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

General: Based on review of documentation, during the inspection the following was found: 1) A criminal records check, sex offender registry check, and child abuse/neglect check for the state of Indiana was not conducted for a staff member. (DOH: 06/01/06) 2) A criminal records check, sex offender registry check, and child abuse/neglect check for the state of Indiana was not conducted for a staff member. (DOH: 08/17/23) 3) A criminal records check, sex offender registry check, and child abuse/neglect check for the state of Indiana was not conducted for a staff member. (DOH: 01/18/23) 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, a current fire marshal report was not present for review. The document that was presented for review on the day of the inspection was dated 05/22/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the personnel file for four staff members (DOH: 08/01/96, 07/01/98, 07/01/05, and 08/27/22) did not contain a written annual performance evaluation. 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, a staff member's personnel file (DOH: 08/01/24) did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a 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 review of documentation and interview, during the inspection, the following was found: 1) A staff member's personnel file (DOH: 08/01/04) did not contain a current written statement for a health care professional stating that the individual was free of active tuberculosis, or a copy of a negative tuberculin results. The document presented for review was dated 05/01/24. 2) A staff member's personnel file (DOH: 10/02/17) did not contain a current written statement for a health care professional stating that the individual was free of active tuberculosis, or a copy of a negative tuberculin results. The document presented for review was dated 08/22/24. 3) A staff member's personnel file (DOH: 08/01/24) did not contain a current written statement for a health care professional stating that the individual was free of active tuberculosis, or a copy of a negative tuberculin results.

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 review of documentation, five staff members (DOH: 08/10/17, 08/01/04, 01/05/17, 10/01/23, and 01/18/23) did not complete the required first aid and cardiopulmonary resuscitation (FA/CPR) training had been completed within ninety (90) days of employment. Review of ECE-TRIS verified this information. 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

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: Orientation Training: 1) Three (3) staff members (DOH: 10/01/23, 01/18/23, and 08/27/22) did not complete orientation training within ninety (90) days of employment. Pediatric Abusive Head Trauma Training: 1) A staff member's (DOH: 08/14/23) pediatric abusive head trauma training was not current. The training expired 09/11/24. Fifteen Hours of Required Annual Training: 1) A staff member (DOH: 01/24/23) completed only seven (7) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 2) A staff member (DOH: 08/27/22) completed only nine and one-half (9.5) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 3) A staff member (DOH: 07/01/05) completed only ten (10) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 4) There were two (2) staff members (DOH: 07/01/92 and 08/27/22) completed only eleven (11) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 5) There were four (4) staff members (DOH: 07/01/00, 07/01/93, and 08/01/91, and 08/09/91) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 6) There were four (4) staff members (DOH: 01/05/17, 06/01/06, 10/02/17, 01/18/23, and 08/10/17) completed only thirteen (13) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. Review of the ECE-TRIS verified this information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written 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 9. Records.

General: Based on review of documentation and interview, seventeen (17) staff members' personnel files did not contain written annual professional development plan on the day of the inspection. 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 11. Staff Requirements.

General: A review of staff files failed to reveal a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential for a staff member with hire dates of 08/01/2022, 08/15/2022,08/14/2023, 10/01/2023, 08/14/2023, and 08/13/2023. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. One staff member hired on 08/01/2004 had negative tuberculin skin result on file that exceeded two years; therefore the TB test was no longer current. 2. A statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results was not presented for review at the time of survey for a staff member hired on 10/01/2023. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of completed First Aid and Cardiopulmonary Resuscitation (CPR) training was not presented for review for six (6) staff members with the following dates of hire: 08/01/2022, 08/27/2022, 06/01/2003, 01/05/2017, 03/01/2021, 05/15/2023 and 08/01/2004.

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 observation, the following was found: 1. Verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for two (2) staff members with the following dates of hire: 08/27/2022 and 03/01/2021. 2. Staff members hired on 06/01/2003, 08/01/2001, 10/02/2017, 08/27/2022 and 08/05/2018 failed to maintain fifteen (15) hours of cabinet-approved annual education training. 3. The child-care center failed to present a verification of current records of Pediatric Abuse and Head Trauma (PAHT) training for a staff members hired on 08/01/2022 and 08/12/2021. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, toilet seats on the second floor in the girls’ and boys’ bathrooms were loose; therefore, not securely attached. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on records review and interview, it was revealed that the following ten (10) children's (DOE: 08/12/2023, 07/09/2023, 07/24/2023, 07/09/2023, 07/26/2023, 07/21/2023, 06/16/2023, and 08/01/2023) files did not contain the telephone number for the child’s preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on records review and interview, the staff in charge was not able to provide a copy of the Emergency Preparedness Plan. Animals In Compliance

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, interview and review of documentation, the staff in charge did not present verification that the National Background Check had been completed for an employee with the hire date of 03/01/2021. Review of a KARES report revealed that the background check had not been initiated at the time of the inspection. Observation revealed the staff member with the hire date 03/01/2021 was working with another staff member at the time of the inspection.

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.

Based on observation, interview and review of documentation, the staff in charge did not present verification that fingerprints had been submitted to the National Background Check Program for an employee with the hire date of 03/01/2021. Review of a KARES report revealed that the fingerprints had not been submitted at the time of the inspection. Observation revealed the staff member with the hire date 03/01/2021 was working with another staff member at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not not present verification that the child care center maintained the employment status for each child care center staff by reporting the status of employment using the National Background Check Portal (NBCP). Review of the KARES system revealed the report did not list current employees or the employees who were no longer employed. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 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. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Upon request the staff in charge did not present verification that the record for the employee with the hire date of 03/01/2021 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request the staff in charge did not present verification that nine (9) of twenty-six (26) employees had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Upon request the staff in charge did not present verification that the staff with the hire dates of 05/01/2012, 09/18/2014, and 08/15/2019 had completed their Pediatric Abusive Head Trauma training. 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 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 14. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center maintained a policy for ensuring staff duties during transportation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center maintained policies and procedures for an emergency plan for evacuating the vehicle during transport.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that a policy had been maintained for safety procedures for loading and unloading of a child during transport. 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: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child enrolled on 08/09/2021 had maintained a current immunization certificate on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, in the classroom known as the Three-Year-Old room, the electrical outlets were not covered. In addition, a teacher acknowledged that the electrical outlets were not covered. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon review of records and interview, an annual staff evaluation was not presented for employees with the hire dates of 8/8/18 and 8/5/18.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the Kiddiegarden room revealed an outlet uncovered on the left side of the room. Interview with the staff in charge confirmed the outlet was uncovered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 8/15/19. Interview with the staff in charge revealed the document was not there for review. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulations. Observation of the mat placement during nap time in the infant room revealed the mats were not spaced twelve (12) inches apart to allow free and safe movement by a person. Interview with the staff in charge confirmed that the mats were placed too close to each other. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the staff in charge did not present an immunization certificate for a child's file with the enrollment date 7/24/2020. Interview with the staff in charge revealed the center had not received documentation for the child within the first thirty (30) days of enrollment. 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.

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 updated and submitted 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review the center’s documentation and interview revealed there was no professional development plan on file for an employee with the hire date of 8/5/18. 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

Open / not marked corrected.

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

The child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation and interview revealed there was no documentation of fire drills with children present at the center for the months of October, and December in 2019 and February in 2020; there was no earthquake drill with children present at the center for the last quarter of 2019. Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for one (1) staff member hired 8/15/17. Interview with director revealed this documentation was not on file at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed two (2) staff members hired 6/29/15 and 7/1/16 failed to have records of negative tuberculin result on file. Interview with director revealed this documentation was not on file at the time of 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 1/6/16 and 8/1/04. Continued review of staff files and ECE-TRIS revealed documentation of nine (9) hours of cabinet approved training was not presented for review for one (1) staff member hired 8/15/17. Continued review of staff files revealed one (1) staff member hired 8/15/17 had not received Pediatric Abusive Head Trauma training (PAHT). Review of staff files revealed two (2) staff member with hire date of 8/5/18 and 8/15/17 had not completed state approved orientation training. Interview with director revealed this documentation was not on file at the time of survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the center failed to comply with regulatory programming requirements. Observation of the Two’s classroom on 2/28/19 revealed nine (9) two-year-old children participated in activities with children three-years-old from 9:00am-11:15am. Review of documentation revealed the absence of a transition plan for the toddlers. Interview with director revealed a transition plan for the toddlers was not available for review at the time of survey. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of Three’s classroom, revealed paint chipping and peeling from the ceiling above the classroom door. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for one (1) child enrolled 8/13/18 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Continued review of children’s files revealed the written record for one (1) child enrolled 8/13/18 failed to contain the child’s emergency contacts. Continued review of children’s files revealed three (3) children enrolled 2/28/19 failed to have enrollment information to contain identifying information, retained on the first day, signed by the parent, information to contact the child’s home or parent place of employment, preferred hospital and physician, child’s health status and medical information, contact information to be used in case of an emergency and authorization for the center to seek medical attention for the child. Interview with director revealed the three (3) children enrolled 2/28/19 were children of one of the center's teachers who were at the center due to their school closing that day. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of tornado and earthquake drill logs presented for review at the time of survey revealed an earthquake drill was not recorded for the third and fourth quarters of 2018 and a tornado drill was not recorded for the fourth quarter of 2018. Interview with director revealed the drills were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of tornado and earthquake drill logs presented for review at the time of survey revealed an earthquake drill was not recorded for the third and fourth quarters of 2018 and a tornado drill was not recorded for the fourth quarter of 2018. Interview with director revealed the drills were conducted; however, she could not locate this documentation at the time of survey. 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 2. Child Care Services.

General: Based on interview and observation, the child care center failed to comply with staffing requirements. Interview with staff revealed the child care center allows thirty (30) to forty (40) children to play on the playground as one group. Further interview revealed there are six (6) teachers present and the children are supervised as one group. Interview with staff also revealed the youngest child in the group was four-years-old and the oldest was six-years-old. The maximum group size based on the age of the youngest child in the group was exceeded by two (2) to twelve (12) children on each occurrence the children were allowed to play on the playground. In addition, observation on 05/25/18 revealed twenty-six (26) children in one (1) group with five (5) staff persons. Interview with staff revealed the youngest child in the group was one-year-old and the oldest was four-years-old. The maximum group size was exceeded by fourteen (14) children based on the youngest child in the group. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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. Interviews and review of documentation revealed on 4/11/18, a three-year-old child who is highly allergic to tree nuts was served a snack bar containing cashews during snack time. The child consumed a portion of the bar and began to show signs of an allergic reaction. An EpiPen and Benadryl were administered to the child by a staff member, and (911) EMS was called. The child was transported by ambulance from the child care center to the hospital where she received emergency medical treatment for an allergic reaction. Interviews and review of documentation revealed the child’s tree nut allergy was clearly documented in the child’s written record, and the staff members who had supervisory authority over the child at the time of the incident were fully aware of her allergies.

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, child care center failed to maintain supervision in accordance with regulatory requirements. Observation in the two’s room revealed three (3) two- year-old children run out of the classroom, down the hallway, and into the bathroom out of scope of vision of a staff member for a time of less than one (1) minute. Staffing Requirements In Compliance General Administration 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulations regarding general administration. The child care center failed to present a written Fire Marshal Office report. Interview with the director revealed the documentation was not available at the time of 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center failed to comply with regulations regarding written documentation. The director failed to present proof of a conducted staff meeting. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed four (4) files for staff members with the hire dates of 09/17/2017, 09/28/2017, 08/15/2017, and 07/31/2017 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the four (4) staff members with the hire dates of 09/18/2014, 09/17/2017, 08/15/2017 and 07/31/2017, failed to have records of tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for twenty-eight (28) staff members. Review of staff files revealed two (2) staff members with a hire dates of 09/17/2017 and 07/31/2017 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of 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 child care center failed to comply with regulations regarding premises. In room 207 there was a floor board with several areas of paint chipping from it near the doll house. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, child care center failed to maintain children’s records in accordance with regulatory requirements. A child with enrollment date of 07/08/2017 did not contain a written record of a current copy of an immunization certificate. Interview with the director revealed the documentation was not available at the time of survey.

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 and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The records for children with the enrollment dates of 08/01/2017, 08/16/2017 and 07/08/2017 did not contain a preferred hospital. Interview with the director revealed the documentation was not available at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed the center failed to present an evacuation plan for review at the time of survey. Interview with director revealed she could not locate this documentation at the time of survey, and never submitted it.

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 interview, the child care center failed to maintain written documentation in accordance with regulations. The center failed to present earthquake drill logs within the year for review at the time of survey. Interview with the director revealed the drills were conducted; however, there is no documentation of earthquake drills conducted as it was conducted at the same time as the tornado drills An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 regulations. The child care center failed to post in a conspicuous place and make available for public inspection information on the Kentucky Consumer Product Safety. The following rooms had no daily activities posted; two-year-old room, kindergarten room, room 202, room 201, and room 200.

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, the child care center failed to comply with regulations regarding posted documentation. The following rooms had no daily schedule posted; two-year-old room, room 206, room 203, room 202, and room 200. Animals Not Applicable

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 concerning health, safety, and comfort of children in care. Two (2) outlets were exposed and uncovered in the Five/Six year old room near the children's puzzle shelf. 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not provide a current statement from a health professional that staff with the hire dates 8/1/13 and 1/3/17 are free of active tuberculosis or a copy of negative tuberculin results. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

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. All stalls in the boys' bathroom on the first floor failed to be be clean and sanitized. All stalls had a yellow like substance in the basin of the toilets. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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. Animals.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding animals. Upon request, the director did not provide documentation of written parental consent for live pet fish in the Five and Six year old classroom.

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. Observation in the four-year-old classroom revealed a large bottle of hand-sanitizer located on the teacher's desk, within the reach of children. Continued review of documentation on the label revealed the container specified keep out of reach of children.

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 premises in accordance with regulatory requirements. Based on observation in three (3) of the two-year-old classrooms revealed that the changing tables were not immediately adjacent to a sink used for infants and toddlers. Continued observation revealed the sinks utilized are located in the restrooms behind closed doors. Interview with the director revealed he was not aware of the regulation.

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 with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Itsy-Bitsy classroom revealed the children were served 1% milk during snack. Therefore the center did not meet the requirement of serving pasteurized whole milk for children ages thirteen (13) months to twenty-four (24) months. Interview with the director revealed she was not aware of the requirement. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented it was revealed the child with the enrollment date of 05/26/15 record did not list a name of a preferred hospital on the enrollment form. Interview with the director revealed she was unaware the information was incomplete.

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 with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documentation provided the child care center was unable to verify that a current written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team.Interview with the director revealed she was unable to locate verification of the submission.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care centers fire drills revealed the center was unable to verify that the names of the children who participated from May of 2015 to March of 2016. Interview with the director revealed she was unable to locate an accurate account of the children who had participated in the monthly drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the childcare centers fire drill records revealed the childcare center failed to maintain a record of the monthly drills conducted for the months of October 2015 and January of 2016.Interview with the director revealed the information had not been recorded.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation posted in the area located in the two-year old classroom located off the large dining room area revealed there was no posting of the proper methods of hand- washing at the diaper changing area. Interview with the director revealed she was not aware the posting was not present. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 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 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 24 Mar 15 AND AS OF 23 Mar 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center director failed to comply with director's requirements. Review of staff files revealed three (3) staff members did not have an annual written performance evaluation on file. The aforementioned staff members' hire dates are as follows: 6/1/06, 6/1/97, and 8/9/91. Interview with the director revealed the aforementioned staff members do not have an annual written performance evalutaion.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with employee records requirements. Review of staff files revealed a staff member (DOH: 8/1/13) lived in Nebraska within the last fast years, based on her child abuse/neglect check document. Further review of staff files revealed a driver's license on file for the aforementioned staff member for the state of Nebraska, issued on 6/2/11. Continued review of staff files revealed the aforementioned staff member did not have an out of state criminal records check on file. Interview with the director revealed she has never processed an out of state criminal records check and that the aforementioned staff member never works alone with children

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with employee records requirements. Review of staff files revealed an employee with the hire date of 5/1/12 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection. Interview with the director revealed the aforementioned staff member has a high school diploma and that she was not able to locate the document.

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 requirements. Review of staff files revealed an employee with the hire date of 8/1/13 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 3. Records.

General: Based on Review of Documentation, the child care center failed to comply with children's records requirements. Review of children's files revealed two (2) children (ED: 9/18/14 & 8/18/14) had an immunization certificate on file that expired on 2/10/15 and 1/10/15. Further review of children's files revealed a child (ED: 7/10/14) had an immunization certificate on file that did not include an expiration, to determine how long the certificate was valid.

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, and interview the child care center failed to comply with written documentation requirements. Review of documentation revealed the children's names were not documented for earthquake and tornado drills conducted on the following dates: 10/7/14 and 2/5/15. Interview with the director revealed the children's names were documented and that she was not able to locate the documentation during surveyor's visit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation requirements. Review of documentation revealed the children's names were not documented for the fire drills conducted on the following dates: 10/1/14, 11/14/14, 12/15/14, and 1/8/15. Interview with the director revealed the children's names were documented and that she was not able to locate the documentation during surveyor's visit.

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 Review of Documentation, the child care center failed to ensure that employees with supervisory or disciplinary control over a child shall submit to background checks including child abuse or neglect check using the central registry, KY criminal records check and crimial records checks for any staff who resided outside the state of KY during the past five years. Review of documentation disclosed that a staff person hired on 1-30-2013 does not have CRC or CAN on file and that there was no evidence that the checks had been submitted when the employee was rehired.

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 ensure that child care center staff hired after 1/1/2009, who have supervisory power over a minor and not enrolled in secondary education shall have a high school diploma, GED or other qualifying documentation or a Commonwealty Child Care Credential on file. Review of documentation disclosed that a staff person hired on 1-30-2013 and a staff person hired on 8-1-2013 do not have proof of educational requirements on file.

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 ensure that child care center staff shall provide, prior to employment and every two years thereafter, a statement from a health professional that the individual is free of active tuberculosis or a copy of a negative tuberculin results. Review of documentation disclosed that a staff person hired on 8-1-1991 and a staff person hired on 8-1-2004 do not have valid TB verification on file.

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 ensure that an opening to the outside shall be effectively protected against the entrance of vermin. Observation revealed that a window in a three year old classroom was open and was not protected by a screen or other protective device.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that a child shall wash his or her hands with liquid soap and warm running water upon arrival at the center. Observation revealed numerous children ages two through four years arrived at the center and did not have their hands washed before entering class/play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a current immunization certificate for each child in care. Review of documentation disclosed children enrolled 9-12-2013, 8-19-2013, 1-26-2014 have expired immunization certificates.

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 ensure that a written record of quarterly practiced earthquake and tornado drills detailed the names of the children who participated in the drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that a written record ofmonthly practiced fire drills detailed the names of the children who participated in the drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that their program included a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post information on the KY Consumer Product Safety Program and the program's website in a conspicuous place and 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 2. Child Care Services.

Based on review of documentation, the center failed to have a procedure to accurately inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620:030. Review of the center's staff handbook revealed a policy for reporting suspected abuse that was in violation of KRS 620:030. The center's policy states, "If a staff member suspects that a child has been abused, neglected, or made to become dependent, he or she makes an immediate report to the Director. The Director and Satff member will immediately report the incident to Child Protective Services". Additionally, based on interviews and review of documentation, the center failed to comply with KRS 620.030 on 09/03/13 when a firearm was discovered in a child's bag. The police were notified of the incident the following day and upon arriving at the center, the police immediately made a report of the incident to DCBS. It was determined that the center failed to make an immediate report of the incident to DCBS in accordance with KRS 620.030. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interviews and review of documentation it was determined that on September 3, 2013, a staff member discovered a firearm in an enrolled child's backpack. Interview further revealed that neither law enforcement nor child protective services were immediately notified of said incident. But instead, the staff removed the gun to an office and called the parents of said child who later came to the building to retrieve the firearm.

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, staff person with hire date 2-1-13 was not observed working alone with children, however, the CAN check on file had been returned because of missing information and had not yet been submitted for completion.

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, three staff persons with hire dates, 10-1-12,5-1-12 and 5-1-12, did not have documentation on file varifying a High School Diploma, GED or CCC.

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 with hire date 1-1-11 had documentation of negative TB screening on file that was not current after 2-6-13

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a 22 month old toddler was in a classroom with two year olds. There were 15 children total in the room, exceeding the maximum group size 1-2 year olds of 12 children in a group.

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 changing area for the toddler classroom is not immediately adjacent to a sink for handwashing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, children in the one year old classroom and three year old classroom did not wash their hands immediately before eating snack.

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, 2% milk being served to children 25 months and older. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.

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 bread products being served with morning snack were not whole grain or enriched grain.

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, child enrolled 8-6-12 had an immunization certificate on file that was not current after 4-4-13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, there was no proof of education on file for two staff members with the hire dates of 10/10 and 1/4/11.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddlers: Based on observation, there were thirteen (13) children present with the youngest being eighteen (18) months old; therefore, the maximum group size of twelve (12) for toddlers was exceeded. Interview with a classroom staff member revealed that fifteen (15) toddlers are regularly scheduled in the toddler classroom. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the personal information regarding the medical needs of multiple children were not kept confidential as they were posted for all to view in multiple classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddlers: Based on observation, an electrical chord was plugged into a wall socket that was located at child's level immediately adjacent to the children's carpet area where children gather for group activities. The chord was not blocked. 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 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. 7) Personal belongings of staff Not In Compliance Findings: Room 201: Based on observation, the personal belongings of a staff member was stored underneath the teacher's desk and was accessible to children. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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 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 4

Ms. Danny's twos: Based on observation, using the ceiling tiles that were approximately twelve (12) inches in length and width as a measuring reference, the room measured for a capacity of no more than nine (9) children. There was also a small portion of the room that designated for teacher space; therefore, the rooms capacity would be decreased by at least one child, At the time of the survey, there were eleven (11) children present. Interview with the staff members revealed that there are twelve (12) children regularly scheduled in the classroom. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 1) Winter Temperature sixty-five to seventy-five In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Summer Temperature sixty-eight to eighty-two In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 4) Traffic Pattern In Compliance 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance 4) Not damp In Compliance 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 6) Equipped with an easily cleanable, covered waste receptacle In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 41 Web site: http://chfs.ky.gov/ Inspection Report 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 7) Immediately adjacent to a changing area used for infants and toddlers Not In Compliance Findings: Toddlers: Based on observation, there was no sink located immediately adjacent to the changing table that was in the classroom. The closest sink was located in the bathroom on the other side of the room. Interview with a classroom staff member revealed that children do not use the sink in the restroom, instead hand sanitizer is used to wash children's hands. Ms. Danny's twos: Based on observation, there was no sink immediately adjacent to the changing area located in the classroom. The closest sink was located down the hallway. Interview with the classroom staff members revealed that diapers are changed on the changing table in the classroom. Gloves and hand sanitizer has been used when diapers have been changed. 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance General Premises 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 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage In Compliance 2) Locked In Compliance 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Outdoor Designated Area In Compliance 3) Not in the presence of children 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

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

Twos: Based on observation, some of the nap mats were not in good repair as they contained holes and tears. Toddlers: Based on observation, at least one nap mat was not free of holes, rips, or tears. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 41 Web site: http://chfs.ky.gov/ Inspection Report 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddlers: Based on observation, the proper diapering and handwashing procedures were not posted near the changing table. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance 2) Wild In Compliance 3) Exotic In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 40 of 41 Web site: http://chfs.ky.gov/ Inspection Report C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.