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

A PLAN OF CORRECTION WAS DUE ON 03/18/2024 AND AS OF 04/10/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member collected urine from a child. The staff member gave the child two (2) cups, walked with him/her into the bathroom, and closed the door. The child later presented a cup of his/her urine to another staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there were seventeen (17) children with one (1) staff member in the school age room at 7:54 am. Interview with a staff member identified the youngest age child in the room as three-years-old. The classroom was brought into ratio at 7:56 am when another staff member escorted seven of the children to another room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 6. License Issuance.

General: Based on interview and review of documentation, the licensee did not present a current Fire Marshal inspection report. The report presented was from 2019. The staff member in charge stated that she attempted to contact the Fire Marshal about receiving a new inspection, but did not produce documentation of the attempts that were made.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 02/22/2024 AND AS OF 03/07/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 04/10/2024 AND AS OF 05/09/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were toilet brushes located next to the toilets in the Ones Room, Toddler Room, Pre K 3 Room, and Pre K Room. There was a plunger next to the toilet in the Pre K 3 Room. Additionally, there was an uncovered electrical outlet in the Toddler Room and Pre K Room. 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, the files for two (2) staff members (DOH: 03/21/22 and 06/07/23) failed to contain verification of a high school diploma, GED or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the files for four (4) staff members (DOH: 06/22/23, 09/01/11, 09/13/11, and 08/21/23) failed to contain a current copy of negative tuberculin results or a current statement from a health professional that the individual is free of active tuberculosis. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation, interview and review of documentation, observation of the child care center from 7:53 am to 8:00 am revealed there was not a staff member present certified in cabinet approved adult and pediatric cardiopulmonary resuscitation (CPR) and first aid. Review of staff files revealed there are three (3) staff members certified in CPR and first aid. Review of the staff schedule revealed there is not a staff member certified in CPR and first aid scheduled for all hours of operation. Continued review revealed there is only coverage from 8:00 am to 5:00 pm on Monday, Tuesday, Wednesday, and Friday. Further review revealed there is coverage from 8:30 am to 4:00 pm on Thursday. Interview with the staff in charge acknowledged the findings.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the files for two (2) staff members (DOH: 06/22/23 and 09/11/23) failed to have verification that cardiopulmonary resuscitation (CPR) and first aid training had been completed within three (3) months of employment. Review of the ECE TRIS report did not verify that the training was completed.

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 files for two (2) staff members (DOH: 08/21/23 and 09/11/23) failed to have verification from ECE-TRIS that the six (6) hour cabinet approved orientation training had been completed within three (3) months of employment. The files for four (4) staff members did not contain verification that the required fifteen (15) hours of cabinet approved training from July 1, 2022, to June 30, 2023, had been completed. Review of an ECE-TRIS report did not verify that the training had been completed. 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 doorknob to the boy's bathroom in the Pre K Room was partially detatched. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the older children's playground, the chain link fence was detached from the fence posts in several places. The bottom of the chain link fence was bent upward, exposing the fence's sharp edges. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 6. Sleeping and Napping Requirements.

General: Based on observation, five out of seven cribs in the Nursery contained loose fitting sheets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: 1) The fire alarm chirped intermittently throughout the duration of the inspection, indicating that it was not functioning properly. 2) The Lego table in the School Age Room contained an accumulation of dirt and debris. 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 of the kitchen, the kitchen was not ventilated to the outside air. The cook acknowledged that the ventilation was not functioning properly at the time of the inspection.

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 outside of the refrigerator in the kitchen contained a thick accumulation of dirt. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver on hired /31/19, had TB documentation on file that was dated 7/30/20. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the ventilation fan and the urinal were not operable in the school-age restroom. 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 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 Not Applicable 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 3. Implementation and Enforcement.

General: Based on observation, interview and review of documentation the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, a completed National Background Check Program (NBCP) documentation with an eligible status was not presented for review for two (2) staff members with the hire dates; 08/30/2021 and 06/09/2021 whose files did not contain documentation verifying that the child care center had initiated the process for obtaining a background check for the aforementioned staff member. Observation of the one and two-year-old room revealed the staff member with the hire date 08/30/2021 was working with children with a qualified staff member. The staff member with the hire date 06/09/2021 was not observed working at the child care center on the day of the inspection. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the aforementioned staff members were not identified as being employed at the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Review of files for staff members with the hire dates 06/09/2021 and 08/30/2021 revealed that the aforementioned staff members were employed at the child care center. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the aforementioned staff members were not identified as being employed at the child care center. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the preschool room at 9:30a.m. revealed there were fourteen (14) children with one (1) qualified staff member. Interview with the staff member revealed the youngest child in the classroom was three (3) years old. Therefore, the minimum staff to child ratios were not maintained. Observation of the one and two-year-old classroom at 11:15a.m. revealed there were eight (8) children with two (2) adults. Review of the staff members' files revealed there was only one (1) qualified staff member working in the classroom. Interview with the staff member revealed the youngest child was one (1) year old. Therefore, the minimum staff to child ratios were not maintained. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 11/06/2021 AND AS OF 12/10/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, a high school diploma, GED, qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential was not presented for review for one (1) staff member with the hire date of 08/30/2021.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in-charge did not present verification that the files for three (3) staff members with the hire dates of 08/30/2021, 09/01/2011 and 09/13/2011 contained a current document from a health care professional stating that the aforementioned staff members were free of active tuberculosis or a copy of a negative screening. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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, documentation verifying that the child care center has hired two (2) qualified substitutes was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Verification of fifteen (15) hours of cabinet-approved early care and educational training was not submitted for one (1) staff member with the hire date 03/08/2021. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report could not verify that the aforementioned trainings had been completed and the report revealed that the aforementioned staff member had previously worked in child care. Interview with the staff member in-charge revealed she / he could not provide documentation verifying that the aforementioned trainings had been completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the preschool classroom revealed there was a black purse sitting on a wooden shelf that was accessible to the children. Interview with the staff member in the classroom revealed the purse was hers.

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 doors and door frames leading into the toddler 1 and toddler 2 classrooms revealed they were chipping paint and the wood was exposed. The metal door leading from the preschool room into the hallway to the outside play area did not close properly, leaving the door slightly open. Observation of the gathering room revealed an electrical outlet that did not contain a face plate and wires were exposed. Observation of the hallway leading to the outside playground revealed the walls were heavily soiled. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 metal door leading out to the outside play area was propped open with a piece of wood. Therefore, the door was not protected.

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 wall adjacent to the metal door leading to the outside play area revealed the wall was missing a large area of dry wall and the concrete was exposed. Also, the walls throughout the hallway were chipping paint and the drywall was exposed. Observation of a wall located in the toddler 2 classroom revealed there was a twelve (12) inch by three (3) inch rectangular hole in the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. 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 restroom within the preschool classroom revealed the air vent was not working; therefore, there was not a working ventilation system that was connected to an outside air source. Observation of the restroom revealed there was not a window inside the restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of a set of wooden cubbies in the preschool room revealed two (2) sheets and two (2) blankets wadded up inside the cubby. Interview with the staff member in the classroom revealed the sheets and blankets belonged to two (2) separate individuals. Therefore, the children’s bedding was not individually stored.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation of the gathering room revealed there was a green shelf that was chipping paint. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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, the child care center failed to maintain food services in accordance with regulatory requirements. Observation of the indicating thermometer located inside the refrigerated milk cooler revealed the temperature inside the cooler was forty-five (45) degrees Fahrenheit. Therefore, the temperature was not forty (40) degrees Fahrenheit or below.

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 services in accordance with regulatory requirements. Observation of the stand-up freezer revealed there was an accumulation of dried food particles on the bottom shelf. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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 the children’s records in accordance with regulatory requirements. Upon request, a preferred hospital was not presented for review for a child with the enrollment date 09/08/2015. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, verification that the evacuation plan in the event of a fire, natural disaster, or other life threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year was not presented for review on the day of the inspection. The document presented was dated 10/27/2018. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

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: There was a toilet bowl brush by the toilet inside the Women’s Bathroom, located in the Preschool Room, at the time of the survey. 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 presented employee records revealed a staff member with hire date 6/10/19 whose file did not contain a high school diploma, GED or other qualifying documentation from a comparable educational entity. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 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: Review of the presented employee records revealed two (2) staff members with hire dates 9/1/11 and 9/13/11 whose file did not contain documentation to verify recent completion of the one and one-half (1 ½) hours of pediatric abusive head trauma. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: There was a crate of empty plastic bags, within reach of children in care, located by the green wooden shelf 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 4. Premises Requirements.

General: There was chipped brown paint located by the TV in the School Age Room at the time of the survey. There was a hole in the ceiling located above the toilet in the Toddler 1 Room at the time of the survey. There was a hole in the ceiling located in the hallway outside the Mobile Infants Room at the time of the survey. The baseboard was not attached to the wall located in the blocks area in the Preschool Room 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: The toilet inside the Women’s Bathroom, located in the Preschool Room, was not secured to the floor at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The yellow pillow located in the Toddler 2 Room was stained at the time of the survey. The toy playpen located in the Mobile Infants Room had a black substance indicative of mold in the fabric at the bottom of the playpen. The red pillow located in the Four and Five Year Old Room was stained at the time of the survey. The corkboard located in the Preschool Room was not secured to the wall at the time of the survey. Transportation Not Applicable Food Service/Food Program In Compliance 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 8. Kitchen Requirements.

General: The black mini-fridge located in the Mobile Infants Room had an indicating thermometer reading of seventy (70) degrees Fahrenheit at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The black mini-fridge located in the Mobile Infants Room had a black substance throughout the fridge that was indicative of mold at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: The white mini-fridge located in the Four and Five Year Old Room contained a clear plastic bag with a substance that appeared to be spoiled/rotten that was sitting on the shelf in the door of the refrigerator at the time of the survey. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: The center failed to comply with the regulatory requirements specific to the storage of personal bedding as established in 922 KAR 2:400e. Based on observation, there was large yellow blanket laying on the floor in the School Age Room and not in an individually labeled container/bag. The center failed to comply with the regulatory requirements specific to children six (6) years of age or older wearing mask as established in 922 KAR 2:400e. Based on observation, there were four (4) children ranging in age from six-years-old through eight-years-old sitting at the table in the School-Age Room participating in an activity that were not wearing masks at the time of the survey. The center failed to comply with the regulatory requirements specific machine washable toys. Based on observation, there were several machine washable dolls located in the dramatic play area in the Toddler 2 Room at the time of the survey. There were several machine washable dolls mixed with doll blankets in the dramatic play area in the Toddler 1 Room at the time of the survey. There were several washable dolls mixed with doll clothes located in the dramatic play area in the Mobile Infants Room at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Observation of the Infant Room from 9:40am-10am revealed two (2) staff members with hire dates 4/22/19 and 8/20/18 working with five (5) children. Observation of the Three and Four-Year-Old Room revealed a staff member with hire date 5/29/18 working alone from 9:40am-1:40pm with eight (8) children. Observation of the Toddler 1 Room from 9:40am- 12:30pm revealed a staff member with hire date 5/28/18 working alone with seven (7) children. Observation of the Walker Left Room from 9:40am-9:55am revealed a staff member with hire date 10/16/18 working alone with four (4) children. Review of the KARES system revealed that the aforementioned staff members did not have completed background checks. Review of the presented employee records revealed eleven (11) staff members with hire dates 9/1/11, 2/16/18, 4/24/14, 1/9/12, 9/13/11, 5/16/15, 4/24/14, 1/23/17, 12/16/16, 9/8/16 and 9/12/17 whose file did not contain documentation to verify initiation of the background checks. Review of the KARES system verified that the aforementioned staff members had not initiated the background checks. Upon request, the staff member in charge did not present documentation to verify that the child care center had initiated background checks 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 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the presented employee records revealed ten (10) staff members with hire dates 4/22/19, 3/21/19, 12/14/18, 8/20/18, 4/15/19, 10/16/18, 5/28/18, 3/15/18, 12/5/18 and 5/29/18 whose file did not contain verification of initiation of the background checks. Review of the KARES system verified that the aforementioned staff members had not initiated background checks. Upon request, the staff member in charge did not present documentation to verify that the child care center had initiated background checks 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 4/22/19 whose file did not contain documentation to verify completion of a Michigan background check. The staff member’s application for employment revealed that the staff member had lived in Michigan within the last five years. Upon request, the staff member in charge did not present a completed Michigan background check for the aforementioned staff member at the time of the survey. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/07/2019 AND AS OF 07/01/2019, 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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed ten (10) staff members with hire dates 2/16/18, 4/24/14, 5/6/15, 1/23/17, 4/24/14, 12/16/16, 9/18/16, 3/15/18, 9/12/17 and 1/9/12 whose 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.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. There was a plunger located next to the toilet in the Toddler Two Room. There was an exposed electrical outlet located above the cots in the Preschool Room. There was a white extension cord with four (4) exposed electrical outlets located by the television in the Preschool Room. Several staples were partially protruding from the wall above the cribs in the Infant Room at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. 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 Infant Room from 9:40am-10am revealed two (2) staff members with hire dates 4/22/19 and 8/20/18 working with five (5) children. Observation of the Three and Four-Year-Old Room revealed a staff member with hire date 5/29/18 working alone from 9:40am-1:40pm with eight (8) children. Observation of the Toddler 1 Room from 9:40am-12:30pm revealed a staff member with hire date 5/28/18 working alone with seven (7) children. Observation of the Walker Left Room from 9:40am-9:55am revealed a staff member with hire date 10/16/18 working alone with four (4) children. Review of the KARES system revealed that the aforementioned staff members did not have completed background checks. Upon request, the staff member in charge did not present completed background checks 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 5/29/18 whose verification of a negative tuberculosis skin test appeared to be altered. The date of the negative tuberculosis skin test appeared to be changed to 1/27/18. Upon request, the staff member in charge did not present another statement from a health professional of a negative tuberculosis test for the aforementioned staff member at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 12/5/18 whose file did not contain a high school diploma, GED or other qualifying documentation from a comparable educational entity. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff member at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed three (3) staff members with hire dates 9/1/11, 9/13/11 and 4/15/19 whose file did not contain a current statement from a health professional that they were free from 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: 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 two (2) staff members with hire dates 9/1/11 and 4/24/14 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the aforementioned staff members did not complete the fifteen hours of cabinet approved training. Continued review of the presented employee records revealed three (3) staff members with hire dates 8/20/18, 10/16/18, and 12/5/18 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was chipped paint in the dramatic play area in the Toddler One Room. There was chipped paint by the cots in the Walker Right Room. There was missing paint on the wall by the entrance to the Three and Four-Year-Old Room from the Preschool Room. There was peeling paint located in the activity area in the Infant Room. There was missing blue paint located by the cubbies in the Three and Four- Year-Old Room. There was a hole in the wall by the toilet inside the Boy’s Bathroom in the Three and Four-Year-Old Room. A portion of the ceiling was missing located above the cubbies in the hallway outside the Walker Right Room.

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 toilet located inside the Girl’s Bathroom in the Three and Four-Year-Old Room was not secured to the floor. The Girl’s Bathroom located in the Three and Four-Year-Old Room was not ventilated to outside air at the time of the survey. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. Review of the presented first aid supplies revealed that medical tape was not presented for review. Upon request, the staff member in charge did not present medical tape at the time of the survey. 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. The entire bottom of the metal fence on the left side of the outdoor play area was bent outwards leaving a small opening at the bottom of the fence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The carpet located in the reading area in the Toddler One Room was stained. The gold, green and blue pillows located in the Walker Left Room were stained. The yellow, red and blue pillows located in the Preschool Room were stained. The white sheet on the mattress located on the floor in the reading area in the Preschool Room was stained/dirty. The alphabet rug located in the Preschool Room was stained. The multi-colored vinyl mirrored cube located in the Infant Room had a damaged plastic mirror. The white crib sheets located in the second crib and the crib by the exit door had several holes in them. There was a black, substance indicative of mold, located on the wall above the baseboard in the reading area and dramatic play area in the Three and Four-Year-Old Room. The toy kitchen located in the dramatic play area in the Three and Four-Year-Old Room was missing one of the cabinet doors. The sink located inside the Boy’s Bathroom in the Three and Four-Year-Old Room was not secured to the wall at the time of the survey. 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 review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the presented food service permit revealed that the permit was dated 12/31/18. Upon request, the staff member in charge did not present a current food service permit at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a clear Playtex bottle located in the mini- fridge in the Infant Room that was not individually labeled. 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed two (2) children with enrollment dates 2/6/17 and 2/19/18 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. Continued review of the presented children’s records revealed a child with enrollment date 1/26/16 whose file did not contain the name of the preferred hospital. Upon request, the staff member in charge did not present the documentation for the aforementioned children at the time of the survey. 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 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/17/2018 AND AS OF 08/06/2018, 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 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 1/16/17, 1/23/17, 9/12/17, 4/18/17, 5/16/15, 1/9/12, 12/16/16 that did not contain an annual 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 2/14/18 that did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present educational documentation for the staff member at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 1/16/17 that did not contain a statement from a health professional that she was free from active tuberculosis. Upon request, the director did not present a current statement for the staff member at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 4/18/17, 1/19/12 and 9/1/11 that did not contain documentation to verify that the staff members completed the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members had not completed the fifteen (15) hours of cabinet approved training. Review of the presented employee records revealed staff members' files with hire dates 1/16/17, 4/18/17 and 1/23/17 that did not contain documentation to verify that the staff members had completed the one and one-half (1 ½) hours of pediatric abusive head trauma. Continued review of the presented employee records revealed staff members' files with hire dates 9/12/17 and 2/6/18 that did not contain documentation to verify that the staff members had completed the six (6) hours of cabinet approved orientation. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a hole in the wall exposing the drywall located in the reading area in the School-age Room.

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. There was no toilet paper in the bathroom located in the Toddler Two Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a black ring around the inside of the toilet located in the bathroom in the Right Side Walking Room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The grey vinyl seat cushion attached to the children’s couch located in the reading area in the Toddler Two Room was torn exposing the absorbent material. The grey rug located in the reading area in the Toddler One Room was stained. The tan and green pillow cases located in the Right Side Walking Room were stained. The purple, red, green and blue pillow cases located in the reading area in the School-age Room were stained.

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. The green and beige toy oven located on the older children outside play area was missing several pieces. 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 food service in accordance with regulatory requirements. The mini-fridge located in the Infant Room had a thermometer reading of forty-six (46) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The bottom shelf of the silver and black mini-fridge located in the Right Side Walking Room 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 clear bottle of partially consumed milk located on the teacher’s desk in the Infant Room. 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 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 and Preschool Room at the time of the 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, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. At approximately 1:15 pm in the one (1) year old room, staff members with the hire dates of 4/10/17, 7/18/16 were both lying down during nap time, utilizing their cell phones. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. The files of staff members with the hire dates of 9/18/15, 8/21/16, 11/19/15, 11/23/15, 6/14/14, 6/14/13 and 4/24/16 failed to contain documentation assessing each person’s interaction with children in care and classroom performance. Upon request, the director did not provide such documentation prior to the conclusion of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements as follows: 1) The files for staff members with a hire date of 5/1/17 and 4/10/17 failed to contain documentation that a CRC had been submitted on or before the first day of employment, or documentation verifying the submission of a CAN check application within the first five (5) days of employment. Upon request, the documentation was not presented. 2) Additionally, the SSN for an employee with the hire date of 4/10/17 was not contained in the file. Upon request, the Director did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Staff members with a hire date of 1/16/17, 10/3/16, 9/1/16 and 7/18/16 failed to have in their personnel file, a written statement from a health care professional stating that the individual is free of tuberculosis or negative results from a tuberculin test. Upon request, the Director did not provide the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements as follows: 1) The file for a staff member with a hire date of 9/1/16 failed to contain documentation of required training hours. 2) Additionally, the same staff member's file did not contain evidence of orientation obtained within the regulatory 90 day period. Upon request, documentation was not presented prior to the conclusion of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of refrigerator's freezer compartment revealed a temperature of 20 degrees fahrenheit. 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 regulatory requirements. The files for children with the birthdates of 1/26/14 and 1/19/15 failed to have an enrollment date on file. Upon request, the Director did not provide the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision accordance wjith regulatory requirements. Based on observation in the preschool room during nap time, all eight (8) children, ranging in age from 3 years to 5 years were not within range of sight due to the lack of lighting. The lack of light prevented the surveyor from moving within the room to count the children.

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, the child care director failed to assure compliance with regulatory requirements. Based on observation, a smoke detector was chirping, denoting a low battery, resulting in the safety of the children being compromised by a malfunctioning detector. 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 2:110 · 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 06/02/16 failed to have verification of a high school diploma, GED, or other comparable qualifying educational entity contained in the personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding programming. Based on a review of documentation, the school age room failed to have a lesson plan of activities posted in writing in a conspicuous place with each age group, and followed, that offers a variety of creative activities which include: art, books, music, dramatic play, science, block building, tactile activity, culture, indoor or outdoor play in which a child uses both small and large muscles and a balance of active and quiet play, including group and individual activity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation in the school age room, the cots used for sleeping and napping by the school age children failed to be placed twelve (12) inches apart to allow for free and safe movement by a person.

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. Based on observation, a merry-go-round containing four (4) bicycles, was observed to have 4 broken and /or non-functioning pedals which prevented the cycles from moving on the track on which they were connected. Only one of the cycles was operable. Based on continued observation, a small table in the school age room had a blue plastic trim edging which had broken away from the rim of the table, and was hanging loosely from the table, out into the walkway of where the children were playing.

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. Based on observation, an infant was in a bouncy seat contained within a crib, along with a staff member's purse and a plastic bag with contents. Also observed in another crib, a three (3) month old infant was in a bouncy seat within a crib. 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 Premises

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, a class of seven (7)children, aged one (1) year to three (3) years were all in one restroom with one toilet, without any dividing walls or stalls. All children could observed the child using the toilet. Based on observation, some of the children were boys, and some were girls. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, a three (3) month old infant in a bouncy seat, contained within a crib, had a bottle propped with blankets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed there was no verification that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for the following staff members with the hire dates of 07/09/2012 and 01/09/2012.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the staff member with the hire date of 10/07/2014 had resided in the state of Texas from 2010 to 2012 therefore the staff member resided out of state within the last five (5) years. Interview with the director revealed the checks had not been completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member with the hire date of 01/10/2012 revealed that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment could not be verified. Interview with the director revealed she was unable to locate the documents.

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, and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in thetwo and three -year old room revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational. Interview with the director revealed she was not aware the toys were not working.

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 the documentation provided for the children’s record revealed the center did not obtain contact information to enable a person in charge to contact the child’s family physician for the child with the enrollment date of 10/28/2013.

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, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically staff evaluations. The center failed to provide documentation for review at time of survey verifying a completed annual written performance evaluation for seven (7) employees with the following hire dates: 1/19/12, 7/9/12, 9/19/12, 11/19/12, 1/17/13, 6/3/13 and 6/14/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. The center failed to provide documentation for review at time of survey to verify the following: 1. The submission of a criminal records check for a staff member hired 6/14/14. 2. The completion of a criminal records check for any previous state of residence outside the state of Kentucky, as determined on the CAN check, for a staff member hired 1/19/12.

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 1/24/13.

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 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 two (2) staff members with the following hire dates: 11/19/12 and 1/31/14.

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 training. The center failed to provide documentation for review at time of survey verifying fifteen (15) hours of annual cabinet-approved early care and education training for three (3) employees with the following hire dates: 9/19/12, 1/17/13 and 6/3/13.

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, It was determined the center failed to comply with regulatory requirements regarding premises, specifically floors. Observation revealed the carpet on the poles located in the two-year-old and preschool classrooms was frayed around the edges, exposing threads.

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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child handwashing. Observation revealed three (3) school-age children arrived to the center at approximately 9:45 a.m. and failed to wash hands by 10:15 a.m.

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, it was determined the center failed to comply with regulatory requirements regarding food service, specifically bottles. Observation revealed a bottle located in the refrigerator of the infant classroom, was not covered.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. The center failed to provide documentation for review at time of survey verifying a current immunization certificate within thirty (30) days of the child’s enrollment for a child enrolled 1/25/13.

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 observation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically daily attendance records. The attendance record the center provided at time of survey reflected several missing departure times for the children listed.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically orientation procedure. The center failed to provide documentation for review at time of survey verifying a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation. Review of documentation revealed the provider failed to post information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

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, on 12-3-13 a three year old child was locked outside on the playground, unsupervised, after his class and teacher returned into the building. Based on review of the center's video monitoring system, the child was outside unsupervised for slightly over two minutes from 11:10 a.m. until 11:12 a.m. Based on staff interview, staff members realized that child was outside as child was banging on the door to be let in and a staff member opened the door and let him back into the building. Based on interview with the staff member that did not ensure that the child came into the building with the rest of the class, the staff member contended that this child was hiding and this is why she did not notice that he did not come into the building with the other children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview it was determined that on 12-3-13 a three year old child was locked outside on the playground, unsupervised, after his class and teacher returned into the building. Based on review of the center's video monitoring system, the child was outside unsupervised for slightly over two minutes from 11:10 a.m. until 11:12 a.m. Based on staff interview, staff members realized that child was outside as child was banging on the door to be let in and a staff member opened the door and let him back into the building and upon entering the building child was sobbing, crying and hysterical. Based on this incident, this child's safety and comfort were not maintained at the center on this date.

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, staff members with the hire dates 11/19/12 and1-1/17/13 failed to have an out of state criminal check on file for review. Based on observation and review of documentation, a staff member with the hire date 11/19/12 was alone in the classroom from 9:00 a.m. to 1:00 p.m. without having an out of state criminal check on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff member failed to complete nine hours during their first year of employment, one staff members failed to have documentation of attending cabinet approved orientation on file, one staff member had no documentation that they were free of active tuberculosis and two staff members failed to have out of state CRC on file 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, there was no document available for review verifying that a staff member with the hire date 6/3/13 was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with the hire date 11/19/12 failed to complete the required six hours of cabinet approved orientation training during her first three months of employment. Based on review of documentation, a staff member with the hire date 6/24/12 failed to complete nine hours of cabinet approved training during her first full year of employment. 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 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; 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 3. General Requirements.

General: Based on observation and review of documentation, children were watching television and it failed to be a part of the children’s planned program of activities.

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 material on the cots were unraveling in multiple areas.

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 facility failed to have an indicating thermometer or other appropriate temperature measuring device in the freezer.

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, a package of sliced deli meat was left open inside the refrigerator.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, 2% milk was served to children age ranging 25 months to 12 years of age. Based on review of documentation, the center failed to have documentation from a parent or health professional approving 2% milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, bread served for lunch failed to consist of 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 9. Food and Meal Requirements.

General: Based on observation and interview, 2% milk was served to children age ranging 25 months to 12 years of age. Based on review of documentation, the center failed to have documentation from a parent or health professional approving 2% milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, bread served for lunch failed to consist of whole or enriched grain. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have a written policy that specifies that the procedures that were taught at the cabinet approved orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on observation and review of documentation, the center failed to have parental consent for fish located in the center.

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, staff members who were hired on 1/9/12, 5/15/12, 6/24/12, and 4/15/12 failed to have current TB verification documentation on file at the center. 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 Not In Compliance Findings: General: Based on review of documentation, staff with the hired date of 4/15/12 failed to complete orientation training within 90 days of employment. 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. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 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 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 Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

2's: Based on observation, a toddler was being cared for in the two year olds' classroom. The caregiver confirmed that the child's two year old birthday was in November 2012. The caregiver also confirmed that the two year old classroom was the toddler's regular classroom even though he had not yet celebrated his second birthday.

Open Not marked corrected in the state record

Open / not marked corrected.

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

2's: Based on observation, the girls' bathroom in the rear classroom contained a diaper changing area, but failed to have the proper methods of diapering posted in the area. Animals 319 - Animal Requirements Not Applicable 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 Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 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 Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable 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 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 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.