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

General: Based on a review of documentation, one (1) staff member (DOH: 02/06/21) did not complete the required fifteen (15) hours of training between 07/01/23 and 06/30/24. The Early Care and Education-Training Records Information System (ECE-TRIS) verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on a review of documentation, two children (DOE: 07/22/24 and 01/08/24) did not have a preferred hospital listed in their enrollment file at the time of review.

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 observation and review of documentation, a staff member (DOH: 06/03/24) was observed working alone with four (4) children in the Two-year-old room. Review of background check revealed the staff member was eligible but separated. Continued review of background check shows staff member separated as of 10/16/23 in KARES. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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: Based on interview and review of documentation, the staff in charged on 07/25/24 stated that she relieved two staff members at 11:20am in the Two-year-old room, while they went to a home visit. Before the staff members left, they said some of the children have used the potty. Upon inspection, the staff in charge found that two children had not been changed since they were dropped off by their parents that morning. Therefore, hygienic practices were not followed per regulations and child care center's procedures on 07/25/24.

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, two (2) ceiling tiles in the Infant classroom were stained with a large, brownish mark, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Documentation verifying that two (2) staff members (DOH 12/01/23 and 05/01/23) had received training on cardiopulmonary resuscitation (CPR) and first aid was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, it could not be determined if a staff member (DOH 05/01/23) completed six (6) hours of cabinet-approved orientation training. The staff in charge reported that the staff member completed the training; however, a review of ECE-TRIS could not confirm this statement. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 tile floor throughout the front portion of the center was soiled and smudged with a substance that had the appearance of dirt, along the baseboards and around the door jambs.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the water temperature of the handwashing sink directly adjacent to the Preschool classroom measured only seventy-eight (78) degrees Fahrenheit, failing to reach the minimum required temperature of ninety (90) degrees Fahrenheit. 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 13. Toys and Furnishings.

General: Based on observation, the handle of the handwashing sink in the restroom nearest the office was missing, leaving an exposed bolt. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the small refrigerator in the Infant classroom was not equipped with a thermometer or other temperature-measuring device. 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 8. Kitchen Requirements.

General: Based on observation, one (1) blue infant bottle, stored near the sink in the Infant classroom, was not covered or labeled. 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 02/06/21) was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Documentation verifying that tornado, earthquake, and lockdown drills had been conducted during the fourth quarter of 2023 and the first quarter of 2024 was not presented for review upon request. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff member whose date of hire was 12/15/2021 was observed working as the sole caregiver to three (3) infants on 12/14/2022. Review of the KARES database revealed that the employment status of the aforementioned staff member was listed as "provisional" and their determination status was listed as "closed-fingerprints not taken." Further verification of the staff member's employment eligibility was also not presented for review upon request. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, electrical outlets within the preschool and toddler (two's) classrooms were left uncovered and unprotected during a survey conducted on 12/14/2022. 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 copy of the administrative regulation presented for review during the survey conducted on 12/14/22 contained sections 922 KAR 2:120 and KAR 2:090, however, section 922 KAR 2:280 was not included. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Documentation verifying that recurring staff meetings had been conducted was not presented for review upon request during the survey conducted on 12/14/2022. The staff in charge stated that recurring staff meetings had not been conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member whose date of hire was 12/15/2021 was observed working as the sole caregiver to three (3) infants on 12/14/2022. Review of the KARES database revealed that the employment status of the aforementioned staff member was listed as "provisional" and their determination status was listed as "closed-fingerprints not taken." Further verification of the staff member's employment eligibility was also not presented for review upon request. Therefore, the staff member was permitted to have sole supervisory control of children prior to completing the required background checks. 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: Upon request, a current, negative tuberculin test or a current statement from a healthcare professional stating that a staff member hired on 07/01/2020 was free from active tuberculosis was not presented for review during surveys conducted on 12/12/2022 and 12/14/2022. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Infant classroom during a survey conducted on 12/14/2022 revealed that the floor near the sink was soiled with several pieces of sticky food that appeared to be fruit and the floor near the cribs was also soiled with crumbs and other food particles.

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, sections of the black border on the lower portion of the walls in the preschool and toddler classrooms were detached from the wall in several places. Additionally, ceiling tiles in the toddler (two's) and toddler classrooms were stained with large brown spots, indicative of water damage. Both of the aforementioned observations took place on 12/14/2022.

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: A large container on the outdoor play area that appeared to be an uncovered garbage can was observed to contain a significant accumulation of unfiltered, standing water. This observation occurred during a survey on 12/14/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the survey conducted on 12/14/2022, the seat of the small toilet within the toddler classroom was smeared with a brown substance throughout the majority of its surface. 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 13. Toys and Furnishings.

General: Based on observation during the survey conducted on 12/14/2022, the dark-colored rug in the rear of the preschool room contained frayed edges, where its border material was detached, creating a tripping hazard and indicating that the rug was not in good repair. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, during the survey conducted on 12/14/2022, the small refrigerator within the infant classroom did not contain a temperature-measuring device or indicating thermometer.

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 during the survey conducted on 12/14/2022, the freezer within the infant classroom contained an indicating thermometer that read twenty-eight (28) degrees Fahrenheit, therefore, the maximum allowable temperature of zero (0) degrees Fahrenheit was exceeded. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a current immunization certificate for a student with an enrollment date of 01/18/21 was not presented for review upon request during surveys conducted on 12/12/22 and 12/14/22.

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, the presented enrollment information for a child with an enrollment date of 01/19/2022 was not signed by a parent and did not contain the name of a preferred hospital. The presented enrollment information for a child with an enrollment date of 12/09/2020 did not contain the name of a preferred physician. The aforementioned information was presented and reviewed during surveys which took place on 12/12/2022 and 12/14/2022. 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: Documentation verifying that tornado and earthquake drills were conducted during the third quarter of 2022 was not presented for review upon request during the survey that took place on 12/14/2022. The staff in charge stated that the drills had been conducted, but not documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 02/01/22, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 06/08/2022 AND AS OF 06/22/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 07/01/20, had a TB skin test dated 11/01/19; therefore, it was no longer valid.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 07/01/20, did not have first aid and CPR training. 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 staff member hired 03/15/09, completed five (5) hours of annual training from 07/2020 to 06/2021. A staff member hired 09/25/17, completed twelve (12) hours of annual training from 07/2020 to 06/2021. A staff member hired 07/01/20, completed six (6) hours of annual training from 07/2020 to 06/2021. Staff member hired 07/26/21, had no proof six (6) hours of orientation training was completed 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 In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) children enrolled 02/23/21 and 02/01/22, had enrollment forms that were not signed by parent and retained on first day of enrollment. These two (2) children's enrollment form did not contain contact information to enable the person in charge to contact the child’s physician; did not have health status on allergies; no emergency authorization; no pick up list and no emergency contact list in case of an emergency. Also, six (6) children enrolled 02/23/21, 07/12/21, 10/22/21, 01/27/22, 02/01/22 and 06/28/21 did not have information on file to enable the person in charge to contact the child’s preferred hospital. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, each current statement of deficiency and plan of correction was not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. A review of written documentation and interview failed to reveal a copy of current liability insurance policy. Interview with the staff in charge confirmed the insurance information was not presented. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon review of records and interview, an annual staff evaluation was not presented for employees with the hire dates of 2/10/17, 4/25/16, 10/25/17 and 9/2/18. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the kitchen revealed a light fixture where the light was not working and there was no shield over it. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there was no hospital listed for four (4) children with the enrollment dates of 12/10/19; 11/01/2020; 11/1/2020 and 11/8/19. A review of ten (10) children’s files revealed there was no parent signature on day of enrollment or an enrollment date for five (5) children. A review of ten (10) children’s files revealed there was no emergency contact, no medical information, no pick-up list and emergency authorization in parent absence for a child enrolled on 11/1/2020. A review of ten (10) children’s files revealed there was no pick up list for a child with the enrollment date of 11/1/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of staff files and the center’s documentation revealed there was no written annual plan for child-care staff professional development for employees with the hire dates of 2/10/17, 4/25/16, 10/25/17 and 9/2/18. Interview with the staff in charge confirmed the documents were not there for review as required. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of presented posted documents revealed information on the Kentucky Consumer Product Safety Program and the program’s website as specified in KRS 199.897 was not posted. Interview with the staff in charge confirmed the document was not there for review as required. Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 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. Based on interviews, a child sustained a head injury resulting in blood on his head, collar of the back of his shirt, hands and shoes. Further interviews revealed both staff members in the room failed to witness how the injury was caused. When the injury was discovered, it failed to be reported to the parent or to management. A review of documentation failed to reveal an incident report, alerting the parent to the injury. Further interviews revealed the parent was not informed of the head injury until she arrived to pick him up at the end of the day. A review of documentation revealed that the injury was caused by other children fighting over a toy, and a by-stander child was hit in the head with the toy. The health, safety and comfort of a child was compromised when communication between staff, management, and parent failed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 11/12/2019 AND AS OF 12/26/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. A current copy of administrative regulations 922 KAR 2:120 and 922 KAR 2:280 were not presented for review at the time of survey. The staff member in charge acknowleged that the copy of the administrative regulations on file at the center was outdated. 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

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the file for a staff member with a hire date of 2/6/19 contained a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed only one staff member was certified by a cabinet-approved training agency in infant and child cardiopulmonary resuscitation, and infant and child first aid. The staff member in charge stated that the aforementioned staff member was scheduled to work 8:30 am-4:30 pm Monday-Friday. Per DRCC records, the center is open 6:00 am-8:00 pm Monday- Friday; therefore, there are periods of time during the center's hours of operation in which there are no staff members on the premises who are certified in CPR and first aid. The staff member in charge stated that several other staff members were certified in CPR and first aid, but documentation of their certification was not available at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 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. 1) Upon request, the staff member in charge did not present verification that staff members with hire dates of 3/24/18 and 7/2/18 had completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the past five (5) years. 2) Further review revealed the files for staff members with hire dates of 3/24/18, 7/1/18, and 7/2/18 did not contain verification that the staff members had received six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 3) Continued review revealed the file for a staff member with a hire date of 9/25/17 did not contain verification of the completion of fifteen (15) annual hours of cabinet approved early care and education training. Review of ECE-TRIS failed to verify completion of the aforementioned trainings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the ceiling in the Preschool Room revealed a ceiling tile was missing, and the tile next to it was damaged. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: 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 two (2) toilets in the One Year Old Classroom revealed an accumulation of an unknown substance formed a pink ring around the bowl of each toilet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

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. Review of the weekly menu revealed that is was not dated for the current week. 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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of twelve out of twelve staff files revealed none of the files countained a current, written professional development plan. The staff member in charge acknowledged that professional development plans were not on file at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in the Infant, One Year Old, and Two Year Old Classrooms revealed that the daily schedule of activities, which included the dates and times of activities to be conducted, were outdated. 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.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements in regards to child abuse and neglect reporting. Review of video documentation shows a staff member pinching a child. Interview with the staff member who recorded the video documentation revealed she did not report the recorded incident to the cabinet. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of a child in care. Review of video documentation and interviews revealed a child in care was pinched by a staff member which caused him to cry very loudly. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the infant room revealed an infant sleeping in a crib with a bib on. Interview with a staff member revealed the sleeping infant was seven (7) weeks old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to comply with the regulatory requirements regarding background checks. From the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members, upon interview, both staff members advised the surveyor that both of them were hired in May 2018. In addition, from the period of 9:30 am through the time period 1:30 pm one (1) staff member was observed working in the One-Year Old room working with a qualified staff member. Although the staff-in-charge did not provide any specific hiring date for this staff member, upon interview, the staff member advised the surveyor that she was hired April or May 2018. In addition, there were no staff files for the three (3) above-mentioned staff members. Furthermore, a review of records revealed the child care center had not submitted fingerprints to an authorized collection site for the Kentucky National Background Check Program (NBCP) on behalf of the three individuals. Moreover, the staff-in-charge acknowledged that she was unable to provide the staff files, including any submitted fingerprints to an authorized collection site for the (NBCP) on behalf of the three (3) above-mentioned staff members at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to comply with the regulatory requirements regarding background checks. From the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members, upon interview, both staff members advised the surveyor that both of them were hired in May 2018. In addition, from the period of 9:30 am through the time period 1:30 pm one (1) staff member was observed working in the One-Year Old room working with a qualified staff member. Although the staff-in-charge did not provide any specific hiring date for this staff member, upon interview, the staff member advised the surveyor that she was hired April or May 2018. In addition, there were no staff files for the three (3) above-mentioned staff members. Furthermore, a review of records revealed the child care center had not submitted fingerprints to an authorized collection site for the Kentucky National Background Check Program (NBCP) on behalf of the three individuals. Moreover, the staff-in-charge acknowledged that she was unable to provide the staff files, including any submitted fingerprints to an authorized collection site for the (NBCP) on behalf of the three (3) above-mentioned staff members at the time of survey. Supervision In Compliance Staffing 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 2. Child Care Services.

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements regarding background checks. From the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members, upon interview, both staff members advised the surveyor that both of them were hired in May 2018. In addition, In addition, there were no staff files for the two (2) above-mentioned staff members. Furthermore, a review of records revealed the child care center had not submitted fingerprints to an authorized collection site for the Kentucky National Background Check Program (NBCP) on behalf of the above mentioned staff members. Consequently, as the two (2) above-mentioned staff members were not qualified to independently supervise any classroom, the child care center failed to maintain the minimum staff-to-child ratios based upon ages in the Two-Year Old room (one staff for ten children) for the time of the survey. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 10/09/2018 AND AS OF 10/19/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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.

General: Based on review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. No annual written performance evaluations were presented for review at the time of survey for four (4) staff members with the following dates of hire: 3/15/09, 3/11/15 6/28/15 and 2/25/17. The staff-in-charge acknowledged that the annual written performance evaluations were not available for the aforementioned staff members at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. In the kitchen, the inside of the microwave was soiled with what appeared to be food splatter. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements regarding the maintenance of employee records. From the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members, upon interview, both staff members advised the surveyor that both of them were hired in May 2018. In addition, from the period of 9:30 am through the time period 1:30 pm one (1) staff member was observed working in the One-Year Old room working with a qualified staff member. Although the staff-in-charge did not provide any specific hiring date for this staff member, upon interview, the staff member advised the surveyor that she was hired in April or May 2018. In addition, there were no staff files for the three (3) above-mentioned staff members. Furthermore, the staff-in-charge acknowledged that she was unable to provide the staff files on behalf of the three (3) above-mentioned staff members at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to comply with the regulatory requirements regarding educational requirements. From the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members, upon interview, both staff members advised the surveyor that both of them were hired in May 2018. In addition, from the period of 9:30 am through the time period 1:30 pm one (1) staff member was observed working in the One-Year Old room working with a qualified staff member. Although the staff-in-charge did not provide any specific hiring date for this staff member, upon interview, the staff member advised the surveyor that she was hired in April or May 2018. In addition, there were no staff files for the three (3) above-mentioned staff members, including verification of a high school diploma, GED, or Commonwealth Child Care Credential. In addition, the staff-in-charge acknowledged that the child care center could not provide any evidence to verify the educational attainment of the aforementioned staff members at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation,review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results were not presented for review for three (3) staff members with unknown hire dates. Please note: Two (2) of the three (3) staff members noted were observed working independently in the Two-Year Old room, and both advised the surveyor that they were both hired in May 2018. In addition, the other staff member noted was observed working in the One-Year Old room, and the staff member advised the surveyor that she was hired April or May 2018. The staff-in-charge acknowledged that the current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results were not presented for review for the three (3) above-mentioned staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, from the period of 9:30 am through the time period 1:30 pm, two (2) staff members were observed working independently in the Two-Year Old room. Although the staff-in-charge did not provide any specific hiring dates for these two (2) staff members who were working in the Two-Year Old room, upon interview the staff members advised the surveyor that they were both hired in May 2018. In addition, one (1) staff member was observed working in the One-Year Old room working with a qualified staff member. Although the staff-in-charge did not provide any specific hiring date for this staff member, upon interview, the staff member advised the surveyor that she was hired April or May 2018. Furthermore, there were no ECE-TRIS reports that revealed six (6) hours of cabinet-approved orientation within the first three (3) months of employment for the three (3) above-mentioned staff members. Moreover, the staff-in-charge acknowledged that the child care center could not provide any evidence that the three (3) above mentioned staff members completed the cabinet-approved orientation training at the time of survey. One and one-half (1 1/2) hours of pediatric abusive head trauma (PAHT) training is required to be completed once every five (5) years for staff. However, an ECE-TRIS report disclosed that a staff member with the hire date of 3/01/09 had PAHT training which expired as of 3/28/18, and that a staff member with the hire date of 3/15/09 had PAHT training which expired as of 4/1/18. In addition, an ECE-TRIS report disclosed that a staff member with a hire date of 3/11/15 did not have any PAHT training. Furthermore, the staff-in- charge acknowledged that the child care center could not provide any evidence that the above-mentioned staff members have any current PAHT 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 Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. A current written annual plan for child care staff professional development was not presented for review at the time of survey for four (4) staff members with the following dates of hire: 3/15/09, 3/11/15, 6/28/15 and 2/25/17. The staff-in-charge revealed that professional development plans were not available for the aforementioned staff members at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to post documentation in accordance with regulations. The daily activities posted were for the week of August 20th through 24th of 2018 as opposed to the week of September 2nd through 7th of 2018 (the date of survey was September 5, 2018). In addition, the staff-in-charge acknowledged that the schedule posted was not for the current week, which was September 2nd through 7th of 2018. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 3/11/15 and 6/28/15. Review of staff files revealed one (1) staff member with a hire date of 6/6/17 had not completed state approved orientation training. Interview with Assistant Director revealed this documentation was not on file at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the center failed to ensure that the light fixtures in the building were in good repair and shielded or had shattered proof bulbs installed. Observation of the Hallway bathroom revealed a light fixture in the ceiling that was missing a protective covering and the bulbs were not shatter proof. Continued observation revealed in the Kitchen the light fixture in the ceiling was missing a protective covering and the bulbs were not shatter proof. Interview with the Assistant Director revealed she was aware the lights were missing their protective covers and the bulbs were not shatter proof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the New Two’s classroom revealed several holes in the wall adjacent to the side entrance door. Continued observation of the center kitchen revealed the floor tiles were cracked adjacent to the back wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for five (5) staff members hired 10/25/08, 10/3/10, 3/11/15, 6/28/15 and 3/21/16. Interview with Assistant Director revealed an evaluation had not been completed for the staff members. Employee 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 5. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the statement of negative tuberculin result on file for a staff member hired 10/3/10 is no longer current as it is dated 6/1/15. Continued review of staff files revealed five (5) staff members hired 6/6/17, 12/1/16, 9/18/17, 7/31/17 and 9/25/17 failed to have records of negative tuberculin result on file. Interview with Assistant Director revealed this documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Based on observation, the sink in bathroom #4 failed to have a supply of warm running water. Only cold water was available from the sink. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of bathroom #4 revealed the toilet did not appear to have ventilation to outside air. Continued observation revealed the toilet in bathroom #4 was not secured to the floor. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the New Two’s classroom revealed the diaper changing pad was torn, exposing the inner padding. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed a build-up of dirt and dried food on the floor around the kitchen cabinets, stove and refrigerator. Continued observation revealed what appeared to be food spatter and grease on the walls and ceiling next to and above the kitchen stove.

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 regulations. Observation of the kitchen revealed what appeared to be food splatter on the inside of the microwave located on the countertop. Continued observation of the kitchen revealed the refrigerator was lightly soiled on the inside shelf of the door. Observation revealed what appeared to be a brown sticky substance built up on the inside of the kitchen stove. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to maintain a current immunization certificate for each child in care. Review of children’s files revealed two (2) children with the enrollment date of 8/7/17 did not have a current immunization certificate on file. Continued review of children’s files revealed the immunization certificates for these children expired on 9/27/17. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for two (2) staff members hired 5/28/15 and 3/21/16. Interview with Assistant Director revealed a staff professional development plan had not been completed for the staff members. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the child abuse/neglect check (CAN) had been submitted to DRCC within five (5) working days for the employee with hire date of 03/20/2017. Review of documentation provided by the director revealed the above-mentioned employee had not worked alone. Interview with DRCC revealed the CAN check was received in their office on 06/06/2017.

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 Review of Documentation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Review of written documentation completed by Louisville and Jefferson County MSD revealed service was provided on 01/24/17, 01/26/17, 01/27/17 and 01/30/17 to remove the blockage in the plumbing system which created an overflow of water from the grease trap into the Infant classroom and back area of the child care center. Interviews with child care center staff revealed the child care center was without adequate water in the back area of the child care center for an extended period of time between 01/20/17 to 02/01/17. The staff revealed the water flowed into the Infant classroom and left a smell indicative of sewage throughout the child care center. Further interview with the child care center director revealed soap and water only were used to clean the premises, particularly in the Infant classroom area, and there was no evidence of any sanitizing substances used in the Infant crawl space, kitchen or bathrooms. Interview with the child care center director revealed the children were in the Infant classroom and bathroom areas until BCD Construction came to conduct repairs. The director stated she was uncertain if sanitizing substances were used by BCD Construction at cleanup.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the adult bathrooms in the upward area of the child care center revealed broken and loose floor tiles in the bathroom, immediately in front of the toilet. Interview with the child care center assistant director revealed child care center children used the adult bathroom while the repairs were made to the back area of the child care center. 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: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the adult bathrooms in the upward area of the child care center revealed dirt and debris on the floors and an odor from an unknown source. Further observation revealed a small scent of an air masking agent indicative of air fresher throughout the child care center. Interviews with the child care center assistant director revealed the adult bathrooms were used by the children at the child care center when the water backup occurred in the back area of the child care, which prevented the use of the toilets in the back area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Review of written documentation completed by Louisville and Jefferson County MSD revealed service was provided on 01/24/17, 01/26/17, 01/27/17 and 01/30/17 to remove the blockage in the plumbing system which created an overflow of water from the grease trap into the Infant classroom and back area of the child care center. Interviews with staff revealed the overflow of water from the grease trap prevented the usage of water in the back area of the child care center and they were unable to wash their hands. Staff further stated the sink immediately adjacent to the diaper changing area, was not accessible for several days, therefore baby wipes had to be used and/or the use of a bathroom in the upward area of the child care center was necessary. 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 Review of Documentation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Review of written documentation completed by Louisville and Jefferson County MSD revealed service was provided on 01/24/17, 01/26/17, 01/27/17 and 01/30/17 to remove the blockage in the plumbing system which created an overflow of water from the grease trap into the Infant classroom and back area of the child care center. Interviews with staff revealed the overflow of water from the grease trap prevented the usage of water in the back area of the child care center and they were unable to wash the hands of the children in the Infant classroom with soap and water. The staff stated baby wipes were used with all children in the Infant classroom. Additional interview revealed the oldest child in the Infant room was one (1) year old. 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 3. General Requirements.

General: Based on Review of Documentation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Review of written documentation completed by Louisville and Jefferson County MSD revealed service was provided on 01/24/17, 01/26/17, 01/27/17 and 01/30/17 to remove the blockage in the plumbing system which created an overflow of water from the grease trap into the Infant classroom and back area of the child care center. Interviews with staff revealed the overflow of water from the grease trap prevented the usage of water in the back area of the child care center and they were unable to wash their hands with soap and water. Further interview with staff revealed baby wipes were used to clean their hands. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 written documentation completed by Louisville and Jefferson County MSD revealed service was provided on 01/24/17, 01/26/17, 01/27/17 and 01/30/17 to remove the blockage in the plumbing system which created an overflow of water from the grease trap into the Infant classroom and back area of the child care center. Interviews with child care center staff revealed the child care center did not have access to the kitchen for food service for approximately one (1) week due to an overflow of water in the child care. The staff stated food was ordered from take out on each day the child care was unable to use the kitchen. Interview with the child care center director revealed she did not have a food permit from the outside sources used for food service when the kitchen was inoperable.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, observation and interview, the child care center failed to comply with regulatory programming requirements related to discipline. Review of posted documentation revealed a sign which stated “KKLC/OVEC EHS ONLY GENTLE WORDS SPOKEN HERE!!!” Observation on 01/27/17, of the Rising Stars, Preschool classroom revealed staff with a hire date of 08/19/13 and seven (7) preschool children ages three to four. Further audible observation revealed staff with a hire date of 08/19/13 to use a very aggressive and intimidating tone with a preschool child in his/her class as the children awaited their turn to use the restroom. The staff stated in a threatening and frightening manner, “Sit Down!” with clinched teeth. The child care center director was also present during this observation and spoke with the staff out of concern for his/her behavior. Interview with the child care center director revealed there have been some concerns brought to her attention with regard to the staff and she has attempted to address those concerns through coaching.

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. Based on observation, a staff member in the Rising Stars room was observed to have extreme difficulty with standing to provide interaction with the nine (9) children ranging in age from three (3) years to four (4) years. Based on continued observation, the staff member was never observed to stand while in the classroom and showed difficulty in walking the children to the restroom. Observation also revealed the staff member showing extensive difficulty while picking up a child to place/remove him to/from a changing table. 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 a review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, a staff member with supervisory control over a child in care, with an unknown hire date, failed to have documentation verifying background checks had been submitted/approved. Based on interview with the staff in charge, the staff member's file could not be located at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on observation, a staff member with an unknown hire date, having supervisory control, was observed in the Infant room with an additional staff member supervising seven (7) infants. Based on a review of documentation, the staff member's name, address, date of birth, and date of employment; proof of educational requirements; record of annual performance evaluation; written record of training participation including the training source, the location, date and number of clock hours completed; every two (2) years a statement from a health care professional that the individual is free of tuberculosis or a copy of a negative tuberculin result, and results of a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470, and a criminal record check required by KRS 199.896(19), and criminal record checks from any previous state of residence as completed once in the individual resided outside of the state of Kentucky within the past 5 years, and no criminal record check has been completed for the individual's previous state of residence, and an address check of the Sex Offender Registry failed to be located in a personnel file. Based on interview with staff in charge, the file had been misplaced and could not be located.

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 a review of documentation, and interview,the child care center failed to maintain employee files in accordance with regulatory requirements. Based on a review of documentation, a staff member with an unknown hire date failed to have documentation showing a high school diploma, GED, or other qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential as described in 922 KAR 2:250. Based on an interview with staff in charge, the aforementioned staff member's file could not be located at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with an unknown hire date failed to have written documentation from a health care professional stating the individual is free of tuberculosis or a negative tuberculin test result. Based on an interview with the staff in charge, the staff member's file could not be located at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of 8/19/13, 10/3/13,3/11/15, and an unknown hire date, failed to have documentation in the file revealing 15 hours of cabinet approved training completed annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed ot maintain the premises in accordance with regulatory requirements. Based on observation in the school-age restroom, a 13 ounce container of Bathroom Cleaner, with a Keep Out of the Reach of Children warning, and a plastic bottle with a label including bleach was observed in the unlocked cabinet under the sink.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the floors and walls throughout the building were observed to be very unclean and unsanitary. Based on observation in the one year old restroom, a border of wallpaper surrounding the room was torn and peeling from the walls. Based on observation of the bathroom in the school-age area, broken tiles around the toilet were observed.

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. Based on observation, a child was sitting on a training chair within the classroom without separation from the activities, or children playing. Further observation revealed in the bathroom in the school-age children room, toilet paper was strewn across the floor, and trash can was turned over laying in the middle of the floor.

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. Based on observation, the bathroom in the one- year old room failed to have a supply of warm running water. Only cold water was available from the sink.

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. Based on observation in the toilet rooms, there was no ventilation available. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation in the Rising Stars class, the children were taken out of the classroom and into the hallway to wash hands prior to eating. After washing hands the children then returned to the hallway, and sat or laid on the floor wiping their hands on the floor, while waiting to return to the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation upon entering the Shining Stars classroom, a female child was observed sitting on a potty chair in the room. When the surveyors returned, the chair had not been emptied/cleaned and continued to contain urine. Based on interview with staff the child was two (2) years old.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation, a changing mat used for children in the Rising Stars room failed to be sanitized after a child was diapered. 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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, the child care center failed to have enough toys , play apparatus, and developmentally appropriate materials to provide each child with a variety of activies during the day as specified in Section 2 of this regulation. Based on interview with the staff in charge, the old, broken toys and equipment have been discarded and the new toys and equipment are waiting to be distributed until the renovation with OVEC is completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, an 11-month old infant was observed sleeping on a mat, rather than a non-tiered crib that meets Consumer Product Safety standards establised in 16 C.F.R 1219-1220. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation in the Rising Stars room, a pink, plastic chair, had a ripped seam on the side of the chair revealing stuffing. Further observation in the Rising Stars room revealed walls hangings including schedules, and learning posters were torn and ripped, dangling from the walls and were in complete disrepair. The white plastic backing of a shelving unit separating the Rising Stars room from the Shining Stars room was torn and hanging from the unit. Based on observation in the Shining Stars room, the window blinds were broken and in disrepair, and in need of cleaning. Also in the Shining Stars room, the windows were very unclean and marked with excessive smearing. Based on observation in the school-age area, there were two (2) chairs with torn material revealing foam padding. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, a dried brown liquid had coated the bottom shelf of the refrigerator. Based on interview with the staff member, it was drainage from thawing chicken. The inside door of the refrigerator was also unclean revealing a brown liquid splattered onto the door and shelving units. Also observed in the refrigerator, was a gallon of leaking milk, with the milk covering the shelf upon which it was laying.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, the temperature of the refrigerator located in Infant room could not be determined because it was frozen into ice in the freezer compartment.

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. Based on observation, breakfast food including rice and mandarin oranges was observed sitting on a shelf in the classroom. Based on interview with staff in charge, the breakfast meal is served from 6:00 A.M. though 10:00 A.M., allowing the food to remain unrefrigerated during this time.

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 food service in accordance with regulatory requirements. Based on observation, the breakfast meal was continuing to be served from the time of entry into the center at 8:35 A.M. to 10:00A.M. Based on interview with staff in charge, the breakfast meal is served from 6:00 A.M. to 10:00 A.M. to accommodate children arriving at varying times. Based on a review of documentation, the lunch meal is scheduled for 11:00 A.M., which fails to insure that children eating at 6:00 A.M. are eating lunch no more than 3 hours from breakfast, and children eating at 10:00 A.M. are eating at least 2 hours from breakfast. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on a review of documentation, there was no posted menu available for review. Based on an interview with a staff member, a menu had not been prepared and was not available for review. 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 5. Evacuation Plan.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, 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 was not presented for review. Based on interview with staff in charge, the evacuation plan could not be located at the time of the survey, after additional time to locate it had been allotted.

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. Based on a review of documentation, there were no earthquake and tornado drills submitted for review. Based on interview, the staff in charge could not locate any drills to submit.

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. Based on a review of documentation, there were no fire drills available for review. Based on interview with the staff in charge, the fire drills could not be located. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the purple bathroom in the hallway revealed the plaster was severely cracked along the baseboard of the wall in the corner of the bathroom creating a visible hole in the wall along the baseboard. Interview with assistant director revealed the issue had been corrected at one time; however, she acknowledged that at the time of survey, the hole was in disrepair again.

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 and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed what appeared to be numerous rat droppings in the lower kitchen cabinet. Interview with assistant director revealed measures had been utilized to control the presence of rodents; however, she acknowledged that at the time of survey, there still appeared to be numerous rat droppings in the lower kitchen cabinet. Continued interview with assistant director revealed all of the cabinets had been cleaned of the rat droppings; however, the lower cabinet must have been overlooked.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of one of the bathrooms in the Bright Starz Room revealed the sink was not equipped with hot water. Interview with director revealed the maintenance worker turned off the hot water to the sink and forgot to turn it back on.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of one of the bathrooms in the Bright Starz Room revealed the toilet was not operational as the toilet was entirely disconnected from the plumbing system in the wall and floor. Continued observation revealed: (1) the areas in the wall and floor where the toilet should have been connected were clearly visible (2) there was no water in the toilet bowl, (3) and the handle would not flush. Interview with director revealed the maintenance worker was still in the process of addressing the issue. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the center failed to maintain equipment in accordance with regulations. Observation of the Rising Stars Room revealed one (1) of the rectangular tables was not sturdy and in good repair as the legs on the table were not level. Continued observation revealed one (1) of the legs of the table did not touch the ground, causing the table to be wobbly. During interview, director acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed food splatter on the inside and outside of the microwave.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the director failed to assure compliance with regulatory requirements. Review of staff files revealed the center failed to have an annual written performance evaluation on file for staff members hired 3/1/09, 10/3/10, 11/30/10, 9/20/11, 9/20/13, and 10/1/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements, specifically, four (4) staff members were working as the sole caregiver of children without the required background checks being on file at the time of survey. Observation of the Early Bright Starz Room on 10/9/15 revealed a staff member hired 9/28/15 was the sole caregiver of two (2) ten-month-old children from 10:04am-10:27am. Review of staff files revealed the center failed to have a Criminal Records Check (CRC) and Child Abuse & Neglect Check (CAN) on file for this staff member at the time of survey. Observation of the Early Bright Starz Room on 10/9/15 at 12:06pm revealed a staff member hired 4/13/15 was the sole caregiver of three (3) children ages six-months-old to seven- months old for an undetermined amount of time. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Observation of the Baby Stars Room on 10/9/15 at 10:00am revealed a staff member hired 10/9/15 was the sole caregiver of two (2) children ages three-months-old to four-months- old for an undetermined amount of time. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Observation of the Rizing Starz Room on 10/9/15 revealed another staff member hired 10/9/15 was the sole caregiver of at least seven (7) children, ages three-years-old to four- years-old from 10:01am-10:17am. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Interview with director revealed the center failed to have a CRC and CAN on file for all four (4) staff members at the time of survey. Interview with assistant director revealed several staff members resigned without notice, leaving the center short-staffed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed a document labeled “PPD Skin Test” for a staff member hired 10/3/10 that appeared to be visibly altered. Review of the PPD skin test revealed the lines throughout the entire document appear to be straight and aligned, from the top of the document to the bottom of the document, with the exception of only one (1) place on the entire document, and that is where the medical health professional fills in the “date and time read”. Continued review of the PPD skin test revealed the “date and time read” is written as 4/11/15; however, the lines on the form in the “date and time read” space are curved and appear to be handwritten as the lines clearly do not align with the remainder of the document. Interview with assistant director revealed the staff member hired 10/3/10 presented this documentation to the center and the center accepted this documentation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations, specifically, four (4) staff members were working as the sole caregiver of children without the required background checks being on file at the time of survey. Observation of the Early Bright Starz Room on 10/9/15 revealed a staff member hired 9/28/15 was the sole caregiver of two (2) ten-month-old children from 10:04am-10:27am. Review of staff files revealed the center failed to have a Criminal Records Check (CRC) and Child Abuse & Neglect Check (CAN) on file for this staff member at the time of survey. Observation of the Early Bright Starz Room on 10/9/15 at 12:06pm revealed a staff member hired 4/13/15 was the sole caregiver of three (3) children ages six-months-old to seven- months old for an undetermined amount of time. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Observation of the Baby Stars Room on 10/9/15 at 10:00am revealed a staff member hired 10/9/15 was the sole caregiver of two (2) children ages three-months-old to four-months- old for an undetermined amount of time. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Observation of the Rizing Starz Room on 10/9/15 revealed another staff member hired 10/9/15 was the sole caregiver of at least seven (7) children, ages three-years-old to four- years-old from 10:01am-10:17am. Review of staff files revealed the center failed to have a CRC and CAN on file for this staff member at the time of survey. Interview with director revealed the center failed to have a CRC and CAN on file for all four (4) staff members at the time of survey. Interview with assistant director revealed several staff members resigned without notice, leaving the center short-staffed.

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. Review of documentation revealed the center failed to present transportation logs for review at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

Open Not marked corrected in the state record

Category: transportation. 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 employee records in accordance with regulations. Review of documentation revealed the center maintained all staff files in a large black binder labeled “Employee Records.” Continued review of documentation revealed each staff member’s file was separated from the adjoining staff member’s file by tab dividers. Further review of documentation revealed each staff member’s regulatory documentation was stored in a plastic sheet protector. Review of staff files revealed the center failed to present a personnel file for staff members hired 4/13/15, 10/8/15, and two (2) staff members hired 10/9/15. Continued review of staff files revealed the center failed to maintain a personnel file for staff members hired 9/18/15 and 9/28/15 as the center only presented a few sheets of documentation for review; however, the documentation was not maintained in the same manner as the other staff files and surveyor had to wait an extended period of time while the director located these pieces of documentation. During interview, the director acknowledged the center failed to present and maintain all staff files.

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 regulations. Review of staff files revealed the center failed to have a high school diploma, GED, or Commonwealth Child Care Credential on file for staff members hired 4/3/15, 9/28/15, 10/8/15, and three (3) staff members hired 10/9/15.

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 regulations. Review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 9/20/13 is no longer current as it is dated 11/15/12. Review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 10/1/13 is no longer current as it is dated 4/26/13. Continued review of staff files revealed the center failed to have a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results on file for staff members hired 4/13/15, 9/28/15, 10/8/15, and three (3) staff members hired 10/9/15. Further review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 10/3/10 is not valid as it appears to be visibly altered.

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 regulations. Review of staff files revealed the center failed to have fifteen (15) hours of cabinet approved training on file for the director and staff members hired 3/1/09, 11/30/10, 9/20/11, 9/20/13, 10/1/13, and 10/23/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the center failed to comply with regulatory programming requirements. Observation of the Superstarz Room and Five & Six-Year-Old Room revealed the absence of dramatic play materials, science materials, and blocks for the school-age children to use. During interview with director and assistant director, they acknowledged the absence of these programming materials.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the cafeteria bathroom revealed a bottle of disinfecting solution underneath the sink in an unlocked cabinet, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the purple door leading to the Shooting Stars Room revealed the door handle was broken and not in good repair. Continued observation revealed surveyor had difficulty turning the handle and opening the door as the handle was very loose. Interview with director revealed she was aware of the issue. Observation of the Girls Bathroom revealed cracks in the plaster along the baseboard of the wall in the corner of the bathroom. Observation of the kitchen revealed one (1) of the cabinets was missing a door and one (1) of the drawers was not in good repair. Continued observation of the kitchen revealed cracks in the plaster along the baseboard of the wall adjacent to the oven.

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 regulations. Observation of the kitchen revealed what appeared to be numerous rat droppings in the lower kitchen cabinet.

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, Review of Documentation, and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the area across from the Shining Starz Room revealed a sink that was not operational as the sink was covered with cardboard and tape. Review of documentation revealed a sign written by the director stating “Do not use.” Interview with director and assistant director revealed the sink had been non-operational since the opening of the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Early Bright Starz Room revealed a garbage can containing soiled diapers that was not covered.

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 hygienic practices in accordance with regulations. Observation of the Bright Starz Room and the Shining Starz Room revealed the diaper changing pads were torn, exposing the inner padding.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the area across from the Shining Starz Room revealed a box of nasal decongestant pills inside of a plastic bag that was hanging on a hook in a cubby shelf which was not in a separate and locked place, and which was accessible to children in care. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the cabinets near the oven were covered in what appeared to be food splatter. Continued observation of the kitchen revealed visible dust that had accumulated in the upper cabinets.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Early Bright Starz Room revealed a brown, wooden, three-tier book shelf located in the corner of the room that was not stable and in good repair. Continued observation revealed the sides and back of the shelf were not securely attached, causing the bookshelf to lean to one side. Continued observation of the Early Bright Starz room revealed four (4) stuffed animals, two (2) stuffed dolls, and a cushioned cube that were heavily soiled. Observation of the Five & Six-Year-Old Room revealed one (1) of the blue cabinet drawers was not in good repair as the drawer was off the track and lodged inside the cabinet. Observation of the Play Room revealed a wooden shelf that was not in good repair, as the back cover was cracked in the corner and not securely attached to the sides. Observation of the child care center van revealed the front row seat, driver’s seat, and front passenger’s seat were severely torn, exposing the inner cushion.

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. Review of documentation revealed the center failed to have documentation of the staff schedule for drivers and monitors and a transportation schedule on file at the time of survey. Continued review of documentation revealed the center failed to have documentation of the emergency procedures practiced monthly by staff that transport children on file at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

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. Review of documentation revealed the center failed to have a plan for ensuring staff perform duties relating to transportation properly. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

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. Review of documentation revealed the center failed to provide written documentation of full insurance coverage for the child care center van at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

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. Review of documentation revealed the center failed to have safety procedures for transporting a child, loading and unloading a child, and providing adequate supervision of a child prior to transporting a child. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the center failed to present daily inspection logs for review at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the Baby Stars Room revealed a staff member prepared a bottle for an infant by pouring rice cereal into the bottle and adding water from a faucet. Continued observation revealed the staff member returned the box of rice cereal to the child’s diaper bag after preparing the bottle. Interview with staff member revealed the child’s parent provided the rice cereal for the infant.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written records for children enrolled 2/1/14 and 5/12/14 failed to contain preferred hospital information. Continued review of children’s files revealed the written record for a child enrolled 9/15/14 failed to contain all of the enrollment information required by regulations for a child in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Interview with director and assistant director revealed staff members sometimes take the children off the child care center premises and walk them to a grassy field located at a nearby church for outdoor play time. Continued interview with director and assistant director revealed staff members sometimes allow children to ride their tricycles or other riding equipment in the building’s hallway, which is not included in the center’s licensed space. Further interview with director and assistant director revealed the center did not obtain written permission from the children’s parents for these off premises trips. Review of documentation revealed the center failed to present written permission from the children’s parents for these off premises trips at the time of survey. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed the center failed to have a current annual professional development plan on file for staff members hired 3/1/09, 10/3/10, 11/30/10, 9/20/11, 9/20/13, and 10/1/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake drill logs revealed the center failed to document a drill for the 4th quarter 2014. Review of the tornado drill logs revealed the center failed to document a drill for the 4th quarter 2014 and 1st and 2nd quarter 2015. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 regulations. Review of the fire drill logs revealed the center failed to document a drill for November and December 2014 and April 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation revealed the center failed to post a description of services provided by the child care center including current rates for child care and each service charged separately and in addition to the basic rate for child care. Interview with director revealed she assumed this information was posted and believed someone took the posting down; however, she acknowledged this information was not posted at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation in the Bright Starz Room revealed the absence of a daily schedule of activities. Interview with a staff member revealed she recently returned from vacation and did not have a chance to draft a current daily schedule of activities for the Bright Starz Room. Review of documentation in the Superstarz Room revealed the absence of a daily schedule of activities for school-age children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 12/03/10 failed to have a copy of negative tuberculin results or a statement from a health care professional stating the individual is free of 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.

Based on a review of documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, the file for a staff member who has been identified as the van driver failed to have a current CPR/First Aid certification. Based on interview with a staff member, the van driver will occasionally be alone with the children without a monitor on the van. Based on a review of transportation logs, the van driver is alone with the children without a monitor on the van. Premises

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, a door labeled "Janitor Room" was open. The room was immediately off of a room where the children had been eating as evidenced by high chairs and tables with leftover food on them. The room had two (2) bottles of liquid Dial soap, four (4) spray bottles of Glade room freshener, one (1) bottle of Glass Multi-Surface Cleaner, three (3)spray bottles of bathroom cleaner, one (1) can of anti-bacterial foaming disinfectant, one (1) bottle of Pine-Glo, one (1) bottle of T/C bowl/tile/porcelin cleaner, and two (2) gallons of bleach, all of which were labeled, "Keep out of the reach of children". Also adjacent to the lunch room area and janitor room, is the gross motor area. A staff purse was observed on the floor in that area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the center was very unclean, with visible accumulation of dirt and scum on floors, baseboards, equipment, carpeting and furniture. A large pole in the center of the gross motor skill area was covered with a red plastic which was torn and ripped, exposing dirty, discolored foam padding beneath. The flooring was covered with pieces of styrofoam cups, a shoe, food, and many pieces of debris. Based on continued observation, an excessive amount of grime build-up was around the baseboards throughout the center. 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

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 the regulatory requirements. Based on observation, a large light fixture was hanging lop-sided and precariously in the large, gross motor area room. Also observed were four (4) sets of bulbs which were not shielded in the same room. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation in the three and four-year-old room, were fourteen (14) children preparing for nap time. Several mats could be observed under the blankets to have ripped, and torn plastic. One child's mat barely was covered with plastic and had an excessive amount of foam exposed. Based on continued observation, one cot had two broken legs at one end, making a sloped surface on which a child was attempting to sleep.

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 Interview, the child care center failed to comply with transportation requirements. Interveiw with director revealed that the van used for transporting children was not available for inspection.

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 Interview, the child care center failed to comply with transportation requirements. Interveiw with director revealed that the van used for transporting children was not available for inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with transportation requirements. Record review revealed there to me no documentation regarding pre trip inspections available for review at the time fo the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records requirements. Review of documentation revealed that staff member with hire date 3-21-09 had documentation from a health professional that the individual was free from active TB that was not current after 9-26-14. Further review of documentation revealed that staff member with hire date 12-3-10 had documentation from a health professional that the individual was free from active TB that was not current after 9-21-14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records requirements. Review of documentation revealed that staff perosn with hire date 9-30-08 had only 8 of the required 15 Cabinet approved training hours on file at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with programming requirements. Observation revealed two separate instances when staff told the children that they would not get a special treat if behaviors did not change. On one occassion a staff person was heard telling the children they would not recieve a popsicle and a second occassion a staff person told children they would not recieve a cupcake.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with premises requirements. Observation revealed that the floor was littered throughout the center with paper, small toys and other materials. Additional observation revealed that a piece of the tile floor located in the preschool classroom had a gouge in it producing a hole that was approximately 3 inches in diameter and 2 inches deep in the floor. Further observation in the bathroom used by children revealed and outlet located near the sink that was not covered as well as a hole in the drywall above the toilet paper dispencer exposing the hardware and interior of the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with premises requirements. Observation in the bathroom used by children revealed that the light bulbs were burned out resulting in the room being dimly lit.

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 premises requirements. Observation revealed that the bathroom used by children failed to have a hand- drying blower or disposable hand drying material at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with equipment requirements. Observation in the preschool classroom revealed there to be three rest mats that were torn and not in good repair. Additional observation revealed that the vinyl top of a small table used by children in the two year old classroom was torn in several places.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with transportation requirements. Record review revealed no written plan detailing the route used when transporting children available for review at the time of the survey.

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 Interview, the child care center failed to comply with transportation requirements. Interveiw with director revealed that the van used for transporting children was not available for inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with transportation requirements. Review of documentation revealed there to be no current inspection from Department of Transportation available for review at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with transportation requirements. Interview with director revealed that the van used for transporting children was not available for 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, the child care center failed to comply with children records requirements. Review of documentation revealed that a child with enrollment date of 6-30-14 had an Immunization Certificate on file that was not current after 7-24-14.

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, each time on and each time off for twenty five children were not consistently documented on the van sign on/sign off sheets for 11/25/2013 and 11/26/2013. Food Service

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 Observation, No vehicles were available for inspection. Therfore, no inspection documentation was available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, No vehicles were available for inspection. Therefore, surveyor was unable to observe that seatbelts were in operating order for each occupant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, no vehicles were available for inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, No vehicles were available for inspection. Therefore, surveyor was unable to view pre-trip inspection records.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, No transportation records were available for review as the vehicles used for transporting were not available.

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 Observation, no vehicles were available for inspection. Therefore, surveyor was unable to survey for required equipment.

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 director failed to conduct, manage, and document in writing staff meetings. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care director failed to assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the personnel file for a staff member with a hire date of 08/21/2013 does not contain a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire dates of 1/4/2012, 9/30/2008, 1/7/20098, 10/3/2010, and 9/21/2011 did not document completion of the required fifteen cabinet-approved early care and education training hours during each subsequent year of employment.

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, window blinds in the 3/4 year old classroom are shredded and pose an entrapment issue. Light outages in the kitchen.

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 boys' and girls' hallway bathroom and the bathroom adjacent to indoor play area have broken, cracked and loose floor tiles. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the toilet valve in the boys' hallway bathroom is leaking and puddling on the floor. Hygienic Practices

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, the child care center failed to comply with regulatory requirements regarding supervision in that staff supervising a class of two year olds failed to maintain proper scope-of-vision for one child which allowed that child to access a bowl of hot, melted caramel on a counter near the classroom which was being prepared for the children to dip apple slices. The child stuck her fingers in the bowl of melted caramel causing injury to her fingers. Director Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to comply with regulatory requirements regarding the health, safety and comfort of every child in that a child was allowed to access a bowl of hot, melted caramel which had been melted in a microwave. Interview revealed that the caramel was brought from the kitchen area into the classroom and placed within reach of a child. Observation of the caramel packageing revealed a warning label which stated that the contents would be "extremely hot" and to use caution in handling. Continued interview revealed that the child suffered a burn injury when she stuck her fingers into the melted caramel. 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 Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with regulatory requirements regarding programming in that the programming on 9/27/2013 for a class of two year olds included the children dipping apple slices in a bowl of hot, melted caramel which had been heated in a microwave, which is not age appropriate. This inappropriate programming resulted in an injury to a child when the child stuck their fingers in the hot, melted caramel.

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 the provisions of KAR 2:120, Section 2(2); i.e., during a follow-up visit on 9/4/2013, a staff member was left alone to supervise a total of seven children, ranging in age from 18 months to 2 years of age, thus violating the minimum staff-to-child ratios.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, the police were called to the center after a physical altercation took place between a staff member and a parent. Interview with the staff in charge confirmed that the Cabinet was not notified of the incident involving the police.

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 health, safety, and comfort of the children were not assured as a physical altercation between a staff member and a parent took place in the center in the presence of a group of children in a classroom. Interview revealed that the police were summoned to the center in response to the physical altercation and at least two children expressed physical signs of being upset by the incident. 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, multiple teenage volunters were observed engaging in activities with the children. Interview with the staff in charge revealed that the teenage volunteers were provided to the center through a program for local youth. Further interview revealed that the center failed to request Child Abuse and Neglect (CAN) checks on the volunteers. The staff in charge stated that the volunteers were working in the center for four weeks.

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, at approximately 1:00 pm ten four year old children were alone in Area #1 of Room #3 during nap time. Further observation revealed five of the children were awake. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, three older infants between eight months old and eleven months old were sleeping on mats in Room #5. 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, nine children between the ages of eight months old and one years old were not provided a blanket during nap time.

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, a staff member failed to ensure that the five infants that were in her care were in her scope of vision. Upon the arrival of the surveyor, there were five infants sleeping on mats in a classroom with one staff member in the room. The lights were turned off and there was no naturaly light or supplemental light. Therefore, the room was so dark that the children, nor the staff, could be seen, even from a close proximity. Therefore, the children were not adequately supervised. 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 3. General Requirements.

General: Based on observation, three infants were observed laying on cots, in a dark room, with bottles of formula. One of the infants was drinking his/her bottle, and the other two infants were sleeping with their bottles of milk near them.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff with hire date of 2-6-12 failed to have documentation for negative TB screening on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, a staff with hire date of 9-30-08 failed to have documentation of 15 hours of cabinet approved training for the last year. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 2) Background checks Not In Compliance Findings: General: Based on review of documentation, a driver hired 12-1-11 did not have criminal records check on file that had been completed within the last year. Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the director failed to have documentation of staff meetings being conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.