922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the water temperature in the downstairs restroom and the upstairs restroom exceeded 120 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 review of documentation, there was not a current food service permit presented during the inspection.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, four (4) children's files (DOE: 07/25/24, 02/21/22, 05/13/24, and 09/16/24) had immunization records that were no longer current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) people on the KARES roster no longer worked at the center. This was confirmed by interview with the director. Supervision In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03/05/2025 AND AS OF 03/11/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 31 Inspection Report Findings: A PLAN OF CORRECTION WAS DUE ON 03/26/2025 AND AS OF 04/14/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, it could not be verified that one (1) staff member (DOH: 06/5/24) had proof of education via a high school diploma, GED, Commonwealth Child Care Credential or equivalent.

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, it could not be verified that two (2) staff members (DOH: 04/29/24 and 06/05/24) where free from active tuberculosis. The presented documentation surpassed a two (2) year period.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following could not be verified with the use of ECE-Tris: 1) It could not be verified that one (1) staff member (DOH: 06/05/24) completed six (6) hours of cabinet approved orientation. 2) It could not be verified that one (1) staff member (DOH: 06/01/20) had current Pediatric Abusive Head Trauma (PAHT) training. 3) It could not be verified that four (4) staff members (DOH: 02/10/10, 08/19/20, 06/01/20 and 06/09/20) completed fifteen (15) hours of annual training.

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: Downstairs restroom: 1) Various cleaning supplies were accessible with the use of a provided stool, at the sink for handwashing. Upstairs restroom: 1) Cleaning supplies were on a shelf behind the toilet, accessible to preschool and school age children. Interview with staff confirmed children use both restrooms.

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, education credentials for two (2) staff members (DOH 06/09/20 and DOH 06/09/20) were not presented for review upon request.

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, a current, written professional development plan for a staff member (DOH 02/10/10) was not presented for review upon request.

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:Current documentation verifying the center's approval by the office of the State Fire Marshal or its designee was not presented for review upon request.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, current, written proof of liability insurance coverage was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/17/2024 AND AS OF 08/06/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 8. General.

General: Based on review of documentation, a copy of the administrative regulation was presented for review, however, due to the jumbled nature of the presented documents, it was not possible to determine if the entirety of 922 KAR 2:090 and 922 KAR 2:280 was included.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, current, written performance evaluations for three (3) staff members (DOH 08/19/20, DOH 06/09/20, and DOH 06/09/20) were not presented for review upon request. 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, current results of a negative tuberculin (TB) test or a statement from a healthcare professional stating that three (3) staff members (DOH 08/19/20, DOH 06/09/20, and DOH 06/09/20) were free from active TB was not presented for review upon request.

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, no staff present at the center at the time of the inspection held a current certification in cardiopulmonary resuscitation (CPR) and first aid, therefore, adequate CPR and first aid coverage was not maintained.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General:Documentation verifying that three (3) staff members (DOH 08/19/20, DOH 06/09/20, and DOH 06/09/20) had received training on cardiopulmonary resuscitation (CPR) and first aid was not presented for review upon request. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH 08/19/20) received only five (5) hours of annual training during the 2022-2023 review period. 2) It could not be determined if a staff member (DOH 06/09/20) completed any amount of annual training during the 2022-2023 review period. 3) A staff member (DOH 06/09/20) last completed pediatric abusive head trauma (PAHT) training on 02/28/19, which had passed its five (5) year renewal date as of 02/28/24. 4) A staff member (DOH 06/09/20) completed zero (0) hours of annual training during the 2022-2023 review period. 5) A staff member (DOH 02/10/10) completed zero (0) hours of annual training during the 2022-2023 review period. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General:Observation of the Three to Five year-old classroom revealed that the plate cover of one electrical outlet was detached from the wall, creating a gap and exposing the drywall beneath. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff member failed to ensure that a toddler washed their hands with liquid soap and warm running water after being diapered. The staff member wiped that toddler's hands with hand sanitizer. A sink was adjacent to the changing area and was accessible. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General:Documentation verifying that fire drills were conducted during the months of March, 2024, February, 2024, December, 2023, amd November, 2023 was not presented for review upon request. Additionally, documentation verifying that lockdown, tornado, and earthquake drills had been conducted during the first quarter of 2024 was not presented for review upon request. The staff in charge stated that the drills had been conducted but not documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the daily planned program was not posted or made available for public inspection in the Infant and Three to Five year-old year old rooms. Additionally, information on the Kentucky Consumer Product Safety program was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, while a schedule of daily activities was posted within the Infant/Toddler and Three to Five year-old classrooms, the schedule failed to include the date in which the activities would be conducted with the children. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation the following was found: 1. Three staff members’ (DOH: 04/20/23, 09/20/22, and 02/20/2010) background checks expired on 10/23/23, 10/22/23, and 11/06/23, respectively; these staff members were present on 04/23/24 and two (2) of them supervised two (2) children in the Infant classroom. 2. Two staff members (DOH: 04/14/24 and 02/02/2024) did not have background checks before employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 09/20/21) was "eligible" for employment but was listed as separated from the center in the Kentucky Applicant Registry and Employment Screening (KARES) report dated 04/23/24. This staff member was present on 04/23/24 and was supervising six (6) children in the Upper School Classroom. Therefore, the employment status was not current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, unqualified staff members in the Upper School and Infant classrooms supervised eight (8) children. Two (2) staff members' (DOH: 04/20/23 and 09/20/22) background checks expired on 10/23/23 and 10/22/23, respectively; these staff members were present on 04/23/24 and supervised two (2) children in the Infant classroom. One (1) staff member (DOH:9/20/21) was listed as a separated employee in the KARES report. That staff member supervised six (6) children in the Upper School classroom. A review of the KARES report supports these findings. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and review of documentation, there was an insufficient amount of qualified staff members at the time of the inspection. All eight (8) children present were supervised by three (3) unqualified staff members in the Upper School and Infant classrooms. Two staff members’ (DOH: 04/20/23 and 09/20/22) background checks were expired on 10/23/23 and 10/22/23, respectively; these staff members supervised two (2) children in the Infant classroom. One (1) staff member (DOH: 09/20/2021) was listed as a separated employee in the KARES report. That staff supervised six (6) children in the Upper School classroom. Review of the KARES report supports these findings. Programming Discussed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two (2) toddlers were in the care of two (2) staff members along with six (6) other children, the eldest of whom was eight years old. The staff in charge stated that the toddlers would remain in combined care with the older children for more than one hour. Additionally, the staff in charge reported that the two (2) toddlers did not have signed transition plans to document the approval of the toddlers' guardians regarding this arrangement. Premises 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 file for staff member with a hire date of 10/23/2018, available at the time of the survey; therefore, no identifying information for this staff member could be determined. Staff stated that there was a flood and several documents had to be thrown out and this must have been some of the documents thrown out.

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, employee hired 10/23/18, did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential on file at the facility. 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 review of documentation, staff persons hired 2/2/09, 5/13/13, 8/19/20, and 10/23/18, did not have documentation of negative T.B. results on file at the facility that had been obtained within the past two years.

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 out of four staff employed for more than one year did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the infant room and indoor gross motor space were being remodeled and not in good repair/working order. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, one out of the ten children's files presented for review did not contain a current immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, one out of the ten children's files reviewed did not have documentation of a preferred hospital listed by the parent. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

Based on interview, the staff in charge stated that the center's lower programming space had not been used for care of children in at least four (4) months (at the time of the interview) due to flooding. Further interview with the staff in charge revealed that she had not contacted the cabinet to report the decrease in capacity that occurred as a result of the closure of the lower programming space. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General:Observation of the child care center's lower programming space (basement) revealed that the walls and ceiling of the area that contained infant cribs was soiled in several places with a dark substance that appeared to be mold. Additionally, a distinct, musty odor was present in both the lower programming space (which was not being used by children in care at the time of the inspection) and the upper programming space (which was being used by children in care at the time of the inspection.)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center maintained the employment status for each child care staff by reporting the status of employment using the National Background Check Portal (NBCP). Review of the KARES system revealed the report did list all of the current employees. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 06/02/2022 AND AS OF 06/07/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 06/22/2022 AND AS OF 07/25/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the center had a current copy of the administrative regulations. 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

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification of the annual evaluations assessing the staff persons' interaction with children in care and classroom performance for the employees with the hire dates of 05/13/2013, 07/09/2017, and 08/19/2020. 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 9. Records.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the employee with a hire date of 08/19/2020 had a personnel file to include: Name, address, date of birth, date of employment, proof of educational qualifications, negative TB statement or result, and background check.

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 staff in charge did not present verification that the record of the employees with the hire dates of 07/09/2017 and 08/19/2020 contained a copy of a high school diploma, GED, or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

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 staff in charge did not present verification that the record for the employees with the hire dates of 02/02/2009, 05/13/2013, 07/09/2017, and 08/19/2020 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a large bag of melt ice laying on the floor in the programing area; in addition, there were several cans of sanitizing cleaner on a file cabinet within reach of the older children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the overhead light in the downstairs classroom was non-operational. There were two (2) fluorescent lights in the upstairs programming area. One (1) of the lights was not working. The bathroom lighting was dimly lit. There were two (2) space heaters in the upstairs classroom that were free standing and accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the premises floors and wall were not maintained as evidenced by the following: 1) The navy blue carpet in the upstairs programming space was uneven, as evidenced by the buckling of the carpet. 2) The carpet on the outside front steps leading into the center was ripped and torn. 3) The carpet on the steps leading to the downstairs area was not flush with the steps. 4) The tile floor in the downstairs hallway has several areas that were duct taped. The tape was unraveling, exposing the cracks. 5) The blue walls in the upstairs programming area were chipped and peeling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

There were several discarded tree limbs located on the ground near the equipment. There was a partial tree stump that had a sharp edge protruding from the ground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no protective surface under the slides or climbing apparatus. The dirt and grass were showing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, the sink vanity in the upstairs restroom had two (2) drawers that were broken. The green chair in the upstairs classroom was soiled and stained. The vinyl chair in the downstairs infant room was cracked. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the counters and table revealed there was no space to place the food items for preparation. 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 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 staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been completed to include all of the required documentation to the local emergency management team within the last year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that an annual plan for staff development had been completed for the employees with the hire dates of 07/09/2017 and 08/19/2020.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the center had documented the times that the children had participated in the fire and disaster drills that were conducted within the last twelve (12) months. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation in the infant room, two (2) out of five (5) cribs had exposed rough edges along the bars/rails. Transportation Not Applicable Food Service/Food Program 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 tuberculosis documentation submitted for review for staff members with the dates of hire of 10/2/17, 7/9/17 and 2/2/09 was no longer current.

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 staff in charge did not provide documentation verifying that at least one (1) staff member was certified in CPR and First-Aid. Review of documentation revealed certifications had expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, in the toddler room the staff in charge left four (4) out five (5) children unsupervised in the eating area while assisting one (1) of the children with toileting. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, no written evaluation was submitted for review for one(1) staff member with the hire date of 10/2/17.

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 observation, there was a plunger and toilet brush stored in the school age and toddler bathroom, located on the floor beside the toilet. The plunger and toilet brush were accessible to children. 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

Open / not marked corrected.

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

General: Based on interview and review of documentation, no evidence of completed Pediatric Abuse Head Trauma (PAHT) training was submitted for review for one (1) staff member with the following hiring date:10/2/17. 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, three (3) gas containers were located on the shelving area where the children walk through to get to the playground. Therefore, the flammable liquid was accessible to the children. Additionally, the cabinets below the vanity in the school age bathroom were not locked, leaving cleaning chemicals accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the exit way leading to the playground on the lower level of the center there was a build up of debris and dust with several sharp metal objects laying on the floor. Further observation revealed lawn equipment leaning against the wall, leaving it accessible to the children. In the School Age bathroom the vanity had one drawer missing on the left side and one drawer off the hinges on the right. Observation in the toddler room revealed the ceiling was stained, indicative of water damage. Additionally, a tile in the ceiling was missing leaving wires exposed. 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: Based on observation in the infant room, near the sink area by the crib, a light fixture was hanging from the ceiling with the wires exposed. In the School Age classroom the light fixture was hanging from the ceiling with the wires exposed. In the infant room in the small kitchen area the smoke detector was missing, leaving wires exposed. In the NTI classroom the front middle window was cracked. The NTI classroom had a portable heater located on the floor as well as one located in the hallway across from the toddler room where the children walk pass to go to the restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the playground had an excessive amount of leaves surrounding the play equipment and inside the play equipment, leaving water to stand, causing a hazard to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the red jungle gym did not have any protective surface to create a sufficient fall zone. 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 4. Premises Requirements.

General: Based on observation, the red jungle gym was not safely secured to the ground, leaving the equipment loose and shaky while in use. Further observation revealed the blue swing set had a broken swing hanging from the bar. 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 9. Food and Meal Requirements.

General: Based on observation, the staff in charge did not provide the proper nutrients for the schoolage children and toddlers. The children were given pizza and fruit with no option to have two vegetables or fruit, or one fruit and one vegetable. 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 Meal Requirements.

General: Based on observation, the menu posted in the NTI and toddler classroom was not up to date as it showed dates for September through October. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, review of the enrollment records for a child enrolled on 7/27/2020 revealed an immunization certificate that expired on 9/8/2020. Upon request, no current immunization was presented for review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, no emergency preparedness plan was presented.

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, no written professional development plans were submitted for review for two (2) staff members with the following hire dates: 10/2/17 and 7/9/17. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the child care center staff failed to assure compliance with the emergency regulations specific to the current pandemic, as established in 922 KAR 2:405e. In accordance with 922 KAR 2:405e, machine washable toys should not be available to children. However, in the NTI classroom there were plush toys accessible to the children, and in the toddler classroom the play dolls had machine washable clothing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with background check requirements. A review of documentation failed to reveal employment eligibility for two (2) staff members with unknown hire dates. Observation revealed the aforementioned staff members working together in the Infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to comply with regulatory background check requirements. A review of staff files failed to reveal submission of fingerprints for two (2) staff with unknown hire dates. Interview with staff in charge revealed the documentation was not available at the time of the visit. 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 9. Records.

General: Based on observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal a current personnel file including name, address, date of birth and date of employment, proof of educational qualifications, performance evaluation, compliance with tuberculosis screening, and the results of background checks conducted in accordance with 922 KAR 2:280, for two (2) employees with unknown hire dates. Interview with staff in charge revealed the documentation could not be located at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal educational requirements for staff members with hire dates of: 07/09/17, 05/13/13, and 02/02/09. Interview with staff in charge revealed the documentation was not available at the time of the visit.

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 and interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirments. A review of documentation failed to reveal a negative tuberculosis test or a written statement from a health care professional stating that staff members with hire dates of: 10/2017, 02/02/09, and 05/13/13. Interview with staff in charge revealed the documentation could not be located at the time of the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of documentation failed to reveal at least one staff on duty and present with the children was currently certified by a cabinet approved training agency in Infant Toddler CPR and First Aid. Additionally a staff member was not on duty and present certified in First Aid and CPR. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation revealed 19 children signed into the center. Observation revealed 12 children in attandance at the time of the visit. Interview revealed school age children had not been signed out. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. A review of documentation failed to reveal each statement of deficiency and civil penalty notice issued to the provider by the cabinet, and each plan of correction submitted by the provider to the cabinet during the current licensure year. The SOD and POC posted were dated 2016.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the childcare center failed to maintain background checks in accordance with regulatory requirements. Based on a review of records and interview, it was revealed a staff member with a hire date of 8/30/19 failed to have documentation verifying that a criminal records check and child abuse check had been submitted and completed in accordance with 922KAR 2:280. Review of documentation revealed there were no record of the staff member in the KARES report revealing a background check or fingerprints had been done. 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 6. License Issuance.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. A review of written documentation failed to reveal documentation from the local authority showing compliance with local zoning requirements. Interview with the staff member in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. A review of written documentation failed to reveal visitation from the fire Marshall since 9/01/2011. Interview with the staff member in charge revealed the documentation was not available at the time of the survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of written documentation failed to reveal a current copy of the administrative regulations. An interview with the child care director failed to produce verification of a current copy of the administrative regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Review of records and interview with the staff in charge failed to produce annual staff evaluations for employees with the hire dates of 5/13/13; 07/09/17 and 10/02/17. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon review of records and interview, the TB test information and documentation for the employees with the hire dates of 2/02/09; 5/13/13 and 07/09/17 were not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that four (4) staff members with hire dates of 2/02/09; 5/13/13; 07/09/17 and 10/2/17 completed Pediatric Abusive Head trauma training within the last five years; the same four staff members had not completed the required fifteen (15) annual hours of cabinet approved early care and education training. Review of an ECE-TRIS reports could not verify that the training had been completed. Further review of the record also revealed that staff members with hire dates of 07/09/17 and 10/2/17 had not completed six (6) hours of cabinet approved Orientation within the past year. Review of an ECE-TRIS reports could not verify that the Orientation training had been completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of a current written food service permit to be in compliance with 902 KAR 45:005 and administrative regulation. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there was no Hospital listed for two (2) children. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of a written emergency preparedness plan to ensure how children will be kept safe during any disaster, and ensure the plan meets the specific requirements listed in KRS 199.895. Interview with the staff in charge revealed the documentation was not available at the time of the survey. The plan had not been submitted to the local emergency preparedness agency within the last year. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the big kids outdoor playground revealed a pile of branches, limbs, sticks and debris lying by a tree. Observation of the little kids outdoor playground revealed a pile of branches, limbs and sticks lying by a tree. Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the little kids outdoor playground revealed low hanging branches from two (2) trees and two (2) bushes located in the back right. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the big kids outdoor playground revealed the ground was visible through the mulch under the following items: swinging bar, two (2) blue swings, two (2) yellow swings, a green swing, a medium size climbing apparatus, a small climbing apparatus, a yellow slide and a blue and yellow slide. Continued observation of the big kids outdoor playground revealed a blue slide located on the grass. Observation of the little kids outdoor playground revealed the following items were located on the grass: a yellow swing, two (2) blue swings, a small plastic climbing apparatus with a pink slide and two (2) green slides.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the big kids outdoor playground revealed an eight (8) inch gap between the fence and fence post. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the big kids outdoor playground revealed the wood on the middle section of the teeter totter was splintered.

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 outdoor play area in accordance with regulatory requirements. Observation failed to reveal any ground covering under the red, metal tubular climbing structure, and insufficient ground covering under various climbing structures, swings and slides. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, interview and observation, the child care center failed to assure compliance with regulatory requirements regarding background checks. Based on a review of documentation, a staff member with a hire date of 10/02/17 failed to have documentation verifying that a criminal record check and child and abuse check had been submitted and completed in accordance with 922 KAR 2:280. Interview with the staff in charge revealed the documentation was not available at the time of the survey. The staff member was not observed to be working at the time of the survey. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with the regulatory requirements. A review of documentation failed to reveal visitation from the fire marshal since 2011. Interview with the staff member revealed the documentation was not available at the time of the survey. 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

Category: physical safety. 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 10/15/2018 AND AS OF 10/26/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 11/12/2018 AND AS OF 11/28/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. A review of staff records failed to reveal an annual performance evaluation on a staff member with a hire date of 10/02/15. Interview with staff in charge revealed the documentation was not available at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal negative results from a tuberculin test or a written statement from a health care professional stating that individuals with hire dates of: 2/2/09, 7/9/17 and 10/2/15, were free of tuberculosis. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal verification that staff members with the hire dates of: 5/13/13, 8/29/15, 7/9/17, 7/9/17, 9/18/17, and 10/02/15 had completed 15 hours of cabinet approved early care and education training during subsequent years of employment. The staff members with a hire date of 5/13/13, 8/29/15, 7/9/17, 7/9/17, 9/18/17, and 10/02/15 failed to have documentation verifying that one and one half hours of cabinet approved pediatric abusive head trauma training had been received. A review of ECE-TRIS records also failed to reveal the completed trainings. Interview with staff revealed the documentation was not available at the time of the survey. Further review revealed that a staff member with a hire date of 10/02/17 failed to have documentation of having completed six (6) hours of cabinet approved orientation training within the first three (3) months of employment. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation upon entry into the center at approximately 9:30 A.M. revealed two (2) staff members exiting the building with nine (9) children. Interview with the staff member revealed the children ranged in age from two (2) years to four (4) years. Further observation revealed the children had remained together throughout the time of the survey, until the surveyor exited the building at approximately 1:15 P.M. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Review of documentation failed to verify four (4) cribs in the Infant room were compliant with the Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation on the playground revealed a very old, rusted tricycle that was missing both pedals, an unstable see-saw, a Little Tykes red, airplane which was missing a handle to hold while riding. Multiple balls observed in the toy box failed to have enough air to bounce. The toys, including trucks and small riding vehicles, were not clean. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation failed to reveal a thermometer in the kitchen refrigerator ensuring that the food was preserved at a temperature of 40 degrees.

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 the food service in accordance with regulatory requirements. Observation revealed an infant's bottle sitting on a counter, in the Infant room, that was not individually labeled with a child's name. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the Infant room revealed a diaper bag containing a bottle of "Similac For Spit Up", with a "Keep Refrigerated" label. The bottle was warm to the touch. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of ten (10) children's records failed to reveal contact information for one (1) child to enable a person in charge to contact a child's physician.

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 and observation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of ten (10) children's files failed to reveal written permission forms for trips off of the premises. Observation revealed a class of nine (9) children ranging in age from two (2) years to four (4) years leaving the premises for a walking field trip, as the surveyor entered the building. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the child with the enrollment date of 07/25/2017 contained a current immunization record. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, the child care director did not provide verification that a copy had been maintained of a written documentation from the local authority showing compliance with local zoning requirements. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. The changing pad located in the two-year-old classroom revealed the changing pad to measure three (3) inches over the surface of the changing table. Therefore, making the changing pad an unstable surface. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 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 and observation, 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 criminal records check (CRC) had been submitted/conducted within the required timeframes as required by 922 KRS1:470,for the employee with the hire date of 10/05/2017. The employee was not observed working alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employee with the hire date of 07/09/2017 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employees with the hire dates of 10/02/2015 and 07/09/2017 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 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the child care director did not present verification that the child care center had a current food service permit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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 5. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the staff with the hire dates of 02/02/2009 and 10/02/2015 had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continue review revealed the director did not present verification that the employees with the hire dates of 10/02/2015,08/29/2015 and 07/09/2017 had completed new orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory programming requirements. The child care center director did not present for review verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child served in the one and two-year-old classrooms. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. In the restroom located off of the one-year-old classroom, several personal hygiene products (i.e. razor, shaving cream, make-up and mouthwash) were observed.

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 regulatory requirements regarding building requirements. The two (2) railings on the stairs leading to the playground were not securely fastened. Additionally, the door of the sink vanity was hanging loosely from the hinges in the bathroom located near the one-year-old room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements regarding building requirements. The two (2) vents located in the downstairs hallway were rusted and contained a build-up of dust. Continued observation in the two-year-old classroom revealed the overhead light did not have a protective cover.

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 regulatory requirements. On the steps leading downstairs to the infant classroom, the carpet was pulled away from the first step and was not securely fastened. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the climbing apparatus located on the playground revealed there was no protective surface covering the areas under the equipment. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year.

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 with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that a copy of job descriptions had been maintained.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification of a current written schedule of staff working hours that included the times the staff began their work time and the times the staff ended the shift. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification of a written policy that had been maintained that specifies that each child-care center staff member will receive orientation training within the first ninety (90) days of hire and the employee shall implement the procedures that were taught at the orientation training.

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 regulatory requirements. Upon request, the child care director did not present verification that the monthly fire drills had been conducted for the months of April, May, August,and September of 2017.

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 and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that the earthquake/tornado drills have been conducted since June of 2017. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, the child care center failed to comply with regulatory requirements. Based on a review of documentation, zoning approval from the local authority was not available for review at the time of the survey. Based on interview with the staff in charge, the zoning approval could not be located after an extended amount of time was given to locate it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Based on a review of documentation, the last visit from the fire marshal's inspection was dated 7/7/09. Based on interview with staff in charge, there has not been a more recent visit from the fire marshal.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with the regulatory requirements. Based on a review of documentation, the child care center failed to have documentation from the local zoning authority. Further review failed to reveal compliance with the State Fire Marshall requirements. The fire marshal documentation which was posted, revealed an inspection date of 7/7/09. Based on interview with staff in charge, the documentation regarding zoning approval and a more recent fire marshal inspection could not be located at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center director failed to assure compliance with regulatory requirements. Based on observation, three (3) cribs were observed to have raw wood on the top rails of the cribs, appearing to be from children standing and chewing on the rails. Based on interview with staff in charge, she was aware of the condition of the cribs. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, staff members with hire dates of 5/13/13, 2/2/09, 8/22/16, and 10/02/15 failed to have a written statement from a health professional stating the individual is free of tuberculosis or negative results from a tuberculin test.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of records, there were no employees with a current pediatric or adult CPR/First Aid certification. Based on interview, the staff in charge was not aware her certification had expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of 8/29/15, 8/22/16,6/15/16 and 10/02/15 failed to have documentation of completing required orientation training within the first three (3) months of employment. Based on continued review, a staff member with a hire date of 10/02/15 failed to have completed an additional nine (9) hours of approved cabinet training within the first year of employment An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain required programming regulations. Based on a review of documentation in the Infant room, a current lesson plan listing a variety of creative activities including art, music, stories and books was not posted in a conspicous location.

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 comply with regulatory programming requirements. Based on observation when the surveyors entered into the Infant room, a child was restrained into a confined area. Based on interview with staff, the child had been placed there because "he wasn't playing nice". Based on continued observation in the 3-4 Year Old room, staff members were heard stating: "She's determined to break her neck", "I'm not telling you again!", "That means you get nothing when you get home!", "What did I just say?!" , "You aren't going to get a plate if you don't sit still!" in loud, threatening voices. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation a large rake and shovel were propped against the building in an area in which the children play. Also observed was a bag of Vigoro Garden Soil with the warning of : Keep Out of the Reach of Children. Based on continued observation, a lawn mower and gas can were in the entry area of the center.

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 regulatory requirements. Based on observation in the Infant room, a single bulb lighting fixture encased into the ceiling was dangling from the ceiling and not fully attached and secured. Observation of the steps leading into the center revealed torn and raveling carpeting on all of the steps. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation, a child was trying to blow her nose, missed the tissue, and was told by a staff member to sit down without washing her hands. Based on observation, the staff member had observed the incident.

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 hygienic practices in accordance with regulatory requirements. Based on observation in the Infant room, a staff member wiped (2) childrens' noses and failed to wash her hands with soap and watering afterward. Based on further observation, a staff member took a used tissue from a child and placed it in the trash but failed to wash her hands before entering into another activity. First Aid/Medication In Compliance Outdoor Play Area 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 outdoor play area in accordance with regulatory requirements. Based on observation, two (2) large pieces of a tree stump were exposed and protruding from the ground creating a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a turquoise roof on a multi- colored playhouse was broken and in disrepair. A large wooden swing set was found to be unstable and insufficiently secured to the ground. The swingset contained two swing chains dangling with a broken hook exposed. A teeter-totter contained rotted wood with sharp edges on the seats. Additionally, a small metal tricycle was in disrepair with no pedals. A four-seater, spring based piece of equipment was not secured to the ground and was unsteady when moved. A large, blue piece of equipment was broken and standing against the fence in the area where children play. A large plastic yellow rocking fish was observed to not have a handle on which to hold while riding. A Little Tykes picnic table contained a piece of broken plastic leaving a sharp pointed edge on the seat. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, observation, and interview, the child care center failed to maintain the food service in accordance with the regulatory requirements. Based on a review of documentation, there was not a current food service permit available for review. Based on observation, a vegetable soup had been prepared on the stove for lunch. Based on further review, a food service permit was not available during the 2015 annual survey. The 2015 Plan of Corrections stated that the permit had been paid for and requested. Based on interview with staff in charge she was unaware the permit had expired.

Open Not marked corrected in the state record

Category: nutrition. 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 the food service in accordance with regulatory requirements. Based on observation in the Infant Room, sippee cups were washed in a sink, and failed to be sanitized before being used again.

Open Not marked corrected in the state record

Category: nutrition. 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 the food service in accordance with regulatory requirements. Based on observation the serving spoon used to provide additional food touched individual bowls each time a bowl was refilled. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on a review of documentation, the menu posted was dated from June. Based on further review, a current menu was not available. 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 children's records in accordance with regulatory requirements. Based on a review of ten (10) children's files, two (2) children enrolled on 10/16/16 failed to have a current immunization certificate in the file. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. 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 regulatory requirements. Based on a review of postings, the statement of deficiency issued by the cabinet of the current licensure year was not posted. Further review revealed the Plan of Corrections submitted by the child care center failed to be posted in a conspicuous place and made available for public inspection. Based on interview with the staff in charge, the document had been removed from posting the night before and failed to be re-posted before the survey. Animals 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.

General: Based on Observation, the child care center failed to comply with first aid medication as it relates to first aid supplies. Observation of the facility revealed there was no medical tape at the facility.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to comply with director regulatory requirements. Review of documentation revealed the following regulations were not on file 922 KAR 2:090, 922 KAR 2:110, and 922 KAR 2:120.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center director failed to comply with director regulatory requirements. Review of documentation revealed two (2) employees (DOH: 6/1/12, 5/13/13) did not have an annual written performance evaluation. Interview with the director revealed she was not able to locate the aforementioned documentation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview the child care center director failed to maintain the health, safety, and comfort of children. Observation of the facility from 10:00am until the surveyor left at 11:15am revealed there was no one present who was certified in CPR/First Aid in any event an emergency situation arose. Review of documentation revealed one (1) employee is certified in CPR/First Aid in which this person was observed leaving the facility at 10:00am. Continued review of documentation revealed various employees were certified in CPR/First Aid through an on-line program, which is non-compliant with 922 KAR 2:110. Interview with the director revealed that there is only (1) employee at the facility is who certified in CPR/First Aid through a cabinet- approved agency. Observation of the infant classroom revealed five (5) high chairs that did not have safety straps to secure a child, once placed in the high chair. Interview with the staff in the infant classroom revealed the aforementioned high chairs are utilized by 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, the child care center failed to comply with employee records regulatory requirements. Review of documentation revealed an employee with the hire date of 5/13/13 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview the child care center failed to comply with employee records regulatory requirements. Observation of the facility from 10:00am until the surveyor left at 11:15am revealed there was no one present who was certified in CPR/First Aid. Review of documentation revealed one (1) employee is certified in CPR/First Aid in which this person was observed leaving the facility at 10:00am. Continued review of documentation revealed various employees were certified CPR/First Aid through an on-line program, which is non-compliant with 922 KAR 2:110. Interview with the director revealed that there is only (1) employee at the facility is who certified in CPR/First Aid through a cabinet- approved agency.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records regulatory requirements. Review of employee files revealed three (3) employees (DOH: 6/1/12, 5/13/13, 2/2/09) did not have fifteen (15) hours of cabinet-approved early care and education training. Continued review of documentation revealed the aforementioned employees had the following amount of training on file seven (7) hours, eight (8) hours, and four (4) hours.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with premises regulatory requirements. Observation of the infant classroom revealed a smoke detector detached from the ceiling, exposing wires. Continued observation of the infant classroom revealed a light fixture cover that was hanging from the ceiling. Observation of the one- year-old classroom revealed a board on the wall that was not assembled to the wall, exposing a pipe and wood inside the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with outdoor play area regulatory requirements. Observation of the playground revealed a wooden swing set had mulch for a fall zone but the mulch was only scattered under the swing and not equal to the height of the equipment. Continued observation of the playground revealed a blue swing set and a red climbing apparatus did not have a fall zone at all.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview the child care center failed to comply with food service regulatory requirements. Observation of the kitchen revealed lunch was prepared on the stove. Review of documentation revealed the facility did not have a food service permit on file at the time of inspection. Interview with the director revealed she was not able to locate the aforementioned documentation at the time of inspection.

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, the child care center failed to comply with children's records regulatory requirements. Review of children's files revealed a child (ED: 3/23/15) had an immunization certificate on file that was no longer valid after 10/31/11.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with posted documentation regulatory requirements. Review of documentation revealed the facility failed to post information on the Kentucky Consumer Product Safety Program and the program's website.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, interview and review of documentation the child care center failed to comply with animal regulatory requirements. Observation of the facility revealed a dog present but the aforementioned dog was not near the children. However, based on interviews with the assistant director and the director revealed the aforementioned dog goes outside and plays with the children. Review of documentation revealed there was no written parental consent on file for enrolled children to be near the aforementioned dog. Continued review of documentation revealed there was no documentation on file that the aforementioned dog is certified as vaccinated against rabies.

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 revealed that a staff member was in a room cleaning the infants and toddlers after snack. Continued observation revealed that the children were sitting in high chairs when the teacher left the eating area to go to the sink in the connecting classroom. Continued observation revealed that one (1) infant was no longer in scope of vision of the teacher for two (2) minutes due to him sitting on the opposite wall of the connecting room.

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 Review of Documentation, the child care center director failed to comply with regulatory requirements. Record review revealed that the center had documentation of one (1) staff meetings conducted in 2013 and no documentation for meetings conducted during the beginning of 2014 at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Record review revealed that staff members with the hire dates 6/1/12, 3/24/08, 10/16/13 and 5/13/13 failed to have an annual evaluation on file at the time of the survey.

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, the center failed to maintain employee records in accordance with regulatory requirements. Record review revealed that a staff member with the hire date 1/20/14 failed to have a Child Abuse and Neglect check on file. Continued reveiw revealed that the center failed to have evidence of requesting Child Abuse and Neglect Check within five (5) days.

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. Record review revealed that a staff member with the hire date 1/20/14 failed to have a high school diploma, GED certificate or other qualifying document on file for review 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 records in accordance with regulatory requirements. Review of employee records revealed that a staff members with the hire date 12/30/13 tuberculosis test was no longer current after 9/13/14. Continued review revealed that staff members with the hire dates 6/1/12 and 1/20/14 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 6/1/12, 3/24/08 and 2/2/09 failed to have documentation of completing 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 5/13/13 failed to complete nine (9) hours of cabinet approved training during her first year of employment. Continued review revealed that a staff member with the hire date 5/13/13 completed her orientation training on 7/12/14, therefore failed to complete the required six (6) hours of cabinet approved orientation training during her first three (3) months of employment. Further review revealed that a staff member with the hire date 10/16/13 failed to have documentation of completing the required six (6) hours of cabinet approved orientation training on file at the time of the survey. 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 and Review of Posted Documentation the child care center failed to comply with regulatory programming. Upon arrival at 12:13 p.m. children were observed watching television. Review of daily schedule revealed that the center failed to include television as a part of the children’s planned program of activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation in the Infant Room revealed a crib with a music toy hanging on the inside of the crib with a sleeping infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed that the center failed to have paper towels in the downstairs restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements regarding first aid. Observation of the first aid supplies revealed that the center failed to have liquid soap with their first aid supplies at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and Interview the child care center failed to comply with the regulatory requirements regarding medication. Observation in the Infant room revealed that prescription diaper cream was located on a high shelf. Interview with staff revealed that they did not have a written request to administer the medication from the parent at the time of the survey.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements regarding medication. Record review revealed that the center failed to have written documentation of the date, amount and the name of the medication administered to a child on the day of the survey.

Open Not marked corrected in the state record

Category: ratio. 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 the regulatory requirements regarding medication. Observation in the Infant room revealed that prescription diaper cream was located on a high shelf and failed to be in a locked container. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. 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 food service in accordance with regulatory requirements. Observation in the Infant Room revealed a staff member bottle-feeding an infant, while the infant was sitting in a bouncy seat.

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 and Interview the center failed to maintain food service in accordance with regulatory requirements. Observation revealed that only whole milk was located in the refrigerator. Interview with a staff member revealed that whole milk is served to twelve-month-olds to school age children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service. Observation of posted documentation revealed that the center failed to include snack on the 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 siblings with the enrollment dates 7/6/13, 9/4/13, 1/10/14 names and other enrollment information were listed on one enrollment form, rather than on separate forms to meet the regulatory requirements. Continued review revealed that children with the enrollment dates 7/6/13, 7/8/13, 1/4/10, 9/4/13, 10/31/12 and 7/28/11 failed to have authorization by the parent for the child care center to seek emergency medical care. Further review revealed that a child with the enrollment date 10/31/12 failed to have a parent signature on the enrollment form.

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. Record review revealed that the center failed to provide at the time of the survey an Emergency Preparedness Plan including instruction relation to the training of staff or the reassignment of staff duties.

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 Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Interview with director revealed that there was no staff schedule on file at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed that three (3) staff members were missing a written annual plan professional development plan.

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 written documentation in accordance with regulatory requirements. Record review revealed that the time of the tornado drill was missing for the first and third quarter.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed the bathroom in the hallway of the lower level failed to have a working light at the time of the survey, failing to meet the requirement of having a toilet in a lighted room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/

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 regulatory requirements. Observation revealed the florescent light bulbs in one light fixture located in the room for one-year-old children failed to be shielded or shatterproof at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview it was determined that on 1/7/14 staff failed to provide appropriate supervision to a two year old child in care. Interview established that said child sustained an injury to his left ear while in care and the source of the injury could not be determined and the incident that caused the injury was not observed by any staff member throughout the day. Individual interview with four staff members revealed that they did not observe the bruise on said child the morning of 1/7/14, however, when the parent picked the child up in the afternoon on the same day, the parent noticed the injury and brought it to staff's attention. Based on Review of Documentation, the Forensic Report related to this incident reflected that, “...While we cannot definitively rule out an accidental mechanism, the lack of awareness by daycare staff of the event is highly concerning for, at minimum, supevisional neglect.”

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, on 1/13/14 at 9:40 a.m., eleven infants and toddlers were in the Infant Room with two teachers and the youngest child being six months old, therefore the center over exceeded the maximum group size for the age group.

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 interview it was determined that on 1/7/14 the director failed to ensure the health, safety and comfort of a two year old child in care. Interview established that said child sustained an injury to his left ear while in care and the source of the injury could not be determined and the incident that caused the injury was not observed by any staff member throughout the day. Individual interview with four staff members revealed that they did not observe the bruise on said child the morning of 1/7/14, however, when the parent picked the child up in the afternoon on the same day, the parent noticed the injury. Based on Review of Documentation, the Forensic Report stated that, “...While we cannot definitively rule out an accidental mechanism, the lack of awareness by daycare staff of the event is highly concerning for, at minimum, supevisional neglect.” Employee Records

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, there was no documentation on file for review that a staff member with the hire date 12/15/13 Child Abuse and Neglect check was sent off within five days of employment. Based on Review of Documentation, there was no documentation to verify that the center submitted the Criminal Records Check on the date of hire for a staff member with the hire date 12/15/13. 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 Programming

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, on 1/8/14 children were observed eating snack while watching television.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, of several staff members it was determined that the child care director failed to ensure the health, safety and comfort of each child, i.e., an infant enrolled on 12/9/2013 was ignored by staff members hired on 9/23/2013 and 2/7/2013 while the two staffers were engaged in a personal argument. The child reportedly was left unattended while crying excessively, to the point that he became red in the face and was possibly overheated. Programming

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 staff interviews it was determined that the child care center failed to maintain staff ratios on 12/18/2013, i.e., there were six toddlers and five infants signed in to the center and when staff hired 2/7/2013 walked out of the building it caused the staff hired 9/23/2013 to be left with all eleven children, the youngest being under one year of age. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, of numerous staff members it was determined that on 12/18/2013 between approximately 8:30 a.m. and 9:00 a.m. that a staff member hired 9/23/2013 was arguing with a co-worker hired 2/7/2013 and that both staff subjected six infants to excessively loud, and possibly profane language while in their care.

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 of staff on 12/20/2013, it was determined that an infant enrolled on 9/25/2013 and an infant enrolled on 12/9/2013 had "Boppy" pillows in their cribs while they were present in the cribs sleeping. Staff stated that they thought the infants both had physician's statements for use of the pillows. Upon review of the infant's records, there were no physician's statements in their files with regards to the use of the "Boppy" pillows. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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, at approximately 10:30 a.m. on 12/20/2013 a staff member hired 2/14/2013 was observed conducting a diaper change on an infant enrolled 9/25/2013. The staff did not wash the infants hands after the diaper change despite the child having sufficient head control. The staff member did wipe the infant's hands with a sanitary wipe.

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 on 12/20/2013, a staff member hired 2/14/2013 failed to wash her hands before and following a diaper change of an infant. The staff acknowledged that she had not properly washed her hands before or after diapering an infant despite having completed Orientation Training in February 2013 and being familiar with the required diapering and handwashing procedures posted in the center. Children's Records

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a current immunization certificate for each child in care; i.e., the immunization certificate for a child enrolled 9/25/2013 was expired. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a written record for each child which contains enrollment information and contact information for the family physician and/or preferred hospital; i.e., the file for a child enrolled 12/9/2013 did not include physician/hospital contact numbers.

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 center failed to follow the plan of correction signed by the director on 10-29-13 stating that the center would destroy the cribs that were not compliant with Consumer Product Safety Commission standards established in 16 C.F.R.1219-1220 that were observed in the center on 10-29-13 and have new cribs ordered and placed in the classroom by "11-8-13 or sooner". Based on observation in the infant and the toddler classrooms on 12-17-13 there were nine non-compliant cribs that had not been destroyed and were being used in the infant room. Based on interview with the staff in charge, the center had three compliant cribs that had not been assembled and three compliant cribs were on back order. Programming

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, an infant was observed in a crib wearing a pacifier with a pacifier attacher clipped to a bib that he was wearing. Based on observation a crib containing an infant had a toy attached to the interior of the crib. Equipment

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 in the toddler room, there were four cribs that did not meet Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220. Based on observation in the infant room, there were five cribs, three that were being used by infants, that did not meet Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220. 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 review of documentation, the center's plan of correction and statement of deficiency from the October 1, 2013 annual renewal survey was not posted and the staff member in charge was unable to locate the document.

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, in the toddler room music was playing throughout the day, exceeding the two hour limit on listening devices.

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.

Based on Observation, surveyor entered the infant room and observed that a nineteen month old child was being allowed to walk around in a crib. Based on interview, the staff member stated that the child had been put in the crib because he was teething and needed to "de-stress."

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, at naptime there were six one year old children unsupervised for approximately one minute as the assigned staff person went into another classroom to speak with another staff person.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, center was unable to provide zoning documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, provider was able to locate documentation of only one staff meeting in the previous year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 3-24-08, 7-26-12 and 6-1-04 did not have documentation of a staff evaluation in the previous year.

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, a staff member hired on 5-13-13 did not have the results of a child abuse and neglect check available for review and staff member was observed working alone with children throughout the day. Staff member hired on 2-19-13 did not have CAN check requested in accordance with 922 KAR 1:470 as check was not requested until 7-23-13. Staff member hired on 2-19-13 did not have criminal records check requested in accordance with KRS 199.896(19) as check was not requested until 7-24- 13. Staff member hired on 2-19-13 worked past the 90 day probationary period without the results of a CAN check and a criminal records check. Based on review of documentation, staff member hired on 5-13-13 did not have CAN check requested in accordance with 922 KAR 1:470 as check has not been requested. Staff member hired on 5-13-13 did not have a criminal records check requested in accordance with KRS 199.896(19) as check was not requested until 7-24-13. Staff member hired on 5-13-13 has worked past the 90 day probationary period without the results of a CAN check. Based on review of documentation, a staff member hired on 2-11-13 did not have CAN check requested in accordance with 922 KAR 1:470 as check was not requested until 7-23-13. Staff member hired on 2-11-13 did not have a criminal records check requested in accordance with KRS 199.896(19) as the check was not requested until 7-24-13. Staff member hired on 2-11-13 worked past the 90 day probationary period without completion of CAN and criminal records checks. Based on review of documenation, a staff member hired on 2-4-13 did not have a CAN check requested in accordance with 922 KAR 1:470 as it was not requested until 7-23-13. Staff member hired 2-4-13 worked past the 90 day probationary period without the results of a CAN check.

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, each employee did not have an individual file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 7-26-12 and 2-19-13 did not have high school diploma, GED or Commonwealth Child Credential available 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, staff members hired on 3-24-08, 7-26-12 and 6-1-04 did not have documentation from a health professional that they were free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, center does not have sufficient CPR and First Aid coverage as there are only two staff members with CPR/First Aid certification. Provider was unable to provide time sheets from previous week, thus only current week of coverage was available for review. There was not CPR or First Aid coverage on 9-26-13 from 12:15 to 1:15 p.m. on 9-27-13 from 1:00 to 1:45 pm and 5:00 to 6:00 p.m.; on 9-30-13 from 10:00 to 11:00 a.m. and from 1:30 to 2:00 p.m.; and on 10-1-13 from 8:00 to 9:00 a.m.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center has only one substitute.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 2-2-09 completed six of the required fifteen hours of annual training, a staff member hired on 3-24-08 completed seven of the required fifteen hours of annual training, a staff member hired on 7-26-12 completed zero of the required fifteen hours of annual training and a staff member hired on 6-1-04 completed zero of the required fifteen hours of annual training, Based on review of documentation, staff members hired on 2-19-13, 5-13-13, 2-11-13 and 2-4-13 had not completed orientation training. 345 - Driver Requirements Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 28 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, an infant was observed sleeping in a bouncer from 8:35 a.m. until 9:37. Based on interview with staff, the infants are routinely left to sleep in bouncers or rockers as opposed to on their backs in a crib. Based on observation at nap time, an infant was observed sleeping on a Boppy pillow, an infant was observed sleeping in a chair in a crib with her face covered with a blanket and a third infant was observed sleeping in a bouncer in a crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the infants are sleeping in rockers and bouncers placed inside of the cribs. Based on observation a teddy bear was observed in a crib with a sleeping child in a rocker.

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, a television was observed in the infant and toddler dining area, based on interview with staff, the children routinely eat while watching television. Based on observation, the children were eating snack while watching television.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the downstairs bathroom sink and the upstairs bathroom sinks were not equipped with a hand-drying blower or single use disposable hand drying material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the upstairs bathroom did not have working ventilation to outside air. The downstairs bathroom was not lighted. Hygienic Practices

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, two infant diapers were changed and the children's hands were not washed with a wipe. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a staff member changed a child's diaper and did not wash her hands afterwards.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a staff member changed a child's diaper and did not use an individual disposable washcloth to thoroughly clean the affected area of the child.

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, a staff member changed a child's diaper and did not disinfect the diapering surface after the diaper change and continued to change another child's diaper on the dirty surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the infant room staff is spraying the infant toys and wiping them with a rag as opposed to to sanitizing the infant toys daily by scrubbing in warm, soapy water using a brush, rinsing in clean water, submerging in a sanitizing solution for at least two minutes and allowing them to air dry. First Aid/Medication

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, there was a five gallon bucket full of water on the playground accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there is insufficient protective surface under the swings, at the end of the slide and under the dome climber.

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, a dome climber is not anchored to the ground. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 28 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 4. Premises Requirements.

General: Based on Observation, in the infant room the toys are maintained on a high shelf in a manner that the infants cannot reach them to play. The toys are not stored in a storage device accessible to the children.

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, center has ten cribs that do not meet the Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, center does not have a current food permit as the food permit presented expired 12-31-11.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, a current menu was not posted. Center did not have menus on file for 30 days. Center did not have snack on the menu that was posted on a dry erase board from the previous week.

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, center did not meet the morning snack requirements as morning snack consisted of juice that was 54% juice as opposed to the required 100% juice. Based on interview with staff the afternoon snack was to consist of goldfish and water as opposed to the required two components.

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, nine of the ten children's files reviewed did not have authorization by the parent for the child care center to seek emergency medical care for the child in in the parent's absence. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written 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 Review of Documentation, center did not have a copy of the administrative regulations available for staff review.

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, center does not utilize attendance records that are required in accordance with 922 KAR 2:160, Section 13, as center provides care for children receiving services through the Child Care Assistance Program.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 7-26-12 and 6-1-04 did not have professional development plans available for review.

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, center does not have a written orientation procedure that states that all new employees are to attend orientation training within the first 90 days of employment and implement what was taught in orientation training into the classroom.

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, previous year's statement of deficiency and plan of correction was not posted in a conspicuous place and made available for public inspection.

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, there was not diaper changing procedures posted at the upstairs diaper changing station. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 28 Web site: http://chfs.ky.gov/ Inspection Report 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, staff person with hire date 2/2/09 did not have a current TB skin test on file as of 4/2/11. Staff person with hire date 5/31/12 did not have proof of having a TB skin test prior to hire. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 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. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, staff with hire date 3/3/11 did not have orientation until 11/19/11. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, staff with hire dates 3/24/08, 6/1/04 and 2/2/09, did not have the required fifteen (15) hours of training. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, of six (6) files presented for review, four (4) staff that were eligible for an annual evaluation did not have a current evaluation in their file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire dates 6/1/04 and 2/2/09 did not have evidence of a current professional development plan on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY 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, staff persons with hire dates 3/3/11 and 5/31/12 did not have education requirements in their file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Based on observation, a one (1) year old child was placed in the classroom with a (2) year old child for the entire time surveyor was present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

preschool and school age classroom: Based on Observation, there was one (1) uncovered outlet. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 7

infant classroom: Based on Observation, here were three (3) packets or oral granule Singulair in the medication box. There were not permission slips to administer this medication. 248 - Nonprescription medication protocol 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Administered according to label In Compliance 249 - Administration Record 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time In Compliance 2) Date In Compliance 3) Amount In Compliance 4) Staff name In Compliance 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 1) Separate and locked In Compliance 2) Original Bottle In Compliance 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 3) Labeled Not In Compliance Findings: infant classroom: Based on Observation, there were three (3) packets or oral granule Singulair in the medication box. These were not labled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, child with enrollment date 12/19/11 did not have a current immunization as of 8/19/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that two (2) of eight (8) staff reviewed failed to have TB documentation dated within two (2) years: one (1) staff hired 2/2009 had TB documentation dated 7/23/08 and a second staff hired 2/2009 had TB documentation dated 4/2/09. The director acknowledged the findings and indicated that she was unaware of the issue. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, it was determined that staff failed to complete orientation training within ninety (90) days of hire. Staff with the hire date of 2/25/11 failed to have orientation documentation included in her file. The director acknowledged the findings and stated that she was in the process of addressing the issue. 2) 9 hours-first year Not In Compliance Findings: General: Based on Review of Documentation, it was determined that staff with the hire date of 8/2010 failed to receive nine (9) hours of child development training by 8/2011. The director acknowledged the findings and stated that she was in the process of addressing the issue. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was determined that four (4) out of eight (8) staff, all hired 2/2009, failed to receive fifteen (15) hours of child development training from 2/2010 through 2/2011: there was no documentation present in the staff files to verify any training had been completed. The director acknowledged the findings and stated that she was in the process of addressing the issue. 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 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that staff with the hire date 2/25/11 failed to have documentation in her file to verify educational requirements. The director acknowledged that the staff failed to have documentation in her file but confirmed that the staff had completed high school and she was in the process of addressing the absence of the verifying documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it could not be determined that all children had current immunizations within thirty (30) days of enrollment. Review of ten (10) children's files revealed the following four (4) children did not have immunization documentation present in their file: two (2) children enrolled 7/15/11, one (1) child enrolled 8/31/11, and one (1) child enrolled 8/17/11. The director acknowledged the findings and indicated that she was in the process of addressing the issue.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.