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

General: Based on observation, the following was found: 1. Verification of current records of Pediatric Abuse and Head Trauma (PAHT) training for two (2) staff members (DOH: 11/04/2011 and 11/257/2018) was not presented. The PHAT trainings were dated 08/07/2028 and 11/25/2019 and, therefore, expired. 2. 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 (DOH: 11/27/2018). A review of the ECE TRIS report supported these findings. 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 In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the immunization certificate for one child (DOE: 10/04/2023) was expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. One child’s enrollment file (DOE: 12/29/2023) did not contain a preferred hospital. 2. Two (2) children's enrollment files (DOE: 12/29/2023 and 05/07/2023) did not contain a preferred family physician. 3. One child's enrollment file (12/29/2023) did not contain emergency contact. 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:Review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that the background check results obtained for a staff member (DOH: 11/27/18) were expired as of 10/10/23. Further review of the KARES employment roster revealed that the current eligibility status of the aforementioned staff member was documented as being "in process." The staff member was observed working with children in a supervisory role on inspections conducted on 11/09/23 and 11/17/23.

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: Review of the KARES employment roster and interview with the staff in charge revealed that several staff who were no longer employed at the center remained listed on the roster as being employed. Supervision 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 during an inspection conducted on 11/09/23, a toddler was observed leaving the classroom hallway and entering the center's foyer where the child stood on the opposite side of the doorway and out of the scope of vision of the caregiver for less than thirty (30) seconds. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Verification that a staff member (DOH 03/24/23) had completed training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that a staff member (DOH 03/24/23) failed to complete six (6) hours of cabinet-approved orientation training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, an immunization certificate for a child enrolled on 03/06/23 was not presented for review upon request. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the center failed to maintain supervision at the time of review: 1. A staff member left the sunflower room and went to the rosebud room leaving four (4) children unsupervised. The children were left unsupervised out of the staff member’s scope of vision for approximately one (1) minute. During interview with the staff member, it was reported the ages of the children left unsupervised were eleven (11) months to twenty-four (24) months old. 2. A staff member left the zinnia classroom and went to the sunflower room entering the doorway leaving four (4) children unsupervised. The staff member returned to the zinnia classroom in approximately six (6) seconds to supervise the children. During interview with the staff member, it was reported that the ages of the children left unsupervised were two (2) and three (3) years old. 3. Two (2) staff members were moving children from the sunflower and rosebud room to the fun room. While the two (2) staff members were moving the children there was one (1) infant that was crawling behind them towards the fun room. When both staff members arrived at the fun room, they entered inside leaving the crawling infant unsupervised in the hallway. One (1) of the staff members returned to the hallway to retrieve the unsupervised infant after she placed the other children in her care in the fun room. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, a staff member left the sunflower room and went to the rosebud room leaving four (4) children unsupervised. Upon return to the sunflower room with the DRCC representative one (1) of the children was observed standing in a highchair, the staff went and retrieved the child from the highchair and placed them on the floor. The staff member did not protect the health, safety, and comfort of the children in his/her care. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Discussed Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the rosebud room there was an infant lying on the couch with a bottle in his/her mouth propped up by a pillow. Children's Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no plan of correction posted for the current licensure year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no date on the posted schedule of daily activities in the infants’ room, one-year-old's room, and two to three-year-old's room. Animals Not Applicable

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, the center had only one (1) substitute staff person available in case of need.

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, a caregiver hired on 11/27/18, did not have a criminal records check, child abuse/neglect check, and sex offender from the state of Indiana. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on review of documentation, the center’s fire marshal report was not available for review. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 11/27/18, had no training in first aid and CPR.

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, a caregiver hired on 11/28/11, had eight (8) hours of training during the subsequent year of employment. Two (2) caregivers hired on 7/14/21 and 4/5/21, had not completed six (6) hours of orientation training. A caregiver hired on 10/21/19, had six and a half (6 1/2) hours of training during the first year of employment. A caregiver hired on 11/27/18, had fourteen and three-quarter (14 ¾) hours of training during the subsequent year of employment. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water registered at seventy-five (75) degrees Fahrenheit at a sink in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, four (4) children used a wet cloth after snack in the two and three-year-old's room. The children did not wash their hands with soap and running water. 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, a floral sheet, a Tinker Bell sheet, and an alphabet sheet were loosely fitted on three (3) separate crib mattresses in the infants’ room.

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, a wooden play stand with benches was not sturdy in the fun room. A blue, four (4) seat stroller had peeling plastic on the canopy and seat covers. Also, a gray and lime green Expedition Stroller had stained seat covers. Both strollers were located in the hallway. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 9/27/21, did not include a physician’s name and phone number; preferred hospital; a name and phone number of a person to be contacted in an emergency involving the child, and a name of a person who was designated to pick up the child. Also, a child enrolled on 10/4/21, did not include a name of a person who was designated to pick up the child. 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, five (5) caregivers hired on 11/28/11, 10/21/19, 7/20/20, 12/12/18, 11/27/18, did not have a professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center conducted a lock down drill, but did not document the drill. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, in the Zinnea's preschool classroom there was a staff purse sitting on the children’s bookshelf, which was within reach of the children. 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, the mats with covered sheets utilized for napping were stored on their side underneath a bench on the floor. Therefore the items were not maintained in a sanitary manner. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in three (3) of the three (3) classrooms the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:400e. There were multiple plush and soft toys throughout the classrooms. The children were observed playing with the toys. Therefore, the center failed to refrain from using machine washable toys.

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 observation, the child care center failed to comply with regulatory requirements in regard to background checks. Upon request, the director did not present an out of state background check, including a criminal record check, a check of the state’s sex offender registry or repository, or a check of the state-based child abuse and neglect registry database for the state of Indiana for a staff member with a hire date of 11/27/18. In addition, the staff member was not observed working alone with the students. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 3. Implementation and Enforcement.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that a fingerprint background check had been returned for a staff member with a hire date of 07/17/18. The staff member was observed working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that staff members with hire dates of 11/28/11, 02/27/15 and 05/21/16 had completed one and one half (1 1/2) hours of pediatric abusive head trauma training within the last five (5) years. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the infant room revealed an infant was drinking a bottle while sleeping in a crib. Interview with a staff member revealed the infant was seven (7) months old. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom revealed the hot water in the sink on the right side of the room barely trickled, preventing the water temperature to reach 90 degrees. Observation of the sink in the Dandelion room revealed the hot water tempurature exceeded 120 degrees. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant room revealed an infant was drinking a bottle while sleeping in a crib. Interview with a staff member revealed the infant was seven (7) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the weekly menu revealed that it was not dated. 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 staff member in charge did not provide a current immunization certificate for a child with an enrollment date of 03/06/18. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of two (2) staff files revealed that a staff member sent from The Family Tree Care Services failed to have results from a CRC contained in the file. The document was not available for review upon request. The staff member's re-hire date is 5/23/18.

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, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of two (2) staff members files revealed that CAN results had not been submitted by the child care, but by The Family Tree Care Services in 2012 and 2018. The documents were not available at the time of the survey. The staff members' re-hire dates were 05/23/18 and 05/23/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal negative tuberculin test results or a written statement from a health care professional stating that two (2) employees with unknown hire dates, from The Family Tree Care Services, were free from tuberculosis. Premises 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 and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, a classroom of children were seated in the kitchen when the surveyor arrived. Interview with staff revealed the kitchen is frequently used for programming.

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 interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Interview with staff stated that the children bring their lunches from home, however, lunches are heated in the microwave occasionally. Also, the microwave is used when soup is served as a snack component supplied by the center. A food service permit was not presented for review.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a staff member with the hire date 3/6/17 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the survey. Interview with the director revealed there was not a high school diploma, GED or Commonwealth Child Care Credential on file. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the sunflower room revealed the ceiling was cracked from one end of the room to the other end. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files presented revealed the ten (10) files did not contain information for the parents' preferred hospital. Interview with the director revealed the parents' preferred hospital information was not included in the files. 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 2:110 · 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. Review of all personnel files presented revealed that although additional time was allowed to locate documentation, the center failed to provide, at time of survey, of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for a staff member hired 11/28/11..

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. Review of the Early Care and Education Training Records Information System (ECE-TRIS) and all personnel files presented revealed that although additional time was allowed to locate documentation, the center failed to provide documentation, at time of survey, verifying the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview the child care center failed to comply with children's records regulatory requirements. Review of children's records revealed the following information was not available for the month of June 2015: permission form for each trip off the premises signed by the child’s parent. Based on interviews children and staff walked to a nearby park multiples times during the month of June 2015. Interview with the director revealed the signed permission from the parents to walk to the park has been discarded. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed the daily attendance record for the month of June 2015 was not available for inspection. Interview with the director revealed the aforementioned document has been discarded.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center director failed to maintain the health, safety, and comfort of children. Observation of the "community room" used by children revealed two (2) high chairs that were missing the safety straps to secure a child. Observation of the infant classroom revealed five (5) high chairs that were missing safety straps to secure a child. Staff in each aforementioned classroom revealed the aforementioned high chairs are used by children and both staff members were not sure why the safety straps were missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records regulatory requirements. Review of employee records revealed four (4) employees did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection. The hire dates of the aforementioned employees are as follows: 7/2/14, 1/5/15, 2/23/15, and 4/23/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records regulatory requirements. Review of employee files revealed two (2) employees (DOH: 3/21/14 & 7/2/14) did not complete nine (9) hours of cabinet-approved early care and education training within their first year of employment. Continued review of employee files revealed a staff member (DOH: 11/28/11) only had thirteen (13) hours of training on file and another staff member (DOH: 10/8/12) only had two (2) hours of training on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with children's records regulatory requirements. Review of children's records revealed a child (ED: 1/3/13) did not have the following information on file: authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Review of records failed to reveal a current copy of the child care regulations required for operation available to staff at the time of the survey.

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 Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Review of staff files failed to reveal a staff evaluation to assess each staff person’s interaction with children in care and classroom performance. Interview with the director revealed that the staff evaluations were not available for review at the time of the survey as they had not all been completed and were located off site.

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. Review of staff files revealed that there was not documentation available for review to verify that staff with the hire dates of 6/12/14 and 6/17/14 had criminal records check and child abuse and neglect check applications submitted within the required time frames. Further review of documentation revealed that an application for a CAN check along with the check and stamped, return addressed envelope dated 6/16/14 for staff with hire date of 6/12/14 was located in the pocket of the staff binder and had not yet been submitted. Interview with the director revealed that the documents were not yet complete as they were waiting for a social security number for the employee prior to being able to submit the required documentation. Additional review of records revealed that an employee with the hire date of 9/9/11 listed a California address as one of residence in the previous five years. Review of staff’s resume listed an out of state work history within the last four years. Review of staff’s file failed to reveal an out of state background check had been completed 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. Review of staff files failed to reveal qualifying documentation to verify that child care staff with hire dates of 6/1/14 and 6/12/14 have a high school diploma, GED or Commonwealth Child Care Credentials.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire dates of 11/28/11, 10/8/12, 7/27/12, 9/9/11 did not have documentation available for review to verify that they had completed fifteen hours of cabinet approved early care and education training during the last year of employment. Additional review of staff records revealed that staff with hire date of 9/30/13 failed to have documentation available for review to verify that orientation training had been completed. Interview with the director revealed that due to the harsh winter, many of the classes that had been paid for were not attended due to class cancelations. 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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the infant room and the girls bathroom revealed diaper changing pads with taped corners and exposed adhesive surface rendering the diapering surface unhygienic 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed three uncovered bottles located in the refrigerator in the infant room. Additional observation revealed that four bottles located in the infant room were not individually labeled 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 9. Food and Meal Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed that a bottle failed to be prepared by the parent of the child. Observation revealed a staff person in the infant room prepared a bottle for an infant by rinsing out a used bottle and mixing the formula with water to give to the infant at the time of the survey.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s records revealed that children with enrollment dates of 3/5/13, 9/23/13, 11/22/12 and 11/1/11 did not have current certificates of immunization available for review at the time of the survey.

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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of records revealed that parents documented the arrival time of their children each morning and placed a check mark next to their child’s name indicating permission for a walking field trip, but parents failed to sign permission. Observation revealed that all seventeen (17) children in attendance took a walking field trip around the neighborhood and returned an hour and fifteen minutes later. Written Documentation

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, there is no seating for children in the infant classroom. Transportation 775 - Maintain Records Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (l) A written record of transportation services provided in accordance with 922 KAR 2:120, Section 12. 780 - Transportation Compliance Not Applicable 922 KAR 2:120. Section 12. Transportation. (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff that transport children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.285 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. Food Service

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, there is not a sufficient amount of play toys in the infant classroom for the five infants that are present.

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 preschool children and toddlers do not have a defined area that is unique to that group and are not separately maintained. Interview with the director revealed that the gross motor room is primarily used as a classroom for children aged toddler to four years old. The director further stated that the children primarily used the space identified as the "preschool classroom" to eat instead of activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the most recent regulations (April 2013) are not available at the center for staff review.

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 review of documentation, annual evaluations were not completed within the last year.

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, an employee with the hire date of 08/20/2012 does not have a completed Criminal Record Check (CRC) on file for review. The CRC presented read "Inconclusive Criminal Record Search Results." Also, employees with the hire dates of 09/18/2011 (OR and CA), 07/09/2013 (TN) and 07/15/2013 (MN) do not have out of state records 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, an employee with the hire date of 05/31/2012 does not have verification of education on file for review. Review of previous DRCC survey revealed that the center was cited for the same employee's missing education verification in the survey of 2012.

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, employees with the hire dates of 09/18/2011 and 05/31/2012 did not have a valid negative TB test available 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, employees with the following hire dates did not have the annual required state training completed: 09/18/2011 (0 of 15 hrs.), 07/27/2012 (0 of 9 hrs.), 05/31/2012, (0 of 9 hrs.) and 08/02/2012 (0 of 9 hrs.). Also, an employee with the hire date of 08/02/2012 did not complete their orientation within the first 90 days of hire. Also, an employee with the hire date of 08/20/2012 did not have verification of completion of orientation available for review. According to interview with staff in charge, the employee completed orientation, but the certificate could not be found. 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 5. Infant and Toddler Play Requirements.

General: Based on observation, toddlers were combined with preschool age children during the entire length of the survey, which was over one hour. Interview with staff in charge revealed that the toddlers are combined with preschool age children on a daily basis for more than an hour at a time. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 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 5. Infant and Toddler Play Requirements.

General: Based on review of documentation, the center does not have any type of written transition plan that is signed by the parents for the toddlers 21 months or older that are currently combined with the preschool 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, ten children were present in the gross motor room. Although the room is identified as the gross motor space area, the room was being inappropriately utilized as a classroom at the time of the observation. At the time of the survey, each child in the room was not afforded thirty-five square feet of space as the square footage would only allow nine 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, there is not a room dedicated for gross motor movement and an outdoor play area is not available. Further, the room labeled as gross motor space is also being utilized as a classroom. Continued observation revealed children were sleeping in the space identified as the gross motor room as well as activities such as story time was being provided. Review of DRCC documentation revealed that the center was cited for not having dedicated gross motor space during the relicensure survey of 2012.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the toddler's do not have a defined space in the center. Interview with the director revealed that some toddlers are in the infant room and some are with the preschool children for the entire day.

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, one of the two toilets on the premises is not in working order. Hygienic Practices

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 medication box does not have a lock. Outdoor Play Area 675 - Fence Requirement Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (a) Except for an after-school child-care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children; 680 - 60 Square Feet Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (b) A minimum of sixty (60) square feet per child, separate from and in addition to the thirty-five (35) square feet minimum pursuant to subsection (6) of this section; 685 - Playground Clean Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (c) Free from: 1. Litter; 2. Glass; 3. Rubbish; and 4. Flammable materials; 690 - Playground Conditions Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (d) Safe from foreseeable hazard; (e) Well drained; (f) Well maintained; (g) In good repair; and (h) Visible to staff at all times. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment. 700 - Fences Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (23) Fences shall be: (a) Constructed of safe material; (b) Stable; and (c) In good condition. 705 - Infant/Toddler Outdoor Space Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (4) If a child-care center provides an outdoor play area for an infant or toddler, the outdoor area shall be: (a) Shaded; and (b) A separate area or scheduled at a different time than an older child. Equipment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the center is washing dishes for the children without having a food service permit. 930 - Food Preparation Utensils Not Applicable 922 KAR 2:120. Section 8. Kitchen Requirements. (3) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the only milk available at the center is Vitamin D; however, children older than 25 months are in attendance.

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 children with the following enrollment dates do not have current immunization certificates: 10/02/2012, 11/07/2012, 01/03/2013, 03/05/2013, 03/05/2013, 03/08/2013 and 03/08/2013.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, children with the following enrollment dates do not have medical information or emergency medical authorization on file for review: 01/03/2013, 02/12/2013 and 03/05/2013. Also, a child with the enrollment date of 01/03/2013 has no identifying information 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, the center did not have any type of written professional development plan to ensure that all training is being completed.

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 does not have 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 observation, the Statement of Deficiency (SOD) and the Plan of Correction (POC) were available, but not posted. Review of DRCC records revealed that the center was cited for not posting the SOD or the POC in the survey of 2012.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation, the door to the entrance of the center was left open. Continued observation revealed a yellow rope was used to keep the door open. Further observation revealed the yellow rope was looped through the door handle and tied to a metal railing next to the door.

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 in all personnel files, six staff members' personnel files (DOH: 05/09/12, DOH: 05/25/12, DOH: 05/30/12, DOH: 05/31/12, DOH: 07/27/12, and DOH: 08/10/12) did not contain documentation of a high school diploma, GED, or Commonwealth Childcare Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation in the enrollment files for ten (10) children, the surveyor did not find current immunization certificates for six (6) children. The enrollment dates for these six (6) children are as follows: four (4) children were enrolled on 11/28/11 and two (2) children were enrolled on 8/24/12.

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 Equipment.

Classroom A and B: Based on Observation, there were no cribs in the infant room. The Director stated during exit conference that the cribs were ordered but had not been picked up or assembled. Classroom A and B: Based on Observation, there were no cribs in the infant room. The Director stated during exit conference that the cribs were ordered but had not been picked up or assembled. Classroom A and B: Based on Observation, there were no cribs in the infant room. The Director stated during exit conference that the cribs were ordered but had not been picked up or assembled. Classroom A and B: Based on Observation, there were no cribs in the infant room. The Director stated during exit conference that the cribs were ordered but had not been picked up or assembled. 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 2) Meets Standards In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 40 Web site: http://chfs.ky.gov/ Inspection Report 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided In Compliance 2) Laundered In Compliance 3) Sanitary Storage In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 11

Classroom A and B: Based on Observation, the center had no high chairs or other suitable seating for infants and toddlers to sit at meal time. The Director demonstrated during interview that the center intended to use a stroller pushed up to the table as seating for infants/ toddlers during meal time but acknowledged that this was not appropriate and did not meet minimum requirements. Classroom A and B: Based on Observation, the center had no high chairs or other suitable seating for infants and toddlers to sit at meal time. The Director demonstrated during interview that the center intended to use a stroller pushed up to the table as seating for infants/ toddlers during meal time but acknowledged that this was not appropriate and did not meet minimum requirements. Classroom A and B: Based on Observation, the center had no high chairs or other suitable seating for infants and toddlers to sit at meal time. The Director demonstrated during interview that the center intended to use a stroller pushed up to the table as seating for infants/ toddlers during meal time but acknowledged that this was not appropriate and did not meet minimum requirements. Classroom A and B: Based on Observation, the center had no high chairs or other suitable seating for infants and toddlers to sit at meal time. The Director demonstrated during interview that the center intended to use a stroller pushed up to the table as seating for infants/ toddlers during meal time but acknowledged that this was not appropriate and did not meet minimum requirements.

Open Not marked corrected in the state record

Open / not marked corrected.