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

A PLAN OF CORRECTION WAS DUE ON 10/28/2024 AND AS OF 10/29/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet plunger and toilet brush were stored on the floor of the left-hand restroom, where they were accessible to the children in care. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH 06/20/21) completed zero (0) hours of cabinet-approved annual training during the 2023-2024 review period. 2) A staff member (DOH 06/20/21) last completed Pediatric Abusive Head Trauma (PAHT) training on 07/10/19, which had passed its five (5) year renewal date as of 07/10/24. 3) A staff member (DOH 07/15/23) last completed PAHT on 01/11/19, which had passed its five (5) year renewal date as of 01/11/24. 4) A staff member (DOH 04/20/23) failed to complete one and one-half (1.5) hours of PAHT training. 5) A staff member (DOH 04/20/23) completed zero (0) hours of cabinet-approved annual training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a portion of the red carpet in the rear section of the School Age classroom was raised in two lengthy sections, creating a 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, a section of the corner wall in the School Age room was damaged, leaving cracked drywall and exposing the material beneath the drywall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the outdoor play area was overgrown with plants and tall grass, creating a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 13. Toys and Furnishings.

General: Observation of the right-hand restroom revealed the lower portion of the sink's faucet handle appeared to be corroding, leaving a rough and sharp surface. 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 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, a written professional development plan for a staff member (DOH 06/20/21) was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: While documentation confirming that fire, tornado, lockdown, and earthquake drills were conducted at the appropriate intervals during the last review period, a written record of the children who participated in the drills was not presented for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a current report from the office of the state Fire Marshal or its designee was not presented for review upon request. The presented Fire Marshal's report was dated "2019."

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 12/18/2023 AND AS OF 12/20/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle of hand sanitizer, whose label contained the phrase "keep out of reach of children" was stored on a low shelf within the Two year-old classroom where it was accessible to the children in care. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 and interview, two (2) staff members acted as caregivers to five (5) children in the Two year-old classroom, whom they reported as ranging in age from one (1) to four (4) years. The toddlers remained in combined care with the preschool-aged child throughout the duration of the survey. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The following observations were made at the child care center: Preschool classroom: 1) A section of the red carpet was worn and frayed, creating a tripping hazard. 2) The ceiling above the exit sign contained several lengthy, brown stains, indicative of potential water damage. School Age classroom: 1) Portions of the red carpet were bunched and raised, creating a 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 and interview, the center was not equipped with an indoor gross motor space. Two (2) staff members reported that the children at the center do not have access to an outdoor play area and must utilize the park across the alley from the center as a gross motor space. The aforementioned staff verified that the center does not have an indoor gross motor space. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) cribs within the infant/nursery classroom contained sheets that were raised and wrinkled at the center, indicating that they were not tightly- fitting. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) Pop Yum bottle within the Infant/nursery classroom refrigerator was not labeled. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the enrollment information presented for children enrolled on 04/30/23 and 04/11/23 failed to contain the name of the family's preferred hospital. 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, upon request, a current, written evacuation plan was not presented for review. The presented evacuation plan was dated "2021" and therefore, not up-to-date at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a written professional development plan for a staff member hired on 06/20/21 was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Documentation verifying that a fire drill was conducted at the center in October 2023 was not presented for review upon request. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interviews, the child care center staff denied the cabinet unannounced access to the child care center during the hours of operation. The Division of Regulated Child Care representatives arrived at the center at 11:50a.m. on 05/26/2023. They were not granted entry into the center until 1:41p.m. With the exception of sixteen (16) minutes between 12:26p.m. and 12:42p.m., the DRCC representatives maintained visual awareness of all walking paths leading to and from the center's entrance. At no time were children or staff observed approaching the center. The DRCC representatives knocked on the center's entrance door, as well as the side door, multiple times during the maintained observation of the center. Upon gaining entry into the center at 1:41p.m., two (2) staff members and six (6) children were observed inside the center. One (1) child in the infant room and four (4) children in the preschool room were sound asleep upon the immediate observation of them. The staff member who allowed the DRCC representatives entry into the center contended that they left the center at 11:50a.m. and returned to the center at approximately 1:35p.m. Separate interviews with the staff members revealed contradictory information about where the staff and children went on their field trip and what they consumed for lunch while on their field trip.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/28/2023 AND AS OF 07/31/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of Division of Regulated Child Care (DRCC) documentation revealed the director holds another job as a Metro Councilwoman. The licensee was instructed that she had seven (7) days to submit a request for a director at the child care center. As of 05/25/2023 the licensee had not submitted a request for a change of director. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the infant room revealed the changing pad had numerous cracks and tears. The inside absorbent material was exposed. First Aid/Medication In Compliance 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 13. Toys and Furnishings.

General: Observation of the infant room revealed the changing station base that was connected to a wall was bent downward, causing the changing station base to be unstable. Also, the changing pad was sliding downward off of the changing base.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no staff member present who was currently certified in infant, child and adult first aid and CPR. The present staff member's certification was valid until 06/30/21.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver, hired on 6/20/21, was not trained in first aid/CPR. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver, hired on 6/20/21, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. 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 Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, six (6) bottles were not labeled in the refrigerator in the nursery. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) children, enrolled on 3/14/22, 5/2/22, and 8/18/22, each did not have health information pertaining to allergies listed on the enrollment form. A child, enrolled on 8/18/22, did not list the name and phone number of each person to be contacted in an emergency involving or impacting the child on the enrollment form. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable

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. Observation of the changing table located in the infant classroom revealed the changing pad contained a rip and the inside absorbent material was exposed. 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.

The child care center failed to maintain a outdoor play area in accordance with regulatory requirements. Observation of the area that was presented as the future outdoor play area was not totally fenced.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Observation of the children located in the infant classroom revealed there were six (6) children present with one (1) staff member. Interview with the staff member revealed the youngest child present was five (5) months old; therefore, the classroom was over minimum staff - to - child ratio by one (1) child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the sink located in bathroom #2 revealed the caulking and the backsplash was pulled away from the wall. Continued observation revealed the caulking and a small area of the wall above the backsplash had a green substance on both of them, indicative of mold.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the inside of the child care center revealed there was no indoor gross motor space designated that was available for the children. Interview with a staff member revealed there was not an indoor gross motor space available to the children. The outdoor play area was unusable due to it being under construction.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the handwashing sink located in the infant classroom revealed the hot water temperature measured sixty-five (65) degrees Fahrenheit. Observation of the sink located in the bathroom #1 off of the school-age classroom revealed the hot water temperature measured sixty (60) degrees Fahrenheit. Observation of the sink located in bathroom #2 off of the school-age classroom revealed the hot water temperature measured sixty-five (65) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of bathroom #1 located off of the school-age classroom revealed the air vent was not working properly; therefore, there was no alternative of outside ventilation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 4. Premises Requirements.

The child care center failed to maintain a outdoor play area in accordance with regulatory requirements. The presented area for the outdoor play area revealed there were over grown weeds, a pile of rock and the area was not totally fenced. Therefore, the playground was not well maintained. Interview with the staff in-charge revealed the outside play area was under construction. 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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the cribs located in the infant room revealed a crib that a five (5) month old child was sleeping in contained loose fitting sheets. The material of the sheet was gathered and loose on the top and the side of the mattress; therefore, the sheet was not tightly fitted to the mattress. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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. Observation of a child standing and eating a banana in the infant classroom revealed the staff member walked the child over to a table and seated the child. However, the staff member did not sanitize the table before sitting the child at the table to finish eating their banana. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain children's records in accordance with regulatory requirements. Review of ten (10) presented children's files revealed a child's file with the enrollment date 03/14/2018 which did not contain a current immunization certificate. Upon request, the staff member in charge did not present a current immunization certificate for the aforementioned child at the time of the survey. The document presented was dated 02/16/2021. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation, the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:415e. Section 6 (3) states that machine washable toys shall not be used. Observation of the dramatic play area located in the school-age classroom revealed there were seven (7) dolls with doll clothes that were accessible to children. Observation of the dramatic play area located in the preschool classroom revealed there were five (5) sets of child size dress up clothes and numerous dolls with doll clothing accessible to the children. Observation of the dramatic play area located in the two-year-old classroom revealed a plastic container with numerous cloth dolls accessible for the children. Observation of the dramatic play area located in the one-year-old classroom revealed a shelf that contained stuffed animals and doll clothes. Continued observation of the shelf revealed a container with cloth dolls and doll clothes. Observation of the floor located in the infant classroom revealed there were three (3) large stuffed animals lying on the floor accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that three (3) staff members received fifteen (15) hours of annual cabinet approved early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, the child care center failed to comply with regulatory background check requirements. Observation revealed a staff member working alone in the Two Year Old room. A review of staff files and KARES report failed to reveal the staff member's eligibility. Further review revealed the staff member's hire date as 02/11/19. Interview with the staff in charge revealed the eligibility documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory background check requirements. On 2/19/19, a review of staff files and a KARES report revealed individuals who were no longer working at the center had not been separated from the center, failing to be shown on the KARES report in separated status. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements. A review of documentation failed to reveal written verification of liability insurance coverage of at least $100,000 per occurrence. The insurance policy presented for review on 01/29/19 was effective 3/9/16 through 3/9/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interviews, the child care center failed to comply with regulatory requirements. On 01/29/19, at approximately 10:20 A.M., a surveyor attempted to gain entry into the center by repeatedly pounding at the door. The surveyor could observe lights on in the center, but could not observe children as the classrooms are not visible from the door. The surveyor then reported to the Regional Program Manager (RPM) that entry was not being accessed. The RPM attempted to contact the center by phone, calling both the business phone and the alternate phone, with no answer. The RPM then contacted the director who stated she was 5-10 minutes away and would arrive within minutes. The surveyor observed the director entering the building with a key. The surveyor then attempted again to gain entry by knocking, but was once again denied access. The RPM called the provider and stated the surveyor was outside the door. Interviews were conducted with the staff in charge and with the staff member in the Infant room, which is located closest to the door, and both stated they did not hear anyone pounding at the door. The surveyor was allowed entry at approximately 10:41 A.M. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation on 01/29/19 revealed a copy of regulations available for staff review was dated 11/22/13, which failed to provide staff with a copy of 922 KAR 2:090, 922 KAR 2:120 and 922 KAR 2:280.

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 review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of center policies revealed: " Even though operating hours are from 6:00 A.M. to midnight, if all children have left the building before then, the Division of Child Care Regulations will be contacted". A review of DRCC records and sign in sheets failed to reveal reports of early closings.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation on 1/29/19 failed to reveal documentation verifying staff meetings had been conducted, managed and documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. A review of staff files failed to reveal staff evaluations for staff members with hire dates of 4/23/17, 11/03/17, and 02/08/18. Interview with the staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, and observation, the child care center director failed to assure compliance with regulatory requirements. Interview with a staff member in the preschool room revealed the five (5) children ranged in age from two (2) years of age to five (5) years of age. Observation revealed the children were served spaghetti for lunch. The spaghetti had not been cut into manageable size bites for the two and three year old children, preventing the children from eating the spaghetti, without losing most of what was on their spoons down the front of their clothing. The children were observed sucking most of what remained partially in their mouths. Also observed was a child who had dropped the spaghetti onto the floor, picking the spaghetti off of the floor and putting it into his mouth. Two (2) staff members observed the children eating, and neither attempted to cut the food into manageable size bites for the younger children. The staff member in the infant room was observed feeding large spoonfuls of spaghetti to the toddlers who had difficulty with the amount of food placed in their mouths. Additionally, a staff member in the preschool room was observed inappropriately pulling a child by the leg, to bring the child closer to her as she attempted to read a book.

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, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Observation on 02/11/19 revealed a sole staff member in the Two Year Old room, caring for four (4) children. Interview with the staff member revealed all of the children were two (2) years old. A review of staff files and a KARES report failed to reveal eligibility status for the employee with a hire date of 02/11/19. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files on 02/19/19 failed to reveal negative results from a tuberculin test or a written statement from a health care professional stating that individuals were free of tuberculosis for staff members with hire dates of 1/6/14 and 2/11/19. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal First Aid/CPR certification for each of the three (3)staff members designated as working non-traditional hours. Further interview revealed approximately 2-3 children attend during non-traditional hours. Interview revealed one of the 3 aforementioned staff members could be called for the non-traditional hours, if needed, and would work alone. Interview with staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report Programming 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 2. Child Care Services.

General: Based on Review of Documentation, and observation, the child care center failed to comply with regulatory programming requirements. A review of documentation on 01/29/19 revealed the program of activities posted in the preschool classroom was dated 01/07/19. Additionally, the programming observed was developmentally inappropriate for the age of children in attendance. Flash cards containing words such as: tomorrow, philosophy, student, someone, possible, uncle, chance, within, and already, were shown to the children. The children were then prompted to repeat the word several times before moving on to the next word. Interview with staff revealed the children ranged in age from two (2) years to five (5) years. The children were not provided a variety of creative activities including, art, math or numbers, dramatic play, science and nature, block building or stacking, and tactile or sensory activity from approximately 10:45 A.M.-12:55 P.M.

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 requirments. Observation in the preschool class revealed five (5) children when the surveyor arrived at approximately 10:40 A.M. Interview with the supervisory staff revealed the youngest child in the group to be two (2) years of age. Observation revealed the child remained in the preschool group until 12:53 P.M. when the surveyor left the center. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation on 01/29/19 revealed a section, approximately 30 inches X 24 inches, behind two (2) toddlers high chairs, of peeled and peeling paint from the wall. Additionally, in the Infant room was another area of peeling paint, approximately 3 inches by 2 inches and approximately 24 inches from the floor and accessible to the toddlers in the room. The infant room had carpeting which was unglued from the black, plastic strip where it transitioned onto tile flooring.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the boy's toilet room revealed no toilet paper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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 regulatory requirements. Observation failed to reveal a hand drying blower, or hand drying materials for a child after washing his hands. 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 regulatory requirements. Observation in the Infant room revealed several large tears in the changing pad, exposing the inner padding, failing to be nonabsorbent. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the Infant room failed to reveal a sufficient amount of toys and developmentally appropriate materials to provide each child with a variety of activiities during the day, as specified in Section 2 of 922 KAR 2:120.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation on 01/29/19 in the infant room revealed a high chair without a cushion or padding covering the metal tubular frame. Observation revealed a toddler eating a snack in the chair. Later in an interview with the staff member, she revealed the cushion/padding had been taken off of the chair to be laundered. At lunch, the toddler was once again observed sitting in the chair without cushions.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. On 01/29/19, a return air duct in the infant room was observed to contain a heavy accumulation of dust and dirt on the louvers. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 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 the food service in accordance with regulatory requirements. Observation in the Infant room revealed a large crock pot containing water and an accumulation of milky-like, curdled substance adhered to the sides of the container.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Upon entry into the Infant/Toddler room on 01/29/19, two (2) toddlers, identified by the staff as one (1) year old, were sitting in high chairs eating, at approximately 10:45. A review of the daily schedule revealed lunch is served between 10:30-11:00 A.M. Interview with the staff member revealed the children are fed a snack prior to being served lunch. The daily schedule did not reflect a morning snack. The preschool class was not observed being served a snack. Interview at approximately 10:50 A.M., the preschool staff member stated the children eat lunch at 10:30 A.M.. When the surveyor asked what they had been served for lunch, she responded, "ramen noodles". The catered lunch arrived at approximately 11:30 A.M. Further interview with the staff member revealed she had misunderstood the question.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. A review of postings on 01/29/19 failed to reveal a dated, and prepared menu for the week of 01/28/19. 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, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of children's files failed to reveal a current immunization certificate for a child with an enrollment day of 10/09/16. Interview with the staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 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. A review of children's files failed to identify a physician to enable a person in charge to contact, for children enrolled on 09/06/18 and 03/13/18. Additionally, no emergency contacts were listed for a child with an enrollment date of 9/6/18. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation revealed an emergency preparedness plan dated 03/10/16. Up-dated documentation was not available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of the sign in sheets for 01/29/19 revealed 21 children had been signed in for the day. Further review revealed 12 children had been signed out for school attendance, leaving nine (9) children in attendance. Observation revealed seven (7) children, two (2) in the Infant/Toddler room and five (5) in the Preschool room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of staff files failed to reveal a written annual plan for child care staff professional development. Interview with staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report 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 review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. On 01/29/19, a review of postings failed to reveal each statement of deficiency issued by the cabinet for the current year and the plan of corrections submitted to the cabinet by the provider for the current year, posted in a conspicuous place and made available for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

Based on observation and interview, the child care center failed to comply with regulatory requirements. The investigation revealed that the child care center’s hours of operation are from 6:00 am to 12:00 pm, Monday through Friday. The investigation revealed that on 10/16/2018, both the child care director and owner of the child care center disclosed that the child care center was closed at 6 pm. In addition, a complainant disclosed that the child care was closed when they visited the location between 6:30 pm and 7:00 pm. However, the notification of change of hours of operation was not sent to the Division of Regulated Child Care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview and observation, the child care center director failed to assure compliance with regulatory requirements. Per information gathered during an investigation, a child was in the custody of the owner of the child care center when he/she received verbal authority from a parent to drop off the child on 10/16/2018. However, the owner of the child care center failed to establish that a parent was home when the child was dropped off, thereby causing a breach to the health, safety and comfort of the child by leaving the child without adult supervision at the drop off location. 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.

Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Per review of a child’s file, the owner's name was not included in the file identifying her as an individual designated in writing as an authorized escort for the child. However, she picked the child up from the child care center on 10/16/2018 and transported the child home. In addition, the child care center director acknowledged that the owner of the child care center was not listed as a designated person in writing to pick-up the child.

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, interview, and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the employee records for employees hired on 11/03/2017 and 12/08/2017 contained a criminal records check (CRC). The employees were not observed working alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for the employee with the hire date of 12/08/2017 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the child care director did not present verification that a staff with the hire date of 01/06/2014 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continue review revealed the director did not present verification that an employee with the hire date of 01/06/2014 had an updated training for Pediatric Head Trauma. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The corner edges of the wall, near the basebord that was located in the pre-school classroom, had paint chipped away with exposed metal. Continued observation revealed the area rug in the pre-school classroom was stained with dark spots, along with frayed edges. The purple carpet in the foyer had a one-inch gap running the width of the carpet which was torn and missing the carpet.

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 child care center failed to maintain premises in accordance with regulatory requirements. The restroom located off the pre-school classroom was not equipped with hand-drying blower or single use disposable hand drying material or liquid soap. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Upon request, the child care director did not present verification that the first aid supplies contained a working flashlight. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area along the inside of the fence line, there were several discarded plastic bottles, and paper wrappers which were accessible to the children. 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, the child care center failed to maintain equipment in accordance with regulatory requirements. In the infant classroom, two (2) of the three (3) crib mattress sheets were not tight-fitting.

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. Various toys located throughout the classrooms revealed a number of battery-operated toys that were not maintained and used according to the manufacturer's safety specifications; the batteries were non-operational. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. The breakfast meal that was served at 08:35 a.m. consisted of cereal and milk. Interview with the staff revealed the children were not offered or served a fruit, vegetable, or 100 percent juice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for children with the enrollment dates of 07/22/2016, 08/01/2016, 09/05/2017 and 01/24/2018 contained information listing a name of a preferred hospital. Continued review revealed the record for children with the enrollment date of 08/01/2016 and 01/24/2018 did not list a name of a physician. The file for a child with the enrollment date of 09/05/2017 did not contain information for emergency authorization. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Observation of the infant room revealed a staff member with the hire date 10/17/17 was the sole care giver for five (5) children. Upon request, the child abuse and neglect check (CAN) and criminal records check was not presented for review for the staff member with the hire date 10/17/17. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the infant room revealed a staff member with the hire date 10/17/17 was the sole care giver for five (5) children. Upon request the child abuse and neglect check (CAN) and criminal records check was not presented for review for the staff member with the hire date 10/17/17. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 comply with hygienic practices in accordance with regulatory requirements. Observation in the infant room revealed a torn changing pad exposing the absorbent inside material. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the infant room revealed two (2) bottles that were not covered. Continued observation of the refrigerator in the infant room revealed two (2) bottles that were not labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. An interview with the director revealed the director was employed elsewhere during the hours of operation of the center. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files, specifically for CAN and CRC results, failed to provide documentation verifying that requests had been sent for staff members with hire dates of 8/25/17 and 9/18/17. Interview with staff revealed no documentation was available at the time of the survey. A review of an Intermediate Sanction Agreement revealed the child care center failed to meet the agreement entered into on 03/30/17 by failing to: "request Criminal Record Check for each new or rehired employee no later than the date the probationary employment begins", and " to request a Child Abuse and Neglect Check for each new or rehired employee no later than five (5) days after the date probationary employment begins". An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 2. Child Care Services.

General: Based on interview and observation, the child care center failed to comply with regulatory programming requirements. Interview with staff members revealed lunch is catered in between 11:00-12:00 P.M. Observation revealed the children continued to anticipate the lunch to be delivered until 12:45 P.M. when pizza was brought in by a staff member. Interviews revealed that the caterer was "running late" and then "never came". Interview with the caterer revealed the lunch meal order had been cancelled prior to 9:30 A.M. that morning. Written Documentation Discussed

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center director failed to assure compliance with regulatory requirements. Interviews revealed an enrolled child was observed by the child's teenage siblings to be in the 28th Street Corner Store, while still in the care of the center, and later retrieved by the child's siblings per the parent's directive. The child was being cared for in an unapproved location, that the parent was not made aware of until the child's siblings reported observing the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews revealed a second shift had not been in operation after mid-September. A review of sign in sheets revealed attendance through the end of September. Interview with CCAP staff revealed a reimbursement for 15 part days had been paid for a child signed in only 2 days in September. Further interviews revealed the child was terminated on 09/15/17. The center is open Monday through Friday. A review of payable days from September 1-15 are eleven (11)days. Children's Records Not In Compliance

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 the children's records in accordance with regulatory requirements. Enrollment information contained in a child's file failed to contain a written permission by the parent for the child to be removed from the premises and taken to another location. Based on interview regarding the aforementioned child, the child was retrieved by a family member from the 28th Street Corner store while she was still in the care of the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written 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 3. Records.

General: Based on review of documentation and interview, the child care center failed to maintain the written documentation in accordance with regulatory requirements. A review of documentation, specifically staff schedule, failed to reveal an accurate account of staff and working hours. Some of the staff on the schedule were no longer employed, while new staff had not been added to the schedule when reviewed on 10/04/17. Interview with the staff in charge revealed she was aware of the inaccuracies. A staff schedule was stated by the staff in charge, and acknowledged that there are no staff scheduled after 6:00 P.M.

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 child care center failed to comply with staffing requirements. There were six infant and toddler children in the classroom with one teacher upon surveyors arrival at the center. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. 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. Rodent feces were accumulated in two corners of the infant room on the baseboards, behind two cribs. The toddler classroom also had evidence of rodent feces. Based upon review of Division of Regulated Child Care records, the center was placed on Intermediate Sanctions on March 30, 2017. As part of the sanctions agreement, the owner agreed to maintain a clean environment with no accumulation of rodent fecal matter.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Near the rear exit, by the book reading center, the floor is highly unstable as it does not feel that there is a floor underneath of the two carpets placed over the floor. The floor in this location is severely damaged in some manner as the carpeting moves up and down when stood upon as if there is not a floor underneath.

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 center failed to maintain the premises in accordance with regulatory requirements. The infant and toddler room contained six children, upon review of Division of Regulated Child Care Records, that classroom measures for five (5) children to have thirty-five (35) square feet per child, resulting in the classroom failing to have sufficient space for the six (6) children present in the classroom. The classroom identified as the preschool room contained nine (9) children; upon review of Division of Regulated Child Care Records, that classroom measures for eight (8) children to have thirty-five (35) square feet per child, resulting in the classroom failing to have sufficient space for the nine (9) children 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Rodent feces were accumulated in two corners of the infant room on the baseboards, behind two cribs. The toddler classroom also had evidence of rodent feces. Based upon review of Division of Regulated Child Care records, the center was placed on Intermediate Sanctions on March 30, 2017. As part of the sanctions agreement, the owner agreed to maintain a clean environment with no accumulation of rodent fecal matter and to assure that measures are utilized to control the presence of rodents in the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. In the preschool classroom the children failed to have their hands washed before or after snack.

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 diaper changing pad in the infant room was observed to have several holes in the top surface exposing the inner foam. 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, the child care center failed to maintain equipment in acordance with regulatory requirements. A crib mattress in the infant room was observed to have numerous holes around the corners of the mattress exposing the absorbant foam inside of the matress. A sheet that was placed on the mattress was not tight fitting as it did not cover the entire mattress. 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. Bottles located in the refrigerator of the infant room failed to be name labled and several failed to be covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. A toddler was observed walking around the classroom carrying and drinking milk from a sippy cup as opposed to being seated to drink milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation, the child care center failed to comply with regulatory requirements. Review of Documentation revealed that on 4/11/17 DRCC receaved a notice of resignation from the director of Kidz World Childcare with a last day of employment of 3/29/17 listed. Observation and Interview at Kidz world Childcare on 4/13/17 revealed the absence of a director on staff. Employee Records In Compliance Premises In Compliance Food Service In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements. The liability insurance presented for review on 3/16/17 for the center was no longer current as its coverage period was 3/9/16-3/9/17. Upon request, the director did not present verification of current liability insurance coverage. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. The first Bathroom had a toilet bowl brush next to the toilet causing it to be accessible to children in care.

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, review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. A staff member with an unknown rehire date was observed working alone with two (2) Infants in the Infant Room. Review of DRCC records revealed a termination date of 2/15/17 for the staff member with a previous hire date of 11/2/16. The child abuse and neglect check (CAN) conducted on 12/20/16 and criminal records check conducted on 1/4/17 presented for review was not consistent with the staff member's rehire date which is unknown, but has to be after 2/15/17 when she was terminated. The Director stated that she is not responsible for the hiring and firing of staff. Upon request, verification of new background checks for the aforementioned staff member was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A staff member with an unknown rehire date was observed working alone with two (2) Infants in the Infant Room. Review of DRCC records revealed a termination date of 2/15/17 for the staff member with a previous hire date of 11/2/16. The child abuse and neglect check (CAN) conducted on 12/20/16 and criminal records check conducted on 1/4/17 presented for review was not consistent with the staff member's rehire date which is unknown, but has to be after 2/15/17 when she was terminated. The Director stated that she is not responsible for the hiring and firing of staff. Upon request, the director did not present for review verification of new background checks for the aforementioned 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 regulatory requirements. The file for a person, identified as a volunteer with a start date of 4/18/16, did not contain verification of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250. The referenced 'volunteer' has previously been observed in the role of a staff member during a separate inspection conducted by DRCC. Upon request, verification of the referenced 'volunteer's' educational requirements was not submitted for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Staff members with hire dates 1/28/15 and 1/6/14 did not obtain the one and one-half (1 ½) hours of pediatric abusive head trauma training within the first year of employment. Upon request, the director did not provide the documentation to verify that the staff members had completed the one and one-half (1 ½) hours of pediatric abusive head trauma training. A staff member with hire date 5/2/16 did not obtain the six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. A staff member with hire date 1/6/14 did not obtain the fifteen (15) hours of cabinet-approved early care and educational training. Review of the ECE-TRIS report verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report 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. Two (2) bulbs in the light fixture were not working causing the School-Age Room to be dimly lit. Additionally, two (2) bulbs in the light fixture located in the second Bathroom were not working causing the room to be dimly lit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. A wall ledge in the One-Year-Old Room located above the two (2) black bean bag chairs had what appeared to be numerous rodent droppings. The bottom drawer of the changing table located in the second Bathroom was covered with what appeared to be rodent droppings. Therefore, successful measures were not utilized to control the presence of rodents. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. The first aid supplies were not equipped with a working flashlight or CPR mouthpiece protector. Upon request, the director did not provide a CPR mouthpiece protector or working flashlight for inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report 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.

Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There was a large white bag hanging from one of the tree branches located by the fence on the outside play area. There were several bags of trash on the ground near the back of the outside play area.

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.

Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There were several tree branches protruding from the ground all over the outside play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. 1. There were two (2) black bean bag chairs in the One-Year-Old Room located in the corner that were torn and exposing the stuffing. 2. A white sheet inside a crib located in the Infant Room was soiled with a brown substance. The Director stated that crib sheets are removed once a week and taken to the laundry to be washed. 3. A highchair located in the Infant Room had a brown multi-colored fabric covering that was dirty and soiled with food debris. 4. None of the battery-operated toys located in the Infant Room were operational. 5. There was a four (4) drawer, clear plastic storage tower that had a bottom drawer that was in disrepair, exposing sharp plastic pieces, located in the Infant Room. 6. The changing pads located in the Infant Room and the second Bathroom were torn exposing the absorbent material. 7. A large blue alphabet rug located in the Three-Four-Year-Old Room was dirty and soiled with black and white spots. 8. The white changing table in the second Bathroom was wobbly and not secure. 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. The center did not present current insurance coverage for the van used to transport children in care on 3/16/17. The insurance presented at the time of the survey had a coverage period of 3/9/16-3/9/17. Upon request, verification of current insurance coverage was not presented for review.

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, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the center did not present a written plan that detailed the type of transportation, staff schedule, transportation schedule or transportation route. The center failed to have written policies and procedures, including emergency procedures practiced monthly by the staff that transports children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report

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, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the center failed to present a written plan for ensuring staff properly perform duties relating to transportation.

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 comply with regulatory requirements regarding transportation. Upon request the center did not present for review current full-coverage insurance on 3/16/17 for the vehicle used to transport children in care. The presented documentation identified a coverage period of 3/9/16-3/9/17.

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, the child care center failed to comply with regulatory requirements regarding transportation. Upon request the center did not present a current inspection report from the Transportation Cabinet for review. The document on file was dated 6/5/14.

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. Upon request, a written pre- arranged pick-up plan completed to designate where a child can be picked up if the parent or designee were unavailable was not presented for review. 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. There were two (2) non-labeled partially consumed bottles located on top of the black and white mini-fridge located in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. A gallon of milk stored in the black and white mini-fridge on 3/16/17 located in the Infant Room had an expiration date of 3/13/17. The director acknowledged the milk with the expired date. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain food service in accordance with regulatory requirements. The menu posted on the wall in the front lobby of the center was not dated. 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 and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. A child’s record with enrollment date 8/1/16 did not contain the name of the family’s preferred hospital. Upon request, the director did not present the missing information for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The center did not present for review a permission form for each trip off the premises to the local park for outside play that was signed by the child’s parent in accordance with 922 KAR 2:120, Section 12. The Director confirmed that the children are taken to the local park for outside play due to the center not having an outside play area. Upon request, permission forms for the children were not submitted for review 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The organizational chart and chain of command presented was not current as it listed two (2) staff members that were no longer employed with the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 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 written documentation in accordance with regulatory requirements. The earthquake and tornado drills conducted in the 1st, 2nd, 3rd and 4th quarters of 2016 were not documented. The Director stated that the earthquake and tornado drills were conducted; however, no documentation was submitted for review. 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 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. The lesson plan posted in the One-Year- Old Room on 3/16/17 was not current as it was dated 2/1/17-2/28/17. The lesson plan posted in the School-Age Room on 3/16/17 was not current as it was dated 2/1/16-3/31/16.

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, the child care center failed to post documentation in accordance with regulatory requirements. The second Bathroom failed to have the diaper changing procedures posted at the diaper changing area. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the child care center on 02/15/17 revealed children were left alone in order for staff to answer a locked door for each visitor who required entry into the child care center. Observation revealed one (1) staff and five (5) children. Interview with staff revealed the children ranged in age from nine (9) months to five (5) years. Interview with staff on 02/15/17 revealed she often left the children alone in the Preschool classroom area when she opened the door for visitors. Additional observation on 02/22/17 revealed children were allowed to exit the school bus and enter the child care center without staff awareness or supervision. Interview with staff on 02/22/17 revealed she was not aware children were supposed to arrive from the after school program. However, this same staff later recanted her statement to include that she was aware, but did not realize the children had arrived to the child care center. 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 Observation, review of documentation and interview, the child care center failed to comply with regulatory requirements with regard to cooperation with the Division of Regulated Child Care (DRCC). On 02/15/17, the surveyor observed one (1) staff and five (5) children. The staff was unable to obtain access to employee files, when identifying information was requested of the staff. The staff stated her date of hire is April 2016, and she indicated her age and educational credentials. Review of employee records received from the child care center director revealed no conformational documentation for this individual caring for children on 02/15/17. The individual identified in the employee records was not the staff present on 02/15/17. On 02/22/17 interview with staff revealed the staff person present on 02/15/17 was on 02/15/17. In addition, further information was requested of the child care center director on 02/22/17, to determine the exact identity of the individual who cared for children on 02/15/17. The child care center failed to present requested documentation at the second request of the surveyor, to include employee records and timesheet information for the date of 02/15/17. Unsuccessful telephone contacts and messages were left with the child care center on 02/28/17 to obtain requested documents. On 03/08/17 identifying information was received from the director for staff with a hire date of 01/23/17, that would indicate this individual was the sole staff present on the evening of 02/15/17. Information received from the Division of Child Care revealed this individual had substantiated findings of child abuse or neglect (CA/N) for the years 2011, 2014 and 2015. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to comply with regulatory requirements with regard to nontraditional care. Observation on 02/15/17 at 6:45 PM revealed four (4) children who rested on cots as they watched “Cartoon Network” and one (1) infant in a “bouncy” seat. Review of the child care center’s daily schedule revealed the children were scheduled to participate in a “movement” activity. There was no documentary evidence that the program viewed by the children was well balanced, constructive or developmentally appropriate for all children in care. Interview with staff in the classroom revealed the children were served dinner at 6:30 PM and placed on the cots at 6:45 PM to rest as they awaited parent pickup. 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 Interview, the child care center director failed to assure compliance with regulatory requirements. Site visits were made on 02/15/17 and 02/22/17. At each visit, staff who stated they were designated by the director as adult staff in charge were unable to carry out the director’s duties with access to all records, policies and procedures. On 02/22/17, the director was present at the child care center. A request was made to the director to provide records with regard to timesheets and employee records as necessary for a complaint investigation. Upon request, the documents were not presented for review.

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, record review and interview, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of children in care. Containers of hamburgers, greens and carrots were observed on a counter in the center on 02/15/17. Interview with the sole staff member present in the classroom revealed the referenced food that was served to the children was stored on the wall divider from the time she arrived at 3:30 PM. The food remained on a wall divider until she heated each meal in the microwave and served to the children at 6:30pm. Interview with the caterer, however, revealed the hamburgers were delivered to the child care center on 02/15/17 at 10:50am. Interview with a Health Department representative revealed storage of food at room temperature for an extended period of time exposed the food to possible foodborne illness for children and should not be consumed. An adult entered the child care center and requested two (2) children for pickup. The children appeared surprised, concerned and apprehensive about leaving with the adult. Upon review of the children’s files and interview with the adult, it was determined the adult was not an individual designated in writing by the parents to pick up the children. The staff did not review the files of the children or request identifying information from the adult until the surveyor requested review of each child’s record. On 03/03/17, the child care center director stated the staff who worked alone with five (5) children on 02/15/17 was hired on 01/23/17. On 03/08/17, telephone interview with DCC revealed this same employee had substantiated findings of child abuse or neglect for the years 2011, 2014 and 2015. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff hired on 01/30/17 and 01/23/17 revealed no documented evidence that a criminal records background check was submitted on or before the first day of employment. In addition, there was no documented evidence that a child abuse/neglect (CA/N) check was submitted to the cabinet within five (5) working days after the date of employment in accordance with 922 KAR 1:470. Interview with DCC revealed the request for a Child Abuse and Neglect Check for each staff was not made prior to 02/21/17. Furthermore, staff with a hire date of 01/23/17, worked alone with five (5) children on 02/15/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with a hire date of 05/02/16 and another staff person with an unknown hire date revealed no documentary evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250. Employee records for staff with a hire date of 05/02/16 revealed a high school transcript without a graduation date. Both staff were observed to have supervisory control over children in care.

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 and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation on 02/22/17 revealed one (1) staff and seven (7) children. Review of employee records for staff with an unknown hire date revealed the child care center failed to have at least one (1) person on duty and present with the children who was currently certified by a cabinet-approved training agency in Infant and/or Adult cardiopulmonary resuscitation and Infant and child or Adult first aid. In addition, upon receipt of information for staff with a hire date of 01/23/17, it was determined the child care also failed to have at least one (1) person on duty certified in Infant and/or Adult Cardiopulmonary Resuscitation and First Aid on 02/15/17, when the staff solely cared for five (5) children. Programming 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 2. Child Care Services.

General: Based on Observation and interview, the child care center failed to maintain regulatory programming requirements with regard to extended periods of restricted activity. Observation of the front lobby area revealed children who sat for a prolonged period of time without adequate activity. The first group of children were observed to arrive at 4:15 PM. The staff present brought all children in care to the front lobby at 4:25 PM, and the children sat on couches, on the floor and stood next to the wall. Interview with staff revealed she usually waited in the front lobby with the children until all school-age children arrived at 5:30 PM.

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 and interview, the child care center failed to maintain regulatory programming requirements with regard to infant/toddlers combined with older children. Observation on 02/15/17 at 6:45 PM revealed five (5) children in care and combined for more than one (1) hour. Interview with staff revealed the youngest child in the classroom was nine (9) months and the oldest was five (5) years old. Staff further stated the children were combined at 5:00 PM. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 9. Food and Meal Requirements.

General: Based on Observation, interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements with regard to safe food handling to prevent foodborne illnesses. Observation of the Preschool classroom on 02/15/17 at 6:45 PM revealed styrofoam meal boxes which contained hamburgers, greens and carrots, and cups of milk, stored on a wall divider between the preschool and school-age classrooms. Interview with the sole staff member present in the classroom revealed the food served to the children was stored on the wall divider from the time she arrived at 3:30 PM. The food remained on a wall divider until she heated each meal in the microwave and served to the children at 6:30 PM dinner service. Interview with the caterer, however, revealed the hamburgers were delivered to the child care center on 02/15/17 at 10:50 AM. Interview with the health department representative revealed storage of food at room temperature for an extended period of time exposed the food to possible foodborne illness for children and should not be consumed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements with regard to an approved source for food served to children in care. Interview with staff on 02/15/17 revealed the child care center owner provided food to children in care from a source other than the catering service identified on the presented food service permit. Interview with staff further revealed the food was served to the children at dinner. A written statement was received from the child care center director which revealed the owner provided dinner to the children in the event the parents failed to provide sack lunches. Interview with the Catering Services revealed the caterer delivered meals on 02/15/17 at 10:50 AM for lunch service and did not provide dinner catering services to the child care center. The caterer further stated she was not contracted to provide dinner service to the child care center. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the preschool room on 02/15/17 revealed five (5) children in care. Review of attendance records revealed all the children were not signed into care at the child care center. Interview with the child care center director revealed only two (2) children were signed in on the evening of 02/15/17.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of presented documentation revealed the child care center did not have a food service permit. Interviews with multiple sources revealed the child care center has prepared and served food to children. Interview with the director revealed there was not a food service permit for the child care center.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the daily schedule revealed snack is served from 2:30 pm to 3:00 pm. Continued review of the daily schedule revealed dinner is served at 7:00 pm; therefore, the meal is scheduled more than three (3) hours after snack. Interview with a staff member revealed the posted daily scheduled is followed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documents revealed the child care center did not have a menu prepared in advance and posted in a conspicuous place. Interview with the director revealed the child care center did not have a current menu at the time of the survey. 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 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Interview of staff members revealed breakfast served to children on 2/9/17 consisted of cereal and milk; therefore, the child care center failed to serve a fruit, vegetable or 100 percent juice. Written 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 3. 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 staff schedule revealed listed staff members. Interview with the director revealed there were staff members listed on the staff schedule that no longer were employed at the child care center. Continued interview with the director revealed there are staff members currently working at the child care center that were not listed on the staff schedule presented for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of presented documentation revealed the child care center did not have a food service permit. Interview with the director revealed there was not a food service permit for the child care center.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03 Nov 16 AND AS OF 29 Nov 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Employee Records In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator revealed the child care center did not have an indicating thermometer. Continued observation of the refrigerator revealed food and milk used for the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer revealed the child care center did not have an indicating thermometer at the time of the survey.

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. Observation of the preschool room revealed the children using a table for activities. Continued observation revealed the staff did not clean and / or sanitize the table that was used for activities before serving lunch on it to the children.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch service in the preschool room revealed two (2) children requested additional portions of food from staff members; however, the staff members did not respond or acknowledge the requests from the children. When the two (2) children requested additional food again a staff member collected both children’s lunch plates and threw them in the trash; therefore those who requested additional portions were not served additional food.

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, review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch service revealed milk being served to children. Review of the milk label served at lunch revealed it was whole milk. Interview with a staff member revealed the children being served whole milk were two-to-four-years of age.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of presented posted documents revealed the child care center did not have a menu prepared and posted in a conspicuous place. Interview with the director revealed there was not a current menu posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 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. Observation of lunch service revealed the children did not have two (2) vegetables, or two (2) fruits or one (1) vegetable and one (1) fruit that were served to them by the child care center. Observation of lunch service revealed the children were served two (2) pieces of bread, one (1) piece of lunchmeat, four (4) to six (6) ounces of whole milk, and approximately 1/4 cup applesauce. Interview with a staff member revealed the ages of the children were two-year-olds to four-year-olds.

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, review of documentation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the infant classroom revealed children were left alone for approximately one (1) minute. Review of written documentation revealed attendance of children, their ages and staff present on the date of the observation. Interviews with STARS employee and child care center staff revealed instances in which children were left alone in order for staff to retrieve cots for naptime. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report 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 2. Child Care Services.

General: Based on Observation, and interview, the child care center failed to comply with regulatory staffing requirements. Observation of the Preschool classroom revealed one (1) teacher and eleven (11) children. Interview with staff revealed the children ranged in ages two (2) years to five (5) years. Further interview revealed three (3) of the children belonged in the two (2) year classroom. The children returned to their appropriate classroom upon the return of their classroom teacher. Written Documentation

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, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of posted written documentation revealed confidential information of a child’s record which was viewable for other parents when entering the child care center. The document was posted on a glass window in the office at the front of the child care center. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 with the staff in charge, the childcare center failed to comply with staffing requirements. Observation upon entrance at 8:57 a.m. of revealed eleven (11) children present in the pre-school classroom with one (1) staff member, The children ranged in age from two to four years of age. A second staff member arrived at 08:58 and four (4) of the children were removed from the pre-school classroom and assigned to the two-year room with an additional staff. Interview with the staff in charge revealed she was in the process of reassigning the children.

Open Not marked corrected in the state record

Category: ratio. 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 childcare center failed to maintain written documentation in accordance with regulatory requirements. Based on review of the documentation the director was unable to verify that the childcare center was current with the required liability insurance coverage of at least $100,000 per occurrence. Interview with the director revealed she was unable to locate a current policy.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center director 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 could not verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for the employee’s with the hire dates of 11/21/2014 and 01/28/2014 had been completed. Interview with the director revealed she could not locate a current copy of the evaluations.

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 Documentation Review,Observation 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 employee with the re-hire date of 01/04/2016 revealed the center could not verify that the child abuse and neglect check (CAN) and criminal record check (CRC) had been completed upon re-hire. Observation revealed the staff member was the sole caregiver working alone with five (5) children ranging in age from two to four years old from 08:59 a.m. to 12:10 p.m. Continued review revealed the childcare center could not verify that an out of state background check had been conducted for the employee with the hire date 01/04/2016 who has resided in the state of Illinois within the last five (5) years. Interview with the director revealed she was not aware background checks needed to be completed when staff was re-hired.

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 Documentation Review,Observation 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 employee with the re-hire date of 01/04/2016 revealed the center could not verify that the child abuse and neglect check (CAN) and criminal record check (CRC) had been completed upon re-hire. Observation revealed the staff member was the sole caregiver working alone with five (5) children ranging in age from two to four years old from 08:59 a.m. to 12:10 p.m. Continued review revealed the childcare center could not verify that an out of state background check had been conducted for the employee with the hire date 01/04/2016 who has resided in the state of Illinois within the last five (5) years. Interview with the director revealed she was not aware background checks needed to be completed when staff was re-hired.

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 with the director, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff member with the hire date of 01/06/2014 did not contain a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Interview with the director revealed she was unable to locate a current TB test.

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 with staff, the child care center failed to comply with programming requirements. Review of the documentation in the preschool classroom revealed the child-care child care center did not provide a current daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served. The lesson plan in the pre-school classroom was dated for the week of 01/25/2016 to 02/12/2016.Continued review revealed there was no current lesson plan in the classroom identified for use as an aftercare school care.Interview with the director revealed the lesson plans were not current.

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 interview with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the infant classroom revealed there was four (4) overhead lights that was non-operational. Therefore there was not adequate lighting in the classroom. 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 4. Premises Requirements.

General: Based on Observation and interview with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the rugs located in the one-year-old, pre-school, two-year-old and school age classrooms it was revealed that multiple areas of the patchwork rugs had frayed at the seams. This created exposed gaps at the seams which created the carpet to bucket in areas. Therefore creating a potential tripping hazard. Continued observation throughout the center revealed the baseboards were beginning to chip and was in need of repair. Interview with the director revealed she was aware of the premise issues.

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 with the director, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Observation of the first-aid kit revealed the following items were not available, CPR mouthpiece, gauze, medical tape, and thermometer. Interview with the director revealed she was unable to locate the items.

Open Not marked corrected in the state record

Category: health medication. 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. Based on review of documentation,it was revealed the child care center failed to maintain current coverage for the 1996 Ford E150 Cargo Van. The insurance presented had expired on 01/26/2016. Interview with the director revealed she was unable to provide a current copy of insurance coverage.

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, the child care center failed to comply with regulatory requirements regarding transportation. Based on review of documentation, it was revealed the child care center failed to maintain current coverage for the 1996 Ford E150 Cargo Van .The insurance presented had expired on 01/26/2016.Interview with the director revealed she was unable to provide a current copy of insurance coverage.

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 childcare center did not maintain a policy for the safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she was unable to locate the policy. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 28 Web site: http://chfs.ky.gov/ Inspection Report

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 and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first-aid kit located on the 1996 Ford van revealed the first-aid supplies did not contain a thermometer or liquid hand-soap. Interview with the director revealed she was not aware the items were not present.

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 director, the child care center failed to comply with regulatory requirements regarding transportation. The child care center was unable to provide documentation of a current certification of inspection for the vehicle with the VIN number of LFMEELLH4THA95875, that had been conducted from the Transportation Cabinet. The director was unable to locate a current inspection report.

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 director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the childcare center did not maintain a policy for the safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she was unable to locate the policy.

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 staff, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the childcare center did not maintain a pre-trip inspection on a daily basis. The childcare center was unable to verify that on a daily basis that the following was working and in good repair following tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel, and that the vehicle was free of debris. Interview with the van driver revealed he did not complete the documents on a daily basis.

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 and interview with the director, the child care center failed to maintain food service requirements in accordance with regulatory requirements. Observation the refrigerator unit located in the kitchen area revealed there was no thermometer present. Interview with the director revealed she was not aware of the issue.

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 and interview with the director, the child care center failed to maintain food service requirements in accordance with regulatory requirements. Observation the freezer section of the refrigerator located in the kitchen area revealed there was no thermometer present. Interview with the director revealed she was not aware of the issue.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the menu revealed that the menu was dated for the week of 01/25/2016. Therfore the menu was not updated to reflect the current week of 02/15/2016. Interview with the director revealed she was aware the menu had not been updated.

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 Documentation Review 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 children with the enrollment date of 04/13/2015 and 03/31/2015 did not contain a listing for their family physician. Continued documentation review revealed the following children with the enrollment date of 09/10/2014, 03/31/2015 and 04/13/2015 did not list a preferred hospital. Interview with the director revealed she was not aware of the missing documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documentation provided the child care center did not maintain a 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. The document presented was dated 08/07/2013.Interview with the director revealed the center did not have a current plan available.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with staff, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the daily sign in sheet revealed that twenty-four (24) children had been signed in; however observation of the children present revealed fourteen (14) children present. Interview with the staff revealed that ten (10) children had departed for school and had not been 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 with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and review of the centers policies provided by the child care center revealed that the employees with the hire dates of 11/21/2014 and 01/28/2015 could not verify that an annual plan for child-care staff professional development had been completed. Interview with the director revealed she could not locate of the missing documentation.

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 with the director,the child care center failed to post documentation in accordance with regulatory requirements. Observation of the restroom located off the school-age classroom revealed there was no postings of the proper methods of diapering procedures. Interview with the director revealed she was not aware the procedures were not posted. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 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. Observation of the restroom revealed a diaper changing pad with holes in the surface rendering the diapering surface unhygienic at the time of the inspection.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employees with the hire dates of 11/4/14, 3/5/14 and 11/5/14 failed to have documentation to verify that the employees had a high school diploma, GED or Commonwealth Child Care Credential at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire date of 1/6/14 did not have documentation to verify that the individual had completed nine (9) of the fifteen (15) hours of required cabinet approved early care and education training at time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the rooms used for Infants, Toddlers, Two-Year-Olds, Three and Four-Year-Olds revealed fluorescent light bulbs that failed to be shielded or shatterproof at the time of the inspection.

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 observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance documentation revealed nineteen (19) children signed in for attendance. Observation revealed twenty-four (24) children in care at the time of the inspection. Continued review of attendance revealed that five (5) children that were in attendance failed to have documentation of their arrival on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of fire drill documentation revealed that drills conducted in May, June, August, September, October and November failed to have the names of the participating children documented to present for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the childcare staff failed to maintain staff to child ratios. Observation of the childcare center on 09/12/2014 at 8:22 A.M. revealed that one (1) staff member was caring for six (6) children. Interview of the staff member revealed that the six (6) children were aged from infant to five-years-old. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the director of the childcare center failed to report an incident to the cabinet in which a child was injured that required medical treatment. Interview with the Director revealed that a two-year-old child was injured at the childcare center on 09/04/2014. Continued interview with the Director revealed that the mother of the injured two-year-old stated that she was taking the child to the emergency room on 09/05/2014 due to the injury that was sustained at the center. Review of DRCC records revealed that the director of the childcare center failed to report the injury that occurred on 09/04/2014 that resulted in an injury to the child that required medical care. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare staff failed to maintain the health, safety and comfort of each child in care. Interview with the director revealed that on 09/04/2014, a two- year-old was running; hit his cheek on a table, resulting in an injury to his face. Interview with the staff member that was in the two-year-old classroom on 09/04/2014 when the child hit the table, stated that the child ran from a table to a dinette and hit his face on the side of a chair. Continued interview with both the director and the staff member revealed that the childcare staff failed to intervene or redirect the child, causing an injury to the child. Interview with the employee with the hire date of 06/05/2014 revealed that she completed First Aid by providing an ice pack. Review of Documentation revealed that the employee that completed the first aid did was not certified in First Aid. Continued interview with the employee with the hire date of 06/05/2014 revealed that there was not an employee that assisted with the first aid that was currently certified. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the childcare director failed to immediately notify the parents in an accident that required medical treatment. Interview with the director revealed that she did not immediately notify the parent of a two-year-old child that obtained an injury at the center on 09/04/2014. Continued interview with the director revealed that a family member was notified of the injury when the two-year-old was dropped off via center transportation the evening of 09/04/2014. Interview with the mother of the injured two-year-old revealed that she was not notified of her son's injury and is unaware as to the time of the injury and the cause of the injury. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation, the childcare director failed to assure that all backgrounds checks were completed prior to allowing a staff member to be alone with children. Observation of the childcare center on 09/12/2014 revealed that the staff member with the hire date of 06/05/2014 was alone with six (6) children. Interview with the staff member with the hire date of 06/05/2014 revealed that she was alone with a two-year-old classroom on 09/04/2014 when a two-year-old child sustained an injury that required medical attention. Review of Documentation revealed that the staff member with the hire date of 06/05/2014 did not have a completed Child Abuse and Neglect (CAN) check in the file presented for review, therefore the childcare center did not abide by 922 KAR 1:470 by submitting a CAN Check within five days of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. An employee with the hire date of 5/12/14 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that there is no CPR/First Aid coverage from 5:00am-7:30am Monday-Friday. Interview with staff in charge revealed that an employee with a hire date of 1/16/14 is at the facility during the aforementioned hours and days and that she has CPR/First Aid, but was not able to locate the documentation during visit.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the toddler classroom revealed that there is no sink installed. Interview with staff in the classroom revealed that another staff will bring her a mat to place on the floor in the toddler classroom, in order to change the children’s diapers. Interview with staff in charge revealed that she did not know that children were being changed in the toddler classroom and stated that she thought children were being taken to the bathroom near the school age classroom to be changed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the toddler classroom revealed that there is no sink installed. Continued observation of the toddler classroom revealed a toddler with mucous coming out of his nose. The aforementioned child rubbed his nose causing the mucous to get on his hands. Further observation of the classroom revealed the staff wiped the child's nose with a tissue but did not get assistance to take the child to the bathroom to wash his hands. The aforementioned staff in the toddler classroom revealed that when she changes diapers in the classroom, that she uses hand sanitizer and a baby wipe to clean the child's hands after being diapered. Staff in charge revealed that teachers in the toddler classroom are to take the children to the bathroom to be diapered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. An employee (DOH 5/12/14) in the toddler classroom was observed wiping a child's nose with tissue and used hand sanitizer on her hands after wiping the child's nose. The aforementioned employee also stated another employee will bring her a diaper pad to change the children when needed and that she uses hand sanitizer on her hands after diapering children. The aforementioned employee (DOH 5/12/14) also stated she has been doing the aforementioned diapering procedure since she began working at the facility. Interview with staff in charge revealed that employees in the toddler classroom are to change children in the bathroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Review of children's records revealed two children (ED: 1/22/14, 4/1/14) did not have their general health status and medical history in their files.

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 lid on the bathroom toilet did not fit appropriately and as a result, the water in the tank is accessible. Hygienic Practices 595 - Child Personal Care/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (4) A child shall: (a) Be helped with personal care and cleanliness based upon their developmental skills; and (b) Wash his or her hands with liquid soap and warm running water: 1. a. Upon arrival at the center; or b. Within thirty (30) minutes of arrival for school-age children; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 600 - Staff Hygiene/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child’s or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 605 - Staff Communicable Disease Discussed 922 KAR 2:120. Section 3. General Requirements. (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 610 - Diapers/Clean Clothing Supply Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 615 - Training Chair Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (7) If a toilet training chair is used, the chair shall be: (a) Used over a surface that is impervious to moisture; (b) Out of reach of other toilets or toilet training chairs; (c) Emptied promptly; and (d) Sanitized after each use. 620 - Soiled Diapers/Clothing Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day.

Open Not marked corrected in the state record

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

General: Based on Observation, there is a large cylinder metal object that was approximately 3 feet tall and 1.5 feet wide that contained jagged edges. Continued observation revealed that the metal object was located at the entrance to the playground and within reach of a child entering the licensed outdoor play area. Interview revealed that the procedure for leaving the outdoor play area to re-enter the building required that children would utilize an alley with no side walk that is also used by moving vehicles. Observation revealed that upon exiting the play area to re-enter the building on the date of survey, a car turned into the alley quickly while the surveyor was present. 270 - Parent Notification Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (m) Notify the parent immediately of an accident or incident requiring medical treatment of a child; 275 - Caregiver Alone Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (n) Assure that a person acting as a caregiver of a child in care shall not be left alone with a child, if the licensee has not received the results of the background checks as described in Section 3(1)(e)6 of this administrative regulation;

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

General: Based on Review of Documentation, employees with the hire dates of 09/03/2013 and 11/19/2013 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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

General: Based on Review of Documentation, an employee with the hire date of 09/03/2013 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

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

General: Based on Observation, the equipment used for climbing and sliding has no protective surface under the apparatus.

Open Not marked corrected in the state record

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

General: Based on record review, an updated staff schedule with the recently hired employee was not available at the time of survey. 1105 - Professional Development Discussed 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (f) A written annual plan for child-care staff professional development; 1115 - Earthquake/Tornado Drills Discussed 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (h) A written record of quarterly practiced earthquake drills and tornado drills detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3; 1120 - Fire Drills Discussed 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (i) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3; 1125 - Report Documentation Discussed 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (k) A written record of reports to the cabinet required in Section 6 of this administrative regulation; 1130 - Confidentiality/Maintenance/Access Discussed 922 KAR 2:110. Section 3. Records. (2) A child-care center shall: (a) Maintain the confidentiality of a child’s record; (b) Maintain all records for five (5) years; and (c) Provide the cabinet access and information in the completion of the investigation pursuant to KRS 620.030(4). An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a written policy was not presented for review that specifies that the procedures that were taught at the orientation training will be implemented by each child-care center staff member. 1140 - Fire Drills Discussed 922 KAR 2:120. Section 3. General Requirements. (12) A fire drill shall be conducted during hours of operation: (a) At least monthly; and (b) Documented. 1145 - Earthquake/Tornado Drills Discussed 922 KAR 2:120. Section 3. General Requirements. (13) An earthquake drill and a tornado drill shall be conducted during hours of operation: (a) At least quarterly; and (b) Documented. Posted Documentation 1150 - License Discussed 922 KAR 2:090. Section 6. License Issuance. (18) The preliminary or regular license shall be posted in a conspicuous place in the child-care center. 1155 - Posting Requirements Discussed 922 KAR 2:110. Section 2. General. (7) In addition to the posting requirement of KRS 199.898(3), a child-care center shall post the following in a conspicuous place and make available for public inspection: (a) Each statement of deficiency and civil penalty notice issued by the cabinet during the current licensure year; (b) Each plan of correction submitted by the child-care center to the cabinet during the current licensure year; (c) Information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897; (d) A description of services provided by the child-care center, including: 1. Current rates for child care; and 2. Each service charged separately and in addition to the basic rate for child care; (e) Minimum staff-to-child ratios and group size established in 922 KAR 2:120; and (f) Daily schedule.

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, the center did not have a written plan and diagram outlining the course of action in the event of a natural or manmade disaster posted in a prominent place.

Open Not marked corrected in the state record

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