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

General: Based on observation, the refrigerator’s top interior shelf in the Blue Room was in disrepair.

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 during the inspection, the following was found: Pink Room 1) Multiple ceiling tiles contained brown stains, indicative of water damage. 2) A piece of a metal ceiling tile frame was not attached to the ceiling, and was hanging downwards. Hallway Bathroom #2 1) Multiple ceiling tiles contained brown stains, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the changing pad in the Green Room contained numerous tears, and the inside absorbent material was exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: Gray room 1) The exterior of the black refrigerator was soiled with dust, debris, and a sticky substance. Kitchen 1) The interior floor of the Frigidaire stand up freezer contained a thick yellow sticky substance.

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 refrigerator in the Orange Room stored one (1) bottle that was not covered. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, an infant consumed a bottle while sitting in a bouncer seat.

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 interview and review of documentation, the employment eligibility determination presented for a staff member (DOH 08/05/24) was expired as of 07/05/23. Interview with the staff in charge revealed that, while the process for updating the staff member's background check had been initiated, their fingerprints had not yet been taken; therefore, an updated eligibility determination for the staff member was not available. The staff member was observed acting as sole caregiver to children at the center on the day of the inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A written performance evaluation for a staff member (DOH 03/09/20) was not presented for review upon request. 2) The written performance evaluation presented for a staff member (DOH 10/07/22) was not completed or dated; therefore, it could not be determined if the plan had been completed annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) The negative tuberculin (TB) test results presented for a staff member (DOH 09/08/22) contained a read date of "09/28/22" and were, therefore, not current at the time of the inspection. 2) The negative TB test results presented for a staff member (DOH 10/07/22) contained a read date of "09/09/22" and were, therefore, not current at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) It could not be determined if a staff member (DOH 09/08/22) completed six (6) hours of cabinet-approved orientation training. 2) It could not be determined if a staff member (DOH 09/08/22) completed any amount of annual training during the 2023-2024 review period. 3) It could not be determined if a staff member (DOH 09/08/22) completed one and one-half (1.5) hours of pediatric abusive head trauma training (PAHT.) 4) A staff member (DOH 10/12/23) failed to complete six (6) hours of cabinet-approved orientation training. 5) A staff member (DOH 03/09/20) completed only thirteen and one-half (13.5) hours of annual training during the 2023-2024 review period. 6) It could not be determined if a staff member (DOH 07/01/23) completed any amount of annual training during the 2023-2024 review period. 7) A staff member (DOH 07/01/23) failed to complete one and one-half (1.5) hours of PAHT training. 8) A staff member (DOH 10/07/22) completed only twelve (12) hours of annual training during the 2023-2024 review period. 9) It could not be determined if a staff member (DOH 10/07/22) completed one and one-half hours of PAHT training. 10) A staff member (DOH 09/16/19) completed only twelve (12) hours of annual training during the 2023-2024 review period. 11) A staff member (DOH 09/16/19) last completed PAHT on 04/18/18, which had passed its five (5) year renewal date as of 04/18/23.) 12) A staff member (DOH 02/07/24) failed to complete six (6) hours of cabinet-approved orientation training. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: Two year-old/Green Room: 1) The wall near the exterior door contained a large section of peeling paint. 2) One section of the interior restroom wall contained a section of peeling paint. Three year-old Room: 1) A section of the plastic border surrounding the interior of the restroom wall was partially detached. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, the seat of one (1) tricycle, located on the outdoor play area, was broken away on both sides. 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, one (1) infant bottle, stored atop a shelf in the Infant classroom, was not covered. 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 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 following was found: 1) A written professional development plan for a staff member (DOH 03/09/20) was not presented for review upon request. 2) The professional development plan presented for a staff member (DOH 10/07/22) was a blank document and, therefore, had not been completed. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, one (1) staff member acted as sole caregiver for six (6) children in the Infant classroom from 9:28 am until 9:34am, when an additional staff person arrived. The staff in the classroom stated that the youngest child in the room was three (3) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a sharpened pencil was placed on a low shelf within the Infant classroom. Three (3) mobile infants walked around to various locations within the classroom at the time of the observation; therefore, the safety of the infants was compromised. Observation of the restroom in the Preschool classroom revealed that a toilet plunger was stored on the floor, next to the commode. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, current, negative tuberculin (TB) test results or a current statement from a healthcare professional verifying that staff hired on 11/13/29, 07/01/23, and 03/09/20 were free from active TB was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of presented documentation and review of the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that staff hired on 11/13/19 and 03/09/20 failed to complete Pediatric Abusive Head Trauma (PAHT) training. 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: The following observations of the premises were made at the child care center: 1. Two (2) ceiling tiles in the Preschool classroom contained large, brown stains, indicative of water damage. 2. A large section of the green paint in the Two-year-old classroom was peeling near the exterior door. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General:Observation of the outdoor play area revealed that the front wheel of one (1) tricycle contained a large section of rust and peeling paint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General:Observation of the outdoor play area revealed that the rear section of the seat on one (1) tricycle was broken, leaving a jagged edge. Transportation Not Applicable Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) infant drank from a bottle while placed in an infant rocking chair which was adjusted to a reclined position. The staff in the classroom stated that the infant was six (6) months old. 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: Review of presented documentation revealed that the preferred hospital listed in the enrollment information for students enrolled on 05/16/22 and 12/12/22 reflected the name of a hospital that is no longer in existence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General:Upon request, a written professional development plan for a staff member hired on 11/13/19 was not presented for review. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. A staff's (DOH: 11/15/2018) file did not contain a copy of a statement from a health professional indicating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 2. A staff's (DOH: 03/09/2020) file did not contain a copy of a statement from a health professional indicating that the individual was free of active tuberculosis or a copy of a negative TB skin test result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 3. A staff's (DOH: 10/18/2022) file did not contain a copy of a statement from a health professional indicating that the individual was free of active tuberculosis or a copy of a negative TB skin test result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that she would have each of these staff complete their TB skin test and bring in the result.

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 review of documentation and ECE-TRIS, the surveyor discovered that a staff (DOH: 01/03/2022) had not received training on first aid and cardiopulmonary resuscitation (CPR). Staff reported that she would have the staff member complete the training. 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor discovered the following: 1. A staff (DOH: 03/09/2020) did not complete the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma (PAHT) training within the first year of employment. 2. A staff (DOH: 07/15/2020) did not complete the one and one-half (1 ½) hours of cabinet approved PAHT training within the first year of employment. 3. A staff (DOH: 05/03/2021) did not complete the one and one-half (1 ½) hours of cabinet approved PAHT training once every five (5) years. Staff last completed PAHT training on 11/19/2013. 4. A staff (DOH: 05/03/2021) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Staff reported that she would have staff complete their trainings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found a hole about two (2) inches wide in the tile located in the Two-Year-Old Classroom. Staff reported that she would have the tile replaced. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, several staff members who are no longer employed by the licensee were listed as "current employees" on the center's KARES roster; therefore, the licensee failed to maintain the employment status of the aforementioned individuals. Supervision In Compliance Staffing Requirements In Compliance General Administration 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 interview and review of documentation, the staff member in charge failed to present a current staff schedule. The staff schedule presented at the time of the inspection listed staff members who were no longer employed by the center.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request, the child care center did not present verification of a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check that had been conducted for the staff member with the hire date 05/27/2021. The aforementioned staff member was not observed caring for children alone during the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with general regulatory requirements. Upon request, a current fire marshal report was not presented for review. The document presented was dated 10/23/2018. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, a personnel file that contained the name, address, date of birth, date of employment, proof of education, tuberculosis screening, a criminal records check and Child Abuse and Neglect record (CAN) was not presented for review for the staff member with the hire date 05/27/2021. Interview with staff in-charge revealed that she did not have the file and the day of the survey was her first (1st) day of employment.

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 child care center did not present education verification for staff member with the hire date 05//27/2021 whose file did not contain a high school diploma, GED or a qualifying documentation from a comparable educational entity.

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, current written documentation from a health care professional was not presented for review for six (6) staff members with the hire dates; 05/27/2021, 03/10/2021, 11/13/2019, 09/06/2019, 03/09/2020 and 07/15/2020 to verify the aforementioned staff members were free from active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, documentation to verify recent completion of the one and one-half (1 1/2) hours of pediatric abusive head trauma training for four (4) staff members with the hire dates 04/08/2019, 03/09/2020, 09/23/2019 and 11/13/2019 was not presented for review. Review of the ECE-TRIS report could not reveal the training had been completed for the aforementioned staff members. 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: 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 written documentation in accrodance with regulatory requirements. Upon request the child care center did not present verification of a current driver's license and a current driver history record for the staff member with the hire date of 11/15/2018. The aforementioned documents presented expired in 2019. 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the counter that was used as a changing table and the changing area that was adjacent to the hand washing sink revealed there was one (1) bottle of Windex (the label of the bottle read, 'Keep out of reach of children'), One (1) bottle of Disinfectant Deodorizer Cleaner (the label stated, 'Hazardous to humans and domestic animals'), one (1) bottle of Clorox cleaner (the label stated, 'Keep out of reach of children') and one (1) can of Lysol Disinfectant Spray (the label read, 'Keep out of reach of children'). All of these items were accessible to the children while being changed on the changing table and if the children's hands were being washed.

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 hallway upon entering the facility revealed an area of the rubber base board was partially attached to the wall. Observation of the walls located in the two-year-old bathroom revealed the rubber base board was partially attached to the walls.

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 school age room revealed there was an area of a gray wall that was peeling paint and the dry wall was exposed. Observation of the wall located across from the front desk revealed there were several areas of the wall that was chipping paint and the dry wall was exposed. Observation of the walls located in the two-year-old bathroom revealed there was paint peeling off of the wall and the dry wall was exposed. Continued observation of the bathroom revealed there were several brown stains on the ceiling tiles, indicative of water damage.

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 restroom located off the hallway revealed there was no toilet paper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom sink located off the hallway revealed the hot water temperature measured seventy (70) degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred - twenty (120) degrees Fahrenheit. Observation of the bathroom sink located in the three and four- year-old room revealed the hot water temperature measured seventy (70) degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred - twenty (120) degrees Fahrenheit. Observation of the bathroom sink located in the two-year-old room revealed the hot water temperature measured seventy (70) degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred - twenty (120) degrees Fahrenheit.

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 ventilation in the bathroom located in the three and four-year-old room revealed it was not working properly; therefore, there was not ventilation to outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the cribs located in the older infant room revealed there was one (1) crib that contained two (2) mattresses stacked on top of one another.

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 wooden cribs located in the older infant room revealed the railings on three (3) cribs were splintered. Observation of the wooden cribs located in the infant room revealed there were railings on two (2) cribs that were splintered. Observation of the outside playground revealed there were three (3) tricycle carousels and on each carousel there was one (1) tricycle that was missing one (1) peddle. Observation of the trash can located in the two-year-old room revealed the lid and the outside of the trash can was heavily soiled. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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 regulatory requirements regarding transportation. Upon on request, a current driver's license was not presented for review for the staff member/driver with the hire date 11/15/2018.

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 comply with regulatory requirements regarding transportation. Upon request, a current license plate or a current yearly registration sticker that is placed on your license plate when the vehicle's registration is renewed annually was not presented for review. The vehicle's tag expired 10/2020.

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. Upon request, a fire extinguisher, safety restraint cutters, liquid soap, adhesive bandages, sterile gauze, medical tape, scissors, thermometer, flashlight, cold pack, first aid book, disposable gloves and a cardiopulmonary resuscitation mouthpiece protector was not presented for review. 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 up-right freezer located in the kitchen revealed there was a purple, sticky substance on the bottom shelf of the freezer.

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 small refrigerator located in the infant room revealed there were three (3) bottles that were not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. There were two (2) children's files that did not contain a date of the first (1st) day the child attended the child care center; there was one (1) child's file that did not contain a family physician and a family preferred hospital; and, there was one (1) child's file that did not contain a parent signature and authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the sign in and sign out sheets for the week on 05/24/2021 through 05/ 28/2021 revealed there were two (2) children signed in on 05/28/2021 and the parent had signed the sheet for the week stating that the children's attendance record was accurate. Therefore, the children were already signed into the child care facility and the day had not yet occurred.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center did not present verification of a written annual professional development plan for the child care staff with the hire dates; 04/08/2019, 11/15/2018, 03/09/2020, 09/16/2019, 09/23/2019 and 11/13/2019. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements for staff with hire date 06/15/2020. Observation on 06/26/2020 revealed the staff entered each room to care for children. Interview revealed the role of the staff was to serve as a “floater” to allow breaks to the head teacher in each classroom. Additional interviews revealed the staff worked alone with the children during the teachers’ breaks. Verification of a completed Child Abuse and Neglect (CAN) check and Criminal Records Check (CRC) was not presented for review. 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 failed to assure health, safety and comfort of children in care as it was observed that staff were not using all efforts to eliminate the spread of COVID-19. One floater was used to break all classrooms when additional staff were available to assist. Interviews revealed the floater relieved all classrooms for breaks. Employee Records Discussed 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation and a review of records, a chain of command was not presented for review. 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed there were three (3) toddlers sleeping in separate cribs. The sheets the infants were sleeping on had excessive material. Therefore, the sheets were not tight-fitted to the mattress.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with staffing requirements. Upon the surveyor's entry into the child-care center at 09:05 a.m., there were seven (7) children present with one (1) staff. Interview with the staff revealed the children were one years old. In the two-year-old classroom, there were eleven (11) children present with one (1) staff and the pre-school classroom had seventeen (17) children present with one staff. Interview with the staff revealed the children ranged in age from three to five years old. Therefore the staff to child ratios were not maintained. General Administration In Compliance Director Requirements In Compliance Employee Records 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 11. Staff Requirements.

General: Based on observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employee with the hire date of 11/15/2018 contained a current copy of a statement with a date that was verifiable 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the staff member with the hire date of 11/18/2018 had met the requirement of completing one and one-half (1 ½) hours of pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirements. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, the child care center failed to comply with programming requirements. Upon entry into the child care center, there were three (3) school-age children who were observed sitting at a table with their coats on waiting on the school bus to arrive. The children remained at the table with no activity for forty-five minutes, prior to the bus arriving. Therefore, the children remained in a prolonged sitting position awaiting an activity. 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. After completion of a diaper change, the staff placed the toddler down to play. The staff did not assist or prompt the toddler to wash their hands after completion of the diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. After completion of a diaper change, the staff did not wash their hands. The staff then proceeded to change a second toddler without washing their hands prior to or after the diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of he small vinyl red chair and blue couch located in the Pre-School classroom revealed there were small tears in the furniture exposing the material inside. Therefore, the equipment was in poor repair. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the one-year-old classroom revealed a toddler in a baby swing, holding a bottle for self-feeding. Therefore, the toddler was not held during feeding.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that a menu had been completed and posted in a conspicuous place for review. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record for the child with an enrollment date of 10/15/2019 contained a current immunization record. 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: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. 1) Upon request, the staff in charge did not present verification that the records for the children with the enrollment dates of 05/14/2019, 06/03/2019 and 08/19/2019 contained information listing the name of a preferred hospital. 2) Continued review revealed the records for children with the enrollment dates of 05/14/2019 and 06/03/2019 did not contain information listing a name of a physician, medical information, authorization for emergency contact, pick-up list and authorization for emergency care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request the child care center failed to provide verification that the child care center had obtained permission to transport the children with the dates of enrollment of 09/15/2019, 01/06 2020 and the two (2) children enrolled on 10/14/2019. 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 5. Evacuation Plan.

General: Based on observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year. The record presented was dated 2018.

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. Upon request, the staff in charge did not provide verification that the fire drills conducted for the last twelve (12) months had documented the names of the children who participated in the drills. The records revealed only documented names for the months of March and April of 2019. 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 observation, interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that 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 readily accessible for public inspection. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Sureveyor observed, at 10:23am, a small child walking alone in the hallway; once she reached the lobby area of the center she entered the front office. There the surveyor observed another child in the room. Another staff member walked up to the door and shut the children in the room. The surveyor left the center at 10/:57am. The children were unsupervised, not within vision or range of voice, for the duration of the visit. Interview with the director confirmed those were her children in the office. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Surveyor observed, at 10:23am, a small female child walking alone in the hallway; once she reached the lobby area of the center she entered the front office. There the surveyor observed another child in the room. Another staff member walked up to the door and shut the children in the room. The surveyor left the center at 10:57 am, the children were unsupervised not within vision or range of voice for the duration of the visit. Interview with the director confirmed those were her school aged children in the office and they were not enrolled at the center. Food Service Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to maintain children records in accordance with regulatory requirements. Children observed unspervised in the front office, identified by the director as her children ages five and seven years old, did not have written records containing the following infromation: identifying information about the child such as the child’s name, address, and birth date; contact information for the child’s parent/guardian at their home address or place of employment; family physician; and the name of the preferred hospital in case of an emergency; the name of each person who is designated to pick up the child in writing; the child’s general health information/medical history including: allergies and restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Observation of the infant room at 10:59 a.m. revealed a staff member with the hire date 2/18/19 was the sole care giver for four (4) children. Review of presented staff files revealed the staff member with the hire date 2/18/19 has lived in Florida. Upon request, a Florida criminal records check and Florida sex offender registry information for the staff member with the hire date 2/18/19 was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Review of presented staff files revealed two (2) staff members with the hire dates 11/15/18 and 11/30/18 had a current Indiana driver’s license on file. Upon request, a criminal records check and sex offender registry information for the state of Indiana was not presented for review for the two (2) staff members with the hire dates 11/15/18 and 11/30/18. Continued review of presented staff files revealed two (2) staff members with the hire dates 2/12/19 and 2/18/19 had listed Florida as a place they had lived in the last five (5) years on the background checks. Upon request, a criminal records check and sex offender registry information for the state of Florida was not presented for review for the two (2) staff members with the hire dates 2/12/19 and 2/18/19. Supervision In Compliance Staffing 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 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, a staff schedule was not presented for review.

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, interview and review of documentation, the child care center failed to comply with staffing requirements. Upon arrival at the child care center at 9:00 a.m., the school age area/gross motor area had twenty (20) children combined with two (2) staff members. Interview with a staff member revealed the youngest child in care was two (2) years old; however, review of the file for the child identified as a two-year-old revealed the child was only one-year-old. Therefore, the minimum staff to child ratio and maximum group size were exceeded. 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 director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of children in care. Observation of the preschool room revealed an electrical plug, located by the water table, that was not covered. 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

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Observation of the infant room at 10:59 a.m. revealed a staff member with the hire date 2/18/19 was the sole care giver for four (4) children. Review of presented staff files revealed the staff member with the hire date 2/18/19 has lived in Florida. Upon request, a Florida criminal records check and Florida sex offender registry information for the staff member with the hire date 2/18/19 was not presented for review. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, a high school diploma, GED or Commonwealth Child Care Credential was not presented for review for two (2) staff members with the hire dates 1/22/19 and 2/18/19.

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, written documentation from a health care professional was not presented for review to verify that a staff member with the hire date 2/18/19 was free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, documentation was not presented verifying that any staff member was certified in cabinet approved adult and pediatric first aid. Interview with the owner confirmed there is not a staff member certified in cabinet approved adult and pediatric first aid at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a written record of practiced earthquake drills, tornado drills and fire drills was not presented for review.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed two (2) staff members with the hire date 11/30/18 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. Review of a ECE TRIS report could not verify that the training had been completed. Interview with the director revealed she was not able to verify that the orientation training was completed within ninety (90) days of employment for the aforementioned staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Upon request, a daily planned program was not presented for review for the following rooms: infant, toddler, two-year-old room, preschool and school age. Observation in the school age room revealed there were no dramatic play or block materials for children’s use.

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, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Observation of the two- year-old room at 9:15 a.m. revealed ten (10) children in care. Interview with a staff member revealed all the children in the room were two-years-old; however, review of children’s files revealed there were children in the room that were three-and-four-years-old. Upon request, a transition plan that had been approved and signed by a parent was not presented for review. The two-year-old children were combined with the older children for the duration of the survey. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the toddler room revealed a large hole (approximately 4 inches) in the bathroom door. Interview with the owner revealed the deficiency is in the process of being addressed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 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 sink located in the infant room revealed the water temperature registered eighty (80) degrees Fahrenheit. Observation of the sink located in the kitchen revealed the water temperature registered eighty-five (85) degrees Fahrenheit. Observation of the sink located in the toddler room revealed the water temperature registered eighty-five (85) degrees Fahrenheit. Observation of the sink located in the preschool bathroom revealed the water temperature registered eighty-five (85) degrees Fahrenheit. Observation of the sink located in the school age bathroom revealed the water temperature registered eighty-five (85) degrees Fahrenheit. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the two-year-old room revealed a staff member wiped a child’s nose and did not wash her hands afterwards.

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 changing pad torn in three (3) areas, exposing the inside absorbent material. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report 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 observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed there was not ventilation to outside air. Interview with the owner revealed a statement that the child care center was not going to cook food on top of the stove; however, the child care center cooked oatmeal and eggs on top of the stove for breakfast.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, a current food service permit was not presented for review.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, a menu was not presented for review. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, a current immunization certificate was not presented for three (3) children with the following enrollment dates: 1/17/19, 1/22/19 and 2/3/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed there were two (2) files that did not contain the following: a written record for each child completed and signed by the child’s parent; contact information to enable a person in charge to contact the child’s parent at the parent’s home or place of employment; the family’s physician; the parents' preferred hospital; the name of each person who is designate in writing to pick-up the child; the child’s general health status and medical history; the name and phone number of each person to be contacted in an emergency involving or impacting the child; and authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence. Continued review of the children’s files revealed a file that did not have the following: the family’s physician; the parents' preferred hospital; the child’s general health status and medical history; and authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence. Written Documentation 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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, documentation of a earthquake and tornado drill was not presented for review. Interview with the owner revealed an earthquake and tornado drill were conducted in January 2019, but were not documented. Upon request, documentation of a fire drill for January and February 2019 was not presented for review. Interview with the owner revealed a fire drill was conducted in January and February 2019, but was not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report 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 interview and review of documentation, 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. Statement of deficiency; 2. Plan of correction; and 3. Services and rates. Interview with the owner revealed the documents were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, a posted daily schedule for full day care was not presented for review in the school age room. Animals Not Applicable

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.

Based on review of written documentation and interview, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center failed to provide documented evidence that staff with a hire date of 02/12/19 completed out-of-state child abuse/neglect background checks for the state of Florida. Interview with staff revealed he/she works alone and has supervisory control of children in care at the child care center. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

Based on review of written documentation and and interview, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center failed to provide documented evidence that staff with a hire date of 02/12/19 completed out-of-state child abuse/neglect background checks for the state of Florida. In addition, staff with a hire date of 11/15/18 failed to complete background checks, fingerprints, sex offender registry or repository and child abuse/neglect check requirements for the state of Indiana. Interview with staff hired on 11/15/18, revealed he/she transports children in care alone and unsupervised. 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.

Based on review of written documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of that the identified drivers are certified by a cabinet-approved training agency in Infant and child cardiopulmonary resuscitation and Infant and child first aid. Interview with the owner of the child care center revealed each driver will transport children alone. The first aid/CPR certification for the director did not appear to be from a cabinet-approved source.

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.

Based on review of written documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of a Kentucky and Out-of-State Driver’s History record for staff who were stated to transport children in care. Equipment In Compliance 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.

Based on review of written documentation and interview, the child care center failed to maintain transportation in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of registration/tags for the vehicle inspected for transportation of children in care. Review of the vehicle revealed the following VIN number: 5FNRL5H4XBB063307. In addition, interview with the owner revealed the drivers of the child care center will transport children alone. The owner failed to present documented evidence that the driver with a hire date of 11/15/18 completed out-state-background checks and that both drivers have completed first aid and CPR. Further review revealed the drivers for the child care center failed to complete Driver history record checks for each state of residence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.