligible for an annual evaluation did not have evidence of an evaluation on file in the facility.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff (hired 10/3/12, 9/17/12 and 8/6/12) 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 5 (1)

General: Based on Observation, 1. Six (6) staff (hired 6/4/12, 10/2/12, 10/4/12, 8/20/12, 9/17/12 and 8/20/12) did not have evidence of negative T.B. results on file in the facility. 2. Staff person hired 6/4/12 did not receive evidence of negative T.B. results until 10/13/12. 3. Staff person hired 8/20/12 did not receive evidence of negative T.B. results until 8/30/12. 4. Staff person hired 9/4/12 did not receive evidence of negative T.B. results until 10/15/12. 5. Staff person hired 8/20/12 did not receive evidence of negative T.B. results until 8/24/12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 44 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 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. 2) First Aid Not In Compliance Findings: General: Based on Review of Documentation, it was determined that there was no one on duty and present with the children that had evidence of current First Aid certification from 7:30 a.m. to 3:00 p.m. on most days. 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, staff person hired 6/4/12 did not have evidence of the required orientation training within the first three (3) months of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, 1. Staff person hired 9/5/10 had evidence of only twelve (12) hours of annual training on file for the last full year of employment. 2. Staff person hired 8/8/11 had evidence of only twelve (12) hours of annual training on file for the last full year of employment. 3. Staff person hired 5/23/05 had evidence of only six (6) hours of annual training on file for the last full year of employment. 4. Staff person hired 4/19/10 had evidence of only six (6) hours of annual training on file for the last full year of employment. 5. Staff person hired 9/22/11 had evidence of only six (6) hours of annual training on file for the last full year of employment. 6. Staff person hired 5/23/05 had evidence of only six (6) hours of annual training on file for the last full year of employment. 7. Staff person hired 1/5/09 did not have evidence of any annual training on file for the last full year of employment. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 44 Web site: http://chfs.ky.gov/ Inspection Report 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 3

Infants: Based on Observation, 1. There was a two (2) month old child and an eight (8) month old child observed sleeping in swings. The children had been in the swings for more than ten (10) minutes and were not moved to a crib. 2. There was a three (3) month old child observed sleeping in a bouncy seat. The child had been in the seat for more than ten (10) minutes and was not moved to a crib. 3. During a tour of the infant classroom there were five (5) infants observed sleeping on their stomachs in cribs. In an interview with staff it was determined that staff put some of the children to sleep on their stomachs if the parents request them to do so.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on Observation, there were two (2) windows open in the Twos classroom. There were no screens in the windows. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 206 - Water Supply Requirements 922 KAR 2:120 - Section 4 (9) The water supply shall be: (a) Potable; (b) Protected from contamination; (c) Adequate in quality and volume; (d) Under sufficient pressure to permit unrestricted use; and (e) Obtained from an approved public water supply or a source approved by the local health department. 1) Potable In Compliance 2) Protected In Compliance 3) Adequate Quality/Volume In Compliance 4) Under pressure In Compliance 5) Obtained from Approved water source In Compliance 207 - Ground Water Supplies 922 KAR 2:120 - Section 4 (10) Groundwater supplies for a center caring for: (a) More than twenty-five (25) children shall meet the specifications of the Cabinet for Environmental and Public Protection Division of Water, established in KRS Chapter 151; or (b) Twenty-five (25) children or less shall secure approval from the: 1. Cabinet for Environmental and Public Protection; or 2. Local health department. 1) More than 25 children In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 44 Web site: http://chfs.ky.gov/ Inspection Report 207 - Ground Water Supplies 922 KAR 2:120 - Section 4 (10) Groundwater supplies for a center caring for: (a) More than twenty-five (25) children shall meet the specifications of the Cabinet for Environmental and Public Protection Division of Water, established in KRS Chapter 151; or (b) Twenty-five (25) children or less shall secure approval from the: 1. Cabinet for Environmental and Public Protection; or 2. Local health department. 2) 25 children or less Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

Aleph Classroom: Based on Observation, staff person did not disinfect the diapering surface between diaper changes.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on Review of Documentation, ten (10) staff who were hired after 7/1/09 failed to have a copy of of a high school diploma, GED or Commonwealth Care Credential on file. The Director stated during interview that she had obtained copies of each employee's college class schedule and thought that said documentation would satisfy this requirement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on Review of Documentation, staff person hired 9/1/11 did not have a negative TB skin test or statement from a health professional on file to confirm that she was free of active tuberculosis. The Director stated that she did not know that the TB screening questionaire on file for said staff person did not meet minimum regulatory standards but acknowledged that it did not indicate that the staff person was free from active TB. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR Not In Compliance Findings: Based on Review of Documentation, the staff schedule of working hours and documentation of CPR certifications held by staff revealed the absence of a CPR certified staff person scheduled to be on duty and present with the children from 7:30 am to 12:00 pm. The Assistant Director indicated during interview that staffing adjustments had been made, but acknowledged that the documentation presented reflected the absence of CPR coverage during the hours identified. 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. 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 2) 9 hours-first year In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: Based on review of documentation twelve staff failed to have documentation on file to verify that each successfully completed fifteen (15) hours of child development training within their previous full year of employment. The Director stated that she and her assistant had purged the staff training hour records and sent the documentation to storage. The Director stated that she was not aware that she had boxed up training hours which were needed for the annual licensure survey. 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

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

Based on observation, the diaper changing mat in ALEF ROOM was not free from tears and holes. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

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

Based on Observation, and interview, children were taken to an unlicensed space for an enrichment activity (swimming) and there were no signed permission forms on file. An interview with the director revealed that the swimming activities are part of the planned curriculum and is scheduled weekly. She was unaware of the need for signed permission forms since the activity takes place in the same building and because it is part of the planned curriculum. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 39 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Not In Compliance Findings: Based on observation, at approximately 11:40am, there were nine infants present in the Infant Class. Review of records indicated that only eight infants had been signed in for the day. 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 2) Departure In Compliance

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