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

General: Based on interview and review of documentation, one (1) child's (DOE: 01/11/2023) file listed a non-existent hospital as the child's preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was discovered that the toilet seat on Toilet #1 in the hallway bathroom was loose; therefore, not in good repair. Hygienic Practices In Compliance 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 interview and review of documentation, the following was found: 1. One (1) child's (DOE: 04/26/2024) file listed a "closed" hospital as their preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a five-year-old child exited the child care center, unsupervised by a staff member, on 5/9/2023. The child ran down a sidewalk, went under an interstate overpass, and turned on a street before a staff member was able to stop him/her. The distance that the child ran from the child care center was approximately one half of a mile. The amount of time the child was out of the scope of vision or range of voice of the staff member in pursuit of the child is unknown. 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 8. General.

General: Based on interview and review of documentation, a five-year-old child exited the child care center, unsupervised by a staff member, on 5/9/2023. The child ran down a sidewalk, went under an interstate overpass, and turned on a street before a staff member was able to stop him/her. The distance that the child ran from the child center was approximately one half of a mile. After the staff member stopped the child, the staff member and the child got into a vehicle with a person they did not know. The staff member and the child rode in the unknown person's vehicle back to the child care center, compromising the child's safety. Interview with staff members could not confirm that the child utilized an appropriate car safety restraint while he/she was a passenger in the vehicle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, an enrolled child was transported in a vehicle with a staff member prior to the licensee submitting a written notification to the cabinet regarding transportation services and allowing time for approval before implementing the service.

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 paint chipped, flaked and peeled on the wall underneath the window beside the entrance door. The paint chipped, flaked, and peeled on the center's outside wall within the fenced playground. Hygienic Practices In Compliance 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 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 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 stair railing located at the entryway into the child care center was loose and was not fitted securely to the concrete steps. The orange wall located in the pre-school classroom behind the sink and the green wall in the two-year-old classroom had several areas were the paint had chipped and was peeling. The windowsill in the pre-school classroom had a buildup of dust and debris. Observation of the ceiling in the hallway revealed a brown stain with the drywall cracked, which was indicative of a water stain. The doorway into the pre-school classroom was smudged with dark stains.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the ventilation system in the restroom located off the hallway did not appear to be operational. Continued observation revealed a buildup of dust on the ventilation system vent. Additionally, the outlet cover above the sink in the restroom was broken with a cracked edge. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that the child care center that two (2) staff members with hire dates of 8/6/13 and 5/2/16 had updated their respective pediatric abusive head trauma (PAHT) training since 12/14/12 and 12/13/13. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed that two (2) children with enrollment dates of 12/31/18 and 7/16/19 did not have a preferred hospital listed. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present an out of state background check, including a criminal record check, a check of the state’s sex offender registry or repository, or a check of the state-based child abuse and neglect registry database for the state of Louisiana for a staff member with an unknown hire date. Staff files were not presented due to a lack of staff coverage for supervising children while obtaining the files; therefore, the staff member's hire date could not be determined. The aforementioned staff member advised the surveyor, unprompted, that he/she lived in Louisiana within the past five years, but the center had not conducted an out of state background check on him/her. The staff member stated that he/she worked alone with children prior to the investigation on 7/15/19. The staff member was observed working alone with children that day as well. The owner of the center acknowledged that out of state background checks had not been inititated on the aforementioned staff member prior to him/her working alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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 interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the One Year Old Room revealed that upon the surveyor's arrival, the staff member supervising that classroom walked to the back of the building, leaving five (5) one-year-old children unsupervised for one (1) minute. Interview with a staff member in the Infant Room revealed he/she often left the infants unsupervised in a classroom while they were sleeping in order to complete various tasks throughout the center. 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 interview, the child care center failed to comply with staffing requirements. Interview with the staff member supervising children in the Infant Room revealed two (2) volunteers, under the age of eighteen (18), who were present in the classroom. The aforementioned staff member exited the classroom for two minutes, leaving the two (2) voulnteers as the sole caregivers of five (5) infants. Because the volunteers were placed in the role of sole caretakers when the aforementioned staff member left the room, they acted as staff members; therefore, the center was not compliant with the regulation requiring staff members under the age of eighteen (18) to be under the direct supervison of an qualified staff member.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the One Year Old Room revealed two (2) staff members supervised eight (8) children, ages six (6) months to one (1) year old. One staff member was observed to exit the classroom for two (2) minutes, leaving the other staff member as the sole caregiver of eight children. This exceeded the minimum staff-to-child ratio of five (5) children to one (1) staff member, based on the age of the youngest child present. Interview with the aforementioned staff member revealed he/she exited the classroom to retrieve a bottle for an infant. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the staff member in charge did not present an out of state background check, including a criminal record check, a check of the state’s sex offender registry or repository, or a check of the state-based child abuse and neglect registry database for the state of Louisiana for a staff member with an unknown hire date. Staff files were not presented due to a lack of staff coverage for supervising children while obtaining the files; therefore, the staff member's hire date could not be determined. The aforementioned staff member advised the surveyor, unprompted, that he/she lived in Louisiana within the past five years, but the center had not conducted an out of state background check on him/her. The staff member stated that he/she worked alone with children prior to the investigation on 7/15/19. The staff member was observed working alone with children that day as well. The owner of the center acknowledged that out of state background checks had not been inititated on the aforementioned staff member prior to him/her working alone with children. 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 and review of documentation, the child care center failed to maintain the premises in accordance with regulatory requirements. Review of Division of Regulated Child Care documents revealed the capacity of the classroom identified as the Infant Room allows for four (4) children per thirty-five (35) square feet of space. On 7/15/19, five (5) children were observed to be present in that classroom. Continued review of DRCC documents revealed the capacity of the classroom identified as the One Year Old Room allows for five (5) children per thirty-five (35) square feet of space. On 7/15/19, six (6) children were observed to be present in the classroom.

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 comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the Infant Room was torn exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 5/2/16, 1/26/15 whose file did not contain a current written evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members 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. Review of the presented employee records revealed a staff member with hire date 1/26/15 whose file did not contain a current statement from a health professional that she is free of active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

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. Review of the presented employee records revealed a staff member with hire date 1/17/18 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Review of the presented employee records revealed a staff member with hire date 5/2/16 whose file did not contain documentation to verify completion of the one and one-half (1 ½) hours of pediatric and abusive head trauma training. Continued review of the presented employee records revealed three (3) staff members with hire dates 5/2/16, 8/6/13 and 1/26/15 whose file did not contain documentation to verify completion of the required fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of 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 child care center failed to maintain the premises in accordance with regulatory requirements. There was a water stain in the ceiling drywall located above the yellow wall in the Toddler Room. 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The wooden infant/toddler swing set located in the outside play area was wobbly and not securely anchored to the ground. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 food service in accordance with regulatory requirements. The white mini-fridge located in the Toddler Room had an indicating thermometer temperature of forty-eight (48) degrees Fahrenheit 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The black microwave located in the kitchen was soiled with food debris.

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 food service in accordance with regulatory requirements. There were two (2) blue bottles located in the mini- fridge in the Infant Room that were not covered.

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 in accordance with regulatory requirements. There were two (2) orange sippy cups located in cubbies in the Toddler Room that were partially consumed. 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 review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed two (2) children with enrollment dates 1/24/18 and 6/4/17 whose file did not contain a current immunization certificate. Upon request, the director did not present a current immunization certificate for the aforementioned children at the time of the survey. 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

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. Review of the presented children’s records revealed a child with enrollment date 5/2/18 whose file did not contain the contact information for the family physician. Continued review of the presented children’s records revealed four (4) children records with enrollment dates 5/2/18, 6/4/17, 5/7/18, and 3/1/17 whose file did not contain the name of the family’s preferred hospital. Upon request, the director did not present the documentation for the aforementioned children 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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation revealed that a written evacuation plan describing how children will be kept safe during any disaster was not presented for review. Upon request, the director did not present an evacuation plan 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 5/2/16 and 1/26/15 whose file did not contain a current written professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff members at the time of the survey. 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 8. General.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The statement of deficiency issued by the cabinet during the current licensure year was not posted in a conspicuous place or made available for public inspection at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. There was not a Toddler schedule of daily activities posted in the Toddler Room. The schedule of daily activities posted in the Toddler Room at the time of the survey was labeled 'Infant lesson plan'. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulations. At approximately 2:20pm, the owner/director and the designated staff member walked out of the One-Year-Old Room and entered the Infant Room which is out of the scope of vision of the One-Year-Old Room, leaving a toddler sleeping on a mat/cot, alone and unsupervised for approximately thirty (30) seconds. Upon returning to the One-Year-Old Room, the owner/director acknowledged the child was left unsupervised. 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 regulatory requirements. Review of the liability insurance presented for review at the time of survey revealed the document failed to specify the occurrence amount; therefore, it could not be determined if the center had coverage of at least $100,000 per occurrence. The owner/director acknowledged the occurrence amount was not listed on the documentation presented for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report 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 and interview, the child care center director failed to assure compliance with regulatory requirements. Upon surveyor’s arrival at the center at 10:45am, a four-year-old was seated in a high chair with no food or activity. At approximately 11:06am, the four-year-old remained in the high chair, but was given a toy to play with, while the two (2) toddlers in the room walked around and played with puzzles and other activities. At approximately 11:11am, lunch was served, and the four-year-old ate lunch in the high chair. At approximately 11:40am, the two (2) toddlers were laid down for rest-time, while the four-year-old remained in the high chair. The four-year-old continued to sit in the high chair, awake, and played with a toy or sang to herself during rest-time. At approximately 1:53pm, the four-year-old was finally removed from the high chair and taken outside to the playground with one of the toddlers who had finished resting. Consequently, the four-year-old was kept in a high chair from approximately 10:45am – 1:53pm. The owner/director acknowledged the four-year-old was kept in the high chair during this time. In the One-Year-Old Room, a CD player was placed on a high shelf and plugged into the wall, but the long cord was dangling very low, right above the table used by the children, in reach of children in care. The owner/director acknowledged the cord was dangling in reach of children. In the Infant Room, a cable in the wall was dangling next to the diaper changing table, in reach of children. 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 regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 5/2/16. The owner/director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Observation revealed only two (2) staff members and the owner/director were present and on duty for the duration of the survey. The owner/director revealed the two (2) staff members and herself are the only persons who work at the center. Observation revealed both staff members were needed to maintain minimum staff-to-child ratios while the owner/director prepared lunch. The staff schedule revealed: (A) The staff member hired 5/2/16 works 8:30am-6:00pm as the Toddler Teacher; (B) The staff member hired 10/10/16 works 8:30am- 6:00pm as the Preschool Teacher; and (C) The owner/director works 6:00am-6:00pm as the Director and Cook. Review of staff files revealed only three (3) personnel files, two (2) files for the aforementioned staff members and one (1) file for the owner/director, were presented for review at the time of survey. Consequently, the center failed to have two (2) qualified substitutes available in case of need. The owner/director acknowledged the center failed to have two (2) qualified substitutes available in case of need.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files 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 the owner/director hired 8/6/13 and one (1) staff member hired 10/10/16. The owner/director revealed the training was completed; however, she acknowledged this documentation was not presented for review at the time of survey. Documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for one (1) staff member hired 10/10/16. The owner/director revealed she was not certain whether or not the staff member had completed the PAHT. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Transportation records and interview with owner/director revealed children were transported to and from home by the child care center from January 2017- March 2017. The owner/director revealed she is the only driver for the center. The Kentucky Driver History Record presented for review at the time of survey for the owner/director hired 8/6/13 was no longer current as it was dated 3/30/15. The owner/director revealed a current Kentucky Driver History Record was not completed for herself. Programming Not In Compliance

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, interview, and review of documentation, the child care center failed to comply with regulatory programming requirements. In the One-Year-Old Room, two (2) toddlers were combined with one (1) four-year-old for the duration of the survey. The owner/director revealed the two (2) toddlers and the four-year-old are combined together for the entirety of the day every day. Review of children’s records revealed one of the toddlers is eighteen-months-old and the other toddler is twenty-two-months-old. The owner/director revealed the four-year-old has specialized needs; therefore, the child is placed in a classroom with toddlers. However, documentation from a health professional specifying the four-year-old’s special needs was not presented for review at the time of survey. The owner/director revealed the child is in the process of being evaluated by a health professional, but the evaluation has not been completed yet. In addition, a transition plan signed by the twenty-two-month-old’s parent was not presented for review at the time of survey. The owner/director revealed the center did not have a transition plan signed by the toddler’s parent on file at the time of survey. Consequently, the two (2) toddlers have participated in activities with the four-year-old for more than one (1) hour per day.

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, interview, and review of documentation, the child care center failed to comply with regulatory programming requirements. In the One-Year-Old Room, two (2) toddlers were combined with one (1) four-year-old for the duration of the survey. The owner/director revealed the two (2) toddlers and the four-year-old are combined together for the entirety of the day every day. Review of children’s records revealed one of the toddlers is eighteen-months-old and the other toddler is twenty-two-months-old. A transition plan signed by the twenty-two-month-old’s parent was not presented for review at the time of survey. The owner/director revealed the center did not have a transition plan signed by the toddler’s parent on file at the time of survey.

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 review of documentation, the child care center failed to comply with regulatory programming requirements. In the Baby Room, three (3) infants were sleeping in bouncers for a minimum time period of 1:48pm – 2:28pm. A signed waiver from a health professional stating the infants require an alternate sleeping position was not presented for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Interview with owner/director revealed only eight (8) children are enrolled at the center. Review of eight (8) children’s files revealed a current immunization certificate was not presented for review at the time of survey for two (2) children. The owner/director acknowledged this documentation was not presented for review at the time of 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 6. Sleeping and Napping Requirements.

General: Based on observation, interview, and review of documentation, the child care center failed to comply with regulatory programming requirements. There were only three (3) children, two (2) toddlers and one (1) four-year-old, in the One-Year-Old Room during the survey. After lunch at approximately 11:40am, a staff member laid the two (2) toddlers down on mats/cots for rest-time, while the four-year-old remained in the high chair that she had been placed in since 10:45am. A mat, cot, or bed was not prepared for the four-year- old. The toddlers slept during rest-time, while the four-year-old remained in the high chair playing with a toy. The four-year-old was never taken out of the high chair during rest-time, and no attempt was made to lay the child down for rest-time. The owner/director revealed the four-year-old has difficulty sleeping, so the child is placed in a high chair until she falls asleep. At approximately 1:53pm, the four-year-old was removed from the high chair and one (1) of the toddlers had finished resting, so the two (2) children were taken outside to the playground, while the other toddler finished resting. The owner/director revealed rest-time is from 12:00pm – 1:30pm/2:00pm, which is consistent with observation. Attendance records revealed the four-year-old was signed in at 6:30am. Consequently, the four-year-old was in care for more than four (4) hours and was not provided with a rest-time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the bathroom, the sink was very lightly soiled with dust and a few specks of an unknown brownish substance.

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 and interview, the child care center failed to maintain the premises in accordance with regulations. Observation and interview with owner/director revealed the cordless phone located on the upstairs level of the center was not working at the time of survey. The center was equipped with a working land-line phone; however, the only working phone was located in a back room in the basement of the center, while all of the children and all of the classrooms were restricted to the upstairs level of the center. Consequently, a working land-line telephone was not accessible to the rooms used by children. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulations. In the Baby Room, the diaper changing pad was torn, exposing the inner padding. A staff member used this surface for diapering a child. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulations regarding first aid and/or medication. In the One-Year-Old Room, there was an open jar of petroleum jelly placed on the counter near the diaper changing pad, and the jar was not labeled nor stored in a locked place. The owner/director revealed the jar of petroleum jelly belonged to a child in care. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. On the playground, the wooden play apparatus appeared to be secure; however, one (1) bolt was missing from one of the beams attached to the monkey bars, and a small piece of wood had splintered around one of the bolts located at the top of the ladder which leads to the monkey bars. The owner/director acknowledged the missing bolt and the splintered wood. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulations. There were only three (3) children, two (2) toddlers and one (1) four-year-old, in the One-Year-Old Room during the survey. After lunch at approximately 11:40am, a staff member laid the two (2) toddlers down on mats/cots for rest- time, while the four-year-old remained in the high chair that she had been placed in since 10:45am. A mat, cot, or bed was not prepared for the four-year-old. The toddlers slept during rest-time, while the four-year-old remained in the high chair playing with a toy until approximately 1:53pm. The owner/director revealed rest-time is from 12:00pm – 1:30pm/2:00pm, which is consistent with observation. The owner/director revealed the four-year-old has difficulty sleeping, so the child is placed in a high chair until she falls asleep. Consequently, an individual bed, a two (2) inch thick waterproof mat, or cot was not provided for the child during the center’s designated rest-time.

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 regulations. In the One-Year-Old Room, there was a small tear in the bottom surface of the diaper changing pad.

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 and interview, the center failed to maintain equipment in accordance with regulations. On the playground, the wooden play apparatus appeared to be secure; however, one (1) bolt was missing from one of the beams attached to the monkey bars, and a small piece of wood had splintered around one of the bolts located at the top of the ladder which leads to the monkey bars. The owner/director acknowledged the missing bolt and the splintered wood. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Transportation records and interview with owner/director revealed children were transported to and from home by the child care center from January 2017- March 2017. Documentation proving that emergency procedures were practiced monthly by staff that transport children was not presented for review at the time of survey. The owner/director revealed the emergency procedures were practiced; however, these practices were not documented. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulations. In the Baby Room, a few cans of baby formula were stored on a shelf. A staff member revealed the parents provide the cans of formula, but the staff members prepare the bottles. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulations. Two (2) toddlers and a four-year-old were not served bread with their lunch. The owner/director acknowledged the children were not served bread. 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 interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Interview with owner/director revealed only eight (8) children are enrolled at the center. Review of eight (8) children’s files revealed: (A) The written record for three (3) children failed to contain contact information to enable a person in charge to contact the child’s family physician; (B) The written record for five (5) children failed to contain contact information to enable a person in charge to contact the child’s preferred hospital; (C) The written record for five (5) children failed to contain authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence; (D) The written record for one (1) child failed to contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child; (E) The written record for two (2) children failed to contain the name of each person who is designated in writing to pick-up the child; (F) The written record for one (1) child failed to contain the child’s general health status and medical history; and (G) The written record for six (6) children was not signed by the child’s parent. The owner/director acknowledged this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulations. Transportation records and interview with owner/director revealed children were transported to and from home by the child care center from January 2017- March 2017. A permission form for each trip off the premises signed by the child’s parent was not presented for review at the time of survey for three (3) children who were being transported. The owner/director acknowledged this documentation was not presented for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. A written evacuation plan was not presented for review at the time of survey. The owner/director acknowledged this documentation was not presented for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. A current chain of command was not presented for review at the time of survey. The owner/director acknowledged the chain of command posted on the wall was not current as it listed the names of staff members who were no longer employed at the center.

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 observation, review of documentation, and interview, the child care center failed to maintain written documentation in accordance with regulations. Observation revealed only seven (7) children were present on 10/13/17; however, attendance records for 10/13/17 revealed eight (8) children were signed in. The owner/director revealed one (1) child arrived that morning, but left early and was not signed out.

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 and interview, the child care center failed to maintain written documentation in accordance with regulations. A current written annual plan for child care staff professional development was not presented for review at the time of survey for two (2) staff members hired 5/2/16 and 10/10/16. The owner/director revealed a professional development plan was completed for both staff members; however, she acknowledged this documentation was not presented for review at the time of 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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. 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 was not presented for review at the time of survey. The owner/director acknowledged this documentation was not presented for review at the time of survey. Posted 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. The proper methods of diapering were not posted at the diaper changing area in the Infant Room, Baby Room, and Library. The owner/director acknowledged this documentation was not posted. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8

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 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 two (2) staff members hired 2/14/14 and 1/26/15. Interview with owner/director revealed an evaluation had not been completed for these staff members. 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 6. License Issuance.

General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Interview with owner/director revealed a particular staff member was re-hired 7/12/16. Review of staff files revealed the Criminal Records Check (CRC) presented for review at the time of survey for the staff member re-hired 7/12/16 was dated 2/2/15. Continued review of staff files revealed the Child Abuse and Neglect Check (CAN) presented for review at the time of survey for the staff member re-hired 7/12/16 was dated 12/23/14. Further review of staff files revealed an updated CRC and CAN were not presented for review at the time of survey for the staff member re-hired 7/12/16. Interview with owner/director revealed an updated CRC and CAN had not been submitted for the staff member re-hired 7/12/16. Continued interview with owner/director revealed the staff member re-hired 7/12/16 has not worked alone with children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member re-hired 7/12/16. Interview with owner/director revealed she needs to obtain this documentation for this staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for two (2) staff members hired 2/14/14 and 1/26/15. Interview with owner/director revealed the staff members have not completed the PAHT yet. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the kitchen revealed a large, visible hole in the slanted base of the pantry cabinet.

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 and Review of Documentation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Twos and Threes Room revealed eight (8) children were in the classroom. Review of DRCC records revealed the aforementioned room allowed for thirty-five square feet of space for only five (5) children as documented on the center’s floor plan. Observation of the room designated by staff as the dining/eating area revealed thirteen (13) children were in the room during lunch time. Review of DRCC records revealed the aforementioned room allowed for thirty-five square feet of space for only five (5) children as documented on the center’s floor plan.

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 regulations. Observation of the bathroom revealed steam rising from the running hot water in the sink. Continued observation revealed the hot water temperature exceeded (one-hundred-twenty) 120 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

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 regulations. Observation of the bathroom revealed a ring around the toilet bowl. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the One-Year-Old Room revealed the diaper changing pad was torn, exposing the inner padding. Interview with owner/director revealed this diapering surface was used for diapering children. Observation of the Baby Room revealed the outer edges of the diaper changing pad were torn. Continued observation of the Baby Room revealed a staff member changed a child’s diaper on this diapering surface. 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 and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed several sections where the black landscape fabric protruded through the mulch creating a tripping hazard for children in care. During interview, the owner/director acknowledged the tripping hazard.

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, Interview, and Review of Documentation, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed the black landscape fabric was very visible through the mulch underneath the swings; therefore, the protective surface under the swings failed to sufficiently cover the ground. During interview, the owner/director acknowledged the protective surface under the swings failed to sufficiently cover the ground. Observation of the small outdoor play area and interview with owner/director revealed thick, black rubber mats covered by a thin, green, artificial grass type, carpeting material was utilized as the protective surface for three (3) small slides; however, review of documentation submitted by the center revealed this material failed to meet regulatory standards for approved protective surfaces. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Twos and Threes Room revealed two (2) pink, wooden, child-sized chairs that were wobbly. Observation of the Baby Room revealed the cloth seat in the infant bouncer/stander was soiled.

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 and Interview, the center failed to maintain equipment in accordance with regulations. Observation of the outdoor play area revealed three (3) bolts were missing from the wooden beams near the swings on the large wooden play apparatus. Continued observation of the outdoor play area revealed splintering on two (2) corners of the small white picket fence attached to the wooden play house. During interview, the owner/director acknowledged the bolts were missing from the play apparatus and the corners of the fence were splintered. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain food service in accordance with regulations. Review of the posted menu revealed only 1% milk was scheduled to be served for breakfast and lunch each day from 11/14/16-11/18/16; however, observation of the child care center revealed one-year-olds were present during the survey. During interview, the owner/director acknowledged the menu only listed 1% milk. 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, Interview, and Observation, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written record for eight (8) children failed to contain the name of each person who is designated in writing to pick-up the child. Continued review of children’s files revealed the written record for five (5) children failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence. Continued review of children’s files revealed the written record for one (1) child failed to contain contact information to enable a person in charge to contact the child’s family physician. Interview with owner/director revealed this documentation was not on file at the time of survey. Observation of the Twos and Threes Room revealed a First Steps therapist was providing services to a child in care. Review of children’s records revealed written permission from the parent for third-party professional services in the child-care center was not presented for review at the time of survey. Interview with owner/director revealed the center had obtained verbal permission from the parent; however, the center did not obtain written permission from the parent for third-party professional services in the child-care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of transportation records and interview with owner/director revealed she transports several children to and from home on a daily basis. Review of documentation revealed permission forms for each trip off the premises signed by the children’s parents were not presented for review at the time of survey for all of the children transported. Interview with owner/director revealed she has not obtained written permission from the parents to transport the children in care. 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 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 in accordance with KRS 199.895 was dated 7/21/13. Interview with owner/director revealed the evacuation plan had been updated and submitted online in June 2016; however, she did not have documentation of this 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 Observation, Review of Documentation, and Interview, the child care center failed to maintain written documentation in accordance with regulations. Observation of the center at 10:54am on 11/16/16 revealed fourteen (14) children were present; however, review of attendance records for 11/16/16 revealed seventeen (17) children were signed in. Interview with owner/director revealed several school-age children had not been signed out when they left for school that morning and at least (1) child who was still present at the center had not been signed in.

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 and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for one (1) staff member hired 2/14/14. Interview with owner/director revealed a staff professional development plan had not been completed for this staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed 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 was not presented for review at the time of survey. Interview with owner/director revealed she did not have this written policy. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the child care center on 6/23/16 revealed upon entry into the child care center at 1:18 pm there was a staff member in the foyer. Upon the aforementioned staff member seeing the surveyor enter the building, the staff member began to walk to a room where the surveyor followed to find five (5) children with no other adult in the room. The children were left alone for an undetermined amount of time. Interview with the staff member revealed the age of the five (5) children were one-year-old children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the infant room revealed an infant swing that was not secure. Upon the surveyor touching the infant swing it moved from side to side and wobbled; therefore it was not in good repair. Interview with a staff member revealed the swing had been wobbly since sometime in April 2016.

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 one-year-old room revealed a toy with the handle broken off causing sharp edges to be exposed to the children in care.

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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the infant room revealed a battery operated infant swing that was missing batteries. Observation of the one-year-old room revealed battery operated toys that were non-operational at the time of the survey. Interview with a staff member revealed battery operated equipment and toys are to be checked by staff members to ensure they are operational for children’s use.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation at 09:15 a.m. revealed the only staff member present in the infant classroom, left the three (3)infants alone to walk down the hallway and returned within a minute. Continued observation at 10:30 a.m. revealed the infant classroom teacher left the four (4)infants alone while leaving the classroom to go to the office area and return to the classroom within a minute.

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 the child care center failed to comply with staffing requirements. Based on observation from 09:30 a.m. to 12:05 p.m. there was one (1) staff present in the one-year-old classroom. Continued observation revealed there were seven (7) children present, therefore not meeting the regulatory standard of one (1) staff for every six (6) children.

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 with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the staff members with the hire dates of 09/18/2015 and 09/21/2015, revealed the center could not verify that the child abuse and neglect (CAN) check and a criminal records check (CRC) had been completed.Observation revealed the staff member with the hire date of 09/21/2015 was the only staff member present who was working alone from 09:00 a.m. to 12:05 p.m. with four (4) infants present. Continued observation revealed the staff member the hire date of 09/18/2015 was working alone in the two/three/four-year old classroom from 09:00 a.m. to 12:05 p.m. with seven (7) children. Interview with the director revealed she was not aware of the regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the staff members with the hire dates of 09/18/2015 and 09/21/2015, revealed the center could not verify that the child abuse and neglect (CAN) check and a criminal records check (CRC) had been completed.Observation revealed the staff member with the hire date of 09/21/2015 was the only staff member present who was working alone from 09:00 a.m. to 12:05 p.m. with four (4) infants present. Continued observation revealed the staff member the hire date of 09/18/2015 was working alone in the two/three/four-year old classroom from 09:00 a.m. to 12:05 p.m. with seven (7) children. Interview with the director revealed she was not aware of the regulation.

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’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the three (3) employees with the hire dates of 09/18/2015,09/21/2015 and 09/18/2015 did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

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's records in accordance with regulatory requirements. Review of documentation present in the personnel file for the employees present from 09:00 a.m. to 9:30 a.m. with the hire dates of 01/26/2015, 09/18/2015, and 09/18/2015, revealed the childcare center could not verify the employees were certified in CPR or First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the childcare center was unable to verify that the requirement of Fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment had been met for the employees with the hire dates of 08/06/2013 and 08/16/2013. Interview with the director revealed the staff had not completed the trainings.

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 and interview with the director the child care center failed to comply with regulatory programming requirements regarding sleep position. Observation of the infant classroom revealed an infant sleeping in a baby swing at 10:30 a.m., therefore not allowing the infant to sleep or nap on their back. Interview with the director revealed the infant did not have a waiver allowing an alternative sleep position.

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 premises in accordance with regulatory requirements. Based on observation in three (3) of the four (4) classrooms revealed the windowsills to contain cracked, peeling paint with a buildup of dirt and grime. Continued observation revealed the windowsill located in the two-year-old classroom to have a medium size wooden board that was secured with a screw that was protruding from the top of the wood creating a potential hazardous situation. Observation in the restroom revealed the overhead vent to have a large amount of dust buildup.

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 premises in accordance with regulatory requirements. Based on observation in the restroom it was revealed the wall near the door had paint that was bubbled and peeling from water damage to 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 and interview with the director, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground revealed there was insufficient protective surface covering the areas under the swings. Interview with the director revealed she was in the process of addressing.

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 small “Little Tike” swing located on the playground, revealed the side to the swing was broken and in need of repair.

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 various battery-operated toys in the classroom has revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview with the acting director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain a written plan for ensuring staff perform duties relating to transportation properly. Interview with the acting director revealed she was unable to locate the policy.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain policies and procedures relating to an emergency plan for evacuating the vehicle. Interview with the director revealed she was unable to locate the document.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she could not locate the documents.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation the child care center failed to comply with regulatory requirements regarding transportation. Observation of the van revealed the van to contain crumbled paper, plastic bags lying on the floor, empty plastic containers and food crumbs throughout the van floor. Therefore, the van was not free of debris.

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 children’s record revealed the following child with the enrollment date of 07/17/2015 did not contain a current immunization certificate. Interview with the director revealed she was unaware the immunization was no longer current.

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 children’s records in accordance with regulatory requirements. Review of the documentation presented revealed the following children with the enrollment date of 10/14/2015 did not indicate a listing for a physician. Review of the documentation revealed ten (10) of the ten (10) children’s records reviewed did not contain a listing for a preferred hospital. Continued review of the records revealed the children with the dates of enrollment of 10/14/2015, 06/04/2015, and 10/12/2015 did not contain authorization by the parent for the child-care childcare center to seek emergency medical care for the child in the parent’s absence.

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. Upon arrival in the child care center at 9:55 am observation failed to reveal a staff member in the Two-and-Three-Year-Old classroom where there were five (5) children present. A staff member walked from a back room and into the Two-and-Three-Year-Old classroom, children were observed alone for approximately twenty-five (25) seconds. Director Requirements

Open Not marked corrected in the state record

Category: supervision. 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 classroom revealed three (3) infants in cribs consuming bottles. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first aid supplies on the van failed to reveal a flashlight, thermometer, and CPR mouthpiece 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 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation failed to reveal a certification of inspection from the Transportation Cabinet on file 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 12. Transportation.

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the 1998 Ford Clubwagon revealed a metal seatbelt hook to be missing in the middle of the front bench seat.

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 food service in accordance with regulatory requirements. Observation in the Infant classroom revealed a baby approximately four (4) months old, in a crib with a bottle propped up with a blanket. Children's Records

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 childcare center failed to maintain mat sanitization requirements. Observation of the childcare center revealed that two (2) infants were placed on mats during lunch. Continued observation of the mats revealed that the two (2) infants were taken off the mats and placed into cribs after lunch and two (2) older children were given the mats for naptime prior to sanitizing the mats.

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 childcare center failed to maintain individual bedding storage. Observation of the mats stored in the school age classroom revealed that the sheets were left on the mats and the mats were stacked on top of each other, allowing the sheets to touch.

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 childcare center failed to maintain toys, equipment and furniture in clean condition or in good repair. Observation of the Infant classroom revealed that there was a lion, blue cow, rhino and zoo animal bouncy chair and a swing that were discolored and stained. Continued observation of the infant classroom revealed that the ABC rug was soiled and discolored. Observation of the Toddler classroom revealed an ABC rug that was soiled. Observation of the school age classroom revealed an ABC high chair that was torn with foam exposed. Observation of toys in the Infant, Toddler and Preschool classroom revealed that numerous battery operated toys and swings were not operational. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 29 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 11. Toys and Furnishings.

General: Based on Observation, the childcare center failed to maintain outdoor toys in good repair. Observation of the outdoor play area revealed that a support beam on a plastic orange and blue slide was repaired by placing duct tape on the support beam. Continued observation of the support beam on the slide revealed that it was not safe for children's use.

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 childcare center staff failed to assure that each child would be provided with adequate supervision at all times by a qualified staff person who ensures the child is within scope of vision and range of voice. Observation of the childcare center on 11/19/2014, the childcare staff did not adequately supervise children in care and left children aged infant to three-years-old out of their scope of vision at least nine (9) times during the survey. Upon entry to the childcare center, observation revealed that three (3) children aged toddler to two-years-old were alone in the toddler classroom while the staff member responsible for the children was in the back of the childcare center. Continued observation revealed that a staff member left four (4) children aged infant and toddler in the Toddler classroom, out of her scope of vision for approximately twenty (20) seconds, when transferring children from the Toddler Classroom to the Infant Classroom. Continued observation of the childcare center revealed that a Toddler ran out of the Infant classroom on two (2) separate occasions causing the Infant staff member to leave four (4) children aged infant and toddler alone, for approximately twenty (20) seconds, in the classroom to chase the Toddler. Observation of the Preschool classroom revealed that three (3) children aged from toddler to three-years-old were left out of the scope of vision for approximately twenty (20) seconds of the staff member while getting supplies from the school age classroom. Continued observation of the preschool classroom revealed that five (5) children aged from toddler to three-years-old were out of the scope of vision for approximately thirty (30) seconds on two occasions while the staff member was out of the classroom retrieving high chairs from the school age classroom. Observation of the Toddler Classroom revealed that four (4) infants and toddlers were out of the scope of vision of staff members while they were in the kitchen preparing bottles for approximately two (2) minutes. Continued observation of the Toddler Classroom revealed that there were two (2) toddlers in high chairs that were out of the scope of vision of a staff member for approximately two (2) minutes while another child was having their hands washed.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to ensure that supplies shall be stored so that the adult can reach them without leaving a child unattended. Observation of the preschool classroom revealed that the staff member responsible for the children in care left five (5) to six (6) children aged toddler to three-years-old out of her scope of vision on three (3) occasions that ranged from twenty (20) seconds to one (1) minute while retrieving supplies (high chair and mats) from the School Age Classroom.

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 childcare director failed to assure that additional staff are available during cooking and cleaning hours, if necessary, to maintain staff-to-child ratios pursuant to 922 KAR 2:120. Observation of the childcare center revealed that there were two (2) staff members present with eleven (11) children aged from infant to three- years-old during lunch preparation and service. Continued observation of the childcare center revealed that one (1) staff member prepared lunch while one (1) staff member cared for eleven (11) children aged from infant to three-years-old for approximately thirty (30) minutes.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to ensure that the minimum number of adult workers in a child-care center shall be sufficient to maintain minimum staff-to- child ratios in accordance with 922 KAR 2:120. Observation of the childcare center on 11/19/2014 revealed that two (2) staff members were present caring for eleven (11) children that broke down in ages as follows: six (6) infant and toddlers and five (5) two and three-year-old children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center staff failed to maintain minimum child to staff ratios and group size. Observation of the childcare center at lunch revealed that there was one (1) staff member caring for eleven (11) children aged infant to three-years-old for the duration of lunch, approximately thirty (30) minutes. Continued observation of the childcare center at lunch revealed that the childcare staff exceeded maximum group size, as there was one (1) staff member caring for eleven (11) children aged infant to three- years-old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to remain in compliance with the State Fire Marshal requirements established in KRS 227.220. Observation of the childcare center revealed that there were smoke alarms chirping indicating low batteries.

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 Review of Documentation, the Director failed to maintain staff management requirements. Observation of the childcare center before lunch revealed that three infants and toddlers were placed into high chairs and sat without programming for approximately thirty (30) minutes. Review of policies and procedures revealed a policy that states, "There is no long waiting between any planned activities. No longer than 10 minutes which is enough time to clean up and get the children in order for the next activity."

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 director failed to maintain staff evaluations. Review of documentation revealed that the director failed to present for review yearly evaluations for any of the staff members.

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 and Review of Documentation, the childcare Director failed to maintain the health, safety and comfort of all children in care. Observation of the Toddler classroom revealed that there were numerous outlets that were uncovered. Review of children's files revealed that a child with the enrollment date of 07/11/2014 was listed as a vegetarian by his parents in the enrollment form. Observation of lunch revealed that the child with the enrollment date of 07/11/2014 was served chicken nuggets. The DRCC surveyor notified the staff that the previously mentioned child was a vegetarian and the Director prepared a vegetarian replacement. Observation of the kitchen revealed that a staff member turned on the electric skillet and began to heat oil. Continued observation of the kitchen revealed that the staff member that turned on the electric skillet walked back to the classroom, leaving the hot oil unattended. Observation of lunch revealed that two (2) infants were placed on mats due to falling asleep in high chairs prior to eating. Continued observation of the two (2) infants sleeping on mats on the floor in the middle of the lunch room revealed that a staff member was continuously stepping over the infants to serve food and food was being dropped on the infants as the other children ate lunch. Observation of the Preschool Classroom revealed that there were two children that were physically fighting for at least a thirty (30) seconds without staff intervention in a classroom where an 18 month old child was present.

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 childcare center failed to maintain all required background checks. Review of Documentation revealed that the staff member with the hire date of 11/03/2014 did not have presented for review a Child Abuse and Neglect (CAN) check or a Criminal Records Check (CRC) available for review. Interview with the Director revealed that the checks had not yet been requested.

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 childcare center failed to ensure that all staff members were free from active Tuberculosis. Record review revealed that staff members with the hire dates of 08/06/2013 (two staff members) did not have documentation from a health professional to verify that the individuals were 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 Review of Documentation and Interview, the childcare center failed to maintain First Aid/CPR coverage. Review of Documentation revealed that the First Aid/CPR certifications expired in September of 2014, therefore, there was not any staff members that were currently certified in First Aid/CPR. Interview with the Director revealed that the First Aid/CPR classes were taken together, therefore, all the certification expired at one time.

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 childcare center failed to maintain training requirements. Review of documentation revealed that the staff member with the hire date of 08/06/2013 did not complete any of the nine (9) required state approved training hours. Continued review of documentation revealed that the staff member with the hire date of 02/14/2014 did not complete her six (6) hour state orientation within 90 days of hire.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the childcare center failed to ensure that a child would not be required to stand or sit for a prolonged period of time while waiting for an activity to start. Observation of the toddler classroom revealed that three (3) children aged infant to toddler were required to sit in a high chair for thirty (30) minutes awaiting lunch service.

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 Review of Documentation, the childcare center failed to ensure that electronic viewing and listening devices shall only be used in the center as a part of the child’s planned program of activity. Observation of the Toddler Classroom revealed that children were watching a video on television. Review of Documentation revealed that the television viewing was not part of a planned activity.

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, Interview and Review of Documentation, the childcare center failed to maintain toddler play requirements. Observation of the Preschool classroom revealed that a young child was combined with the two and three-year-old children for the duration of the survey (over two hours). Interview with the Director revealed that the child was identified as a child with the enrollment date of 08/25/2014. Review of enrollment forms revealed that the child with the enrollment date of 08/25/2014 that was combined with older children for over two hours, was eighteen (18) months old.

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 childcare center failed to maintain appropriate use of food. Observation of the childcare center during lunch revealed that the children watched a Barney DVD on television as lunch was served.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain inaccessible items requirements. Observation of the Toddler Classroom revealed that a staff member's purse was sitting on the floor and accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain premises requirements. Observation of a window in the Toddler Classroom revealed that the bottom left window pane was broken and the window would not close properly.

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 childcare center failed to maintain building requirements. Observation of the bathroom revealed that the installed light fixture does not provide adequate lighting to the toilet and sink area. Observation of the Toddler Classroom revealed that there was a light bulb burned out in the lighting fixture. Observation of the Toddler Classroom revealed that the window would not close properly and there was not a screen to prevent vermin. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 29 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, and Review of Documentation, the childcare center failed to maintain a minimum of thirty-five (35) square feet of space per child. Observation of the Infant Classroom revealed that there were five (5) children present. Review of DRCC records revealed that there is a maximum of four (4) children allowed in the space to ensure that each child has thirty-five (35) square feet. Observation of the Toddler Classroom revealed that there were eleven (11) children present. Review of DRCC records revealed that there is a maximum of five (5) children allowed in the space to ensure that each child has thirty-five (35) square feet. Observation of the Preschool Classroom revealed that there were six (6) children present. Review of DRCC records revealed that there is a maximum of five (5) children allowed in the space to ensure that each child has thirty-five (35) square feet.

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 childcare center failed to maintain the ceilings and walls in good repair. Observation of the ceiling in the bathroom revealed that a corner of the ceiling was peeling. Observation of the Toddler Classroom revealed that there was a missing floorboard that exposed drywall to the children in care.

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 childcare center failed to maintain children hand washing requirements. Observation of the childcare center revealed that children were not instructed by the staff members to wash hands upon entry at the childcare center.

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 Interview, the childcare center failed to ensure that toys and other items that are considered mouth contact surfaces by a child not toilet trained shall be sanitized daily by: scrubbing in warm, soapy water using a brush to reach into crevices, rinsing in clean water, submerging in a sanitizing solution for at least two (2) minutes and air dried. Interview with the Infant staff revealed that bleach is sprayed onto toys and wiped daily. First Aid/Medication

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 childcare center failed to maintain medication requirements. Observation of the childcare center revealed that medication was stored in an unlocked box on top of the refrigerator. 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 4. Premises Requirements.

General: Based on Observation, the childcare center failed to maintain playground conditions. Observation of the outdoor play area revealed black ground covering exposed in various areas of the ground, causing a tripping hazard. Continued observation of the outdoor play area revealed wooden detachable slabs attached to the side of the building that were protruding approximately six inches out into the play area.

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, the childcare center failed to maintain all tornado drill requirements. Review of documentation revealed that the childcare center failed to document the dates in which the tornado drills were practiced in June and September.

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 childcare center failed to maintain sufficient appropriate equipment for all children in care. Observation of the Toddler Classroom revealed the lack of blocks, accessories to go with dramatic play toys and art supplies. Observation of the Preschool classroom revealed the lack of blocks and art supplies. Observation of the Infant Classroom revealed the lack of blocks, dramatic play, books and music. Continued observation of the infant classroom revealed the lack of activities that provides experience to promote the individual child's physical, emotional, social, and intellectual growth and well-being, indoor play in which a child makes use of both small and large muscles and a balance of active and quiet play, including group and individual activity.

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 childcare center failed to maintain infant rest time requirements. Observation of the Toddler Classroom during lunch revealed that two (2) infants were placed onto mats to sleep while the other children ate lunch.

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 childcare center failed to maintain mat requirements. Observation of the mats stored in the school age classroom revealed that numerous mats were torn at the edges, leaving foam exposed to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the refrigerated food was not being kept at a temperature of forty degrees Fahrenheit or below. Observation of the thermometer in the refrigerator revealed that the refrigerated food is being stored in a refrigerator that registered at 45 degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain bottle requirements. Observation of the Toddler classroom revealed that a bottle was sitting on the DVD player and was not covered. Continued observation of the Toddler classroom revealed that the uncovered bottle was fed to an infant more than an hour after it was warmed.

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 childcare center failed to maintain milk requirements. Observation of lunch revealed that 1% milk was served to toddlers at lunch. Continued observation of lunch revealed that Vitamin D milk was served to two-year-old children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 29 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 9. Food and Meal Requirements.

General: Based on Interview, the childcare center failed to maintain bottle preparation requirements. Interview with the Director revealed that the parents of the infants provide the formula for the children. Continued interview with the Director revealed that the parents bring in the tubs of formula and the childcare staff measure and prepare the bottles for the infants.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's records. Review of all children's files revealed an absence the emergency medical authorization. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 29 Web site: http://chfs.ky.gov/ Inspection Report 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 3. Records.

General: Based on Review of Documentation, the childcare center failed to maintain an updated staff schedule. Review of documentation revealed that the presented staff schedule included staff members that were no longer employed at the center and did not include newly hired staff members.

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 childcare center failed to maintain a written annual plan for child-care staff professional development. Review of documentation revealed that there was not a professional development plan for any of the staff members.

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, the child care center did not present for review a written orientation procedure. Review of documentation revealed that the child care center did not present 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on Review of Documentation, the childcare center failed to document quarterly earthquake drills. Review of documentation revealed that the childcare center failed to document quarterly earthquake drills in 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all daily activities requirements. Review of documentation in the Infant Classroom revealed that the daily activities were not dated. Review of the Daily Schedule in the School Age classroom revealed that the schedule does not include activities that the children would participate in if the children were present for a full day.

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 with a hire date of 8/6/2013 had no statement from a health professional that the individual is free of active tuberculosis; or copy of negative tuberculin results on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant child did not have it's hands washed after a diaper change. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care director did not wash her hands before or after diapering an infant child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a child with an enrollment date of 9/9/2013 had an expired immunization certificate on file; a child with an enrollment date of 10/17/2013 had no immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the center failed to post a daily schedule of activiities.

Open Not marked corrected in the state record

Open / not marked corrected.