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

General: Based on interview and review of documentation, the childcare center failed to present a verification of current record of Pediatric Abuse and Head Trauma (PAHT) training for one (1) staff member (DOH: 04/04/2024). The last PAHT training for that staff member is dated 03/05/2019. The ECE-TRIS report supported this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the toilet seat in the second stall of the girls' restroom was loose. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care provider did not report the employment status of four (4) staff members with the hire dates of 01/31/2022; 01/28/2022; 03/07/2022; and 06/13/2016, to the National Background Check Program (NBCP) Web-based system Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for one (1) staff member with the date of hire 04/04/2004. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member did not wash their hands after completing a diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the proper methods of diapering and hand-washing technique were not posted at the diaper changing area in the Infants' room. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a seven (7) month old infant sitting in a bucket seat within the infant room who was not secured into the seat with a safety restraint. 2. There was a toilet plunger located on the floor adjacent to the toilet within the Boys' bathroom.

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: Upon request, a current fire marshal report was not presented for review on the day of the inspection. The documentation that was presented was dated 04/16/2019. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The return air vent within the infant room contained a build-up of dust and debris. 2. The return air vent within the Boys' bathroom was rusted. 3. The entry door leading into the school-age room was chipping paint. 4. The entry door leading into the two-and-three-year-old room was chipping paint.

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: Observation of the child care center revealed the following: 1. There was drywall tape peeling away from the wall under and around a urinal within the Boys' bathroom. 2. The wall behind the handwashing sink within the Girls' bathroom was chipping paint and the drywall was exposed. 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: Observation of the child center revealed the following: 1. Five (5) tricycles attached to the carousel were missing peddles and one (1) of the tricycles was missing a metal peg and a peddle within the outdoor play area. 2. There was a vinyl mat within the two-and-three-year-old room that was cracked in multiple places, exposing the inside absorbent material. 3. There was a black rug in the hallway that was frayed and curled, creating a tripping hazard. Transportation In Compliance 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: Observation of the refrigerator within the infant room revealed there were four (4) bottles that were not individually labeled for whom the bottles were intended. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written professional development plan was not presented for review on the day of the inspection for the staff member with the hire date 08/01/2016. Posted Documentation In Compliance Animals 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 staff in charge did not present verification that the child care center had maintained enrollment records to include a current listing of a preferred hospital. Review of ten (10) children’s files revealed that four (4) of the ten (10) enrollment forms listed a hospital name that is no longer in operation. 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 staff in charge did not provide verification that the daily attendance record for 02/12/2021 reflected the correct number of children in attendance. Review of the attendance record revealed only eleven (11) children had been signed in. Observation revealed fifteen (15) children in attendance. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the breakfast meal that was served consisted of Pop Tarts. There was no offering of a fruit, vegetable, or 100 percent juice. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

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's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employee with the hire date of 06/09/2017 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continued review revealed the above- mentioned employee had not had met the requirement of updating pediatric abusive head trauma training. Review of the ECE-TRIS training system indicated the above-mentioned employee had not met the requirement. Programming In Compliance Premises In Compliance 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 1 of 2 Inspection Report Equipment 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The table located in the infant classroom contained six (6) bucket seats. Three of the six seats did not contain straps. Observation revealed two (2) infants were sitting in the seats with no restraint belt. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record for the child with the enrollment date of 02/04/2019 contained information listing the name of a preferred hospital or a name of a physician. 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. Upon request, the staff in charge did not provide verification that the daily attendance record for 11/13/2019, revealed that twenty-five (25) children had been signed in. Continued review revealed that twenty (20) guardians had signed the weekly attendance record for the week in advance. Posted Documentation 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the restroom, which contained a changing table, had posted the proper diapering and handwashing procedures. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that an annual plan for staff development had been completed for the employee with the hire date of 08/01/2016. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Upon entry into the two/three-year-old classroom, there was one (1) staff member present with fourteen (14) children. Interview with the staff revealed the children ranged in age from two to three-years-old. Therefore, the classroom exceeded the minimum staff to child ratio by four (4). Continued observation revealed that upon entry into the infant classroom, there was two (2) staff present with twelve (12) infants. Interview with the staff revealed the infants ranged in age from six (6) to twelve (12) month; therefore, exceeding the minimum staff to child ratio and maximum group size. General Administration In Compliance 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 8. General.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care center director did not present a current copy of the administrative regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the staff person's interaction with children in care and classroom performance for an employee with the hire date of 08/01/2016. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 pink restroom located off the hallway had an area above the sink where the paint was peeling off the wall. Continued observation revealed a small area of paint that had peeled away from the wall, which is located behind the base of the toilet. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Prior to the lunch meal being served, the staff did not prompt or assist the children in hand-washing procedures. Continued observation revealed the staff prompted the children to use hand sanitizer prior to eating their meal. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. In the two-year-old classroom, there was a green throw pillow that was soiled and stained. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for the children with the enrollment dates of 09/07/2017 and 10/10/2018 contained information listing the name of a physician and a preferred hospital. Continued review revealed the record for a child with the enrollment date of 10/10/2018 did not contain any medical information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not provide verification that the daily attendance record for 11/13/2018 reflected the correct number of children in attendance. Review of the attendance records revealed that forty (40) of the forty-six children present had been signed in. Continued review revealed that thirty-three (33) of the guardians had signed the weekly attendance record in advance.

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 and interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation and interview with owner/director revealed soiled diapers are individually wrapped in a glove and are temporarily stored outside in an uncovered milk crate which is placed on a parking lot guard rail near the back door. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulations. On the playground, the protective surface surrounding the large, multi-color climbing cube failed to sufficiently cover the ground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the Criminal Records Check (CRC) presented for review at the time of survey for a staff member hired 3/13/17 was dated 11/28/17. The cover page to the CRC revealed the CRC was submitted to the Administrative Office of the Courts (AOC) on 11/28/17; therefore, the CRC was not submitted on or before the staff member’s first day of employment. The owner/director revealed a CRC was originally submitted within regulatory timeframes; however, she revealed proof that the CRC was submitted on or before the staff member’s first day of employment was not available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center failed to comply with regulatory programming requirements. In the School-Age Room, the posted daily schedule of activities for December 2017 included activities such as: (1) Trace the letter M with finger; (2) Count from one (1) to five (5) in English; (3) Hold up three fingers; and (4) The alphabet song. The owner/director revealed the school-age children range in age from six-years-old to eight-years-old. Therefore, based on the age of the school-age children, the daily schedule of activities was not individualized and developmentally appropriate for each child served. 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. The kitchen is located in the hallway near one (1) of the preschool classrooms. The preschool children also pass by the kitchen when walking to the bathrooms. The kitchen door was kept open while lunch was being prepared and after lunch was finished. Consequently, the bleach and multiple plastic bags stored in an unlocked, bottom kitchen cabinet, and a container of laundry detergent placed on the floor next to the washer and dryer in the kitchen were accessible to 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 regulations. In the girls’ bathroom, the sink faucet was loose. The owner/director revealed she was in the process of addressing the issue. In the girls’ bathroom, there was a slight dust buildup in the wall vent. In one (1) of the green bathrooms, there was a dust buildup in the ceiling vent.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the girls’ and boys’ bathrooms, one (1) ceiling tile was slightly out of alignment in the ceiling frame. In the Infant Room, one (1) ceiling tile, which appeared to have a brown water stain, was slightly out of alignment in the ceiling frame. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulations. Observation and interview with owner/director revealed one (1) of the green bathrooms was not ventilated to the outside air. 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 11. Toys and Furnishings.

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulations. In the Infant Room, all eight (8) bucket seats in the feeding table had slots for seat straps; however, all of the seat straps were missing. In the Twos/Threes Room, there were musical toys stored in a small, blue plastic container which was placed on the floor, and this container was cracked with jagged edges and accessible to children. The owner/director acknowledged the container was cracked. In the Ones Room, there was a pink shag rug which was lightly soiled with what appeared to be food crumbs, lint, and glitter, and there was a large blue rug which was spotted with light and dark substances. In the boys’ bathroom, there were two (2) stepstools, one lightly soiled with dirt and the other heavily soiled with dirt.

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 regulations. On the playground, the end portion of one (1) of the two (2) benches on the yellow, plastic picnic table was missing, leaving cracked edges on that bench end. There was also a small hole in the other bench on the same picnic table. The owner/director revealed she is in the process of addressing the issue. In the Threes Room, there was an adult-size, cushioned wooden chair, and the cushion was heavily soiled. Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

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 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. The owner/director acknowledged 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 and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 12/15/17 revealed the current week’s attendance had been verified in advance on the DCC-94E form, as evidenced by the parent or designated person’s signature, for twenty-seven (27) children. Review of attendance records from 12/11/17-12/13/17 revealed one (1) child was signed in each day, but not signed out. Review of attendance records from 12/11/17-12/14/17 revealed nine (9) children were signed out on several instances, but were not signed in. The owner/director acknowledged the aforementioned children were signed out, but not signed in. 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 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records at 9:35am revealed two (2) children had been signed out in advance with a departure time of 3:59 pm. Interview with director revealed the normal procedure is for parents to sign their children out when they leave the center. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the boy’s bathroom, revealed a ceiling vent above the stall was covered in a thick layer of dust. Further observation of the infant room revealed the fan mounted to the wall next to the changing station was covered in a thick layer of dust. 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 11. Toys and Furnishings.

General: Based on Observation the child care center failed to maintain equipment in accordance with regulations. Observation of Infant classroom revealed the blue/red vinyl matt next to the door was torn exposing inside foam material. Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 records for four (4) children failed to contain preferred hospital information. 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 4. Director Requirements and Responsibilities.

General: Based on Observation the child care center director failed to assure the compliance with regulatory requirements. Observation of the boy’s bathroom revealed a toilet brush and a plunger in the stall which was accessible to children. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for one (1) staff member hired 12/13/14. Interview with director revealed an evaluation had not been completed for the staff member.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, in the girl's bathroom, a plastic paper towel holder was attached to a dividing wall of the toilet stalls, which contained pointed screws protruding from the inside wall of the stall, leaving unprotected pointed screws in an area accessible to a child. Based on an interview with staff in charge, she stated the screws had previously been covered with tape to prevent the screws from sticking out.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the ventilation system was in disrepair in the boy's and girl's bathrooms and was not operable. Based on interview with staff in charge, she was unaware the ventilation was not working. Hygienic Practices

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 the equipment in accordance with regulatory requirements. Based on observation a large brown, plastic play house, located outside in the play areas which revealed an attachment including a red slide that was cracked and broken away from the main structure, leaving in unsafe and in disrepair. Additionally, a blue metal, cycle merry-go-round had 4 cycles which were missing a pedal and was in disrepair. Based on an interview with the staff in charge, she stated it was winter and was unaware of the items in disrepair.

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. Based on a review of ten children's files, a child enrolled on 01/11/15, failed to have a physician's information contained in the file to enable a staff person to contact. Based on an interview with the staff in charge, the child did not have a physician listed due to the child having an immunization exemption.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to post documentation in accordance with regulatory requirements. Based on a review of the posted documentation, an incomplete SOD/POC was posted, revealing only pages where deficiencies were cited. Based on an interview with the staff in charge, she stated that she only thought the deficiencies had to be posted. When given ample time to locate the missing pages, the staff in charge was unable to locate and submit all of the missing pages.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain medication requirements. Observation of the infant classroom revealed that there was some petroleum jelly and baby powder on the changing table and was within reach of the children in care. Continued observation revealed that the above medication listed was not stored in a separate and locked place, out of the reach of a child. 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 chlidcare center failed to maintain clean crib sheets. Observation of the infant classroom revealed that there were crib sheets inside the cribs that were soiled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all furniture clean and in good repair. Observation of the Two-Year-Old Classroom revealed that there were high chairs in which the chair cover was dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain outdoor equipment in good repair. Observation of the outdoor play area revealed a orange, blue, green and yellow climbing apparatus with a cracked bench.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare center failed to maintain bottle preparation requirements. Interview with the infant teacher revealed that the parents of the children provide the formula and the infant staff measure and prepare the bottles for the children in care when there were not enough bottles prepared by the parents.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare Director failed to maintain the health, safety and comfort of all children in care. Observation of the girls' bathroom revealed that a paper towel dispenser was screwed directly into the side of the girls stall. Observation of the inside of the stall revealed that the ends of the screws were exposed and children in care had access to the sharp, pointy ends of the screws. 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

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all required background checks. Review of documentation revealed that the staff members with the hire dates of 08/28/2014 and 11/24/2014 did not have a completed Criminal Record Check (CRC) provided for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member hired on 11/11/2014 did not have a valid high school diploma, GED or Commonwealth Care Credential on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare director failed to ensure all staff completed the required annual state approved training hours. Review of documentation revealed that a staff member with the hire date of 04/01/2004 completed 13.5 hours of the required annual 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 childcare center failed to maintain all ceilings and walls in good repair. Observation of the girls' bathroom revealed that the wall behind the garbage can was peeling and drywall was accessible to the children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain diapering surface requirements. Observation of the changing pad in the infant classroom revealed that the corners of the changing pad were torn.

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 Review of Documentation, the childcare center failed to maintain medication administration requirements. Review of documentation in the infant classroom revealed that there was not a signed request for the use of the petroleum jelly or the baby powder that was in the classroom.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, at the time of the survey on 12/13/2013 at 8:59 A.M, there were 25 children observed throughout the child care center. Based on review of attendance records, 31 children were signed into the building at 8:59 A.M.

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 fire drill log did contain the time that the fire drills were conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the daily activities that are posted in the 4/5 year old classroom listed "free play" for the entire day of 12/13/2013. Further review of documentation revealed that in the infant classroom, the daily activities that were posted were not dated.

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, an employee with the hire date of 12/14/2012 did not have a completed Criminal Record Check (CRC) until 05/16/2013; therefore, the center did not request the CRC on the initial date 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, an employee with the hire date of 02/27/2012 completed 6 of the 9 required state approved annual training hours. Further review of documentation revealed that an employee with the hire date of 02/27/2012 did not complete orientation within 90 days. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the training chair in the girls' restroom has a yellow substance inside the bowl area and there were no children around that had recently used the training chair.

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 tall gray outdoor play apparatus used for climbing does not have a fall zone equal to the apparatus' height.

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, numerous toys in the 2/3 and 4/5 year old classrooms are not being kept in good repair.

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 registered at 45 Degrees Fahrenheit. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the freezer registered at 10 Degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation in the infant room, there were three infant cribs containing mattresses that were still wrapped in the manufacturer's plastic which states on the packaging that it is a suffocation hazard. Based on observation in the pre-school classroom, four children were observed sleeping on the floor, children were not on mats or cots. Programming 410 - Infant/Toddler Combined with Older Children Discussed 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (2) Except in accordance with subsection (3) of this section, an infant or toddler shall participate in an activity with an older child for no more than one (1) hour per day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the children were served Pop Tarts for snack that were not whole or enriched grain.

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, there were approximately eight 4-5 year old children unsupervised in the hallway for approximately one minute as they were waiting to use the restroom. The staff member assigned to supervise this group was in the restroom with another child and could not observe the children sitting in the hall. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, there was one staff person with 15 four and five year old children. Food Service

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the four and five year old children were served 2% milk with snack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two Year Old Room: Based on Observation, one staff person was caring for fourteen (14) children ranging in age from 2-3 year olds. 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

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, child care center failed to assure the health, safety and comfort of a child in that her hair was pulled from her scalp by another child while the children were in care. Outdoor Play Area - Staffing Requirements

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, two (2) staff were observed on the play ground caring for twenty six (26) children ranging in age from two to four years old. Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing 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 observation one (1)infant was lying in a crib drinking milk from a sippy cup. During interview the licensee stated she was unaware that staff had allowed a child to lye in a crib with a sippy cup.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three's: Based on observation upon the surveyor entering the classroom at 9:46 a.m., one (1) child was observed to be sitting in time out. At approximately 9:50 a.m. the child began asking to join the other children in circle time. At 9:57 the child began to cry loudly asking to join the group and the staff in the room ignored the child. At 10:00 a.m. the licensee entered the room and instructed the child to return to the group of children after the surveyor explained the situation. 180 - Waiting Period 922 KAR 2:120 - Section 2 (8) A child shall not be required to stand or sit for a prolonged period of time: (a) During an activity; (b) While waiting for an activity to start; or (c) As punishment. 1) During Activity In Compliance 2) Waiting for activity In Compliance 3) Punishment In Compliance 181 - School Age Care 922 KAR 2:120 - Section 2 (9) If school-age care is provided: (a) A separate area or room shall be provided in a Type I center; and (b) Each child shall be provided a snack after school. 1) Separate area In Compliance 182 - Discipline 922 KAR 2:120 - Section 2 (10) A child shall not be subjected to: (a) Corporal physical discipline pursuant to KRS 199.896(18); (b) Loud, profane, threatening, frightening, or abusive language; or (c) Discipline that is associated with: 1. Rest; 2. Toileting; or 3. Food. 1) Corporal discipline prohibited In Compliance 2) Loud, profane, threatening, frightening or abusive language In Compliance 3) Associated with rest In Compliance 4) Associated with toileting In Compliance 5) Associated with food In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 38 Web site: http://chfs.ky.gov/ Inspection Report 185 - Electronic Viewing/Listening planned program 922 KAR 2:120 - Section 3 General Requirements. (1) Electronic viewing and listening devices shall only be used in the center as a part of the child's planned program of activity described Section 2(4)(d). 1) Viewing devices In Compliance 2) Listening devices In Compliance

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 bservation the two-(2)-year-old room there was one (1) staff member assigned to care for thirteen (13) children. During interview staff stated the youngest child in the room was two-(2)-years-old. During interview the director stated she was unaware there were thirteen (13) children in the room. 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 Food Service 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 2) Dated Not In Compliance Findings: General: Based on Observation, The posted menu was dated September 20-24, 2011. During interview the director stated she was unaware the posted menu was not current.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.