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

General: Based on review of documentation, the personnel file for two staff members (DOH:11/07/22, and 01/02/19) did not contain an annual written professional development plan for the year of 2024.

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, the fire marshal report that was presented for review was not current, as it was dated 02/04/21.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the personnel files for staff members (DOH: 11/07/22, 01/02/19, 04/01/19, 04/03/23 04/01/19, and 07/06/22) did not contain an annual written performance evaluation for 2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the personnel file for a staff member (DOH: 07/08/24) did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel record for a staff member (DOH: 01/02/19) contained the most recent TB skin test dated 06/08/22, which was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel file for a staff member (DOH:03/11/19) did not contain verification that one one-half (1.5) hours of required pediatric abusive head trauma training had been completed within the last five years. Review of the ECE-TRIS data confirmed this information. 437 - Repeat Training/Maximum Training Hours in a Day Not Applicable 922 KAR 2:090. Section 11. Staff Requirements. (18) A staff person shall not repeat online training courses, including pre-service orientation, unless: (a) Five (5) years have passed since the online training was completed; or (b) He or she is required to as part of a disciplinary directive by a state agency. (19) A staff person shall not accumulate more than fifteen (15) hours of training in a twenty-four (24) hour period.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the daily planned program in the One and Two Year Old Room was not current, as it was dated 04/11/25.

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, three (3) children watched a children’s program in the Infant Room. The staff member stated the three (3) children were one-year-old.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, three (3) children watched a children’s program while eating lunch in the Infant Room.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, two (2) infants in the Infant Room sat in bouncer seats while consuming a bottle propped by a blanket. The staff member stated the ages of the infants were five months old and eight-months-old.

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 personnel record for a staff member (DOH: 06/23/11) contained a TB skin test dated 07/21/22.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet bowl brush was stored on the floor next to the toilet in the ones/twos restroom. The toilet bowl brush was accessible to children. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel record for four (4) staff members (DOH: 10/11/23, 11/07/22, 07/05/23, and 02/12/24) did not contain verification that first aid and cardiopulmonary resuscitation (CPR) training had been completed. Review of ECE TRIS verified the findings. 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, the following was found: 1. The personnel record for four (4) staff members (DOH: 10/11/23, 11/07/22, 07/05/23, and 02/12/24) did not contain verification that six (6) hours of cabinet-approved orientation had been completed in the first three (3) months of employment. 2. The personnel record for two (2) staff members (DOH: 11/07/22 and 07/05/23) did not contain verification that Pediatric Abusive Head Trauma (PAHT) training had been completed within one (1) year of employment. 3. The personnel record for seven (7) staff members (DOH: 03/11/19, 11/07/22, 07/05/23, 04/01/19, 07/06/22, 04/03/23, and 08/08/15) did not contain verification that fifteen (15) hours of cabinet-approved early care and education training had been completed between July 1, 2023, and June 30, 2024. A review of ECE-TRIS report supported these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, one (1) air vent, located on the wall next to the diaper changing station was covered in an accumulation of dust in the ones/twos classroom. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the changing tables located in the infant room and toddler room had unknown debris under the changing pad. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance 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 review of documentation, information on the Kentucky Consumer Product Safety Program and the program's Web site was not posted in a conspicuous place.

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 review of documentation, the proper methods of diapering were not posted near the diaper changing stations in the infant room and the toddler room. 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 2. Child Care Services.

General: Observation of the Wobblers classroom at 09:52am on 03/19/24 revealed that two (2) staff members cared for eleven (11) children. The staff in the room reported that the youngest child present at the time was eleven (11) months old, therefore, the maximum allowable group size was exceeded by one (1) child. Additionally, the staff reported that the other ten (10) children in the room were all between the ages of twelve (12) and eighteen (18) months. Further observation of the adjoining Toddler classroom revealed that one (1) staff member cared for eight (8) children. The staff member reported that the children ranged in age from one (1) to two (2) years, therefore the minimum staff-to-child ratio was exceeded by two (2) children. These two (2) classrooms operated in this manner for approximately fifteen (15) minutes, until an additional staff person arrived at the center. 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 8. General.

General: Based on interview and review of documentation, the health, safety, and comfort of a child in care was jeopardized when a staff member instructed another child to bite that child with the intent of discouraging the second child from continuing to bite others.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel information presented for a staff member hired on 02/07/23 failed to include information specifying the individual's address and date of birth.

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: Documentation verifying that a staff member hired on 07/06/22 had completed training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of presented documentation and further review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that the background check status of two (2) individuals employed at the center, with hire dates of 04/08/19 and 08/07/19, was documented as "Eligible-Expired." Neither of the aforementioned individuals were observed working with children on the day of the inspection, however, the staff in charge reported that they were currently employed at the center. 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, an infant within the Nursery/Infant classroom was placed in a low infant rocker, however, the straps installed on the rocker to secure the infant were not utilized. The staff in the classroom reported that the infant was three (3) months old. Additionally, hand sanitizer labeled "keep out of reach of children" was stored on a low shelf in the Two year old classroom where it was accessible to the children in care. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that staff members hired on 04/03/22 and 08/18/15 had both completed nine (9) hours of annual training during the last review period. Additional review of the ECE-TRIS database revealed that staff members hired on 03/25/19 and 04/03/22 completed Pediatric Abusive Head Trauma (PAHT) training in 2017, therefore, both individuals PAHT training was expired at the time of the inspection. Review of presented documentation and further review of the ECE-TRIS database could not confirm that a staff member hired on 03/25/19 had completed fifteen (15) hours of annual training during the last review period. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation of the transition to nap time, the sole caregiver in the One's classroom repeatedly used an excessively elevated tone when directing toddlers in care to lay down on their cots. The aforementioned caregiver was heard shouting the phrase "Lay your butt down!" at a toddler in the classroom.

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: Observation of the Infant/Nursery revealed that two (2) infants slept in separate cribs while covered with blankets. The staff in the room stated that the infants were two (2) and six (6) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the exhaust vent within the rear, left- hand restroom contained a substantial buildup of dust. Observation of the Toddler's classroom revealed that the ceiling and the area surrounding the wall-mounted air conditioning unit contained an accumulation of large cobwebs. Further observation of the premises revealed that the corners of two (2) floor tiles within the Three and Four year-old classroom were broken, leaving a sharp, raised edge. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the trash cans used for storing soiled diapers near the changing tables within the Infant/Nursery classroom and the rear restroom were 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the changing pad within the Infant/Nursery classroom contained several small tears which exposed the absorbent material within. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, bare dirt was visible beneath the slide and swings installed within the large, wooden outdoor play structure, indicating that the protective surface covering in those areas was not sufficient. 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: Observation of the rear restroom on the left-hand side revealed that the bottom portion of the sink's vanity cabinet was damaged, causing the surface covering to raise and peel. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one of the beams supporting the large, wooden outdoor play structure contained an area of sharp and rough wood, from which a large splinter protruded. 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 refrigerator within the Wobbler's classroom contained an indicating thermometer which measured at fifty-one (51) degrees Fahrenheit, therefore the maximum allowable temperature of forty (40) degrees Fahrenheit was exceeded. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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 plan of activities posted within the Two's classroom was dated "08/14-08/19" and the plan of activities posted within the Wobbler's classroom was dated "07/11-07/21," therefore, the plans posted in the aforementioned classrooms did not reflect activities conducted during the current week at the time of the inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was an excessive number of weeds and tall grass around the play area and playground equipment on the outside playground. 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 3. General Requirements.

General: Based on observation and interview, an eight-ounce can of Glade air freshener, a gallon of Pure Bright bleach, and a 60 fluid ounce bottle of Bissell cleaner were stored on the lower shelf of an unlocked cabinet, two (2) feet from the floor, in the Wobblers room. Each label stated, "Keep out of reach of children." These items were accessible to children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, documentation of required staff meetings was not presented for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, an annual written performance evaluation for two (2) staff members hired 03/25/19 and 04/03/19 was not available for review. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 04/12/21 did not have a TB skin test or a physician statement on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 03/25/19 completed twelve (12) hours of annual training from 07/2020 to 06/2021. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1) A door handle on the Frigidaire Freezer door was missing in the kitchen. 2) The red merry-go-round showed signs of rust and flaky paint located on the outdoor playground. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1) A Frigidaire stand up freezer located in the kitchen revealed the digital thermometer located on the outside of the freezer door read seven (7) degrees. Interview with a staff member revealed that is the indicating thermometer that the child care center uses to measure the temperature of the freezer; therefore, the temperature of the freezer did not measure zero (0) or below. 2) The mini-refrigerator/ freezer located in the wobblers room did not have a temperature measuring device. 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: nutrition. 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 05/21/22 did not have an immunization certificate on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) staff members hired 03/25/19, 03/11/19, and 04/03/19 did not have a professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a monthly fire drill was conducted in June 2021 through June 2022; however, the documentation to include the date, time, and names of children participants was not available for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care failed to maintain the premises in accordance with regulatory requirements. Observation of the four-year-old room revealed there were several plastic bags lying in a wooden doll cradle accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory compliance. Review of staff files for staff members with hire dates; 8/26/2019, 3/25/2019, 4/3/2019 and 3/11/2019 revealed the files did not contain a written annual staff evaluation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the file for the staff member with the hire date 5/3/2021 contained a copy of a high school diploma, a GED or a qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request, a daily planned program was not presented for review for the school age room and the one and two-year-old room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the handwashing sinks located in the infant / toddler gross motor room and the one and two-year-old room revealed the caulking behind both sinks had come away from the wall leaving a gap. Observation of the ceiling and a yellow wall located in the two-year-old room revealed there were thick cobwebs from ceiling attaching to the yellow wall. Observation of an air vent in bathroom #1, located off of the school age room, revealed it contained a thick buildup of dust. Observation of double doors located in the two-year-old room revealed there were two (2) large white air vents that were soiled with a brown substance. Observation of an air vent located in bathroom #2 located off of the school age room revealed the vent was peeling paint and rusted. Observation of the exterior door located adjacent to the kitchen revealed there was water seeping through the bottom of the door causing the floor to be saturated with water. Observation of the ceiling located in the two-year-old room revealed a red wire was hanging from the ceiling. Observation of the metal exterior door located in the two-year-old room revealed the bottom of the metal door was heavily rusted and contained holes. The door had black tape on the bottom of the door that was partially attached. Continued observation of the aforementioned door revealed the metal door frame was chipping white paint and was rusted in various areas. The metal door frame contained sharp edges that were accessible to children. Observation of the exterior doorway located in the two-year-old room revealed there were two (2) cigarette butts and a mass of dried brown leaves accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the one and two-year-old room, two- year-old room and the infant / toddler gross motor room revealed the fluorescent light bulbs were not shielded or 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 regulatory requirements. Observation of the ceiling adjacent to the kitchen revealed there were several brown stains on the ceiling tiles, indicative of water damage. Observation of the ceiling located in the infant room revealed there was a ceiling tile that was wet and bulging, indicative of water damage. Observation of a green wall located in the infant room revealed the wall was peeling paint. Observation of the ceiling located in the hallway off the three year-old-room revealed there were two (2) ceiling tiles that were wet, indicative of water damage. Observation of the ceiling located in the three-year-old room revealed there were three (3) ceiling tiles with holes in them. Observation of the ceiling located in bathroom #1 located off the school age room revealed the ceiling was cracked and peeling paint. Continued observation of the ceiling revealed there were numerous black stains around the aforementioned area, indicative of mold. Observation of two (2) walls located in the three and four-year-old room revealed the walls were chipping gray paint and the dry wall was exposed. Observation of the walls in the three-year-old-room revealed there was a hole in the wall and the dry wall was exposed. Continued observation of the walls throughout the aforementioned classroom revealed the walls were chipping paint and the drywall was exposed throughout the classroom. Observation of the green and yellow concrete walls located in the three-year-old room #2 revealed it was peeling green and yellow paint. Observation of a wall located in the two-year-old room revealed there was a yellow wall across from the bathroom that was chipping paint and the dry wall was exposed. Observation of the blue wall across from the three and four-year-old-room revealed there was paint chipping from the wall and the dry wall was exposed. Observation of a wall in bathroom #1 located off of the school age room revealed a wall adjacent to the sink was peeling paint and the dry wall was exposed. Observation of the floor in bathroom #2 located off of the school age room revealed the ceramic floor tile was broken leaving two (2) areas with hole in the tile. Observation of the ceramic tile floor when entering the kitchen was cracked and broken leaving the tile with several holes throughout the floor. Observation of a corner of two (2) yellow walls behind the toilet located in bathroom #2 located off the three-year-old room revealed a three (3) foot black fuzzy substance in the corner of the wall, indicative of mold.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the toilet in the children's bathroom located off the two-year-old room revealed the toilet was soiled, and there was a black substance in the toilet bowl. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the changing table located in bathroom #1, located off of the three year-old room, revealed a thick, dried, yellow substance in the corner of the changing table. Observation of the changing table located in the infant room revealed the changing pad was cracked, exposing the inside absorbent material. Observation of the changing table located in the one and two-year-old room revealed there was dust and debris under and around the changing pad. Observation of the changing table located in the infant / toddler gross motor room revealed there was dust and debris on and around the changing pad. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding first aid and/or medication. Observation of the child care center's first aid supplies revealed there was a bottle of Children's Ibuprofen that was not individually labeled that was stored in the first aid supply box. Interview with the director revealed the first aid supply box was not locked or stored in a locked cabinet. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outside play area revealed there was a mass amount of water ponding under and around the large climbing apparatus and the small tan and green climbing apparatus; therefore, the playground was not draining water well. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the cribs located in the infant room revealed a three (3) month old child was sleeping in a crib with a loose fitting sheet, evidenced by the material of the sheet gathered on the sides of the mattress and loose material on top of the mattress.

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. Observation of the cribs located in the one and two- year-old room revealed there was one (1) crib that contained double stacked mattresses. 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 equipment in accordance with regulatory requirements. Observation of the handwashing sink vanity located in the school age room revealed the wood on the bottom of the cabinet was rotted and the laminate was peeling away from the wood. There was an area of the wooden cabinet that was missing a piece of laminate, causing the cabinet to be splintered. Observation of the handwashing sink vanity in bathroom #2, located off of the three-year-old room, revealed the bottom of the cabinet was rotted causing the wood to be splintered. Observation of the rug located in the three-year-old-room revealed it was soiled with food crumbs, paper, dust and debris. Observation of a plastic baby gate located in the one and two-year-old room revealed the gate was attached to one (1) end of a wooden shelf; the other end of the gate was not attached or secured to a bracket or piece of furniture, it was secured by being propped up in between the changing table and a black trash can. A child pushed on the gate and the gate fell over and the child almost fell on top of the gate, therefore, the gate was not safe and used for its purpose. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation of the standup freezer located in the kitchen revealed the digital thermometer located on the outside of the freezer door read seven (7) degrees. Interview with a staff member revealed that was the indicating thermometer that the child care center uses to measure the temperature of the freezer; therefore, the temperature of the freezer did not measure zero (0) or below. Observation of the refrigerator freezer located in the one and two-year-old room revealed a thermometer was not present; therefore, the temperature could not be measured to verify that the temperature in the freezer measured zero (0) or below.

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. Observation of the refrigerator freezer located in the kitchen revealed there was food particles and debris located throughout the refrigerator freezer. Observation of the refrigerator freezer located in the one and two-year-old room revealed there was a dried pink substance on the side wall of the freezer, a buildup of dried food particles, a piece of tape and hair on the bottom floor of the freezer. Observation of the refrigerator located in the one and two-year-old room revealed there was a dried, white substance on the top shelf. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:090 · 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. Review of ten (10) presented children's files revealed one (1) file with enrollment date 4/19/2017 did not contain the child's general health status and medical history. 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 staff files for staff members hired on 8/26/2019, 3/25/2019, 4/3/2019, 3/18/2019 and 3/11/2019 revealed the files did not contain a written annual plan for child-care staff professional development. Interview with the director revealed the professional development plan for the aforementioned staff members had not been completed. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Discussed

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: Review of the presented employee records revealed two (2) staff members with hire dates 3/25/19 and 4/3/19 whose file did not contain a high school diploma, GED or other documentation from a comparable educational entity. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed three (3) staff members with hire dates 8/18/15, 1/2/19 and 1/22/19 file did not contain a current annual evaluation. Upon request, the staff member in charge did not present a current evaluation for the aforementioned staff members at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the presented employee records revealed four (4) staff members with hire dates 8/26/19, 1/2/19, 4/3/19 and 4/1/19 whose file did not contain a current statement from a health professional stating that they were free of active tuberculosis. Upon request, the staff member in charge did not present a current statement for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed one (1) staff member with hire date 8/26/19 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation training. Continued review of the presented employee records revealed two (2) staff members with hire dates 1/2/19 and 1/22/19 whose file did not contain documentation to verify recent completion of the one and one-half (1 ½) hours of cabinet approved pediatric abusive head trauma training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the child care center revealed a clear spray bottle labeled bleach water on the changing table located in the One’s Room within reach of children in care 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 4. Premises Requirements.

General: Observation of the child care center revealed a large water stain in two (2) of the ceiling tiles located in the Pre-K Room above the cots. There was a large water stain in two (2) of the ceiling tiles located in front of the first bathroom located in the back hallway at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed several flying insects flying around and landing on the sink located inside the bathroom in the Two’s A Room and the bathroom door was left open 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 4. Premises Requirements.

General: Observation of the child care center revealed a hole in the ceiling tile located above the cube/Lego’s table in the School-Age Room. There was chipped purple paint located above the behavior charts at the entrance to the Two’s B Room. There was chipped gray paint located in the reading area in the Two’s B Room. A portion of the black baseboard was detached from wall and laying on the floor inside the first bathroom located in the Two’s B Room. A portion of the black baseboard was detached from wall by the toilet in the first bathroom located in the back hallway at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed that the toilet located inside the bathroom in the Two’s A was not secured to the floor. The toilet seat was loose on the toilet inside the second bathroom located in the Two’s B Room. 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: Observation of the Two’s A Room changing area revealed the blue changing pad was torn exposing the inside absorbent material. The blue changing pad located in the Older One’s Room was torn exposing the inside absorbent material. The white changing pad located in the Infant Room was torn exposing the inside absorbent material. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed a tube of Boudreaux butte paste was on the changing table located in the One’s Room at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the School-Age Outdoor Play Area revealed a metal pole was not attached to the metal fence located by the slide. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed that three (3) of the cribs located in the One’s Room did not have appropriate crib mattresses inside the cribs. There were significant gaps between the mattress and the rails on the crib exposing the hard wood located under the mattress. The crib sheets were not tight-fitted to the mattresses located in three (3) of the cribs in the One’s Room 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: Observation of the child care center revealed a red, wooden toy stove located in Two’s A Room top shelf was missing two (2) of the screws causing the shelf to be loose. The white changing table located in Two’s A Room was wobbly and not secure at the time of the survey. The large brown bear beanbag chair located in the Older One’s Room was stained/soiled at the time of the survey. The white changing table located in the Infant Room was wobbly and not secure at the time of the survey. The electrical outlet cover located by the blocks was not secured to the wall in the School-Age Room. The wooden changing table located in the Two’s B was wobbly and not secure 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: Observation of the child care center revealed that the yellow slide located in the School-Age Outdoor Play Area was cracked on both sides near the end of the slide. The back left tire was detached from the blue and wooden driving apparatus located in the School-Age Outdoor Play Area causing a metal screw to be exposed. One (1) of the blue metal steering wheels was broken off the blue and wooden driving apparatus located in the School-Age Outdoor Play Area. The red metal spinning apparatus located in the School- Age Outdoor Play Area was bent at the bottom causing the apparatus not to work/spin around properly.

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: Observation of the child care center revealed that one (1) of the knobs was broken off the toy wooden oven located in the Older One’s Room at the time of the survey. A portion of the wood and a door was broken off the blue and yellow toy wooden kitchen located in the Pre-K Room causing the hinges to be exposed. The door was broken off the white wooden toy sink located in the School-Age Room at the time of the survey. The faucet was broken off the red and gray toy sink located in the School-Age Room at the time of the survey. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented children’s records revealed five (5) children with enrollment dates 10/7/16, 6/19/18, 1/5/2020, 8/9/19 and 8/24/17 whose file did not contain authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence. The documentation in the children’s files were for a center with a different name. Upon request, the staff member in charge did not present documentation for the aforementioned children that listed the correct child care center’s name at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed three (3) staff members with hire dates 1/2/19, 1/22/19 and 8/18/15 whose file did not contain a current annual professional development plan. Upon request, the staff member in charge did not present a current professional development plan for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed several behavior charts with the names of children posted on the wall at the entrance to the Two’s B Room at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements in regards to supervision during diapering. Observation of the video footage of 6/6/19 at the child center revealed that at 10:10am, a staff member was observed leaving a nine-month child unattended on the changing table while she walked away from the changing area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements in regards to ratios and group size. Observation of the video footage of 6/6/19 at the child care center revealed one (1) staff member working alone with six (6) children at 6:47am with the youngest child in care being two-months-old. Continued observation of the video footage of 6/6/19 revealed that by 7:33am, the same staff member was observed working alone, caring for twelve (12) children with the youngest child in care being two- months-old. Observation of the video footage of 6/6/19 revealed a staff member relieving another staff member for break at 10:08am. The staff member relieving for break brought her eleven-year-old son with her resulting in her caring for six (6) children alone with the youngest child being two-months-old from 10:08am-10:31am. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of children in care. Observation of the video footage of 6/6/19 revealed that at 7:13am and 7:14am, two children were observed pushing and walking around the baby gate placed at the entrance to the room. The two children were observed pushing the gate open and walking out of the view of the camera toward the front door of the child care center that exits to the parking lot. 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, the child care center failed to comply with regulatory programming requirements in regards to infant sleep position. Observation of the video footage of 6/6/19 at the child care center revealed a two-month-old child being placed on her stomach on the floor to take a nap two times. The staff member laid the child on the floor on her stomach and placed a blanket over her while the child was napping. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the video footage of 6/6/19 at the child care center revealed a child sleeping on the floor and several children being placed in swings out of camera view for rest time. Observation of the video footage of 6/6/19 from 7:33am-3:30pm at the child care center revealed five (5) children in care and only one (1) of those children were placed in an individual crib for rest time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements in regards to bottle-feeding. Observation of the video footage of 6/6/19 at the child care center revealed different children not being held while bottle feeding several times throughout the day from 7:33am-3:30pm.

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 07/03/2019 AND AS OF 07/05/2019, 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 10. Director Requirements and Responsibilities.

General: Based on interview, review of documentation and observation, the child care center director failed to assure the health, safety and comfort of a five-year-old child. On 5/17/19 one of the teachers had the child standing at the door when the grandmother arrived and reported he had an accident. She reported she was not told a reason for the accident and she took him home. Upon arrival home, her grandson informed her his “butt” hurt. She pulled his pants down which revealed they had put a diaper on him and they stuffed a pair of gloves into his bottom or diaper. Interview with staff and the director confimed that gloves were left in the pull up the child was wearing. A staff member confirmed that she did not check the pull up prior to handing it to the child nor did she assist him; therefore, the gloves were in the pull up but not inside the child, causing discomfort for the child. Children's Records In Compliance

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, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulations. Based on review of the center’s KARES surveyor report, a staff member with the hire date of 05/15/2018 was determined as, “eligible not employed”. Further observation revealed the aforementioned staff member was in a supervisory role in the Three’s II room along with another staff member caring for twenty (20), three and four- year-old children. Interview with the director revealed the aforementioned staff member is currently employed and working in the child care center. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain general administration in accordance with regulations. Observation in the toddler room revealed twelve (12) one-year-old children laying on nap cots that were touching one another, not allowing twelve (12) inches of space apart. Further observation revealed there was hardly no space for the two (2) qualified staff members to walk or maneuver about. A measurement was conducted, and the classroom allowed for no more than eight (8) children per thirty-five (35) square feet of space at a time. Interview with the director revealed in October of 2018, the younger two’s room went under construction to add the dividing wall to add the toddler’s room. DRCC was not notified prior to the change of space for the child care center. Director Requirements In Compliance 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: Based on observation, the child care center failed to maintain premises in accordance with regulations. Observation in the toddler room revealed twelve (12) one-year-old children laying on nap cots that were touching one another, not allowing for twelve (12) inches of spacing apart from one another. Further observation revealed hardly no space for two (2) staff members to walk or maneuver about. A measurement was conducted, and the classroom allowed for no more than eight (8) children per thirty-five (35) square feet of space at a time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulations. Observation in the Three’s II room revealed a flooring strip that is used to separate the carpet from the tile was torn and loose causing a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation in the infant room revealed a four-month-old infant asleep in a swing from the timeframe of 11:21am until 11:28am.

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 regulations. Observation in the toddler room revealed twelve (12) one-year-old children laying on nap cots touching, not allowing twelve (12) inches of space apart from one another. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation in the infant room revealed a six-month-old infant sitting in a bouncy seat with a bottle propped in her mouth. 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 observation, interview and review of documentation, child care center failed to maintain children’s records in accordance with regulatory requirements. The records for a child with the enrollment date of 11/16/2018 did not contain a current copy of an immunization certificate. Interview with the director revealed the requested documentation was unavailable at the time or survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, two (2) children with the enrollment dates of 04/03/2019 and 04/03/2019 did not have a written record completed and signed by the child’s parent to include the following: information containing the child’s name; address; date of birth; parent contact information; name of physician; name of preferred hospital; name of person designated in writing to pick-up the child; general health status or medical history for the child; name and phone number of person to be contacted in care of emergency; and authorized person for the child- care center to seek emergency medical care in the parent’s absence. Interview with the director revealed the requested documentation was unavailable at the time or survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The child care center failed to comply with staffing requirements. At 11:12 am, the sole teacher of the classroom known as the Younger Twos Room was supervising ten (10) children. However, two (2) of the children were less than two-years-of-age. At 12:15 pm, another teacher was observed to have joined the classroom to supervise the ten (10) children. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding programming. Observation in the infant room revealed a four-month-old baby laying in a crib with a pacifier clip attachment to his/her clothing. Premises 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 comply with regulations regarding director requirements. In the three-year-old bathroom, there was a plunger next to the toilet. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the files for three (3) staff members with the hire dates of 12/20/2018, 01/18/2019, and 01/09/2019 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the files for four (4) staff members with the hire dates of 12/20/2018, 01/22/2019, 11/26/2018, and 01/18/2019 failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the director revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (2) staff members with the hire dates of 08/18/2015 and 08/26/2011. Interview with the director revealed this information was not available at the time of survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. The older threes room and the Pre-K room revealed there was dust buildup in the ceiling intake vent. In the two-year-old, room there was a dent in tile floor, causing a trip hazard. In the entryway of the hallway bathroom there was a piece of the tile floor not secured tightly. Further observation revealed several pieces of the floor tile missing near the toilet. In the two-year-old room, the baseboard was not secure to the wall and was partially hanging off, near the toy shelf.

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 regulations. Observation of the three-year-old bathroom revealed a toilet that was not flushed with a yellow substance inside of the toilet adequative of urine. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

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 regulations regarding equipment. Observation in the three-year-old room revealed a gray area rug that was torn and frayed at the edges, causing a tripping hazard. In the infant room, a brown and white bear swing was stained and dirty on the upholstery. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. The daily planned program was not posted or readily available in the school age room. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. The daily activities was not posted or readily available in the two-year-old room. Interview with a qualified staff member and the director revealed the requested documentation was unavailable at the time of survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation in the three-year-old classroom revealed there were thirteen (13) children present, who were identified by the staff as three-year-olds. The children were present with one (1) staff member. Therefore, the class was out of ratio by one (1). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 12. Reports.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding having a director. Upon request, the child care owner failed to provide verification that documentation had been submitted to DRCC within one (1) week naming a new director. Interview with the owner revealed the previous director had resigned on 05/22/2018. 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 programming requirements. At 01:30 p.m. in the infant classroom, observation revealed there were two (2) infants sleeping in bouncy seats. A third infant was observed sleeping in a swing. Interview with the staff revealed there was no signed waiver from a health professional stating that the infants required an alternate sleep position that had been obtained for the referenced infants. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. The four (4) highchairs in the classroom did not contain safety restraints. Observation revealed there were three (3) infants sitting in the high chairs without use of safety restraints.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Review of documentation revealed that the fire marshal report presented for review was dated 1/20/15. Upon request, the director did not present a current fire marshal report at the time of the survey. On 2/20/18, DRCC received a faxed document from the director of the center that consisted of a letter from the Highview Fire District that was dated 07/07/17. The letter referenced the center's compliance with a Target Hazard Survey Inspection. Interview with a representative of Highview Fire District on 02/20/18 confirmed that the submitted letter was not equivalent to a Fire Marshal report.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Review of documentation revealed that a current written proof of liability insurance was not presented for review. Upon request, the director did not present the documentation at the time of the survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed staff members’ files with hire dates 9/1/15, 4/4/16, 12/27/16, and 8/28/14 that did not contain a current annual written performance evaluation. Upon request, the director did not present current evaluations for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members’ files with hire dates 4/26/10, 9/1/11 and 9/1/15 did not contain current statements from a health professional that they were free of active tuberculosis. Upon request, the director did not present currents statements for the aforementioned staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member's file with hire date 2/3/15 that did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of the ECE-TRIS report verified that staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify completion of the fifteen (15) hours of cabinet approved training at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a hole in the wall located behind the door and by the cots located in the Pre-School Room. There were several loose and cracked tiles located between the table and the wall in the Three’s Room. There was a water stain in the ceiling tile located by the entrance to the Infant Room #1.

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. The sink located in the 1st bathroom by the School- Age Room was not equipped with liquid soap.

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. The bathrooms located by the School-Age Room did not have ventilation to outside air. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The white changing pad located in the 1st bathroom by the School-Age Room was torn exposing the absorbent material. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. There was a tube of A&D ointment located on the changing table in the Twos/Three’s Room. There was a jar of Aquaphor butte cream located on top of the cubbies located in the Two’s Room. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The yellow plastic pan was cracked exposing sharp plastic pieces located inside the blue toy sink in the School-Age Room. The plastic pan was missing from the grey and red toy sink located in the Two’s Room. The red door located on the toy kitchen set was broken in the Pre-School Room. The handle located on the freezer portion of the white refrigerator located in Infant Room #2 was broken. 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, the child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in Infant Room #1 was not equipped with an indicating thermometer or other appropriate temperature measuring device.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The bottom shelf of the white refrigerator located in the kitchen was dirty and soiled with food debris. The bottom shelf of the white refrigerator located in Infant Room #2 was dirty and soiled with food debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a white “Browns” bottle that was not covered, located in the white refrigerator in Infant Room #2. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed a child’s file with enrollment date 10/3/16 that did not contain the name of the family’s preferred hospital. Upon request, the director did not present the documentation at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of presented employee records revealed a staff member's file with hire date 2/3/15 that did not contain a written annual plan for staff professional development. Upon request, the director did not present the documentation for the staff member 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities was not posted in the School-Age Room 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The proper methods of diapering were not posted at or near the diaper changing area located in the 1st bathroom by the School-Age Room. Animals Not Applicable

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 interview and review of documentation and audio recording, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of a child. Review of documented evidence revealed an employee referring negatively to a child in care that had an accident in his pants and requiring the child to clean the bathroom because he was the one that messed it up. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory programming requirements in regards to discipline associated with toileting. Review of documented evidence revealed an employee with hire date 8/29/12 made a school age child clean the bathroom after he had an accident in his pants. Premises Discussed

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the One’s room revealed two (2) tubes of Aquaphor ointment stored on the diaper changing area and not in a locked place. Continued observation of the One’s classroom revealed a bottle of liquid Tylenol and an Albuterol inhaler out in the classroom and not in a locked place. The Aquaphor ointment and liquid Tylenol was not properly labeled with a child’s name. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 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. Observation of the Two’s classroom revealed two (2) uncovered outlets located on the wall by the desk. In the Three’s room there was a bottle of hand sanitizer on a table, accessible to children in care. Observation of the Two’s bathroom used by children in care revealed a plunger next to one (1) of the toilets, accessible to children in care. Continued observation of the Bathroom #1 revealed a white toilet bowl brush located behind the toilet and accessible to children. Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with regulatory programming requirements. Observation revealed a staff member using loud and frightening words and tone to discipline a child while waiting to use the bathroom. Interview with the director revealed the child had sensory issues and the teacher should not have disciplined the child in that manner. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of Three’s, Two’s, School Age, One’s and Yellow classroom, revealed in all the classrooms several areas in each where the paint was chipped and peeling from the walls. Continued observation of the School age classroom revealed the baseboard was pulling away from the wall behind the door to the classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant Room revealed a staff member wiped an infant’s nose, then touched other children and several items in the classroom, but did not wash her hands with liquid soap and running water after wiping the child’s nose.

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 regulations. Observation of the Infant room revealed the diaper changing pad was torn, exposing the inner padding. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed very visible, circular spots of mud and dirt below the three swings and the tire swing located on the wooden play equipment; therefore, the protective surface below these swings failed to sufficiently cover the ground. During interview, the director acknowledged the protective surface under the swings failed to sufficiently cover the ground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the One’s classroom revealed three (3) out of eight (8) safety straps for the table with child seats were missing or broken. 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, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the interior of the stove was soiled with a buildup of a brown substance and the inside of the stove doors were soiled with a brownish buildup/stain. 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 and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed immunization certificates with expired dates at the time of survey for one (1) child with enrollment date 3/3/15. Interview with director revealed this documentation needed to be updated and obtained from the parents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: 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 children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written record for one (1) child enrolled 10/31/16, failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 attendance records on 4/5/17 in the Infant and One’s classroom revealed the day of 4/5/17 sixteen (16) children had been signed in but twenty-one (21) children were present at time of survey. Posted Documentation In Compliance Animals Not Applicable

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 Interview, and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on interviews, a five-year old female child's fingers were taped together to divert her attention from picking at her fingers during the time the lesson plan was presented. Based on a review of documentation, staff members were aware of the finger-taping procedure, and had observed the child wearing tape attached to her fingers. Further interviews revealed the aforementioned staff member used corporal physical discipline in the bathroom, on her enrolled 3 year old child. Further review of documentation revealed staff members were aware and had observed the staff member's child receiving whippings or spankings while attending the center.

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 employee files, a staff member with a hire date of 08/29/12 failed to have a written statement from a health care professional stating the individual is free of tuberculosis or negative results from a tuberculosis test. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and observation, the child care center failed to assure compliance with regulatory programming requirements. Based on interviews, a staff member has subjected children to loud and threatening language to children in her care. Continued interviews revealed that staff have also used food in a disciplinary manner with the children in care. Based on observation, a seating area containing approximately six (6) picnic tables for an adjacent business, is located immediately next to the outside play area of the child care center allowing the patrons of the business to be in sound of threatening language used by a staff member. 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of documentation in the One-Year-Old Room revealed two (2) children's allegery information was posted on the wall, open to public view.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Three-Year-Old Room revealed a staff member hired 3/3/16 was the sole caregiver of ten (10) three-year-olds from 12:35pm-12:50pm. Review of staff files revealed the staff member hired 3/3/16 listed Florida, Kansas, and Oklahoma addresses on her Child Abuse & Neglect Check (CAN) signed 3/2/16. Continued review of staff files revealed the center failed to have a Florida Criminal Records Check (CRC), Kansas CRC, and Oklahoma CRC on file at the time of survey for the staff member hired 3/3/16. Interview with director revealed the center failed to obtain a Florida CRC, Kansas CRC, and Oklahoma CRC for the staff member hired 3/3/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation of the Three-Year-Old Room revealed a staff member hired 3/3/16 was the sole caregiver of ten (10) three-year-olds from 12:35pm-12:50pm. Review of staff files revealed the staff member hired 3/3/16 listed Florida, Kansas, and Oklahoma addresses on her Child Abuse & Neglect Check (CAN) signed 3/2/16. Continued review of staff files revealed the center failed to have a Florida Criminal Records Check (CRC), Kansas CRC, and Oklahoma CRC on file at the time of survey for the staff member hired 3/3/16. Interview with director revealed the center failed to obtain a Florida CRC, Kansas CRC, and Oklahoma CRC for the staff member hired 3/3/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 11/12/15 is no longer current as it is dated 1/16/14. Interview with director revealed current tuberculin test results were not on file at the time of survey for the aforementioned staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to have documentation of pediatric abusive head trauma training (PAHT) on file at the time of survey for a staff member hired 8/28/14. Interview with director revealed the aforementioned staff member has not completed this training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the bathroom in the Two & Three Year Old Room revealed the ceiling vent was covered with dust.

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 Younger Twos Room revealed two (2) tubes of diaper rash cream and one (1) bottle of a prescription diaper rash cream stored in cubby shelves and not in locked place. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a piece of one of the steps of the wooden ladder on the large wooden playset was broken off. Interview with director revealed she was in the process of addressing the issue. Continued observation of the wooden playset revealed two (2) small wooden planks located on opposite sides of the wooden ladder were splintered and accessible to children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a piece of one of the steps of the wooden ladder on the large wooden playset was broken off. Interview with director revealed she was in the process of addressing the issue. Continued observation of the wooden playset revealed two (2) small wooden planks located on opposite sides of the wooden ladder were splintered and 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 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 refrigerator was soiled with a white powdery substance.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain food service in accordance with regulations. Review of documentation in the School-Age Room revealed breakfast was scheduled from 8:00am-8:30am and lunch was not scheduled until 12:00pm; therefore, according to the daily schedule, meals were not documented as being served every two (2) – three (3) hours.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records for 3/22/16 revealed the week’s attendance had been verified in advance for three (3) children on the DCC-94E form.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. Review of documentation revealed the center failed to post a written plan outlining the course of action in the event of a natural or manmade disaster. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 School-Age Room revealed the center failed to post a daily schedule of activities. Interview with director revealed a daily schedule of activities was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the child care center had failed to update and submit an emergency prepardedness plan under KRS 199.896 since 2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 01/28/15 failed to have written documentation that a CAN and CRC had been requested. Based on an interview with the staff in charge, the staff member does not work alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to comply with the regulatory requirements. Based on a review of documentation, there was no written proof of liability coverage. Based on an interview with the staff in charge, the center had changed insurance companies and a request for the new policy to be faxed was not successful 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 4. Director Requirements and Responsibilities.

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Based on observation, the director failed to ensure the safety and comfort of the children. Based on observation, a staff member yanked a toy from a child and removed it from play when two children wanted to play with the same toy. Based on observation, toys had been removed from play as punishment and only when a child agreed to share a toy, was the toy introduced back into play. Based on observation in the two/three year old room and in the three year old room, staff members spoke harshly, and gruffly to the children. Based on observation, children were admonished and ordered during activities as to how the staff thought the children should act. Based on observation, a staff member told one child, " See, you just hurt ______ because you don't have your listening ears on!" Another staff member who had not witnessed two children fighting over a toy, made a child who had not been involved in the fighting, apologize to the crying child, which then made that innocent child cry by scolding him unfairly. None of the three (3) children involved in the incident verbalized guilt or innocence but responded as the staff member directed. Based on observation, children were not redirected to an alternate activity, but scolded when behavior was thought by the staff to be inappropriate.

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: 09/05/13 failed to have negative test results of a tuberculin test, or a written statement from a health professional showing the individual is free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and review of posted documentation, the child care center failed to comply with regulatory programming requirements. Based on observation, there was no science material in the school age room for the children. Based on review of posted documentation, a lesson plan was posted in each room, however, none of the classrooms were following the listed, scheduled activity, within two (2) hours of the posted activity. The activities posted were not included in the daily schedules.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements. Based on observation, staff members in the two/three year old classroom and the three year old classroom used loud, negative language when interacting with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation in the three year old room there was a can of Glade, Hawaiian Breeze air freshener out and on a shelf which was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, there were eighteen (18) pre-school age children in a classroom that measured at the time of this survey to have a capacity for ten (10) children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the area just outside the restroom contained a loose tile, resulting in a tripping hazard when entering or exiting the restroom. Based on observation in the three year old room, in front of the kitchen set, four (4) adjoining tiles were broken and missing. Based on observation in the two/three year old classroom, the trim on the carpeting was broken, resulting in a frayed piece of carpeting on a corner, resulting in a tripping hazard for the children in this room. Based on observation, the two/three year old classroom had many spots of chipped paint on the blue walls, as well as the walls in the three (3) year old room. Based on observation in the infant building, a tile was missing in front of a rear door, exposing concrete which was broken. Based on observation, the same rear door's facing, had a broken piece of metal which protruded out from the facing.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation, a staff member in the two/three year old classroom was assisting a child with eating his lunch meal, and picked up his food without washing her hands prior.

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 comply with hygienic practices in accordance with regulatory requirements. Based on observation in the two (2) year old class room, on the changing mat was two (2) books, and a small plastic basket containing a styrofoam bowl which held a roll of Smartees.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation in the two/three year old room, and the three year old room, there was an insufficient amount of toys, play apparatus, and developmentally appropriate materials to provide each child with a variety of activities during the day. Based on observation, in the two/ three year old room, some of the minimal amount of toys had been removed from play by staff as a disciplinary measure. Based on observation and interview with a staff member in the three year old room with eight children, there was only one (1) baby doll.

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 (3) year old classroom, a staff member had prepared the cots for nap by placing blankets on the cots and standing them vertically together, allowing blankets to contact with other children's blankets.

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, a small orange plastic infant swing on the playground, had no safety belts to hold the child in the seat while swinging. Also based on observation, on the wooden climbing structure, the top of a wooden slat was rotted, leaving rough, pointed pieces of wood exposed. A wooden brace connected to the aforementioned slat, was also broken and rotted with sharp, protruding slivers of wood exposed. Also based on observation of the play area, was a draw-bridge type toddler slide, which was not secured to the ground and was very unstable to the touch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation in the Young Infant classroom, one (1) bottle containing a cereal-type substance was not labeled with a child's name.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation in the two/three year old classroom, fourteen (14) were served whole milk with their lunch meal, along with ten (10) children in the two (2) year old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of documentation, children with enrollment dates of: 07/10/14, and 04/29/11, failed to have contained within their file, contact information which would allow a person in charge to contact the child's physician. Based on further documentation review, a child enrolled on 07/28/14, failed to have the name of each person who is designated in writing to pick-up the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of the sign in sheets, in Building 1, there were twelve (12) children signed in and eighteen (18) observed at the time of the survey. In Building 2, there were seventy (70) children signed in and fifty (50) observed. Based on an interview with the staff in charge, the school age children had not been signed out in Building 2, and all children had not been signed in Building 1.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to post documentation in accordance with regulatory requirements. Based on observation the statement of deficiencies and plan of corrections was not posted in a conspicuous place.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding general administration, specifically reporting to the Cabinet. Review of documentation revealed a child required medical care after slipping and falling at the center on 9/8/14. Interview revealed the director stated that she did not realize that she needed to report the accident at the time. She stated she just assumed the hospital would notify the authorities and apologized for the oversight. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, it was determined the director failed to assure the health, safety and comfort of each child. Observation of the center's video surveillance reveals a staff member mopping the classroom floor on 9/8/14 at approximately 3:22 p.m. Further observation of the surveillance reveals several children walking across the wet floor and the staff member picking up a child who is crying at approximately 3:25 p.m. Inverview revealed the child that was picked up by the staff member had slipped on the wet floor and fallen, receiving an injury requiring medical care. Further interview revealed that the center has created a new policy that the staff are not to mop the floors any more while the children are present. Review of documentation revealed a completed accident report for the child that had slipped, which refelected that the child received an injury requiring medical care due to slipping on a wet floor that was mopped by the supervising staff member while the children were in the classroom. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically education. The center failed to provide documentation for review at time of survey verifying: 1.High school diploma: 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250 for a staff member hired 7/24/14.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. The center failed to provide documentation for review at time of survey verifying one of the following: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results for a staff member hired 7/24/14. 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 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, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically cribs. Observation revealed sixteen (16) cribs that failed to meet Consumer Product Safety Commission standards established in 16 C.F.R 1219-1220. The listed manufactured date of the cribs was 11/18/2010. The director failed to provide documentation verifying certification of the cribs.

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 director failed to maintain the health, safety and comfort of a child. Based on observation, an infant was awake, in a swing, while swaddled. Based on interview with staff in charge, she stated the child was swaddled per parent instructions. Staff in charge stated parent requested swaddling of 13 weeks old female to calm and soothe child. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, two infants were in cribs. One female had two teething toys and an additional toy in the crib with her. The other female child had more than 4 toys in the crib with her. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation, while the three year old class was using the restroom before lunch, a child wandered out of the room, entered the hall, and re-entered the restroom without the staff member noticing that the child had left. The same class after lunch was using the restroom, and a child left the restroom and was escorted by another staff member back into the restroom, again without the staff member being aware that a child had left the room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Based on observation, the four/five year old classroom had 15 children with one staff member supervising the children. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Based on observation, an infant was sleeping in a crib with a pacifier clip attached to the shirt/top the infant was wearing. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the door to a storage room was open, without a gate, allowing access of children from the one year old room. Within 2 feet of the opening of the storage room door, was a large bottle of Pine Sol cleaning solution sitting on the floor. Also, in the one year old room, a staff purse was out and accessible to the children. Based on observation in the infant room, was an infant crib against the wall containing an electrical outlet with cords plugged in which was readily accessible to the infant in the crib.

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, there was no plan implemented to allow each gender to use the toilet at separate times. All twelve (12) three year old children were in the restroom together with one toilet, without any division to allow for privacy. Each child removed clothing in front of all of the other children to access their toileting needs. Based on observation, another restroom was functional and easily accessible for the genders to have been separated. 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 Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygenic practices in accordance with regulatory requirements. Based on observation, the staff member of the three year old classroom had taken all twelve (12) children into the restroom at the same time where one toilet was located. The children used the toilet, washed their hands, and then proceeded to sit on the floor, touching the floor, the toilet seat, the toilet seat lid, other children, their hair, and a changing mat that was stored in the restroom.

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 hygenice practices in accordance with regulatory requirements. Based on observation, the changing mat in the restroom in the main building, which is used to lay children on while changing diapers/pull-ups had the plastic coating missing, leaving the pad unsanitary due to the surface not being non-absorbent. Based on observation while in the infant building, staff members in both the one year old room and infant room, failed to sanitize the changing mat after changing an infant and before changing another infant. Written Documentation

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of the sign in sheets recorded on 06/30/14, only 56 total children were signed in (38 in the preschool building and 18 in the infant building). Based on observation during the suvey, 68 children were observed attending the center.

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 review of video documentation, the center staff failed to provide adequate supervision to children. Based on observation at the center on 4-9-14 in the two/three year old classroom, the staff member hired on 10-1-13 left the classroom unattended to enter the attached kitchen to get milk, where she could not see the 10 two and three year old children in the classroom. Based on review of video documentation from 4-4-14, a staff member hired on 1-27-14 allowed two school age children to leave the classroom unattended, out of sight and sound, on numerous instances (at least fifteen)for time periods ranging from approximately one minute to five minutes, on two instances a school age child left the classroom unsupervised with a four year old child for approximately one minute each instance. Further review of video documentation revealed that at 4:23 p.m. a four year old child was alone in the classroom for approximately one minute and then at 4:45 p.m. the same four year old left the classroom unsupervised and returned to the classroom at 4:46 p.m. Video documentation revealed that staff member hired on 1-27-14 left the classroom to clean the bathrooms for a total of approximately six minutes, leaving one school age child and two four year old children unattended in the classroom, at one point during this six minutes the school age child left the classroom for one minute leaving the two four year old children. Continued review of video documentation revealed that the school age children were observed to be pulling the arms, dragging, pushing, picking up, carrying forcing them to sit, taking their toys away and running around the classroom chasing one and two year old children and slapping the hand of a two year old child with no intervention by staff member hired on 1-27-14.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of video documentation, the center did not store supplies so that the adult can reach them without leaving a child unattended. Based on review of video documenation from 4-4-14, the staff member allowed a school age child to leave the classroom unsupervised, out of sight and sound, to get a vacuum cleaner from outside of the classroom and bring it to the classroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 6 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the director did not assure that additional staff were available during cooking and cleaning hours to maintain staff-to-child ratios. Based on observation on 4-9-14 there was food cooking in the kitchen on the stove unattended and there was not sufficient staff in the center to maintain ratios and to have a cook available to monitor the food cooking in the kitchen as the director/named cook was in a classroom to assure ratios in the preschool classroom. Further observation revealed that when it was time to serve lunch, the director brought three children with her to sit outside of the kitchen door as she prepared the lunch and the three children followed her to the classrooms as she delivered the food to each classroom. Although the director brought three children with her to deliver the food, there were still two classrooms out of ratio, the infant and toddler rooms.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center did not have a minimum number of adult workers in the center to ensure that minimum staff-to child ratios in accordance with 922 KAR 2:120 were followed. Based on observation at the center on 4-9-14, the center did not have sufficient workers at the center to ensure that minimum staff-to-child ratios were maintained in the infant room and the toddler room as the infant room contained one staff member and six infants and the toddler room contained two staff members and thirteen toddlers.

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 review of video documentation from 4-4-14 the center failed to maintain ratios and group size. Based on observation on 4-9-14 in the toddler/two year old classroom, there were thirteen children with two staff members for five minutes as a two year old from the neighboring classroom came into the toddler classroom to do a time out placing the toddler/two year old classroom over ratio and over maximum group size for five minutes. Based on observation in the toddler classroom on 4-9-14, there were two staff members with thirteen toddlers placing the classroom out of ratio and over maximum group size. Based on observation in the infant room on 4-9-14, there was one staff member with six infants. Based on observation on 4-9-14, one staff member was supervising two separate classrooms, one classroom containing 12 four and five year old children and the other classroom containing 12 three year old children, as the second staff member took a child to the restroom. Based on review of video documentation from 4-4-14, there was one staff member with twelve children ages one thru school age placing the classroom out of ratio. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 6 Web site: http://chfs.ky.gov/ Inspection Report General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the center has failed to comply with provisions of this administrative regulation, KAR 2:120. Based on review of DRCC records, on 3-15- 13 and 2-5-13 the center has previously been cited for failing to maintain minimim staff-to-child ratios and ensure maximum group size. The current center director signed a plan of correction on 4-8-13 stating that to assure ongoing compliance "All employees have been instructed to be on time or give enough notice to call in a sub." and director has "re- arranged staffing to have more staff here in the morning." Review of Plan of Correction signed by current director on 2-7-13 stated that to correct violation director "called in more staff for morning shift." and to assure ongoing compliance director "made sure all staff has to call the night before or 2 hours before their shift starts, so we can make sure every class is always in ratio." Based on review of Plans of Corrections signed on 4-8-13 and 2-7-13, the director has failed to follow submitted plans of corrections as there continue to be ratio and group size deficiencies as evidenced by investigation dated 4-9-14 that revealed ratio deficiencies on 4-9-14 and 4-4-14 and group size deficiencies on 4-9-14.

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 director failed to supervise staff conduct to ensure implementation of program policies on discipline. Based on review of center policy of discipline, "a child may be sat in time-out for one minute per year of age" and "No one in the center including parents and staff shall subject children to harsh physical discipline" is part of the center's policy on discipline. Based on review of video documentation from 4-4-14, a staff member is observed physically restraining a two year old child and having this child remain in time out for approximately eight minutes which exceeds the one minute per year of age policy. Further review of the video documentation reveals that the staff member is physically restraining a two year old child by holding her arms accross his stomach, her leg over his leg as the child is struggling to get away from her and the child eventually falls off of her lap, the child is placed on the floor between her legs where the staff member is observed on video placing pressure with her legs on his midsection to get him to remain seated on the floor between her legs, the staff member later is observed roughly sliding the child on the floor to the wall as he is sitting on his bottom and holding him against the wall with her hand on his chest. This staff member did not follow the policy of children are to be in time out for one minute per year of age and not to subjecting children to harsh physical discipline.

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 observation, review of documentation and interview, the director did not provide for the health, safety and comfort of each child. Based on observation and interview with director, in the kitchen on 4-9-14, food was cooking on the stove from about 9:30 a.m. until lunch time at 11:00 a.m., unattended and there was not a cook or extra staff member available to monitor the cooking food as all staff members were in classrooms to maintain ratios. Based on observation in the infant room on 4-9-14, an infant was sleeping in a swing swaddled with the swaddled blanket completely covering the infant’s mouth and nose. Based on review of video documentation from 4-4-14 a staff member hired 1-27-14 physically restrained a two year old child for approximately eight minutes by holding her arms around his stomach area and put her leg over his leg in a manner to keep him from kicking, at one point the child kicked a nearby four year old, the two year old child was struggling to the point that he fell off of her lap, staff member had child sit on the floor between her legs as she squeezed her legs together on the child’s midsection in a manner to keep him on the floor and finally staff is observed sliding him roughly across the floor and against the wall as she pushes his chest and she holds him against the wall with her hand on his chest. Based on interview, three additional staff members stated that they also physically restrain this two year old child. Further review of video documentation from 4-4-14, staff member hired on 1-27-14 was observed picking up a two year old child by one arm and the sleeve of his shirt to place him in time out and was later observed taking her knee and pushing the child. School age children were observed on video documentation to be repeatedly pulling the arms, dragging, pushing, picking up, carrying, forcing them to sit, taking their toys away and running around the classroom chasing one and two year old children around the room and slapping the hand of a two year old child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the director did not assure that a person acting as a caregiver of a child in care was not left alone with children if the licensee had not recieved the results of the background checks as described in Section 3(1)(e)6 of 922 KAR 2:110. Based on observation, staff member re-hired on 10-1-13 was working alone in the two/three year old classroom. Based on review of documentation, the staff member hired on 10-1-13 did not have a criminal records check or child abuse and neglect check completed since date of re-hire and has been working alone on a daily basis per interview with staff member. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 6 Web site: http://chfs.ky.gov/ Inspection Report 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, review of documentation and interview, an employee was working alone with out the results of a criminal background check and child abuse and neglect check, checks were not completed in a timely manner and employee has worked past the 90 day probationary basis without completed background checks. Based on observation on 4-9-14, staff member re-hired on 10-1-13 was working alone in the two/three year old classroom. Based on review of documentation, the staff member re-hired on 10- 1-13 did not have a criminal records check or child abuse and neglect check completed since date of re-hire and has been working alone with children on a daily basis per interview with staff member rehired on 10-1-13. Child abuse and neglect check was not completed timely in accordance with 922 KAR 1:470 and criminal records check was not completed timely in accordance with KRS 199.896(19) as the checks had not been requested. As the employee was re-hired on 10-1-13, the employee has worked past the 90 calendar day probationary period pending results of background check as the employee was still employed at the center as of 4-9-14 without the results of the background checks. Based on review of DRCC documentation, the center was cited for failure to complete background checks timely on 3-17-14.

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, an employee hired on 1-27-14 did not have a current statment from a medical professional that the individual was free from active TB. 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 observation on 4-9-14, thirteen one year old children were seated at bucket tables from 10:30 a.m. until 11:26 when lunch was served. The only programming that was offered to the one year olds was a sheet of paper and the activity lasted approximately five minutes. The children were seated at the table as their peers were getting their diapers changed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of video documentation from 4-4-14, toddlers were combined with two year olds and school age children for over an hour. Based on observation on 4-9-14 the one and two year old children were combined in the same classroom all day. Video documentation from 4-4-14 revealed that toddlers were combined with two year olds and school age children for over an hour.

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, on 4-9-14 an infant was placed to sleep on it's stomach on the floor.

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, on 4-9-14 an infant was observed sleeping in a crib with a toy and wearing a bib. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 6 Web site: http://chfs.ky.gov/ Inspection Report Premises

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 video documentation from 4-4-14, a school age child retrieved a can of sanitizing spray from an unlocked cabinet for a staff member to sanitize a diaper changing surface. After the diaper change, the sanitizing spray can was placed on a low table, accessible to the one and two year old children in the classroom. Further observation of the video documentation revealed that 2 two year old children were striking the sanitizing spray can with toys. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, on 4-9-14 the two/three year old class did not wash their hands prior to eating lunch. Based on review of video documentation from 4-4-14, a child's hands were not washed after a diaper change.

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 video documentation from 4-4-14, a staff member's hands were not washed after a diaper change. Equipment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, on 4-9-14 an infant was observed sleeping on the floor on a blanket as opposed to sleeping in a crib. Based on interview with the infant room staff, the child was placed on the floor for tummy time and fell asleep, so the staff member allowed the child to continue to sleep on the floor. Further observation in the infant room revealed that another infant was sleeping in a swing and was not placed in a crib on his back to sleep. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 6 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

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, a child enrolled on 1-31-14 did not have an immunization record on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Interview the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Interview with staff members in the infant/toddler areas revealed that warm soapy water was not used consistently as part of the toy sanitation process at the center. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center director failed to assure compliance with regulatory requirements. Review of documentation present in each staff members' personnel file revealed an annual written staff evaluation was not available for a staff member with a hire date of 01/29/2010. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation the child care center director failed to assure compliance with regulatory requirements. Observation of Restroom #1 located at the end of the hall revealed a plunger was located next to the toilet making it accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in each staff member's personnel file revealed the criminal records check (CRC) as required by KRS 199.896(19 had not been conducted on the first date of employment for the following four staff members were: a staff member hired on 04/05/2013, a staff member hired on 06/03/2013, a staff member hired on 09/05/2013, a staff member hired on 01/06/2014 and a staff member hired on 01/27/2014. Further review of the personnel file of the staff member hired on 01/06/2014 and the personnel file for a staff member hired on 01/27/2014 revealed the child abuse and neglect (CAN) check had not been submitted within the five days of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in each staff member's personnel file revealed the center did not have a staff member with current certification in first aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in each staff member's personnel file revealed written evidence of having completed fifteen hours of cabinet-approved early care and education training during each subsequent year of employment was not present for a staff member hired on 09/01/2011 and a staff member hired on 08/29/2012. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview the child care center failed to comply with regulatory programming requirements. Interview with the center's director revealed older toddlers that were getting ready to turn two years old were being grouped for all day care with children aged two years old. Further interview with the center's director revealed the center had not developed a procedure for listing a transitioning toddler on attendance records, including a specific day and time the toddler was with either age group and had not obtained the signature and approval of the toddler’s parent on the toddler’s transition plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with regulatory programming requirements. Observation revealed children in the Preschool Room were allowed to watch a movie while eating lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed sixteen children in the Preschool Room were not prompted to wash their hands after having eaten lunch before laying down for their nap. Continued observation revealed the same group of children along with ten children in the Threes Room did not wash their hands before eating their afternoon snack. Further observation revealed the ten children in the Threes Room were not prompted to wash their hands after eating snack before being allowed to play with toys in the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview revealed the child care center failed to comply with the regulatory requirements regarding medication. Observation of the diaper changing stations located in the Transition Room and the Toddlers' Room revealed tubes/containers of unlabeled diaper rash ointment were present Interview with staff members revealed the diaper rash ointment was provided by the center with verbal consent from parents to be used during diaper changes.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview the child care center failed to comply with the regulatory requirements regarding medication. Interview with staff members’ revealed one child in Room #8/Toddler Room in Bldg. 2 had medication for a breathing treatment that was left in the child's diaper bag. 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 6. Sleeping and Napping Requirements.

General: Based on Observation the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed twelve cots in Room #2/Preschool room were not spaced the required twelve inches apart during nap time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed an alphabet rug in Room #5/School Age revealed it was frayed along the edge of one side. Further observation of the room revealed the yellow lament covering on a table that was in the shape of a cog was cracked and missing pieces which allowed for the pressed wood to be exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain children's records in accordance with regulatory requirements. Review of documentation present in ten children's files revealed a current immunization certificate was not present for a child enrolled on 12/16/2012, a child enrolled on 01/08/2013, and a child enrolled on 12/30/2013.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation and interview revealed a written list of daily activities (lesson plan) was not posted in the Older Infants Room/Room #1 of Bldg #2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were twelve infants with two staff members in the classroom from 8:40 a.m. to 8:45 a.m. At 8:45 a.m. the staff in charge entered the room and stated that the third staff member was running late. Further observation revealed that the classroom was over their maximum group size with twelve infants in one room from 8:40 a.m. to 9:00 a.m. Based on observation, there were thirteen children ages two and three with one staff member in the classroom from 8:51 a.m. to 9:00 a.m. Two's Room: Based on Observation, there were thirteen children ages two and three with one staff member in the classroom from 8:51 a.m. to 9:00 a.m. Big Nursery: Based on Observation, there were twelve infants with two staff members in the classroom from 8:40 a.m. to 8:45 a.m. At 8:45 a.m. the staff in charge entered the room and stated that the third staff member was running late. Further observation revealed that the classroom was over their maximum group size by have twelve infants in one room from 8:40 a.m. to 9:00 a.m. Premises - Classroom 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 2) Not Exit/ Entrance Not In Compliance Findings: Big Nursery: Based on observation, the main entrance and exit is located in the Big Nursery which includes infant. Based on documentation, the center's POC received on March 6, 2013 stated that a gate would be placed at the entrance on March 8, 2013. Based on interview, the staff in charge stated that the gate was on back order. 4) Traffic Pattern Not In Compliance Findings: Big Nursery: Based on observation, the main entrance and exit is located in the Big Nursery which includes infant. Further observation revealed that there failed to be adequate crawling space for infants away from main traffic pattern of the center. Based on documentation, the center's POC received on March 6, 2013 stated that a gate would be placed in the classroom so the infants will have crawling space away from main traffic. Based on interview, the staff in charge stated that the gate was on back order.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, there was no document available for review verifying that staff members with the hire date 9/10/12, 10/26/12, 1/14/13, 1/22/13 and 1/9/13 was free of active tuberculosis. 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 Not In Compliance Findings: General: Based on observation and review of documentation, the center failed to have CPR coverage from 6:00am to 9:00am the day of the survey. 2) First Aid Not In Compliance Findings: General: Based on observation and review of documentation, the center failed to have First Aid coverage from 6:00am to 9:00am the day of the survey. 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on review of documentation, staff members with the hire dates 1/5/12 and 8/29/12 failed to complete the required six hours of cabinet approved orientation training during her first three (3) months of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, a staff member with the hire date 1/5/12 failed to complete nine hours of cabinet approved training during her first full year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, staff members with the hire dates 9/1/11, 8/27/08 and 8/27/08 failed to have documentation verifying the completion of all 15 training hours during their last full year of employment. 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 Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: Room Three: Based on observation, the center failed to post a daily schedule. 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; 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Big Nursery: Based on Observation, upon arrival at 8:30 a.m. there were 12 infants in the Big Nursery with two staff members. A third staff member arrived at 8:31 a.m. Further observation revealed that one staff member left to take a child to the bus; therefore the classroom was out of ratio and over group size. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, staff members with the hire dates 3/9/10, 8/27/08 and 8/27/08 failed to have an evaluation on file for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the center failed to have an annual Parental/Family Involvement Activity. Employee Records 17 - Submission of background checks timely/Left alone 922 KAR 2:090 - Section 5 (2) A director, employee, volunteer, or any person with supervisory or disciplinary control over or having direct contact with a child shall submit to a background check; and (a) May be employed or work with a child on a probationary basis for up to ninety (90) calendar days, pending completion of a: 1. Child abuse or neglect check described in 922 KAR 1:470; and 2. Criminal records check required by KRS 199.896(19); and (b) Shall not be left alone in the presence of a child if each required background check has not been completed. 1) 90 day period In Compliance 2) Child Abuse and Neglect In Compliance 3) CRC In Compliance 4) Left alone In Compliance 18 - Background check/Termination 922 KAR 2:090 - Section 5 (3) Upon completion of a child abuse or neglect check or criminal records check, described in subsection (2)(a) of this section, a licensee shall discharge immediately a director, employee, volunteer, or any person: (a) Whose name is listed on the central registry established by 922 KAR 1:470; or (b) Who has been convicted of a crime defined by KRS 17.165(1) through (3). 1) Name on central registry In Compliance 2) Conviction In Compliance 102 - Staff Training Record 922 KAR 2:110 - Section 3 (7) A written record of training participation for each child-care center staff person, to include: (a) The training source; (b) Location; (c) Date; and (d) Number of clock hours completed; 1) Training Source In Compliance 2) Location In Compliance 3) Date In Compliance 4) Clock Hours In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members with the hire dates 3/9/10, 9-1-11 and 8/27/08 failed to have an annual plan for child-care staff professional development plan on file for review. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report

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 facility failed to have proof of education on file for staff members with the hire dates 10/26/12 and 1/14/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room Four: Based on observation, the center failed to post the proper methods of diapering near the diaper changing area. Room Three: Based on observation, the center failed to post the proper methods of diapering near the diaper changing area. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance 2) Wild In Compliance 3) Exotic In Compliance C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, in the infant/toddler room staff-to-child ratio was not maintained at 8:40 a.m. as one (1) staff member left the room to open the front door of the facility to allow surveyors entry and allowed one (1) staff member to care for the ten (10) infants in the room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report General Administration 23 - Qualify and Maintain a License 922 KAR 2:090 - Section 5 (8) To qualify for and maintain a license, a child-care center shall: (a) Provide written documentation from the local authority showing compliance with local zoning requirements; (b) Be approved by the Office of the State Fire Marshal or designee; (c) Have an approved water and sewage system in accordance with local, county, and state laws; (d) Have adequate equipment, supplies, and staff to serve initial enrollment of children; (e) Provide written proof of liability insurance coverage of at least $100,000 per occurrence; (f) Comply with provisions of this administrative regulation, 922 KAR 2:110, and 922 KAR 2:120; (g) Cooperate with the state agency during an investigation of an alleged complaint, including an allegation of child abuse or neglect pursuant to KRS 620.030(3); and (h) Have a director who meets the requirements listed in 922 KAR 2:110. 8) Have Director Not In Compliance Findings: General: Based on interview, the staff in charge stated that the named director of the facility resigned from the postion on 3/23/12 and no director had been named to replace her as of the time of this investigation. 142 - Change of Director 922 KAR 2:110 - Section 6 (3) A licensee shall report to the cabinet within one (1) week: (a) Any resignation, termination, or change of director; and (b) The name of the acting director who satisfies the requirement of Section (4) of this administrative regulation. 2) Acting director Not In Compliance Findings: General: Based on interview, the staff in charge stated that the named director of the facility resigned from the postion on 3/23/12 and no director had been named to replace her as of the time of this investigation. DRCC record review revealed there had been no change of director request submitted to the Cabinet naming an acting director. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, in the infant/toddler room there was one (1) infant that was allowed to sleep in an infant swing throughout the entire investigation survey. Further observation revealed that from 8:45 a.m. to 9:00 a.m. the two (2), three (3) and four (4)-year-old children were shuffled from room to room and then to the restroom while several of the children cried, were confused and were being led in different directions by staff. Continued observation revealed the rooms and hallway areas were chaotic and loud. General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 7) Personal belongings of staff Not In Compliance Findings: General: Based on observation, there were two (2) women's purses sitting on a stack of cots that were accessible to the children in the room. Equipment - Classroom

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 Equipment.

Twos: Based on observation, there was a two-(2)-year-old child that was sleeping on an area rug which was located directly in front of the block center and was not provided a cot or mat. Further observation revealed children in the room were walking over and around the sleeping child. 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 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided Not In Compliance Findings: Twos: Based on observation, there was a two-(2)-year-old child that was sleeping on an area rug which was located directly in front of the block center and was not provided a sheet and cover.

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 observation, a staff person in the preschool room was observed using a harsh tone and yelling at the children repeatedly for approximately one (1) hour.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff person with a hire date of 1/2/12 did not have a high school diploma or GED on file at the facility.

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, two staff members, both with a hire date of 2/1/12, did not have a negative TB skin test or a statement from a health professional on file at the facility. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually 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 Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: infants: Based on observation, the infant room did not have a current plan of activities posted in the classroom. 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; 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)

Ones: Based on observation, a one year old child was observed lying on the concrete floor attempting to rest while the remainder of the class was engaged in activity. Further observation revealed that the child was not offered a mat or cot to lay on. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: infants: Based on observation in the cabinet underneath the sink in the infant room there were several containers of cleaning products (Clorox wipes, Glad spray, Disinfectant spray) that were not locked and accessible to the children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Ones: Based on observation, the area rug located in the one year old room was visibly dirty. infants: Based on observation, the area rug located in the infant room had visible brown stains and debris on it. Further observation revealed that infants were crawling on the rug. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

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

General: Based on observation of the Infants' Room at approximately 11:25 am, there were two (2) staff members with eleven (11) infants. The staff in charge stated during interview one (1) of the children in the Infants' Room was a toddler that had fallen asleep in the Toddlers' Room right after having eaten lunch. The staff in charge further stated the toddler had been moved to the Infants' Room until the rest of the cots had been placed down for nap so as not to disturb the child. The staff in charge stated the staff members in the Infant's Room had miscounted the number of children present in the Infants' Room but that the issue would be addressed promptly. General Administration 168 - Abuse/Neglect 922 KAR 2:120 - Section 2 (3) (b) The program shall include: 1. A procedure to inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030; and 2. Written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. 1) Abuse/Neglect procedure In Compliance 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 Director Requirements 113 - Staff Supervision 922 KAR 2:110 - Section 4 (1) (g) Supervise staff conduct to ensure implementation of program policies and procedures; 2) Implementation of Procedure In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview with staff members, it was learned that a child had not been provided a cot to take a nap. The staff in charge stated during interview she was aware of the issue and that it would be addressed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Food Service 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 1) Identification Information Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with information identifying the child as enrolled. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. 2) Parent Contact Information Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with parental information. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. 3) Physician Contact Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with physician contact information. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. 4) Designated Pick-up Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with designated pick-up information. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with medical information. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. 2) Emergency Authorization Not In Compliance Findings: General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of an enrollment form with emergency contact information. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had an enrollment packet for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation for a child in attendance on 12/08/2012 revealed the absence of a current immunization certificate on file. The staff in charge stated the child in question belonged to a staff member at the facility, but attended another location. The staff in charge thought she had a current immunization certificate for the child on file at the facility but was unable to locate the documentation. The staff in charge further stated she would address the issue promptly.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.