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

General: Based on review of documentation, the Kentucky Applicant Registry and Employment Screening (KARES) roster was not current. Two (2) staff members (DOH: 11/01/13 and 07/31/23) who were currently working in the center were not on the roster for the license number. Three (3) listed staff members were no longer employed at the center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that two (2) staff members (DOH: 03/21/23 and 01/11/11) completed fifteen (15) hours of cabinet approved annual training hours. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and the use of a thermometer, the water temperature in the toddler room's handwashing sink exceeded 120 degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 02/06/2024 AND AS OF 03/07/2024, 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 review of documentation, a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential was not presented for review for a staff member (DOH: 01/19/23) at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH:03/02/19) did not have the minimum of 15 annual training hours completed for the review period, but instead had 10 completed. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training. Review of documentation and the review of Early Care and Education Training Records Information System (ECETRIS), it was confirmed that Pediatric Abusive Head Trauma training that is only counted in the training hours once every five (5) years, expired and had not been updated for staff with the hire date of 7/5/2022. 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, two (2) large ceiling vents in the Two-Year-Old classroom were heavily covered with dust. The dust expanded beyond the vents to the surrounding ceiling tiles. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, during the inspection of the van used for transportation, the rear driver side turn signal did not work when turned on. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the Infant #2 room, the temperature measuring device in the refrigerator measured at forty-five (45) degrees Fahrenheit. 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 2 of 3 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, the file for a child (DOE: 09/11/23) listed a hospital that no longer exists. The file for a child (DOE: 09/29/23) did not have a preferred hospital listed at the time of the inspection. 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 8. General.

General: Based on interview and review of documentation, the facility did not provide for the health, safety, and comfort a 7-month-old child when a staff person tripped over a Boppy chair and fell while holding the child in her arms. The child did sustain a bruise and knot on the top of his head. He was transported via ambulance to have the injury checked out at Norton Children's Hospital. The child did not sustain a concussion and was released as 'okay'. Director Requirements In Compliance Employee 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 and interview, the health, safety, and comfort of children in care were jeopardized by the due to the supervising staff members failing to have an accurate awareness of the number of children in their care. When individually asked how many children were in their care, the staff members in the Preschool classroom and Twos classroom referred to an electronic tablet to determine the number of children in their care. The staff member in the Preschool room stated that she had eight (8) children in her care; whereas there were only seven (7) children in the room. The staff member in the Twos classroom stated that she had six (6) children in her care; however, there were only seven (7) children in the room. 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, two (2) sets of two (2) cribs were immediately adjacent to one another with portions of each crib in the set touching each other; therefore, the cribs were not twelve (12) inches apart. Infants were in two (2) of the cribs. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the smoke detector in the Preschool unit was chirping, indicating that it was not working properly. The staff in charge observed and acknowledged the findings prior to the DRCC representative's departure. Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: A current menu was not posted for inspection. The menu posted in the entrance/office area was no longer current. The menu written on a dry-erase board in the kitchen was the only current menu presented; however, that menu was not available for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on observation and interview, the first aid supplies in the inspected vehicle failed to include a thermometer. Interview with the staff in charge confirmed a thermometer was not available for inspection.

Open Not marked corrected in the state record

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 11/28/2022 AND AS OF 12/06/2022, 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 13. Reports.

General: Based on documentation review, DRCC received an email from the former director detailing her departure date from Mac's Childcare III effective Tuesday, 8/16/2022. When DRCC received the email, the former director was still listed as the director. An email was sent to the licensee requesting the following information regarding the former director's departure: resignation date, report date to DRCC, and date of new director reported to DRCC. The licensee supplied the following information to the questions asked: 8/16/2022 as the resignation date, 8/17/2022 as the date reported to DRCC, and 8/31/2022 as the date that the new director was reported to DRCC. Therefore, more than one week had lapsed from the date when the former director left until the new director information was submitted to DRCC. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, forty-one (41) children were present on 06/16/22, but only thirty-one (31) children had a documented arrival time. Posted Documentation In Compliance Animals Not Applicable

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, two (2) staff members hired 02/25/20 and 06/13/13, completed zero (0) training hours from 07/1/2020 to 06/30/2021. In addition, a staff member hired 01/11/11, completed one and one-half (1 ½) hours of annual training from 07/1/2020 to 06/30/2021. 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, two (2) infants slept in an individual crib with loose bedding in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, soiled diapers were stored in an uncovered trash receptacle in the two-year-old's room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, three (3) sheets on individual cots were heavily soiled and stained during naptime in the two-year-old’s 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 and interview, two (2) Fisher Price Rainforest Friends Infant Baby Interactive Vibrating bouncer chairs and an activity Jumperoo Saucer Walker Bouncer were heavily stained in the Infants' room. 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 and interview, there was no temperature measuring device to verify the temperature was maintained at forty (40) degrees Fahrenheit or below in a portable refrigerator/freezer located in the two-year-old's room. 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

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 02/02/21, had an immunization valid until 05/13/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation in the infant classroom, four (4) infants were seated at the table in bucket seats. The infants were not securely buckled into the seats with the straps. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following items were noted: 1) The ceiling tiles in the one-year-old classroom restroom revealed several ceiling tiles with brown stains that were indicative of water stains; 2) The baseboard near the entry of the one-year-old classroom was not securely attached to the wall; 3)The door to the second restroom in the one-year- old classroom had an area near the bottom that was chipped away; 4) The two (2) doors to the restrooms were smudged with dark stains; 5)The two (2) white picket fences in the school age room were smudged with a black unknown substance; and 6) The rug in the middle room of the Infant building had an area that ran the length of the room that was unraveling. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the area leading to the playgound contained discarded debris, i.e.water bottle, food wrappers,broken concrete, small brown plastic bag of garabage and a metal strip. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center had a current food service permit. The permit presented had expired in December of 2020. 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 staff in charge did not present verification that the child care center had maintained an enrollment record for a child with an enrollment date of 07/20/2020 that listed a preferred listed preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency. Continued review revealed the record for a child with the enrollment date of 05/03/2021 did not contain information listing a physician, preferred hospital or authorization for emergency medical treatment. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the staff in charge did not present verification that each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not readily accessible for public inspection. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

The investigation revealed that on 7/29/2020, the mother of a student made an allegation to child care center that her child received an injury to the head, which caused the child to suffer headaches. In addition, the mother informed the child care center that a staff member caused the injury to the student as a retaliatory action during naptime. The investigation revealed that the child care did not report the allegation of physical abuse to the student to either the Division of Regulated Child Care (DRCC) or the Department of Child Based Services (DCBS). Director Requirements In Compliance Emergency Regulation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Infant Room, two (2) cribs 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation of two sinks located in the bathrooms of the School Age unit, the hot water temperature exceeded 120 degrees. Hygienic Practices 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 of the Three through Five Year Old Room, a staff member's face covering did not cover his/her nose, as directed by the CDC. The CDC recommends that face coverings should cover the nose and mouth, and be secured under the chin.

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 of the Two Year old Room, the changing pad used for diapering children was torn. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the file for a staff member with a hire date of 7/5/19 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Interview with the staff member in charge revealed that the documentation was not available at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two light bulbs in the front portion of the School Age unit flickered and were dim, rendering the room not well lit.

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, five ceiling tiles in the middle portion of the School Age unit, two ceiling tiles in the back portion of the School Age Unit, and one ceiling tile in the kitchen were separated from their frames. One ceiling tile in the middle portion of the School Age Unit was cracked and buckled. Additionally, brown, circular stains, indicitive of water damage, were observed on multiple ceiling tiles in the middle portion of the School Age Unit and on the ceiling tiles in the Two Year Old bathroom. A thick accumulation of dust was observed on a ceiling vent in the men's restroom, located near the cafeteria.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Inspection of the van used to transport children revealed the the van would not start, rendering it inoperable. Review of transportation logs and interview with the staff member in charge revealed the van was last used to transport children 3/10/2020, due to the mandated child care closure in March 2020. The staff member in charge stated that the center will not transport children at this time, due to the mandate requiring child care centers to cease transportation. Further observation revealed the smoke detector in all three units of the center chirped for the duration of the three-hour survey, indicating that it was not functioning properly. Transportation 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. Transportation.

General: Based on observation, interview and review of documentation, a car set and booster seat used for transporting children revealed the car seat expired 8/13/16 and the booster seat expired 3/1/2020. Review of transportation logs and interview with the staff member in charge revealed the van was last used to transport children 3/10/2020, due to the mandated child care closure in March 2020. 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 drain of the white sink in the back of the kitchen was clogged, and the sink contained dirty water that could not drain. Interview with the staff member in charge revealed that she first noticed this problem on the day 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 of the deep freezer located in the cafeteria, there was no thermometer or other appropriate temperature measuring device present; therefore, the temperature of the deep freezer could not be determined. 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 of the Infant Room, two (2) bottles were not individually labeled. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation posted in the Two Year Old Room and the Three through Five Year Old Room, children's allergy lists were posted and visible to the public. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation in the Infant Room, Toddler Room, Two Year Old Room, Three through Five Year Old Room, and the Three and Four Year Old Room used for School Age children, the daily schedule of activities, which included the dates and times of activities to be conducted, was not current. Animals In Compliance Emergency Regulation 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, the child care center failed to maintain supervision in accordance with regulations. Upon arrival at the child care center at 10:15am, observation revealed a qualified staff member exited out of the back door of the infant building into the back parking lot and then proceeded to enter into the back door of the school age building. Upon entry into the school age building, it was revealed that the aforementioned qualified staff member was the sole caregiver in the four and five year old room for fifteen (15) children in the age range from four-years-old to five-years-old. Therefore making the four and five year old room to be previously unsupervised for an undetermined amount of time. Observation revealed at 12:15pm, a staff member entered into the kitchen from the back door the staff member then exited back out of back door of the kitchen into the parking lot and proceeded into the school age building. Upon entry, observation in the school age room revealed the aforementioned staff member was the sole caregiver for eighteen (18) children from the age range of six-years-old to twelve-years-old. Therefore making the school age room to be previously unsupervised for an undetermined amount of time. Staffing Requirements 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 11. Staff Requirements.

General: Based on observation and review of documentation, the child care center failed to comply with regulations regarding staffing requirements. Review of staff records revealed the staff member with the hire date of 05/31/2018 is under the age of eighteen (18). Observation the three and four year old room revealed the aforementioned underage staff member was the sole caregiver for eleven (11) children in the age range from three-years- old to four-years-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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 staffing requirements in accordance with regulations. From the timeframe of 10:15am to 12:53pm, observation in the four and five year old room revealed a staff member was the sole caregiver for fifteen (15) children in the age range from four-years-old to five-years-old. From the timeframe of 10:15am to 12:53pm, observation in the school age room revealed a staff member was the sole caregiver for eighteen (18) children in the age range from six- years-old to twelve-years-old. Further observation revealed at 12:53pm, three (3) staff members and forty-one (41) children in age range from three-years-old to twelve-years-old boarded a school bus and left the child care premises. Exceeding the maximum group size of the youngest child who is three-years-old. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation of the two-year-old room and the four and five- year-old room revealed an electrical wall outlet that did not have a protective covering. 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 regulations. Review of staff files and ECE- TRIS report revealed fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for a staff member with the hire date of 07/05/2017. Review of employee records for a staff member with the hire date of 04/10/2013 revealed the cabinet-approved pediatric abusive head trauma training had not been completed once every five (5) years. Review of staff file revealed a staff member with the hire date of 03/01/2011 had not completed state approved orientation training. Interview with the director revealed this information was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to comply with regulations regarding programming. Observation in the school age room revealed four (4) children sitting at a table viewing cellular phones and electronic devices. Review of the posted daily planned program did not indicate an activity for electronic viewing. 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 comply with regulations regarding premises. Observation in the infant room revealed several areas of paint chipping away from the wall near the green door. Observation of the four and the five-year-old room revealed a broken baseboard near the cars area. Observation in the bathroom of the three’s room revealed several areas of paint chipping away from the wall near the toilet. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygiene practices. In the infant room a staff member did not wash the hands of a six- month-old child after completing a diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. In the infant room a staff member did not wash her hands after completing a diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. Observation in the one’s room revealed a missing seatbelt in one (1) of the seats at the lunch table.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulations regarding equipment. Observation of the 2005 Ford Econoline (VIN 1FBSS31LX5HB47081) revealed the right rear tail light was not operable. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with the regulations regarding transportation. Upon request, the copy of the annual vehicle inspection from the Transportation Cabinet on the 2005 Ford Econoline (VIN 1FBSS31LX5HB47081) was not presented at the time of survey. Interview with the director revealed the requested documentation was unavailable at the time of survey. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 comply with regulations regarding food service. Observation in the kitchen revealed two (2) fly traps hanging from the ceiling. The fly traps contained dead flies, and other pests on the tape. Additionally, observation in the kitchen revealed there was no ventilation to outside air.

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. Observation of the refrigerator in the infant room revealed no thermometer or other appropriate temperature-measuring device was present. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with the regulations regarding children’s records. Interview with the owner revealed the child care center was participating in an off premises field trip on the day of survey. Upon request, the written record of the permission form for the off premises field trip signed by the children's parents were not presented at the time of survey. Further interview with the director revealed she does not have any signed written permission slips from the parents of the children participating in the off premises field trip. Observation revealed at 12:53pm, three (3) staff members and forty-one (41) children in age from three-years-old to twelve-years-old boarded a school bus and left the child care premises. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. The attendance records and interview with the director revealed sixty (60) children present during time of survey and only fifty-eight (58) children were signed into the daily attendance record for that day. Posted Documentation In Compliance Animals Not Applicable

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. Upon request, written documentation from a health care professional was not presented for review to verify that a staff member with the hire date 4/12/18 was free from active TB. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 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 on 8/28/18 revealed one (1) staff member with hire date 4/12/18 working alone with five children ranging in age from seven-months old through eleven-months old. Review of documentation on 9/20/18 revealed that the staff member with hire date 4/12/18 was fingerprinted for background checks on 9/11/18. Upon request, the director did not present a completed background check for the aforementioned staff member at the time of the survey. Observation of the Infant Room on 9/20/18 revealed two (2) staff members with hire dates 4/12/18 and 8/20/18 who were working with nine (9) children. Review of documentation revealed that the staff member with hire date 4/12/18 had fingerprints collected on 9/11/18 and the staff member with hire date 8/20/18 had fingerprints collected on 9/10/18. Upon request, completed background checks were not presented for review for the two (2) aforementioned staff members. 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 9. Records.

General: Based on observation, interview and review of documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center on 9/20/18 revealed forty (40) children present. Interview with staff members revealed the ages of children in care were from one (1) month old to five-years-old. Review of daily attendance records revealed there were eighty-four (84) children signed into care. Therefore, the documented attendance did not match the number of children present at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory requirements. Upon arriving at the child care center on 8/28/18, the two (2) surveyors knocked on the front door of the building for several minutes and no one answered the door. While standing at the front of the building for an unknown amount of time, one of the surveyor’s heard children's voices coming from the back of the building. The surveyors preceded to the back of the building and observed the preschool class, two-year-old class and pre-k class in the outside playground. Interview with the director revealed that there were two (2) additional rooms open in the child care center with children present. The surveyors asked for admittance to enter the building; the director stated that she did not have a key to allow them access into the building. The surveyors asked if the staff members inside the building could open the door to allow them access to the building and the director stated that they do not have keys to be able to unlock the doors to allow the surveyors access. The director stated that the owner was on her way and she was the only one that had a key to enter or exit the building. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 01/17/2019 AND AS OF 02/12/2019, 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 observation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon arriving at the child care center on 8/28/18, the two (2) surveyors knocked on the front door of the building for several minutes and no one answered the door. While standing at the front of the building for an unknown amount of time, one of the surveyors heard children's voices coming from the back of the building. The surveyors preceded to the back of the building and observed the preschool class, two-year-old class and pre-k class in the outside playground. Interview with the director revealed that there were two (2) additional rooms open in the child care center with children present. The surveyors asked for admittance to enter the building. The director stated that she did not have a key to allow them access into the building. The surveyors asked if the staff members inside the building could open the door to allow them access to the building and the director stated that they do not have keys to be able to unlock the doors to allow the surveyors access. The director stated that the owner was on her way and she was the only one that had a key to enter or exit the building. Therefore, in a case of an emergency, the children inside the building could not exit which would cause them to be trapped inside because the owner was not on the premises with a key. Based on interviews and review of documentation, a toddler obtained an injury to her foot while present at the center. Although the source of the injury was not confirmed, interview with the director revealed that when she saw the aforementioned child on the morning of 8/20/18 shortly after the child’s arrival at 5:47am she was walking fine. At 10:00am, a staff member brought the child to her and stated the child was limping, at which time the director contacted the mother. Therefore, it is determined that the injury occurred while the child was in the care of the center.

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 on 8/28/18 revealed one (1) staff member with hire date 4/12/18 working alone with five children ranging in age from seven-months old through eleven-months old. Review of documentation on 9/20/18 revealed that the staff member with hire date 4/12/18 was fingerprinted for background checks on 9/11/18. Upon request, the director did not present a completed background check for the aforementioned staff member at the time of the survey. Observation of the Infant Room on 9/20/18 revealed two (2) staff members with hire dates 4/12/18 and 8/20/18 who were working with nine (9) children. Review of documentation revealed that the staff member with hire date 4/12/18 had fingerprints collected on 9/11/18 and the staff member with hire date 8/20/18 had fingerprints collected on 9/10/18. Upon request, completed background checks were not presented for review for the two (2) aforementioned staff members. 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, a high school diploma, GED or Commonwealth Child Care Credential was not presented for review for a staff member with the hire date 4/12/18.

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 maintain adequate supervision in accordance with regulatory requirements. Observation of the cafeteria revealed at 8:30 AM, a child with a green and blue striped shirt left the room, went into the four-year-old room around a corner, and sat down in a chair, out of the scope of vision of the owner and a staff member that were in the cafeteria. Neither the owner nor staff member left the cafeteria to retrieve the child or called to the child to return to the cafeteria. Then a short time later, a second child left the cafeteria, entering into the four-year-old room, but the owner acknowledged the second child had left the room by calling the second child back into the cafeteria. The second child returned to the cafeteria immediately. At 8:31 AM, the child with the green and blue striped shirt left the four-year-old room, returning to the cafeteria within the scope of vision of the owner and the staff member without any prompting from the owner or staff member. Neither the owner nor the staff member acknowledged the child upon his return to the cafeteria. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, written documentation from the local authority showing compliance with local zoning requirements was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the four-year-old room revealed the following: 1. An electrical outlet that was not covered located by the sink; and 2. An electrical outlet faceplate that was broken with a section missing on the side that was large enough for a child to insert their finger. Observation of the two-year-old room revealed an electrical outlet faceplate that was broken with a missing section that was large enough for a child to insert their finger. Observation of the cafeteria revealed an electrical outlet that was not covered. Observation of the child care center parking lot revealed an adult exit from the child care center with several children. When a school bus pulled up the aforementioned children ran across the parking lot to the bus while the staff member stayed near the door to the child care center. While the children were running to the bus there was a white SUV that entered the parking lot and continued through the parking lot without stopping as the children crossed in front of it. 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, the staff member in charge did not provide verification that the staff members with a hire dates of 07/15/17 and 10/9/17 completed six (6) hours of cabinet-approved orientation within the first three (3) months of their employment. Review of presented staff files revealed there was no documentation to verify that staff members with hire dates of 03/11/11, 03/15/11, 10/25/15 and 01/01/17 had completed one and one half (1 ½) hours of cabinet-approved pediatric abusive head trauma training to be current. Interview revealed the director was not able to verify 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the cafeteria revealed Pine-Sol, Dawn dish-washing liquid,and Heavy Duty grease release on a low shelf accessible to children in care. Observation of the four-year-old room revealed a trash bag located in a cubby hanging down so that it was accessible to children in care. Continued observation of the four-year-old room revealed a staff member's cell phone lying on a box under the cubbies accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the back school age room revealed soiled carpeting and a yellow wall that was soiled. Observation of the boys’ bathroom located in the school age room revealed paint that was chipped and peeling off the wall. Observation of the middle school age room revealed empty candy papers in the floor at the time of the survey. Observation of the one-year-old room revealed peeling and flaking paint located by the toy shelf. Observation of the two-year-old room revealed blue peeling and flaking paint located close to the sink. Observation of the ladies’ bathroom located off the cafeteria revealed a hole in the door. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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 back school age room revealed the book area was dimly lit.

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 an outdoor play area in accordance with regulatory requirements. Observation of the outdoor playground revealed a slide that is located on asphalt with no protective surfacing under it. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the back school age room revealed fraying carpet in several areas and a hole in a ceiling tile. Observation of the girls’ bathroom located in the school age room revealed the wall was cracked by the toilet. Observation of the boys’ bathroom located in the school age room revealed the wall was cracked in two (2) places by the toilet. Observation of the middle school age room revealed brown, circular stains on four (4) ceiling tiles. Observation of the infant room revealed fraying carpet. Observation of the one-year-old room revealed fraying carpet. Observation of the two- year-old room revealed fraying carpet and a hole in the ceiling above the door. Observation of the front two-year-old room revealed fraying carpet. Observation of the cafeteria revealed a ceiling tile that was not secured. Observation of the four-year-old room revealed baseboard pulling away from the wall under the red house.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girls’ bathroom located in the school age room revealed a brown substance smeared on the wall by the toilet.

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 boys’ bathroom sink located in the school age room revealed the following: 1.There were no hand-drying blower or single use disposable hand drying material; 2.There was not a waste receptacle; and 3.The water temperature registered over one hundred twenty (120) degrees Fahrenheit. Observation of the girls’ bathroom sink located in the school age room revealed the following: 1.The water temperature registered over one hundred twenty (120) degrees Fahrenheit; and 2.There was not a waste receptacle. Observation of the two-year-old room revealed the water temperature registered over one hundred twenty (120) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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. Observation of the ladies’ bathroom located off the cafeteria revealed there was no ventilation to outside air. Continued observation of the aforementioned bathroom revealed the toilet seat does not fit the toilet and the water in the toilet ran continuously during the survey. Observation of the men’s bathroom located off the cafeteria revealed there was no ventilation to outside air. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply hygienic practices in accordance with regulatory requirements. Observation of the one-year-old room revealed a staff member wiped one (1) child’s nose then went to another child and wiped their nose without washing her hands between the nose wipes. Continued observation of the aforementioned staff member revealed she did not wash her hands after wiping the second child’s nose.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the changing area in the infant room revealed a torn changing pad exposing the inside absorbent material. Observation of the changing area in the one-year-old room revealed a torn changing pad exposing the inside absorbent material. Observation of the changing area in the two-year-old room revealed a torn changing pad exposing the inside absorbent material. 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 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 the infant room revealed soiled sheets on two (2) cribs. Interview with a staff member revealed the crib sheets are supposed to be changed daily and she was not aware the sheets were soiled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the diaper changing table revealed it was wobbly at the time of the survey. Observation of the front two-year-old room revealed a torn vinyl play mat exposing the inside absorbent material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the middle schoolage room revealed the following: 1. A soiled rectangular rug; 2. A soiled circular rug; and 3. A playhouse with a wooden shelf that was cracked and splintering with sharp edges. Observation of the front schoolage room revealed a soiled rectangular rug. Observation of the infant room revealed a soiled circular rug. Observation of the infant room revealed a crib with one of the plastic clear-view ends broken exposing sharp edges. Observation of the one-year-old room revealed clear-view ends on a crib (with a sheet that had diamond shapes on it) that was soiled with a white substance. Continued observation of the one-year-old room revealed a toddler table with eight (8) bucket seats with openings for safety straps; however, the seats did not have the safety straps. Observation of the four-year-old room revealed the following: 1. A soiled rectangular rug; and 2. A soiled circular rug.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two-year-old room revealed toys that require batteries that were not in working order. Transportation 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. Transportation.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of presented transportation policies and procedures revealed there was no written emergency procedures that were practiced monthly. Interview with a staff member revealed emergency procedures had not been practiced monthly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of insurance documents revealed the child care center was not listed as having full coverage insurance on the van. Continued review of the insurance documents revealed they were for another business, not the child care center. Interview with the owner revealed the insurance is not in the name of the child care center.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. During observation of the van and upon request, a fire extinguisher, emergency reflective triangles, a device to cut the restraint system and first aid supplies (liquid soap, gauze, scissors, cold pack, gloves, flashlight, Band- Aids, medical tape, thermometer, first aid book and CPR mouthpiece) were not presented. 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. Observation of the cafeteria revealed soiled tables 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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant room revealed a prepared bottle sitting in an infant’s cubby at 9:30 am. Interview with a staff member revealed the bottle had just been warmed in anticipation that the infant would soon be hungry. Observation of the infant room revealed the aforementioned bottle still sitting in the infant’s cubby at 10:35 am. Interview with a staff member revealed they were not aware that once the bottle had been heated and sat out for more than one (1) hour it could not be fed to the infant.

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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documents revealed the child care center failed to have a weekly menu prepared, dated and posted in advance in a conspicuous place at the time of the survey. Interview with the director revealed the menu was not posted in a conspicuous place. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of presented policies and procedures revealed the child care center did not have a current organizational chart and chain of command. The organizational chart and chain of command that was presented listed staff members who are no longer employed at the child care center. Interview with the owner revealed the aforementioned items were not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the director did not provide a written annual plan for child care staff professional development for staff members with a hire dates of, 03/11/11, 03/15/11, 02/11/13, 10/27/15, 01/01/17, 4/10/13 and 7/5/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the disaster drill logs revealed the child care center did have a date and time that a drill was conducted, however; the details of which specific drill was conducted was not documented on the log. Interview with the owner revealed the log did not reflect whether it was a fire, earthquake or tornado drill that had been conducted and documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of presented posted documents revealed the following were not posted in a conspicuous place: 1.License; 2.Statement of deficiency; and 3.Plan of correction. Interview with the director revealed the documents were not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 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 review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed there was not a current daily schedule in the following rooms: infant room, school age rooms and the two-year-old room. Review of posted documentation revealed there was not a dated daily activities plan for the following room: school age rooms, two-year-old room and the three-year-old room at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of presented posted documents revealed the following: 1.The one-year-old room did not have the proper methods of hand-washing posted at the diaper changing area; and 2. The two-year-old room did not have the proper methods of diapering posted at the diaper changing area. Animals 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 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. Upon request, the child care director did not present verification that the record for the employee with the hire date of 02/11/2013 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 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. Observation of the Infant Classroom revealed loose bedding in infant cribs. Two (2) of the cribs contained dirt and debris. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Observation of the child care center building, which contained Preschool Children, revealed wall sockets without protective socket protectors. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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. Upon request the child care owner did not present verification that the record of the employee with the hire date of 06/05/2017 contained a copy of a High school diploma; or a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

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. Upon request the child care owner did not present verification that the record of the employees with the hire dates of 02/08/2011, 03/01/2011 and 06/05/2017 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the child care center building which contained Preschool Children revealed a pink cellular phone in accessible reach of children in the classroom. Interview with the owner revealed the cellular phone belonged to staff in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Infant/Toddler, Preschool and School-Age buildings revealed unclean, damaged and frayed carpeting. In addition, observation of the School-Age “Boys” bathroom revealed a missing ventilation system with exposed wiring which hung from the ceiling and brown substances indicative of fecal matter on the wall in several areas surrounding the toilet. Further observation of the School-Age “Girls” bathroom revealed an inoperable vent which hung from the ceiling of the bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the child care center Preschool Building revealed an unshielded light fixture in the “Ladies” bathroom. In addition, there were inoperable light fixtures in the classrooms of the building. Further observation of the child care center School-Age Building revealed inoperable light fixtures in the classrooms of the building.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the School-Age building revealed damaged and frayed carpeting. Further observation of the Preschool Building revealed large brown stains in the ceiling tile indicative of water leak stains and broken ceiling tile toward the front of the building. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant/Toddler building diaper changing pad revealed a damaged torn surface with exposed foam. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding first aid supplies. Observation of the child care center’s first aid supplies revealed no evidence of a thermometer. Interview with the child care center director revealed the thermometer presented was stored in the child care center van and the child care center did not have a separate thermometer for storage inside of the child care. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Classroom revealed loose bedding in infant cribs. Two (2) of the cribs contained dirt and debris.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Preschool Building revealed an indoor play area with a climbing apparatus enclosed within a wooden perimeter. The slide area was not allowed space for a child to properly slide from the equipment in a safe manner, without sliding into the wooden perimeter or classroom wall. Transportation 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. Transportation.

General: Based on Interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center owner revealed the child care received Third Party transportation for field trips. The owner stated the child care center completed a field trip to Big Splash Water Park during the week of Spring Break 2017. Review of record revealed no documented evidence of contracts, agreements or documents detailing arrangements with Third Party Transportation services. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements related to transportation. Review of transportation record revealed no documented evidence of an inspection certificate for the child care center transportation vehicle with VIN 1FBSS31LX5HB47081. Additional review revealed the vehicle was designed to transport at least fifteen (15) passengers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements related to transportation. Upon request, the child care center owner failed to provide documented evidence of children’s transportation records of when each child got on or off the transportation vehicle when transported for field trips at the child care center. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. 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. Upon request, the child care center owner failed to provide documented evidence of a food service permit in compliance with 902 KAR 45:005. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview and review of written documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide written documentation of Earthquake/Tornado drills conducted with regard to the date, time and children who participated in the drills. Review of written documentation which began in January 2017 and ended May 2017 revealed the child care center documented unidentified drills at the same time. The surveyor was unable to determine if and when the Earthquake/Tornado drills were conducted. In addition, there was no documented evidence of drills conducted prior to January 2017.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and review of written documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide written documentation of Fire drills conducted with regard to the date, time and children who participated in the drills. Review of written documentation which began in January 2017 and ended May 2017 revealed the child care center documented unidentified drills at the same time. The surveyor was unable to determine if and when the Fire drills were conducted. In addition, there was no documented evidence of drills conducted prior to January 2017.

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 Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed fire drills were not conducted at least monthly. Review of written documentation which began in January 2017 and ended May 2017 revealed the child care center documented unidentified drills at the same time. The surveyor was unable to determine if and when the Fire drills were conducted. In addition, there was no documented evidence of drills conducted prior to January 2017. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed earthquake/tornado drills were not conducted at least quarterly. Review of written documentation which began in January 2017 and ended May 2017 revealed the child care center documented unidentified drills at the same time. The surveyor was unable to determine if and when the Earthquake/Tornado drills were conducted. In addition, there was no documented evidence of drills conducted prior to January 2017. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, the child care center failed to comply with staffing requirements with regard to ratios and group size. Observation of the Preschool area (Bldg 2) at approximately 7:30 AM revealed staff with a hire date of 02/11/13, who cared for nine (9) children. Interview with staff revealed the youngest child in the classroom was two (2) years old. However, record review of children’s files with the child care center director revealed the child was a one (1) year old. Therefore, the classroom exceeded the minimum staff/child ratio for a group size whereas the youngest child was one year by three (3) children for less than one minute. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the School- age classroom (Bldg 3) revealed school aged children who sat for an extended period of time without adequate programming or activity. Review of documentation revealed no documented evidence of a daily schedule or program activities for the school aged children. Interview with staff revealed the children arrive at approximately 7:00 AM to 7:15 AM and sit in the classroom until their buses arrived. The staff further stated the buses arrived at approximately 8:15 AM to 8:45 AM. Written Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to have a director who meets the requirements listed in 922 KAR 2:110. A notifification submitted electonically to DRCC identified the approved director's last day as acting director as being 11/20/2016. The name of the new director was also submitted electronically with attached supporting documentation. Among the documentation submitted for review was an expired Child Care Associate and a high school diploma for the newly identified director. The diploma appeared to be altered as the background of the name of the graduate was much darker than the rest of the document and appeared to be added to the document, covering the original name. Oral and written verification was provided by a representative of the Board of Education referenced on the diploma confirming that the document was altered and the name on the diploma was not the name of a gradaute. Therefore, the person named as the new director failed to meet the educational requirements to be approved as the director. As of 12/21/216, the center has not submitted a name of an individual who meets the qualifications of a director. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, observation, and review of documentation, the center failed to submit a written notification to DRCC and allow for approval prior to implementation of a change of location for school age care. Interviews with staff on 12/19/2016 and 12/20/2016 confirmed that no school age children were cared for at the center's approved location and all school age children were cared for at Ivory Learning Center located across the street from the center. Observation of the center on 12/20/2016 confirmed forty (40) children were present, none of which were school age children. Review of requested attendance records for 12/20/2016 revealed fifty-five (55) children signed into care with times of arrival denoted. During an additional interview, the staff in charge identified fourteen (14) of the children listed on the attendance record for 12/20/2016 as being school age children who were being cared for at Ivory Learning Center. Therefore, school age children were cared for in an unapproved location that was across a four lane road and was not part of the premises contiguous to this licensed child care center. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, observation, and review of documentation, the child care center failed to assure the health, safety and comfort of children in care. Interviews with staff on 12/19/2016 and 12/20/2016 confirmed that no school age children were cared for at the center's approved location as all school age children were cared for at Ivory Learning Center located across the street from the center. Observation of the center on 12/20/2016 confirmed forty (40) children were present, none of which were school age children. Review of requested attendance records for 12/20/2016 revealed fifty-five (55) children signed into care with times of arrival denoted. During an additional interview, the staff in charge identified fourteen (14) of the children listed on the attendance record for 12/20/2016 as being school age children who were being cared for at Ivory Learning Center. Therefore, school age children were cared for in an unapproved location that was across a four lane road and was not part of the premises continguous to this licensed child care center. Observation of the location where school age children were being cared for revealed twenty-nine (29) children, all of which appeared to be school age, and two adults. All twenty-nine (29) children were observed to be sitting around tables in two defined areas divided by half walls. A television was playing in one area, with no other activities or play equipment observed. The children in the other defined area were sitting at two different tables. The only toy, game, or play material observed in the center was one Connect Four game that was being manipulated by several children. Interview with an adult present confirmed no additional toys were available. Therefore, the health, safety and comfort of the children were jeopardized by being cared for in an unapproved location and not being supplied with play materials.

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 family child care center failed to maintain the food service in accordance with regulatory requirements. Based on the lunch meal served, forty- four (44) children ranging in age from one (1) year through four (4) years failed to receive all required fruit/vegetable requirements. A portion of the children were served bread, hotdog, banana, cheese balls and milk. The other portion of children received a slice of pizza, a banana, cheese balls and milk. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of 25 children's files, one (1) child's file (DOE: 6.15.16)failed to contain a current Commonwealth of Kentucky Immunization Certificate. The file contained an Immunization Certificate from the state of Tennessee. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of 25 childrens' files, one (1) child's file (doe: 3.15.16) failed to have a written record which has been completed and signed by the parent, retained on the first day, and additionally, an authorization by the parent for the child care center to seek emergency medical care for the child in the parent's absence. Based on the Intermediate Agreement signed on 06/14/16 by a center representative, which states: " I agree to assure that the child care center maintains a written record on each child in care that is completed by the child's parent and is retained on the first day the child attends the child care center and includes the following: ....Authorization by the parent for the child care center to seek emergency care for the child in the parent's absence." Written Documentation In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed a child with the enrollment date 6/16/16 did not have a current immunization certificate on file at the time of the survey. Interview with the staff in charge revealed she was unable to locate the document at the time of the survey.

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.

There were two visits made to this child care center on 6/6/16 and 6/8/16 to conduct this survey. General: Based on Observation, and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Upon entering the child care center on 6/6/16 two (2) adults were observed standing in the foyer. One (1) of the adults entered a room identified as the older two’s / younger three’s where the surveyor followed. At which time it was observed there were twenty-four (24) children in care and no other adult in the room. The second adult from the foyer entered the room. The two adults identified themselves as staff members. Therefore children in the older two’s/younger three’s room were out of the scope of vision for the two (2) staff members standing in the foyer for an undetermined amount of time. Observation on 6/8/16 at 9:15 a.m. revealed that a one-year-old female child had gotten out of the toddler gated programming area and was observed alone walking in the walkway area outside of the toddler and infant programming areas. Surveyor observed the female toddler, unattended in the walkway area for at least one minute prior to the assigned toddler staff, with a hire date of 7/28/14, discovering the female child on the other side of the gated programming area. The staff with the hire date of 7/28/14 was overheard saying, “Get over here girl,” as she retrieved the child. Observation on 6/8/16 at 9:44 a.m. revealed a male child leave the two-year-old room and entered into an adjacent room that was identified as the room used for “summer youth camp” by the owner, out of the scope of vision of the two-year-old staff member. Continued observation revealed a staff member saying “Go get him” at which time a female child entered the room used for summer youth camp and retrieved the male child at 9:46 a.m., escorting him back to the two-year-old room. Interview with a staff member revealed both children were two-year-olds. Observation on 6/8/16 at 9:50 a.m. revealed three (3) children entered into an adjacent room that was identified as the room used for “summer youth camp” by the owner, out of the scope of vision of the staff member assigned to supervise the two-year-old staff children. The children then returned to the two-year-old room. Observation on 6/8/16 at 10:30 a.m. of the room used for summer youth camp revealed a child entered the room and went to the bathroom located on the far side out of the scope of the staff member’s vision. A staff member is heard saying “Just get the toilet paper and come on”; the child exited the bathroom area and returned to the classroom. Interview with a staff member revealed the age of the child was two-years-old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 5 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to comply with staffing requirements. Observation 6/6/16 of the older two’s/younger three’s room revealed twenty-four (24) children in care with two (2) staff members. Interview with a staff member revealed the youngest age child was two-years-old. Therefore the room was out of ratio and over the maximum group size for two-year-olds. Observation on 6/6/16 of the older one-year-old room revealed seven (7) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child was one-year-old. Observation on 6/6/16 of the nine-to-twelve month old room revealed seven (7) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child was nine months old, however a staff member from another room stated that was incorrect and the youngest age child was twelve months old. Observation on 6/6/16 of the three-year-old room revealed thirteen (13) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child was three-year-old. Observation on 6/6/16 of the three and four-year-old room revealed thirteen (13) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child was three-year-old. Observation on 6/6/16 of the five-and-six-year old group on the playground revealed twenty-four (24) children in care with two (2) staff members. Interview with a staff members revealed the youngest child in the group was five-year-old. Through additional observation and interview it was determined the youngest child in the group was two-year-old; therefore the group was over ratio and over maximum group size. Observation on 6/6/16 of the seven-year-old and up group on the playground revealed forty-seven (47) children in care with three (3) adults, who were identified as “youth camp” employees, but were observed to have supervisory authority over preschool age children, who are enrolled in the child care center. Interview with one of the aforementioned adults revealed the youngest age child in the group was seven-year-old. Therefore the group was over the maximum group size. Upon arrival at the child care center on 6/8/16 at 8:49 a.m. a staff person with the hire date of 3/7/16 was observed walking on the concrete walkway in front of the building. The aforementioned staff person was observed to pick up her pace when she observed the state surveyors in the parking lot. The staff person with the hire date 3/7/16 entered the Toddler programming area (room 3) simultaneously with the surveyor. At that time the surveyor observed fourteen (14) children in care with one staff person with the hire date 7/28/16. The staff person with the hire date 7/28/16 stated during interview that the second staff person with the hire date 3/7/16 had just gone to one of the other buildings of the child care center to help out for a minute and had returned to help her with care. Continued interview with the staff person revealed the youngest age child was a toddler. Observation on 6/8/16 of the infant programming area at 8:55 a.m. revealed six (6) infants in care with one staff person. Interview with the infant staff revealed that the age of the youngest child was less than one year of age. Observation 6/8/16 of the room that was identified as the room used for “summer youth camp” by the owner revealed forty-four (44) children in care with one child care center staff. Interview with the staff person revealed the youngest age was five-year-old. Therefore the room was out of ratio and over maximum group size. General Administration

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 27 Jun 16 AND AS OF 26 Jul 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 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 6. Reports.

General: Based on Observation, interview and review of documentation, the child care center failed to comply with regulatory requirements. Observation at 4:00 pm on 6/6/16 of the child care center revealed one hundred thirty-eight (138) children in care at the time of the survey. Interview with staff members revealed the ages of children in care ranged from infants to seven (7) years and older. Review of DRCC records revealed the child care center is licensed to provide care for ninety-five (95) children. Review of DRCC records revealed the child care center has not applied for an increase in capacity at this time. Observation on 6/8/16 of the child care center revealed one hundred twelve (112) children in care at the time of the survey. Interview with staff members revealed the ages of children in care ranged from under one-year of age to ten-years of age. Interview with staff members revealed conflicting information in regards to the child care center being over the number of approved children for the DRCC license. During interview, the owner contended that all school age children who were in attendance were signed out of child out of the care of Mac's Childcare III and were in the care of her summer youth camp. However; review of attendance records revealed there were school age children signed into care at the child care center by the parent and not signed out of the child care center’s care during the time of the survey. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the director failed to provide for the health, safety and comfort of each child in care. Observation on 6/8/16 of the infant room at 9:15 a.m. revealed that while the infant staff was involved in performing a diaper change, a female infant crawled on top of a male infant located in a low swing. The female infant crawled around on top of the male infant for approximately twenty (20) seconds and then crawled back down to the floor. The female infant then crawled over to a female infant located in a low swing. Continued observation revealed that the female infant crawled up on the low swing containing the female infant and she took the pacifier out of the infant’s mouth and put the pacifier in her own mouth. The female infant sucked on the pacifier for several seconds and then put it down and proceeded to return to the floor where she continued to crawl around. The infant staff acknowledged that she was not aware that the incidents occurred while she was performing a diaper change with another infant. On 6/6/16 in the older two’s / younger three’s room, five-and-six-year-old group and the seven-year-old and up group the surveyor requested the name of children in care, however the staff was unable to identify the children that were requested at the time of the survey. On 6/8/16 the surveyor requested seven (7) children’s files from the staff designated as the person with knowledge as to where each child’s file was located. The staff in charge of locating the children’s files was still looking for five of the seven children’s files after one hour and thirty minutes. Ultimately the staff was only able to present six (6) out of the seven (7) files requested; therefore if an emergency occurred for any of the children in the child care center, the staff would be unable to quickly retrieve emergency contact information, i.e. parent(s) contact information, and parents preferred hospital, child’s physician information and authorization for medical treatment. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation on 6/6/16 of the outdoor parking lot and grassy area revealed seventy-one (71) children in care with two (2) child care staff and three (3) adults, who were identified as “youth camp” employees, but were observed to have supervisory authority over preschool age children. A second visit was made on 6/8/16 at this time the surveyor requested the files for the three (3) adults observed on 6/6/16 with supervisory authority over preschool age children. Review of staff files revealed the child care center did not present criminal record checks or child abuse and neglect checks for the three (3) adults who had supervisory authority over the preschool age children during the survey. Interview with a staff member on 6/6/16 revealed two-year-old children were blended with the school age children. Interview with the owner on 6/8/16 revealed the three (3) adults observed are only “youth camp” employees; however review of time cards for the child care center revealed one of the adults to be signed into work for the child care center at the said time they are employed by the “youth camp.” An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation on 6/6/16 of the outdoor parking lot and grassy area revealed seventy-one (71) children in care with two (2) child care staff and three (3) adults, who were identified as “youth camp” employees, but were observed to have supervisory authority over preschool age children. A second visit was made on 6/8/16 at this time the surveyor requested the staff files for the three (3) adults observed on 6/6/16 with supervisory authority over preschool age children. Review of staff files presented revealed the child care center did not present files for the three (3) adults which were requested during the survey. Interview with the owner on 6/8/16 revealed the three (3) adults observed are only “youth camp” employees; however review of time cards for the child care center revealed one of the adults to be signed into work for the child care center at the said time they are employed by the “youth camp.” Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and Review of Documentation the child care center failed to maintain the premises in accordance with regulatory requirements. Observation on 6/6/16 of the area identified as the older two’s / younger three’s revealed twenty-four (24) children present. Upon surveyor’s measurements it was revealed the area had a capacity for twelve (12) children. Therefore the child care center failed to provide a minimum of thirty-five (35) square feet of space per child. 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, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant room on 6/6/16 revealed an infant in a swing with a bottle propped up with a pink blanket. Interview with a staff member revealed they were unsure of the exact age of the infant but believed the child was nine (9) months old. Continued observation of the infant room revealed an infant lying in the floor on a blanket consuming a bottle. Interview with the staff revealed the age of the infant was nine (9) months old. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed the child care center did not present current immunization certificates for two (2) children with the enrollment dates 8/28/14 and 4/14/16 at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. On 6/8/16 the surveyor requested seven (7) children’s files from the staff designated as the person with knowledge as to where each child’s file was located. The staff in charge of locating the children’s files was still looking for five of the seven children’s files after one hour and thirty minutes. Ultimately the staff was only able to present six (6) out of the seven (7) files requested. Interview with the staff designated for retrieving the children’s files revealed she was unable to find one (1) of the children’s files. 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 Observation, interview and review of documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center on 6/8/16 revealed one hundred twelve children (112) present. Interview with staff revealed the ages of children in care ranged from under one- year of age to ten-years-old. Review of daily attendance records revealed there were forty-seven (47) children signed into care. Continued review of daily attendance records revealed individual attendance forms for sixty-four children did not contain the child’s name. Further review of daily attendance records for 6/7/16 revealed sixteen (16) children were not signed out of care. Ongoing review of daily attendance records for 6/8/16 revealed the departure time for nine (9) children was documented in advance on 6/8/16 as survey was conducted between 8:49 a.m. to 12:10 p.m.; however, the aforementioned departure time for the nine (9) children were for 4:30 p.m. and later.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for child-care staff professional development was not presented for review at the time of survey for a staff member hired 2/8/11. Interview with owner revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake/tornado drill logs and interview with owner revealed the center failed to document the names of the children who participated in the quarterly drills.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 20 Jun 16 AND AS OF 18 Jul 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 20 Jun 16 AND AS OF 26 Jul 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 center failed to comply with regulatory requirements. Review of documentation in the School-Age Room revealed a completed incident report laying in a child’s cubby, open to public view. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 27 Web site: http://chfs.ky.gov/ Inspection Report 130 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110. Section 2. General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Not Applicable 922 KAR 2:110. Section 2. General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Mobiles Room revealed an infant sleeping in a crib wearing a hooded jacket and the hood covered the infant’s face. Continued observation revealed the hood was not removed from the infant’s face until surveyor brought it to the staff member’s attention. Observation of one of the School-Age bathrooms which is utilized by pre-school children revealed a plunger next to the toilet, accessible to children in care. Observation of the other School-Age bathroom which is utilized by pre-school children revealed a toilet bowl brush next to the toilet, accessible to children in care. Observation of one of the One-Year-Old Rooms, the Mobiles Room, and the Non-Mobiles Room revealed the diaper changing pads were torn, exposing the inner padding. Continued observation of the One-Year-Old Room revealed a build-up of dirt and dust underneath the diaper changing pad.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to present proof at the time of survey that a Criminal Records Check (CRC) had been submitted on or before the first day of employment for a staff member hired 4/25/16. Interview with owner revealed this documentation was not available for review at the time of survey. Continued interview with owner and observation revealed the staff member hired 4/25/16 has not worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for a staff member hired 8/31/15. Interview with owner revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for a staff member hired 3/2/16. Interview with owner revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs and interview with owner revealed the center failed to document the names of the children who participated in the monthly drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation of orientation was not presented for review at the time of survey for three (3) staff members with hire dates of: 6/8/15, 8/31/15, and 9/28/15. Continued review of staff files and ECE-TRIS record revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for eight (8) staff members with hire dates of: 2/8/11, 12/11/12, 2/11/13, 4/10/13, 6/1/13, 7/1/14, 7/28/14, and 12/1/14. Further review of staff files revealed documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for a staff member hired 2/8/11. Interview with owner revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Older Twos/Younger Threes Room revealed a staff member’s purse was open and placed on a low shelf, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of one of the School-Age bathrooms and the Cafeteria bathroom revealed the sink was soiled.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of one of the School-Age bathrooms revealed the baseboard near the toilet was peeling off the wall. Observation of the Cafeteria revealed large spots of paint peeled from 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of both School-Age bathrooms and the Non- Mobiles Room revealed steam rising from the running hot water in the sink. Continued observation revealed the hot water temperature exceeded (one-hundred-twenty) 120 degrees Fahrenheit. Observation of the bathroom in the Two-Year-Old Room revealed the sink was not equipped with cold water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the bathrooms in the Two-Year-Old Room and Cafeteria revealed a visible brown ring around the toilet bowl. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation revealed a soiled diaper wrapped in a plastic bag which was placed on the ground, outside of the back door of a classroom and not in a covered container.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of one of the Four & Five-Year-Old Rooms revealed Vaseline, hydrocortisone cream, a packet of biofreeze pain relief gel, and children’s Motrin that was not properly labeled and was stored in a first aid kit on top of a cubby shelf, not in a locked place. Continued observation revealed a bottle of hydrogen peroxide stored in the cubby shelf, not labeled and not in a locked place. Observation of the Older Twos/Younger Threes Room revealed a tube of ointment stored in the first aid kit, not properly labeled and not in a locked place. Observation of the Mobiles Room revealed two (2) medicated creams stored in a cubby shelf, not properly labeled and not in a locked place. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a few interlocking foam squares were utilized as the protective surface for a yellow slide which was positioned directly on concrete; however, the interlocking foam squares failed to meet regulatory standards for approved protective surfaces. Interview with owner revealed she was aware that the foam squares were the only protective surface used for this slide.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of one of the One-Year-Old Rooms revealed a white crib sheet covered with smears of brown matter. Observation of the Mobiles Room revealed two (2) stained crib sheets and four (4) loose-fitting crib sheets. Interview with owner revealed she is aware of the problem with the loose-fitting crib sheets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain equipment in accordance with regulations. Observation of one of the Four & Five-Year-Old Rooms revealed a light green child-sized couch chair containing several visible black spots. Continued observation revealed the tie-dye rug and the world rug were soiled. Observation of the other Four & Five-Year-Old Room revealed three (3) green and white checkered couch chairs placed in the Dramatic playhouse that were heavily soiled. Observation of the Two-Year-Old Room revealed the lid of the garbage can near the diaper changing table was soiled. Observation of one of the One-Year-Old Rooms revealed the alphabet rug was soiled. Observation of the Non-Mobiles Room and interview with staff member revealed at least three (3) battery operated infant swings were not operational.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed both refrigerators were soiled with food matter and/or a dried liquid substance.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the Older Twos/Younger Threes Room revealed a child’s nutritional shake was opened and stored in a cubby shelf and not refrigerated; however, the label on the bottle stated the shake must be refrigerated once opened. Interview with owner revealed she was aware this shake was not refrigerated. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation and interview with staff members revealed the center failed to post a daily schedule of activities in one of the Four & Five-Year-Old Rooms, the School-Age Room, and one of the One- Year-Old Rooms. Review of documentation in the other One-Year-Old Room revealed the daily schedule of activities was not current as it was dated 4/18/16-4/22/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation in one of the One-Year-Old Rooms, the Mobiles Room, and the Non-Mobiles Room and interview with staff members revealed the center failed to post the proper methods of diapering at each diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with regulatory requirements in regards to employee records. Based on review of documentation and interviews the child care center failed to discharge an employee whose name is listed on the central registry established by 922 KAR 1:470. Review of documentation revealed DRCC received a substantiated central registry check form on 11/18/15. Interview with the owner by telephone on 12/2/15 revealed she dropped off a packet of information to DRCC stating the aforementioned employee's (DOH: 11/4/15) substantiated child neglect was over-turned. Review of DRCC records revealed a packet of information was dropped off to the DRCC office on 11/24/15 and based on interviews the person whom dropped it off never clarified who to give it to or what it was for. Continued review of DRCC records revealed the aforementioned information dropped off to the DRCC office on 11/24/15 did not have any information in it stating the aforementioned employee's child neglect substantiation was over-turned. Interview by telephone with a DCC employee on 12/2/15 revealed the aforementioned employee currently has a substantiation of child neglect. Continued interviewing with the owner on 12/2/15 and 12/7/15 revealed the aforementioned employee was hired on 11/4/15 and that she received the substantiated central registry check form on 11/24/15 and continued to allow the employee to work at the facility until 12/2/15. Further interviewing with the owner revealed the aforementioned employee never worked alone with children.

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 with the director, the childcare center failed to comply with staffing requirements regarding defined groups. Observation at 10:24 p.m. revealed ninteen (19) children present ranging in age from one years of age to nine years of age. The chilren were not divided in defined groups; therefore, staff to child ratios were not maintained according to regulatory requirements. Interview with the director revealed she was unaware of the issue. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation and interview with the director the childcare center failed to comply with regulatory requirements regarding defined groups. Observation at 10:24 p.m. revealed nineteen (19) children present with no specific staff assigned to and responsible for an assigned group. One of the staff members present was unable to identify the children in her care. Interview with the director revealed she was unaware of the issue. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation 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 the employees with the hire dates of 02/11/2013 and 11/10/2015 who were the only staff present from 10:26 p.m. to 11:00 p.m., revealed the childcare center could not verify the employees were certified in CPR or First Aid. Interview with the director revealed she was were the employees were not currently certified. Programming 410 - Infant/Toddler Combined with Older Children Not Inspected 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (2) Except in accordance with subsection (3) of this section, an infant or toddler shall participate in an activity with an older child for no more than one (1) hour per day.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the childcare center failed to comply with programming requirements. Based on observation at 10:24 p.m. to 11:00 p.m., a toddler was seated and strapped into an infant carrier, who was awake. Therefore, the child was not provided an alternative activity during rest time. Interview with the director revealed she was not aware of the issue. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the childcare center failed to maintain equipment in accordance with regulatory requirements. Observation at 10:24 p.m. revealed there were three (3) children who were sleeping in chairs with their heads laying on top of a table and completely covered with their individual blankets.Continued observation revealed the children had not been provided an individual bed, a two (2) inch thick waterproof mat, or cot in good repair. Interview with the director revealed she was unaware the children were not provided adequate cots.

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. Based on observation at 10;24 p.m. it was revealed there were fifteen (15) children sleeping on cots that did not meet the requirement of being spaced twelve (12) inches apart to allow free and safe movement by a person. Interview with the director revealed she was not aware the cots were not spaced adequately. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report 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 maintain written documentation in accordance with regulatory requirements. Review of the daily sign in sheets revealed that the attendance records did not clearly identify the arrival and departure times for the nineteen (19) children present. Interview with the staff present revealed she was unable to identify the children by their last name in order to review the attendance records. Continued review revealed there were two (2) children who had been signed in and out for the entire week of 11/10/2015. Interview with the director revealed she was not aware the parents had pre-signed the attendance records.

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 Observation and interview with the director, the child care center failed to comply with staffing requirements. Based on review of the documentation of the staff schedule, it was revealed that the document did not contain all of the times that the employees were scheduled to work. Interview with the director revealed staff are salaried and work as needed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to comply with staffing regulatory requirements. The child care center was visited on 8/19/15 and the following was observed. The two-year-old classroom was observed to be out of ratio from 1:12pm-1:16pm, in which eleven (11) two-year-olds were being supervised by one (1) staff member. The staff member in the two-year-old classroom acknowledged she was out of ratio when it was brought to her attention. Continued observation of the facility revealed the infant classroom to exceed the maximum group size at 1:18pm, in which there was ten (10) infants, ages two-months-old to eight- months-old present in addition to a two-year-old child present, making the infant classroom to have eleven (11) children total. The children in the infant classroom were observed being supervised by two (2) staff members. Continued observation revealed the infant classroom exceeded the maximum group size until a staff member entered the classroom and removed the two-year-old at 1:22pm. Interview with staff in the infant classroom revealed the two-year-old child just arrived before the surveyor walked in the classroom and that the parent brought the child to the wrong classroom. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of Toddler Room #1 revealed that the general traffic pattern used to enter the infants' rooms from the Toddler Room #1 failed to allow adequate crawling space for the toddlers.

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 Girls' Bathroom located in the School Age area of the child care center revealed that the sink failed to drain, leaving standing brown water in the sink basin at the time of the inspection.

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, it was determined the center failed to comply with regulatory requirements regarding staffing requirements, specifically ratios. Observation revealed the following: 1. On 6/30/15 at 10:05 a.m., a classroom of nine (9) children being supervised by one (1) staff member. Interview revealed the age of the youngest child was one (1) year old. 2. On 6/30/15 at 10:05 a.m., a classroom of seven (7) children being supervised by one (1) staff member. Interview revealed the age of the youngest child was one (1) year old. Continued interview revealed four (4) children had just arrived to the center and the staff members were in the process of informing staff in charge to address the issue. Continued observation revealed at 10:07 a.m., staff in charge arrived and resolved the issue to maintain minimum staff-to-child ratios. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain minimum child to staff ratios. Upon entry of the childcare center on 06/17/2015 at 1:51 p.m., it was observed in Toddler #1 classroom, one staff member was caring for seven (7) children aged one-year-old. Continued observation revealed a second staff member entered the Toddler #1 Classroom from the rear of the building, then returned to the Infant Classroom. Immediate observation of the Infant Classroom revealed that the staff member that entered the Toddler #1 Classroom was assigned to the Infant Classroom and necessary to maintain ratio as there were seven (7) infants present in the room. Therefore, as the staff member left the Infant Classroom to go to the Toddler #1 Classroom, the Infant Classroom exceeded ratio as one (1) staff member was caring for seven (7) infants. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation and Interview, the childcare center Director failed to maintain the health, safety and comfort of all children in care. Observation of the Infant Classroom revealed a child sleeping in a bouncy chair with a blanket covering the child's entire body, including the child's face. Continued observation of the Infant Classroom revealed a child sleeping on the child's stomach with a blanket covering the child's entire body including the child's head. Interview with Infant Classroom staff revealed that both the child in the bouncy chair and the child in the crib were infants. Employee Records

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 childcare center failed to maintain all sleeping requirements. Observation of the Infant Classroom revealed an infant was sleeping in a bouncy chair instead of an individual non-tiered crib that meets Consumer Product Safety Commission standards. 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 childcare center failed to maintain all bottle-feeding requirements. Observation of the Infant Classroom revealed an infant sitting in a bouncy chair with a bottle sitting on the infant's shoulder pointing down. Continued observation of the infant revealed that the infant was attempting to get the bottle, but could not.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Observation of the Infant/ Toddler Room revealed seven (7) infants and toddlers with one (1) staff person upon arrival at approximately 1:55 p.m.. Observation revealed an additional toddler arrived at approximately 2:15 p.m. creating an even higher ratio of eight (8) infants and toddlers to one (1) adult until the time of the surveyor’s departure at approximately 3:30 p.m.

Open Not marked corrected in the state record

Category: ratio. 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 current documentation from a health care professional to verify that an employee with the hire date of 2/8/11 was free from active TB at the time of the inspection. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed tom comply with regulatory programming requirements. Observation of cribs located in the Infant and Toddler Room revealed six (6) children resting in cribs with blankets folded and used as pillows. One (1) infant was observed sleeping, covered entirely from the top of the head to the ankles, with only feet protruding from under a blanket. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report 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, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girl’s bathroom located in the School Age Room revealed a sink holding dark water, failing to drain. Interview with the staff revealed that the sink had been clogged up for three (3) days while the plumber is waiting to get the parts needed to repair the clog. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant Room revealed that after a diaper change, staff failed to wash the hands of an infant with liquid soap and warm running water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant Room and the Infant and Toddler Room revealed rips and holes in the diaper changing pad, exposing the inner absorbent material and rendering the diapering surface unhygienic at the time of the survey. Food Service

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observations made during snack time revealed that two (2) and three-year-old children were served whole milk as a snack component failing to meet the milk requirement for children twenty-four-months and older. Interview with the director revealed that she was unaware of the milk requirements for children two-years-old and older.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Observation, the child care center director failed to assure compliance with regulatory requirements. Interview with the staff-in-charge revealed the children’s files, staff files and other regulatory documentation were stored in the owner’s office. Continued interview with the staff-in-charge revealed the owner had the keys to the office; therefore, the staff-in-charge did not have access to the office and could not fulfill all of the duties of the director in her absence. Observation of the child care center revealed the staff-in-charge did not gain access to the office until the owner arrived with the keys.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed staff members hired 2/11/13, 3/28/13, 4/10/13, and 4/25/13 did not have a current staff evaluation on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Four & Five-Year-Old Room on 4/1/15 revealed a staff member hired 4/25/13 was the sole caregiver for thirteen (13) four and five-year-olds for the duration of the survey from 9:15am to 3:09pm. Review of the staff member’s file hired 4/25/13 revealed the staff member listed a Federal Way, Washington address on her Child Abuse & Neglect Check (CAN), indicating she lived in Washington within the last five (5) years. Continued review of the staff member’s file revealed the staff member did not have a Washington Criminal Records Check (CRC) on file at the time of survey. Observation of the Toddlers Room on 4/1/15 revealed a staff member hired 1/9/15 worked alone with six (6) one-year-olds from 9:22am to 9:47am. Interview with the owner revealed the staff member was initially hired on 6/16/14 but the staff member’s employment ended for a period of time, after which she was re-hired on 1/9/15. Review of the staff member’s file revealed the child care center did not have a current CRC on file at the time of survey. Observation of the Creepy Crawlers Room on 4/1/15 revealed a staff member re-hired 3/19/15 worked alone with six (5) infants, ages eight to ten months, from 9:37am to 9:46am. Interview with the owner revealed the staff member was initially hired on 11/26/12; however, the staff member’s employment ended for a period of time after which she was re-hired on 3/19/15. Review of the staff member's file revealed the child care center did not have a new CRC and CAN check on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Review of a staff member’s file hired 7/22/13 revealed two (2) tuberculin skin test certificates that if aligned one on top of the other were exact duplicates. Continued review of both certificates revealed the typed and hand- written information on both certificates appears to be the exact same with the exception that one certificate records “Date Given” as 3/17/11 and “Date Issued” as 3/19/11 and the other certificate records “Date Given” as 3/17/14 and “Date Issued” as 3/19/14. Further review of the certificates revealed the ending “1” on the “Date Given” and the ending “1” on the “Date Issued” was altered to look like “4’s” so that the respective dates on the altered certificate read 3/17/14 and 3/19/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Four & Five-Year-Old Room on 4/1/15 revealed a staff member hired 4/25/13 worked alone with thirteen (13) four and five-year-olds for the duration of the survey from 9:15am to 3:09pm. Review of the staff member’s file hired 4/25/13 revealed the staff member listed a Federal Way, Washington address on her Child Abuse & Neglect Check (CAN), indicating she lived in Washington within the last five (5) years. Continued review of the staff member’s file revealed the staff member did not have a Washington Criminal Records Check (CRC) on file at the time of survey. Observation of the Toddlers Room on 4/1/15 revealed a staff member re-hired 1/9/15 worked alone with six (6) one-year-olds from 9:22am to 9:47am. Interview with the owner revealed the staff member was initially hired on 6/16/14; however, the staff member’s employment ended for a period of time after which she was re-hired on 1/9/15. Review of the staff member’s file revealed the child care center did not have a new CRC on file at the time of survey. Observation of the Creepy Crawlers Room on 4/1/15 revealed a staff member re-hired 3/19/15 worked alone with six (5) infants, ages eight to ten months, from 9:37am to 9:46am. Interview with the owner revealed the staff member was initially hired on 11/26/12; however, the staff member’s employment ended for a period of time after which she was re-hired on 3/19/15. Review of the staff member’s file revealed the child care center did not have a new CRC and CAN check on file at the time of survey. Interview with the owner revealed another staff member was initially hired on 4/1/13; however, the staff member’s employment ended for a period of time after which she was re-hired on 12/22/14. Review of the staff member’s file revealed the center did not have a new CRC and CAN Check on file at the time of survey. Review of a staff member’s file hired 12/1/14 revealed the center did not have a completed CRC on file at the time of survey. Interview with the owner revealed she currently works as one of the van drivers for the child care center. Interview with the director and staff-in-charge revealed the owner also works in the classrooms. Review of the staff schedule presented by the owner revealed the owner works any and all shifts as needed. Review of staff files revealed the owner did not have a CRC and CAN check on file for herself at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a personnel file for the owner was not presented for review at the time of survey. Interview with the owner revealed she was still in the process of completing her own file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. At the time of survey, the owner presented staff files for staff members hired 4/10/13, 1/19/15 and 1/26/15 as current staff members. Additionally, review of the staff schedule presented by the owner revealed these staff members were listed on the schedule. Review of staff files revealed staff members hired 4/10/13, 1/19/15, 1/26/15 and the owner did not have a high school diploma, GED, or Commonwealth Child Care Credential on file at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the child care premises revealed several soiled diapers, wrapped in plastic bags, were placed outside on the ground near the back door of the Infant Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. At the time of survey, the owner presented staff files for staff members hired 7/22/13, 1/19/15 and 1/26/15 as current staff members. Additionally, review of the staff schedule presented by the owner revealed these staff members were listed on the schedule. Review of staff files revealed the staff members hired 7/22/13, 1/19/15, 1/26/15 and the owner did not have a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. At the time of survey, the owner presented staff files for staff members hired 7/1/14, 7/28/14, 11/11/14 and 12/1/14 as current staff members. Additionally, review of the staff schedule presented by the owner revealed these staff members were listed on the schedule. Review of staff files revealed staff members hired 7/1/14, 7/28/14, 11/11/14, 12/1/14 and the owner did not have documentation of orientation on file at the time of survey. Review of staff files revealed staff members hired 2/11/13, 3/28/13, 4/10/13, 4/25/13, 6/1/13, 7/22/13 and the owner failed to have documentation of fifteen (15) hours of cabinet approved training on file at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Interview with the owner revealed she currently works as one of the van drivers for the child care center. Review of the Driver/Vehicle Examination Report dated 10/29/14 revealed the owner was documented as the van driver on the date of inspection. Continued review of the examination report revealed a violation was listed stating the owner’s driver’s license had been suspended on 6/20/14. Review of staff files revealed the center did not have a Driver History Records check on file for the owner at the time of survey. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the center failed to comply with regulatory programming requirements. Observation of the Infant Room revealed there were no blocks for the children to use. Interview with a staff member revealed there were no blocks in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Toddlers Room revealed plastic garbage bags and plastic gloves stored on the shelf underneath the diaper changing table which were accessible to children in care. Continued observation revealed a one-year-old grabbed several plastic gloves from underneath the diaper changing table and tried to put them on. Observation of the Younger Two’s Room revealed plastic bags stored on the shelf underneath the diaper changing table which were accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant Room revealed two (2) diaper changing pads were torn, exposing the inner padding.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview and Observation, the child care center failed to maintain the premises in accordance with regulations. Interview with the owner revealed the School-Age Room was not being used by the children at the time of survey; however, the owner revealed she would be using the room for the school-age children very soon. Observation of the Boys School-Age Bathroom revealed the sink was covered with red and brown spots. Continued observation revealed the water in the sink did not drain properly; rather, the water filled up in the sink when the surveyor turned the faucet on. Continued observation revealed a blue Lego and a white cottony substance were clogged in the sink drain. Further observation of the Boys School-Age Bathroom revealed the blue tile floor was soiled and spotted with dirt. Observation of the Girls School-Age Bathroom revealed the sink was full of water and did not drain. Continued observation of the Girls School-Age Bathroom revealed the blue tile floor was soiled and spotted with dirt. Observation of the entrance area to the Three-Year-Old Room revealed two (2) white plastic storage drawers covered with dust and a sticky residue.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Three-Year-Old Room revealed two (2) sets of glass fluorescent lights that were not shielded.

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 Interview and Observation, the child care center failed to maintain the premises in accordance with regulations. Interview with the owner revealed the School-Age Room was not being used by the children at the time of survey; however, the owner revealed she would be using the room for the school-age children very soon. Observation of the School-Age Room revealed the carpeting was unraveling along the edges and in several areas across the floor.

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 Interview and Observation, the child care center failed to maintain the premises in accordance with regulations. Interview with the owner revealed the School-Age Room was not being used by the children at the time of survey; however, the owner revealed she would be using the room for the school-age children very soon. Observation of the Boys School-Age Bathroom revealed the center failed to equip the sink with liquid soap and a hand-drying blower or single use disposable hand drying material. Continued observation of the Boys Bathroom revealed the sink hot water temperature read one-hundred twenty-four (124) degrees Fahrenheit. Observation of the Girls School-Age Bathroom and the Creepy Crawlers Room revealed the center failed to equip the sink with a hand-drying blower or single use disposable hand drying material.

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 Interview and Observation, the child care center failed to maintain the premises in accordance with regulations. Interview with the owner revealed the School-Age Room was not being used by the children at the time of survey; however, the owner revealed she would be using the room for the school-age children very soon. Observation of the Boys School-Age Bathroom revealed a very strong stench similar to the smell of urine. Continued observation revealed urine in the toilet. Continued observation revealed the toilet seat was covered with a dried yellow substance which appeared to be urine as well as a liquid yellow substance which also appeared to be urine. Further observation of the bathroom revealed dried brown spots on the toilet paper. Observation of the Girls School-Age Bathroom revealed a visible brown ring of dirt around the toilet bowl. Observation of the Cafeteria Bathroom revealed what appeared to be dried urine spots around the toilet seat and a brown dirt ring inside the toilet bowl. 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 child care center failed to comply with the regulations regarding first aid and/or medication. Observation of the center’s first aid supplies revealed the absence of medical tape.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Infant Room revealed three (3) entirely stained crib sheets and two (2) loose-fitting crib sheets. Observation of the Creepy Crawlers Room revealed four (4) entirely stained crib sheets and four (4) loose-fitting crib sheets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Toddlers Room revealed the blue alphabet rug in the center of the room and the brown and pink cushion stools were soiled with dirt. Observation of the Infant Room revealed two (2) yellow bouncy chairs and one (1) pink and brown bouncy chair were soiled with dirt. Observation of the Creepy Crawlers Room revealed a plastic lid underneath one of the crib mattresses. Observation of the child care area leading into the Toddler Room revealed a red child-sized couch soiled with dirt. Continued observation of this child care area revealed a pink kitchen & laundry play set with visible finger prints covering most of the play set. Observation of the School-Age Room revealed a red popcorn trolley with a reddish/orange, dried, grainy substance covering the bottom of the container that holds the popcorn. Observation of the Cafeteria revealed the lid on the red garbage can was soiled with yellow and white spots. Observation of the Younger Two’s Room revealed several battery-operated toys that were not operational.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the center failed to have a written plan that details the transportation schedule and transportation route.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the center failed to provide written documentation of full insurance coverage for the child care center van at the time of survey. Continued review of documentation revealed the center failed to have documentation of insurance coverage for third party transportation services that were used for field trips on file at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the director and staff-in-charge revealed the child care center used school buses to take field trips within the last year. Review of documentation revealed the center did not have a third party contract on file at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van revealed the center failed to include a thermometer in the first aid supplies stored on the van.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center van revealed one (1) broken seat belt buckle on the last row and one (1) broken seat belt buckle on the fourth row of the van. Interview with the director revealed she was aware of the broken seat belts.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the entire exterior of the black stove was covered with dirt build-up and the stovetop burner bowls were entirely rusted. Continued observation revealed the white ventilation hood was covered with a layer of dust and dirt particles. Continued observation of the kitchen revealed one of the refrigerators was soiled with a yellowish sticky substance that covered the bottom shelf and the inside of the door. Further observation of the kitchen revealed the three-tiered metal serving tray was spotted with dirt and the lid on the red garbage can was covered with white and brown spots.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Creepy Crawlers Room revealed the indicating thermometer in the refrigerator read forty-eight (48) 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 regulations. Observation the Toddlers Room revealed a dust/dirt build-up on the inside and outside of 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed two (2) bottles stored on top of the refrigerator that were 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, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the center failed to have a current immunization certificate on file for children enrolled 9/2/14, 1/15/15, and 2/3/15 at the time of survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the evacuation plan revealed the plan was dated 10/10/13. Interview with the owner revealed the plan had not been updated nor re-submitted by Dec. 31, 2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. Review of documentation revealed the center failed to post each statement of deficiency and plan of correction issued by the cabinet during the current licensure year. Review of documentation in the Creepy Crawlers Room revealed the center failed to post a daily schedule in a conspicuous place. Continued review of documentation revealed the daily schedule was hand written in a notebook which was stored inside a child’s cubby and not available for public inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 28 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. Review of documentation revealed the center failed to post a written plan outlining the course of action in the event of a natural or manmade disaster.

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 post documentation in accordance with regulations. Review of documentation in the Creepy Crawlers Room, Two-Year-Old Room, and Younger Two’s Room revealed the director failed to post a daily schedule of activities which included dates and times of activities to be conducted with the children in each room. Review of documentation in the Three-Year-Old Room on 4/1/15 revealed the daily schedule of activities was dated the week of 3/23/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. Review of documentation in the Toddler Room and Creepy Crawlers Room revealed the center failed to post diapering and hand-washing procedures at the diaper changing areas. Review of documentation in the Infant Room revealed the center failed to post diapering procedures at the diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding staffing, specifically ratios. Observation revealed the following: 1. At approximately 10:00 a.m., one (1) staff member was observed caring for thirteen (13) children. Interview revealed the age of the youngest child was three-years- old. 2. At approximately 10:10 a.m., one (1) staff member was observed caring for seven (7) children. Interview revealed the age of the youngest child was one-year-old. Observation revealed at approximately 10:20 a.m., the director arrived on the premises and adjusted staffing to comply with requirements. Interview with director revealed she had just left the center to go to purchase bread for the center. Director Requirements

Open Not marked corrected in the state record

Category: ratio. 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. Observation revealed a child that was later identified as a three-year-old, exiting the bathroom located off of the School Age Room, and continuing back to her Three-Year-Old Room at approximately 10:25 a.m. on October 29, 2014 without supervision. Observation revealed that the child failed to remain within scope of vision or range of voice of staff.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with the regulatory requirements. Review of documentation submitted to DRCC revealed pictures of children’s information from the child care center that had been posted to Facebook, a social media website. Interview with the owner revealed that she was not aware that the personal information was discernable therefore; the owner did not realize that the confidential information failed to be kept in strict confidence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements as it pertains to the health, safety and comfort of the children in care. Observation of the School Age Room revealed an electrical junction box that failed to be covered with a safety plate. Observation of the Infant Room for infants ages six (6) weeks to nine (9) months, revealed loose bedding around the face of a sleeping infant. Observation revealed a three-year-old child exit a bathroom that was located off of the School Age Room and continue on to the Three-Year-Old Room without supervision at approximately 10:25 a.m. on October 29, 2014. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements as it pertains to altered or falsified records. Review of staff files revealed certificates for TB skin tests for a former employee hired 8/1/11 that appeared to have had dates altered from the original dates documented. Interview with staff from Amin Family Medical Center revealed that the certificate dated 11/20/12 had been altered from the original form. Employee Records

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 records in accordance with regulatory requirements. Review of staff files failed to reveal any documentation to verify that a criminal records check was submitted for a volunteer janitor with an unknown hire date, and employees with the hire dates of 10/28/14, 6/17/14 and 5/1/13. Documentation for an out of state background check failed to be presented for review for an employee with the hire date of 4/25/13 that had indicated a Washington address on the CAN check. Additional review of staff files failed to reveal documentation to verify that a CAN check had been submitted for employees with the hire dates of 6/17/14, 7/24/14, 10/28/14 and 5/1/13. None of the listed employees were observed working alone with the children in care 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 3. Records.

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 failed to reveal files or documentation for the volunteer janitor with an unknown hire date, a volunteer that works in the office with an unknown hire date and employees with the hire dates of 10/28/14 and 5/1/13. Interview with the owner revealed that the documentation was undergoing some organizational changes and was not able to be located at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal a high school diploma, GED or Commonwealth Child Care Credential for staff with the hire dates of 6/17/14, 7/22/13, 10/28/14 and 7/28/14. Additional review of staff files revealed that the transcripts presented for the individual with the hire date of 7/28/14 revealed grades up to eleventh grade, but shows that the student did not graduate twelth grade. Interview with the director revealed that the staff files were in the process of a reorganization and the documentation was unable to be located for review 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. Review of staff files failed to reveal documentation from a health care professional to verify that individuals with the hire dates of 7/1/12, 6/17/14, 7/22/13, 7/24/14 and 5/1/13 were free from active TB at the time of the survey. Interview with the owner revealed that the employee files were undergoing some organizational changes and the documentation was not able to be located for review at the time of the survey. Additional review of files revealed documentation for a Tuberculin Skin Test Certificate that had been altered. The certificate was presented to the originating health care center for review to verify that the document dated 11/20/12 had been altered. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room for infants six-weeks to nine- months-old, revealed loose bedding around the face of an infant sleeping in a crib. Additional observation revealed an infant wearing a bib while sleeping in a crib at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 Web site: http://chfs.ky.gov/ Inspection Report Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the School Age Room revealed toxic cleaning chemicals, sitting on a shelf and accessible to children, which had labels that read “Keep out of reach of children”. Observation of the One-Year-Old Room revealed a wet, soiled mop on the floor within reach of the children in care. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant Room for infants six-weeks to nine-months-old revealed a diaper changing pad that had rips and holes exposing the inner absorbent material, creating an unhygienic changing surface at the time of the survey. Equipment

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Room for infants nine to twelve-months-old and the Infant Room for infants six-weeks to nine-months-old, revealed double mattresses stacked in the cribs with sleeping infants. Additional observation revealed the plastic wrapping remained on the mattresses in both of the infant rooms. Continued observation in both of the Infant Rooms failed to reveal clean tight-fitted sheets. Observation revealed loose fabric draped across the mattresses with sleeping infants in the cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Room for infants six-weeks to nine-months-old revealed that the cribs failed to be spaced twelve (12) inches apart to allow free and safe movement by a person. Additional observation revealed an employee was unable to reach an infant that was crying and had positioned itself at the head of the crib that was pushed against the wall. Observation revealed that the employee had to move a crib out of the way to retrieve the infant at the time of the survey. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Observation of the infant room revealed twelve (12) infants with two (2)adult staff, exceeding the regulatory ratio and maximum group size for infants at the time of the survey. 45 - Ratio/Group Size Discussed 922 KAR 2:120. Section 2. Child Care Services. (2)(b) The age of the youngest child in the group shall determine the: 1. Staff-to-child ratio; and 2. Maximum group size. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Based on observation on 10/07/2014, it was observed that an infant was asleep in the crib, he was laying face down with only the plastic covering on the crib mattress. This could create a potential sufficating hazard. Continued observation on 10/07/2014 revealed two (2) infants who were awake, were standing together in one crib (1).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Based on review of the daily sign in sheets, it was revealed that one (1) child had been pre-signed in for the complete month of October 2014. Continued review revealed another child had been pre-signed in for the week of October 19-24th, 2014. Programming

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, the child care center failed to comply with programming requirements. Observation on 10/08/2014 at approximately 11:20 a.m. revealed that there was one (1) six-week-old in a sleep position of laying on their stomach. 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 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation on 10/07/2014 at approximately 4:35 p.m. it was revealed that ten (10)infants were present in the room identified as the infant room that serves the nine to twelve-month-old infanst. The floor plan approved and signed by the director indicates the room provided thirty-five (35) square feet of space for nine (9) infants. 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. Observation in the six-week to nine-month-old infant room it was revealed that an infant was seating in a bouncy seat and was not held while he was bottle feeding. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the daily sign in sheets revealed that the child care center had fifty-five (55) children in attendance; however the sign in sheet revealed only thirty-three (33) children had been signed in. Continued review revealed that one (1) child was signed in advance on the daily attendance for one (1) full month, a second was signed in and out in advance for the week of 10/19/14.

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 director failed to maintain the health, safety, and comfort of children. Observation of the two-year-old classroom revealed a chirping smoke detector which is an indication of a low battery. Interview with staff in charge revealed the smoke detectors have been checked by the fire marshal and that she does not know why the smoke detector continues to chirp.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the child care center director failed to comply with regulatory requirements regarding the health, safety and comfort of a child. Observation of the child care space at the time of the investigation revealed that various outlets located in the programming areas failed to have protective covers. Interview with the staff in charge revealed that she was aware of the outlets not being appropriately covered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the owner, the child care center director failed to assure compliance with regulatory requirements. Observation of the twelve(12) passenger Ford van revealed two(2) back tires that were worn and in need of replacement. Interview with the owner revealed an inspection was attempted on 06/28/2014, at that time a vehicle exam report was not issued due to the back tires needing replacement. Based on interview and document review, it was determined that the observed van has been used to regularly transport children. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the documents provided revealed no transportation logs indicating the first and last name of the child transported; and the time each child gets on and the time each child gets off; for the following dates: 05/26/2014,05/27/2014,05/28/2014,05/29/2014,05/30/2014,06/01/2014,06/02/2014,06/03/2014, 06/04/2014,06/05/2014,06/06/2014,06/09/2014,06/10/2014,06/11/2014,06/12/2014,06/16/2014, 06/17/2014,06/18/2014,06/19/2014,06/20/2014,06/23/2014,06/25/2014,06/26/2014,06/27/2014 and 06/30/2014. Interview with the director revealed she was unable to locate the documents. Food Service

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, and interview with the Director, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the cafeteria revealed the children eating a granola bar and drinking milk. The staff was interviewed and revealed that granola bar and milk was served for breakfast. There was no evidence of fruit or 100% juice being served. Interview with the director revealed the center had juice; however there was no evidence of the juice being served in the cafeteria.

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 sink requirements. Observation of the pink bathroom revealed that the sink is grimy and not equipped with liquid soap or with a hand-drying blower or single use disposable hand drying material. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain toilet requirements. Observation revealed that the toilets in the white and pink bathrooms, did not have ventilation to outside air. Continued observation of the toilet in the pink bathroom revealed that the toilet is not being kept in a clean condition as the toilet bowl rim is visibly grimy and the toilet bowl is discolored. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain toys as clean and in good repair. Observation of the Toddler #2 Classroom revealed that the foam blocks, the stand up piano and the mirror on the side of the wall was visibly grimy. Observation of the Infant Classroom revealed that the pink and blue tummy time mat was discolored.

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.

Based on observation and interview, it was determined the center failed to comply with regulatory staffing requirements. Observation revealed at approximately 8:30 a.m., one staff member was standing in the door way between two classrooms supervising two groups of approximately 19 children ages ranging from toddler to school age. Further observation revealed one group of children consisted of two toddlers in highchairs and approximately twelve school age children, while the second group of children consisted of approximately five preschool children. The duration of the observation lasted approximately five minutes until a second staff member entered the building returning from a transportation route and a third staff member emerged from the bathroom. Interview with the director revealed that this time is normally chaotic due to it being a transition time in which the school aged children are being separated to go to the next building.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the center failed to comply with regulatory requirements regarding compliance with the Fire Marshal. The center failed to provide documenation for review at time of survey, verifying current compliance with the Fire Marshal. Interview with the owner revealed the Fire Marshal had visited within the last year, however the report was not available for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the director failed to comply with regulatory requirements regarding staff meetings. The center failed to provide documentation for review at time of survey, of completed staff meetings. Interview with the owner revealed staff meetings were conducted; however documentation was not available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the director failed to comply with regulatory requirements regarding staff evaluations. The center failed to provide documentation for review at time of survey, of completed staff evaluations for seven staff members with the following hire dates: 8/1/11, 7/1/12, 1/21/13, 11/26/12, 2/11/13, 4/1/13 and 8/1/13. Interview with the owner revealed the staff evaluations were completed; however, they were not available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the director failed to provide for the health, safety and comfort of each child. Observation revealed a smoke detector located in the toddler room in buidling one was "chirping". Additionally, observation revealed a plunger and toilet brush in the bathroom of building one and a plunger in the girl's bathroom of building two. Additionally, observation revealed a plastic "organizer" containing small nails and screws located in an unlocked cabinet in the school age room of building two.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the center failed to comply with regulatory requirements regarding employee background checks. The center failed to provide documentation for review at time of survey, verifying a completed criminal records check from a previous state of residency for a staff member. Review of all staff records revealed the center failed to provide a completed criminal records check from a previous state (Washington) for a staff member hired 4/25/13 whose CAN check identified Washington as a previous state of residency. Interview with the owner revealed she was unaware the staff member resided in a previous state prior to residing in Kentucky.

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 requiremenets regarding TB verifications. The center failed to provide accurate documentation for review at time of survey, from a health professional verifying three staff members hired 8/1/11 and 7/22/13 (2) are 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, it was determined the center failed to comply with regulatory requirements regarding training. The center failed to provide documenation for review at time of survey, verifying the completion of a six hour cabinet-approved orientation training within the first three months of employment for three staff members with the following hire dates: 6/1/13, 7/22/13 and 4/25/13. Additionally, the center failed to provide documentation for review at time of survey, verifying the completion of fifteen hours of annual cabinet-approved early care and education training for seven staff members with the following hire dates: 8/1/11, 7/1/12, 1/21/13, 11/26/12, 2/11/13, 4/1/13 and 8/1/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the center failed to comply with regulatory requirements regarding driver records. The center failed to provide documentation for review at time of survey, of a completed driver's history report for three drivers with the following hire dates: 8/1/13, 6/1/13 and 7/22/13. Interview with the owner revealed the reports were not available for review. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, it was determined the center failed to comply with regulatory requirements regarding programming. Observation revealed the center failed to provide blocks in the preschool classroom of building two.

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.

Based on observation, it was determined the center failed to comply with regulatory requirements regarding programming. Observation revealed two toddlers were sitting in highchairs eating breakfast while watching television.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

Based on observation, it was determined the center failed to comply with regulatory requirements regarding premises. Observation revealed an unlocked closet located in the school age classroom of building two, which contained filled cans of paint. Additional observation revealed an unlocked closet located in the preschool classroom of building two, which contained bottles of Pinesol and Bleach. Further observation revealed several plastic bags hanging on children's cubbies in the front preschool classroom of building two.

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, it was determined the center failed to comply with regulatory requirements regarding premises. Observation revealed a small hole, approximately the size of an apple, located at the base of the wall under the bulletin board in the infant room of building one. Additionally, observation revealed an approximately seven to eight foot frayed line within the carpet on the floor of the school age room in building two. Additionally, observation revealed approximately eight ceiling tiles containing stains consistent with water damage in the preschool classroom of building two. Additionally, observation revealed several areas of chipped painted located on the walls in the front preschool classroom of building two.

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, it was determined the center failed to comply with regulatory requirements regarding premises. Observation revealed the bathroom in building one and the boys bathroom in building two failed to have toilet paper. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding premises. Observation revealed both the boy's and girl's bathrooms in building two failed to have paper towels.

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, it was determined the center failed to comply with regulatory requirements regarding equipment. Observation revealed loose fitting sheets on six crib mattresses in the infant room of building one.

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.

Based on observation it was determined the center failed to comply with regulatory requirements regarding equipment. Observation revealed a large wooden computer hutch located in the school age room of building two had a broken shelf which contained a large split in the wood.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, it was determined the center failed to comply with the requirements for transportation services. The center failed to provide documenation for review, at time of survey, of emergency procedures practiced monthly by staff who transports children. Interview with owner revealed the monthly emergency procedures were practice, however not available for review.

Open Not marked corrected in the state record

Category: transportation. 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. Observation revealed the refrigerator in the infant room of building one failed to have a thermometer.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding evacuation procedures. Review of the center's evacuation plan revealed the plan did not include a location for an off site evacuation. Interview with the owner revealed the off site evacuation location is Thorton's gas station, however it was not documented on the evacuation plan.

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, it was determined the center failed to comply with regulatory requirements regarding daily attendance records. The center failed to provide children's attendance records for review as requested at time of survey. Interview with the owner revealed the attendance records requested were not available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding earthquake and tornado drills. Review of documentation revealed earthquake and tornado drills were not practiced quarterly and not recorded since 8/13 to include the date, time and children who participated.

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 fire drills. Review of documentation revealed fire drills were not practiced monthly and not recorded since 8/13 to include the date, time and children who participated. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on review of documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation. The center failed to provide documentation for review, at time of survey, of a completed daily schedule in the school age room of building two.

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 posted documentation. Review of the lesson plan in the toddler room of building one revealed that it failed to include a date. Additionally, the lesson plan in the infant room of building one was dated 11/11-11/15/13. Additionally, the center failed to provide documentation for review, at time of survey, of a completed lesson plan in the school age room of building two.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and review of documentation, it was determined that the child care center director failed to ensure the health, safety and comfort of a child in care with an enrollment date of 5/21/2013, i.e., on 1/31/2014, the child was bitten on the arm, intentionally, by a staff member with a hire date of 1/1/2013, leaving a reddened area with indentions in the skin consistent with a bite mark. The staff member also made an intimidating remark to the child when she bit him.

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 at approximately 1:15 pm a group of seven three-year-old children were left unsupervised. The staff member responsible for the children was observed in the kitchen area and then reentered the 3 year old room where the children had been unattended. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, a group of nine children in the infant room, ranging in age from six weeks old to one year old, were being supervised by one staff member. Director Requirements 250 - Staff Management/Policy Development/Supervision Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (e) Manage the staff in their individual job descriptions; (f) Develop child-care center plans, policies, and procedures; (g) Supervise staff conduct to ensure implementation of program policies and procedures;

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 interview, the child care director failed to provide for the health, safety and comfort of each child, i.e., school age children were being allowed to play in an outdoor area that was not fenced per regulations. Interview revealed that the children were permitted to play in the parking lot. Observation revealed that the center shares the lot with other business located in the same strip mall including a bar where patrons were served alcohol during the same hours that the children were playing in the shared parking lot. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview the child care center failed to ensure that the outdoor play area used by the children was fenced as per the regulations. Interview revealed that the children were permitted to play outdoors in an unfenced area of the parking lot that is shared with neighboring businesses.

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 interview with staff in the toddler classroom, toddlers' diapers are changed on a cot that is not padded. Equipment

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the two year olds did not wash their hands after breakfast with soap and water. Based on observation in the two year old room, a child wiped his nose and his hands were not washed with soap and water, they were 'washed' with hand sanitizer.

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, six infants were being cared for by one staff member for approximately five minutes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the smoke detector in the center was chirping indicating that it was not working properly to maintain the safety of the children at the center. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, an infant was placed to sleep on his stomach. Staff member stated that it was common practice to place infants to sleep on their stomach so that staff could pat their backs to help the infants sleep.

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 crib contained blocks, a stuffed animal and another infant toy. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the toddler room, a staff member's unzipped open purse was observed to be on the children's cots and then moved to the floor, both locations were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was not any toilet paper available in the toddler bathroom.

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 in the toddler bathroom, there was not single use hand drying material or a hand dryer. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a hard plastic blue bucket in the toddler room used to store toys was broken and cracked from the top of the bucket to the bottom. It was being used to store toys and had sharp edges. A toddler was observed reaching into the bucket to get toys out of the bucket. 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, an infant was in a bouncer, with a bottle propped in his mouth by a folded blanket under the bottle to hold the bottle in place as the child was sleeping. 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 observation, medical information of two children was not confidential as there was a posted document in the two year old classroom that two children cannot have milk. Center has the first and last names of numerous children that require current immunization records posted on the front door in a manner that is not confidential. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report Posted Documentation

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, diaper changing proceedures were not posted in the toddler 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 3. General Requirements.

General: Based on review of documentation, there was no documentation on file to verify that monthly fire drills had been conducted.

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 review of documentation, there was no documentation on file to verify that earthquake and tornado drills had been conducted quarterly. Posted Documentation

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 center failed to ensure that each bottle was labeled and covered. Observation of the Infant Room revealed three bottles, that were on a shelf, were not covered nor labeled with a child's name.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to maintain a current certification of inspection from the Transportation Cabinet on the vehicle used to transport children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to ensure the daily schedule was followed as upon entry of the center at approximately 12:00 pm, children were observed lying down for a nap. The daily schedule in the Twos' Room stated the following: 12:00 - 12:15 pm prep for lunch; 12:15 - 1:00 lunch; 1:00 - 3:00 naptime. The daily schedule was not being followed as the children were already lying down for nap at 12:00 pm and were not completely up from nap until approximately 3:40 pm.

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 observation, the center failed to ensure that there were an adequate number of qualified staff persons to operate the center as at the time of the survey there were five classrooms being used with forty-three children in attendance. Review of DRCC records revealed that the center was operational 24/7, however, the director stated that the current operational hours were 6:00 am to 9:00 pm. Review of staff files that were provided by the director revealed that only three staff had completed background checks on file. The center failed to ensure that any staff under the age of eighteen worked with a qualified staff person. The director stated that staff hired 1/21/13 was under the age of eighteen and she further stated that this staff person worked in a classroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center failed to ensure that proper staff to child ratios were maintained in the Two's Room as there was one staff person working with eleven children, the youngest being 2-years-old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, there were no qualified substitutes as none of the fifteen staff persons had all required documentation on file to ensure that they were a qualified staff person.

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 child abuse and neglect procedure. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;

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 center failed to have a current copy of this adminstrative's regulation on file at the center available for staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the director failed to ensure compliance with this administrative regulation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the director failed to manage staff through individual job descriptions and development of plans, policies, and procedures.

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 director failed to access each staff's performance through staff evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the director failed to ensure the health, safety, and comfort of children. Observation of the Infant room revealed the following: one infant was sleeping on a bean bag; one child was walking around with his shoe in his mouth; one child was sitting on the floor with his bottle, dragging his bottle on the floor, then drinking from it; and there cords to the TV were accessible to children. Upon entry to the Toddler Room, the room was so dark that it did not appear that anyone was in the room, however, after turning on the light, it was found that there were two staff in the room with seven toddlers. Observation of the bathrooms revealed that there was a toilet bowl brush and a plunger, accessible to children, in two of the bathrooms. Observation of the School-Age Room revealed a large bulletin board (approximately 4 foot by 6 foot), leaning against the wall near the back door, accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to ensure that staff received orientation training within ninety days of their hire date. Staff hired the following dates did not have an orientation training certificate on file: 11/6/12; 11/26/12; 9/1/12; 9/26/12; 11/1/12; and 8/2012. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the director failed to ensure that staff were not left alone with children if the licensee had not received the results of the staff's background checks. Observation of the center and review of staff files revealed the following: two staff were working in the 4 & 5-year-old room, one staff did not have a file and the other staff (hired 3/5/13) did not have any background checks on file; two staff were working in the Three's Room, one staff did not have a file and the other staff (hired 9/1/12) did not have a Child Abuse/Neglect (CAN) check on file; two staff were working in the Toddler Room, neither staff had a file. Review of the staff schedule, which was confirmed to be accurate by the director, revealed three staff worked the night-time hours. Review of staff files revealed the following: one staff (hired 1/21/13) did not have any background checks on file, one staff did not have a file, and one staff (hired 2/11/13) did not have a Criminal Records Check (CRC) on file. Interview with the director revealed that two staff drove the van for the center, one would drive and the other would monitor. Review of staff files revealed that one of the staff did not have a file and the other staff (hired 9/26/12) did not have a CAN check on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and review of documentation, the center failed to ensure that staff were not left alone with children prior to having completed background checks on file. Observation of the 4 & 5 year old room revealed two staff were working with the children. Review of staff files revealed that neither staff persons had completed background checks on file. Observation of the Three's Room revealed two staff working with children. Review of staff files revealed one staff (hired 9/1/12) did not have a CAN check on file and the other staff (hired 11/1/12) did not have either background checks on file. Observation of the Toddler Room revealed two staff working with children, one staff (hired 4/2013) did not have completed background checks on file and the other staff (hired 2/26/13) did not have a CRC on file. Interview with the director revealed that three staff worked the night-time hours. Acoording to the director each of these three staff worked alone in separate rooms. Review of these three staff files revealed that staff hired 2/11/13 did not have a CRC on file, and the other two did not have any completed background checks on file. The director stated that the owner and staff hired 9/26/12 were the only two staff who drove the vans and that when one drove, the other monitored. Reveiw of files revealed that the owner did not have background checks on file and staff hired 9/26/12 did not have a CAN check on file. The center failed to ensure that background were completed within ninety days of hire as staff hired 11/6/12 had a CAN check that was signed by the requestee on 2/15/13 and completed 2/21/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and review of documentation, the center failed to maintain current personel files on all staff. Observation of the classrooms, review of the staff schedule, and review of staff files revealed that six of the fifteen staff did not have a file on hand at the center. Further review the other nine staff did not have all required documentation on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 28 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, revealed that the six staff who did not have a file at the center and staff hired 11/6/12 did not have a high school diploma or other qualifiying documentation to verify compliance. There was no documentation on file to verify that staff hired 1/21/13 was still enrolled in high school.

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, revealed that the following staff did not have a current TB test certificate on file at the center: staff hired 11/6/12 had a TB test certificate onf ile that was current through 4/20/10; staff hired 1/21/13 did not have a TB test certificate on file; staff hired 9/1/12 did not have a TB test certificate on file; staff hired 2/8/11 had a TB test certificate on file that was current through 2/4/11. The six staff that did not have a file, did not have TB test certificates on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to ensure that at least one staff that was currently certified in infant/child first aid and CPR and adult first aid and CPR was on duty during all operational hours. Review of staff files revealed that only one staff (hired 2/8/11) was certified in adult CPR. No staff were certified in infant/child first aid and CPR or adult first aid. Review of the staff schedule revealed that this one staff worked 7:00 am to 5:30 pm. The director stated that the current operational hours were 6:00 am to 9:00 pm. therefore there was no infant/child first aid or CPR coverage, there was no adult first aid coverage, and no adult CPR coverage from 5:30 pm to 9:00 pm.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to maintain background checks on the drivers of the vehicle transporting children for the center as one of the drivers did not have background checks on file and the other driver did not have a CAN check on file. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to have a lesson plan posted in the Infant Room or the Toddler Room.

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 center failed to ensure that rest time did not exceed two hours as upon entry to the center at approximately 12:00 pm, the children in the Two's Room were lying down on their cots for naptime. Further observation revealed that children were getting up from naptime at approximately 3:40 pm which exceeded the two hour limitation.

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, of the Infant Room, the large vent that was located by the diaper bags, had an accumulation of dirt and dust on it. Observation of the Girls' Bathroom revealed that the door knob was very loose and about to fall off of the door. Observation of the School-Age Room revealed that there was debris all over the floor and there was a hole in the carpet and floor, in front of the sink.

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 center failed to ensure that there was a minimum of thirty-five square foot per child as there were seven children in the Toddler Room. Review of DRCC records revealed that the maximum capacity of that room, based on square footage, is four.

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, of the Toddler Room revealed that there were several areas where the paint had peeled on the purple wall. There were also areas where the carpeting was frayed. Observation of the back room revealed that the walls were dirty and had areas of chipped paint. Observation of Building 2 revealed there were numerous stained ceiling tiles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the center failed to ensure that the infant and toddler space was away from general traffic patterns of the center. Observation of the center revealed the Infant Room was L-shaped with the diaper changing area being in the back-left area of the room and the cribs in the right side of the room. The older infants were observed walking and crawling around all areas of the room, two were walking around near the bathrooms and the gate that went into the back room and one walked into the front room. Two infants were in the front-left area of the room, near the entry way, one was in a bouncy seat and one was in a bouncer, there was not a defined area used just for play as the infants were in all areas. Staff and children had to go through the infant's indoor space to get to the Toddler Room or the back room.

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, of the Girls' Bathroom in Bldg. 2 revealed that there was water all over the floor and the sink and toilet were dirty. Observation of the Boys' Bathroom in Bldg. 2 revealed that the sink and walls were dirty.

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, there were no papertowels available to children in any of the four bathrooms.

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, there was no ventilation to outside air in any of the four bathrooms. Hygienic Practices

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 center failed to provide a protective surface for equipment used to slide as there was not a protective surface beneath a Little Tykes slide.

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 center failed to ensure that an infant and toddler outdoor space was shaded. Equipment

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 was no outdoor play equipment available for school-aged children, all of the equipment within the outdoor play area was for younger children.

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 center did not provide an individual crib for each infant as there were ten children in the Infant Room and there were only six cribs. Furthermore, one child was observed sleeping on a bean bag.

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 center failed to provide sheets for children's cots.

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 center failed to ensure that equipment was kept clean and in good repair. Observation of the Toddler Room revealed that the garbage can was dirty and had dried food spills on it. Observation of the School-Age Room revealed a large tub, full of toys, that had a large crack in it. Observation of the back room in Bldg. 1 revealed that the couch was dirty and had several stains.

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 center failed to ensure that bottles were prepared by the parent as an infant room staff was observed to scoop formula out of a can into a bottle, went to the hand-washing sink and filled it with water, then fed it to a child.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the center failed to ensure that children were served a meal every two to three hours. Upon entry to the center at approximately 12:00 pm it was observed that children had finished lunch and were lying down for naptime. Continued observation revealed that children were not woken up from nap until approximately 3:40 pm which was more than three hours after the last time that they had been provided a meal.

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 center fialed to have a menu posted in a conspicous place.

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 failed to maintain current immunization certificates for each child. Child enrolled 8/2012, had an immunization certificate on file that was current through 11/5/12. Child enrolled 8/2012 had an immunization certificate on file that was current through 3/26/12. Child enrolled 8/2012 had an immunization certificate on file that was current through 11/19/12. Child enrolled 1/30/13 had an immunization certificate on file that was current through 3/19/13. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to obtain all required enrollment information on the child's first day of service. Review of children's files revealed the following: child enrolled 8/2012 was missing identification information, parent contact, and signed emergency medical authorization; child enrolled 8/2012 was missing the signed emergency medical authorizations; children enrolled 10/22/12 and 9/10/12 did not have any information on file as they did not have an enrollment form.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have a written Emergency Preparedness Plan.

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 center failed to have written policies and procedures including staff policies, job descriptions, a chain of command, and policies to ensure implimentation of the childcare center's licensure, the childcare center's health and safety standards, and this administration's regulations.

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 failed to have a written annual plan for childcare staff's professional development.

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 failed to have a written record of quarterly practiced earthquake and tornado drills that included the date, time, and the name's of the children who had participated in the drills.

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 failed to have a written record of monthly practiced fire drills that included the date, time, and the name's of the children who had participated in the drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have a written orientation training policy which stated that staff would implement the procedures that were taught in orientation training within their classrooms.

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, there was not a hand-washing procedure posted in the diaper changing area of the Infant Room. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, upon the surveyor's arrival a staff member was independently caring for seven toddlers. Therefore, the minimum staff to child ratio for toddlers of 1:6 was exceeded. A second staff entered the room a few minutes after the surveyor arrived. Interview with the second staff member revealed that she had been on her break. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Programming 180 - Waiting Period 922 KAR 2:120 - Section 2 (8) A child shall not be required to stand or sit for a prolonged period of time: (a) During an activity; (b) While waiting for an activity to start; or (c) As punishment. 2) Waiting for activity Not In Compliance Findings: classrooms: Based on observation, upon the surveyor's arrival, a one-year-old child was sitting restrained in a high chair in the center of the room. Continued observation revealed that said child had been provided with no toys, activities or interaction while the remaining six toddlers in the classroom engaged in free play with toys throughout the room.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

classrooms: Based on observation, the most current recommendations of the American Academy of Pediatrics was not followed as three infants were observed sleeping in cribs on top of multiple fleece blankets and one infant was observed sleeping in a bouncing seat. Food Service - Classroom 194 - Bottle Feeding 922 KAR 2:120 - Section 3 (10) While bottle feeding an infant, the: (a) Child shall be held; and (b) Bottle shall not be: 1. Propped; 2. Left in the mouth of a sleeping infant; or 3. Heated in a microwave. 1) Child held Not In Compliance Findings: classrooms: Based on observation, an infant was observed taking a bottle while in a bouncer seat. Therefore, the infant was not held while being bottle fed. Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 4) Designated Pick-up Not In Compliance Findings: General: Based on review of documentation, review of a child's file revealed that there was no designated pick-up list available for review. 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History Not In Compliance Findings: General: Based on review of documentation, review of a child's file revealed that there was no medical history available for review. 2) Emergency Authorization Not In Compliance Findings: General: Based on review of documentation, a child's file failed to include written authorization for emergency medical treatment, signed by the parent or guardian. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no immunization certificate available for review for a child who was enrolled on 10/01/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

1 Year Old: Based on observation, in the one-year-old class room the portable diaper changing station is unstable, shakes and moves easily, making it unsafe for diaper changing. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: 2-3 Year Old: Based on observation, there were two cans of paint on a low shelf accessible to children. An unlocked cabinet contained a can of helium. An unlocked closet contained brooms and mops that children had access to. In the unlocked closet, children had access to the hot water heater. There was a cabinet with the door broken off, the broken door leaning against the cabinet and a broom in the closet accessible to children. School Age: Based on observation, in a low cubby accessible to children was deodorant. 2) Knives and sharp objects Not In Compliance Findings: School Age: Based on observation, in a cubby storage area was batteries and nails. 4) Plastic bags Not In Compliance Findings: School Age: Based on observation, in a low cubby accessible to children was plastic bags. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 44 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Nursery Room: Based on observation, the rug in the infant room was soiled. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 7) Stairs Not Applicable 202 - 35 Square Feet per child Discussed 922 KAR 2:120 - Section 4 (5) Exclusive of the kitchen, bathroom, hallway, and storage area, there shall be a minimum of thirty-five (35) square feet of space per child. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 44 Web site: http://chfs.ky.gov/ Inspection Report 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 3) Ceilings smooth/good repair Not In Compliance Findings: 1 Year Old: Based on observation, there are two water stained ceiling tiles in the one-year-old classroom. 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 1) Winter Temperature sixty-five to seventy-five Not Applicable 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 2) Summer Temperature sixty-eight to eighty-two In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 4) Traffic Pattern Not In Compliance Findings: 1 Year Old: Based on observation, the one-year-old room is a high traffic pattern for the center as the school-age children and 4-5 year old children have to walk through the one- year-old classroom to use the bathroom and to go outside to play. All children in the 2-3 year old room and their parents must go through the one-year-old room for daily arrival and departure. 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 44 Web site: http://chfs.ky.gov/ Inspection Report 4) Not damp In Compliance 279 - Toilet Room Not Applicable 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately Not Applicable 2) Toilet Paper Not Applicable 3) Clean/Sanitized Not Applicable 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 6) Equipped with an easily cleanable, covered waste receptacle In Compliance 7) Immediately adjacent to a changing area used for infants and toddlers In Compliance 281 - Toilet Not Applicable 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean Not Applicable 2) Good repair Not Applicable 3) Lighted Room Not Applicable 4) Ventilated Not Applicable General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: General: Based on observation, in bathroom #1 there was a plunger and toilet cleaning brush accessible to children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 44 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage In Compliance 2) Locked In Compliance 3) Outside child care area In Compliance 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance Discussed 2) Outdoor Designated Area Discussed 3) Not in the presence of children Discussed 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery Room: Based on observation, the adult chair in the infant room tipped forward when seated and was not stable for sitting. Transportation 300 - Transportation Compliance 922 KAR 2:120 - Section 12 (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 1) Vehicles Not Applicable 2) Drivers Not Applicable 3) Insurance Not Applicable 301 - Requirements for Transportation Services 922 KAR 2:120 - Section 12 (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. 1) Licensed and Approved Not Applicable 2) Written plan and schedules Not Applicable 3) Written policies and procedures Not Applicable 4) Monthly emergency procedures for staff Not Applicable 302 - Transportation Notification and Policies/ Procedures 922 KAR 2:120 - Section 12 (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; (c) Plan for ensuring staff perform duties relating to transportation properly; (d) Full insurance coverage for each vehicle; (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; (f) Contracts, agreements, or documents detailing arrangements with any third party for services; and (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 1) Type of Transportation offered Not Applicable 2) Vehicles used Not Applicable 3) Staff plan for transportation Not Applicable 4) Full Insurance Coverage Not Applicable 5) Emergency evacuation plan Not Applicable 6) Third party agreements Not Applicable 7) Safety procedure for transporting children Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 32 of 44 Web site: http://chfs.ky.gov/ Inspection Report 8) Safety for loading and unloading Not Applicable 9) Safety for providing adequate supervision Not Applicable 303 - Vehicle equipment 922 KAR 2:120 - Section 12 (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. 1) Fire Extinguisher Not Applicable 2) First aid supplies Not Applicable 3) Reflective triangles Not Applicable 4) Cutting device Not Applicable 304 - Transit/School bus Not Applicable 922 KAR 2:120 - Section 12 (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 305 - Vehicle Requirements 922 KAR 2:120 - Section 12 (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. (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. (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. (d) A vehicle shall not transport children and hazardous materials at the same time. 1) Transportation Cabinet Certification Not Applicable 2) Signal Lamps Not Applicable 3) Identifying colors Not Applicable 4) Cautionary words Not Applicable 5) Seat belts Not Applicable 6) No hazardous materials Not Applicable 306 - Car Seats Not Applicable 922 KAR 2:120 - Section 12 (7) The appropriate car safety seat meeting federal motor vehicle safety standards in 49 C.F.R. 571.213 shall be used for each child. 307 - Pre-trip Inspection 922 KAR 2:120 - Section 12 (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. 1) Tires Not Applicable 2) Lights Not Applicable 3) Signals Not Applicable 4) Mirrors Not Applicable 5) Gauges Not Applicable 6) Wiper blades Not Applicable 7) Safety restraints Not Applicable 8) Fuel Not Applicable 9) Free of debris Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 33 of 44 Web site: http://chfs.ky.gov/ Inspection Report 308 - Ratios 922 KAR 2:120 - Section 12 (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). 1) Ratios Not Applicable 2) Lone driver Not Applicable 309 - Seating 922 KAR 2:120 - Section 12 (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. 1) Each child has a seat Not Applicable 2) Belted Not Applicable 3) Remain seated Not Applicable 310 - Child Unattended 922 KAR 2:120 - Section 12 (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 1) At site Not Applicable 2) On vehicle Not Applicable 311 - Pre-arranged plan Not Applicable 922 KAR 2:120 - Section 12 (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 312 - Unaccompanied child crossing street Not Applicable 922 KAR 2:120 - Section 12 (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. 313 - Vehicle Headlamps Not Applicable 922 KAR 2:120 - Section 12 (14) A vehicle transporting a child shall have the headlamps on. 314 - Refueling Not Applicable 922 KAR 2:120 - Section 12 (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. 315 - Driver not in seat 922 KAR 2:120 - Section 12 (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. 1) Engine off Not Applicable 2) Keys removed Not Applicable 3) Emergency brake on Not Applicable 316 - Children's transportation records 922 KAR 2:120 - Section 12 (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. 1) Recorded in writing Not Applicable 2) First and last name of children Not Applicable 3) Time on Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 34 of 44 Web site: http://chfs.ky.gov/ Inspection Report 4) Time off Not Applicable 5) Documented by other staff Not Applicable 6) Kept for 5 years Not Applicable 318 - Hazardous Items 922 KAR 2:120 - Section 12 (19) Guns, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. 1) Guns Not Applicable 2) Ammunition Not Applicable 3) Alcohol Not Applicable 4) Illegal substances Not Applicable Food Service 181 - School Age Care 922 KAR 2:120 - Section 2 (9) If school-age care is provided: (a) A separate area or room shall be provided in a Type I center; and (b) Each child shall be provided a snack after school. 2) Snack provided Discussed 252 - Kitchen Requirements 922 KAR 2:120 - Section 8 Kitchen Requirements. (1) The kitchen shall: (a) Be clean; (b) Be equipped for the proper: 1. Preservation; 2. Storage; 3. Preparation; and 4. Serving of food; (c) Be adequately ventilated to the outside air; and (d) Except in a Type II center when a meal is not being prepared, not be used for the activity of a child. 1) Clean In Compliance 2) Equipped for preservation In Compliance 3) Equipped for storage In Compliance 4) Equipped for preparation In Compliance 5) Equipped for serving In Compliance 7) Not for Child activity In Compliance 252 - Kitchen Requirements 922 KAR 2:120 - Section 8 Kitchen Requirements. (1) The kitchen shall: (a) Be clean; (b) Be equipped for the proper: 1. Preservation; 2. Storage; 3. Preparation; and 4. Serving of food; (c) Be adequately ventilated to the outside air; and (d) Except in a Type II center when a meal is not being prepared, not be used for the activity of a child. 6) Ventilated Not In Compliance Findings: General: Based on observation, the kitchen did not have any ventilation.

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

General: Based on review of documentation, three employees hired 6-25-12 did not have proof of education. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 44 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 (1)

General: Based on review of documentation, three employees hired 6-25-12 did not have T.B. verification. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR Not In Compliance Findings: General: Based on review of documentation, the center did not have any CPR coverage during the hours of operation. 2) First Aid Not In Compliance Findings: General: Based on review of documentation, the center did not have any first aid coverage during the hours of operation. 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 Not In Compliance Findings: General: Based on review of documentation, the center did not have two qualified substitutes available in case of need. 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Discussed 2) 9 hours-first year Discussed 3) 15 hours annually Discussed 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 9 of 44 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 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed Discussed

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

General: Based on observation, on the playground, the climbing equipment was not anchored.

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 raised platforms in the one-year-old room, the 2-3 year old room and the 4-5 year old room have a crawl space that is about seven (7) feet long and 1.5 feet wide and one (1) foot tall that children can tunnel/crawl into that is too small for staff to crawl into.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery Room: Based on observation, in the infant room the handwashing procedure was not posted. 2-3 Year Old: Based on observation, diaper changing procedures were not posted. 1 Year Old: Based on observation, there was not a diaper changing procedure in the one-year-old room. 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 320 - Parent Notification Not Applicable 922 KAR 2:120 - Section 13 (2) A parent shall be notified in writing if a child has been bitten or scratched by an animal. 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.