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

General: Upon request, verification that the child care center conducted, managed, and documented in writing recurring staff meetings was not presented for review on the day 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 10. Director Requirements and Responsibilities.

General: Upon request, a current annual written staff evaluation was not presented for review on the day of the inspection for two (2) staff members with the hire dates 09/09/2019 and 12/23/2013. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Upon request, a snack menu was not presented for review on the day of the inspection. Meal Planning/Center Does Not Provide Meals Not Applicable 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: Upon request, a current immunization certificate was not presented for review for five (5) children with the enrollment dates; 03/20/2023, 03/13/2023, 08/11/2022, 08/10/2022, and 01/09/2023. 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 9. Records.

General: Upon request, a professional development plan was not presented for review for two (2) staff members with the hire dates 12/23/2013 and 10/19/2021. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation the child care center failed to maintain background checks in accordance with regulatory requirements. Observation of the cafeteria at 8:00 a.m. to 8:03a.m. revealed a staff member with the hire date 05/25/2021 was the sole caregiver for one (1) child. Observation of the cafeteria at 8:07a.m. revealed the staff member with the hire date 05/25/2021 was the sole caregiver of two (2) children while taking them to the gym. Upon request, the staff in-charge did not present a completed child abuse and neglect (CAN) background and a completed criminal records check (CRC)for the aforementioned staff member. Also, the staff member with the hire date 05/25/2021 was a minor. Review of the Kentucky Applicant Registry and Employment Status (KARES) report did not verify the aforementioned staff member as being employed. A universal background check from the company, Intelli Corp., was presented for review. Interview with the director and the staff in-charge acknowledged that the aforementioned staff member was a minor. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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. Upon request, a Tennessee child abuse and neglect (CAN) background, Tennessee a criminal records check (CRC) and a Tennessee sex offender registry was not presented for the staff member with the hire date 02/11/2019. The aforementioned staff member's background check application listed that the staff member with the hire date 02/11/2019 was in Tennessee from 2017 through 2018. A universal background check from Intelli Corp. was presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. The staff members with the hire dates: 05/25/2021, 02/11/2019 and 08/25/2018 were employed at the child care center on the day of the inspection; however, review of the Kentucky Applicant Registry and Employment Screening (KARES) report listed the aforementioned staff members as not employed. 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 11. Staff Requirements.

Based on observation, interview and review of documentation the child care failed to comply with staffing requirements. Observation of the cafeteria at 8:00a.m. to 8:03a.m. revealed a staff member with the hire date of 05/25/2021 was the sole caregiver for one (1) child. Observation of the cafeteria at 8:07a.m. revealed the staff member with the hire date 05/25/2021 was the sole caregiver for of two (2) children while taking them to the gym. The staff member with the hire date 05/25/2021 was a minor and was not working with a qualified staff member on the day of the inspection. Interview with the director and the staff in-charge revealed that they both knew that the aforementioned staff member was a minor and continued to let him/her work alone with the children. General Administration 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: Upon request, a current fire marshal report was not presented for review on the day of the inspection. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request, the staff in-charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year. Therefore, documentation of recurring staff meetings was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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 failed to maintain background checks in accordance with regulatory requirements. Observation of the cafeteria at 8:00 a.m. to 8:03a.m. revealed a staff member with the hire date 05/25/2021 was the sole caregiver for one (1) child. Observation of the cafeteria at 8:07a.m. revealed the staff member with the hire date 05/25/2021 was the sole caregiver of two (2) children while taking them to the gym. Upon request, the staff in-charge did not present a completed child abuse and neglect (CAN) background and a completed criminal records check (CRC). Review of the Kentucky Applicant Registry and Employment Status (KARES) report did not verify the aforementioned staff member as being employed. A universal background check from the company, Intelli Corp., was 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 the employee records in accordance with regulatory requirements. Upon request, the staff in-charge did not provide documented evidence that six (6) hours of cabinet-approved orientation training had been completed for a staff member with the hire date 02/11/2019. Review of the ECE-TRIS report verified that the aforementioned staff member had not completed the training within the first three (3) months of employment. Upon request, the staff in-charge did not provide evidence that the one and one-half (1 1/2) hours of cabinet-approved pediatric abusive head trauma training was completed once every five (5) years for the staff member with the hire date 02/11/2019. Review of the ECE-TRIS report revealed that the pediatric abusive head trauma training had not been completed for the aforementioned staff member. Upon request, verification of fifteen hours of cabinet approved early care and education training was not submitted for review for staff members with the hire dates 02/11/2019 and 08/25/2018 whose files did not did not contain documentation that the training was completed. The staff in-charge did not provide documentation that the training hours had been completed. Review of the ECE-TRIS report could not verify that the training hours for the aforementioned staff members had been completed. Programming In Compliance Premises In Compliance 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 Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

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 the children’s records in accordance with regulatory requirements. The file for a child with the enrollment date 08/11/2021 did not contain a name of a physician. The staff in-charge could not provide the aforementioned information on the day of the inspection. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in-charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situations 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. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in- charge did not present for review a written plan outlining the course of action in the event of a natural or manmade disaster. 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.

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 cafeteria revealed a staff member with the hire date 10/26/18 was the sole caregiver for six (6) children. Review of presented staff files revealed the staff member with the hire date 10/26/18 has lived in Indiana. Upon request, an Indiana criminal records check, Indiana child abuse and neglect check and Indiana sex offender registry information for the staff member with the hire date 10/26/18 was not presented for review. 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 2:280 · 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 staff files revealed a staff member with the hire date 10/26/18 had listed on the background application she had lived in the state of Indiana. Upon request, an Indiana criminal records check, Indiana child abuse and neglect check and Indiana sex offender registry information for the staff member with the hire date 10/26/18 was not presented for review. Continued review of staff files revealed a staff member with the hire date 8/19/16 had listed on the background application she had lived in the state of Illinois. Upon request, an Illinois criminal records check, Illinois child abuse and neglect check and check of the Illinois sex offender registry for the staff member with the hire date 8/19/16 was not presented for review. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request, current liability insurance documentation was not presented for review. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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 childcare center failed to comply with regulatory requirements regarding director requirements. There was no documented staff meeting presented for reivew. Interview with the director revealed the requested documentation was unavailable at the time or survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the childcare center director failed to assure compliance with the regulatory requirements regarding background checks. Upon review of presented staff files, the director lived in the state of Illinois according to written documentation obtained from the Child Abuse, and Neglect check: however, the file did not contain an out of state criminal records check for the director. Interview with the director revealed the requested documentation was unavailable at the time of survey. 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 observation, the child care center failed to comply with regulations regarding director requirements. Observation revealed there were no protective coverings for the electrical outlets in the following rooms; cafeteria; computer lab; gym; girl’s gym bathroom; boy’s gym bathroom; and the boy’s hallway bathroom. 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 childcare center failed to comply with regulatory requirements regarding employee records. Review of staff files revealed there was no documentation of education for staff members with the hire dates of 11/03/2017 and 12/16/2016. Further review revealed the two (2) aforementioned staff members are still in high school and the recent report card or school verification letter was unavailable for review. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a staff member with a hire date of 11/03/2017 had not completed state approved orientation training. Interview with the director revealed the requested documentation was unavailable at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation revealed several discarded paper towels thrown about in the following rooms: girls' gym bathroom; boys' gym bathroom; and boys hallway 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, the child care center failed to comply with regulations regarding premises. Observation in the girls' gym bathroom revealed the larger toilet had not been flushed and had an yellow substance in the toilet indicative of urine. Further observation revealed in the boys' gym bathroom the larger toilet had not been flushed and had a yellow substance in the toilet indicative of urine. In the girls' hallway bathroom three (3) toilets had not been flushed and had a yellow substance in the toilets indicative of urine. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area 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 outdoor play. Observation of the picnic area revealed there was paper, food wrappers and discarded trash thrown about on the ground surface. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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 and the ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of the survey for one (1) staff member hired 9/15/14. The staff-in-charge revealed this documentation was not available for review at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center failed to maintain equipment in accordance with regulations. In the outdoor play area, there was a crack in one (1) of the beige, rock shaped steps on the large play apparatus. Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written record for two (2) children failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. The staff-in-charge revealed this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. A description of services provided by the child care center including current rates for child care and each service charged separately and in addition to the basic rate for child care was not posted in a conspicuous place and made available for public inspection. The staff-in-charge acknowledged this documentation was not posted. Animals Not Applicable

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. Review of staff files revealed the Criminal Records Check (CRC) dated 12/31/15 which was presented for review for a staff member hired 1/13/16 appeared to be incomplete as several pages of the CRC appeared to be missing. Review of the one (1) page of the CRC presented for review revealed the CRC had infractions filling at least half of the page. Continued review revealed the CRC was numbered page two (2) of five (5), indicating there were additional pages of the CRC which were not presented for review. Interview with staff-in-charge revealed she could not provide definitive proof at the time of survey that the CRC presented for review was complete. Continued interview with staff-in-charge revealed the staff member hired 1/13/16 has worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the Criminal Records Check (CRC) dated 12/31/15 which was presented for review for a staff member hired 1/13/16 was incomplete as several pages of the CRC appeared to be missing. Review of the one (1) page of the CRC presented for review revealed the CRC had infractions filling at least half of the page. Continued review revealed the CRC was numbered page two (2) of five (5), indicating there were additional pages of the CRC which were not presented for review. Interview with staff-in-charge revealed she could not provide definitive proof at the time of survey that the CRC presented for review was complete. Continued interview with staff-in-charge revealed the staff member hired 1/13/16 has 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 the center failed to have documentation of orientation on file at the time of survey for a staff member hired 12/14/15. Interview with staff-in-charge revealed this documentation was not on file at the time of survey. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with supervision, specifically children supervised by scope of vision or range of voice. Observation revealed between 7:45 a.m.-8:15 a.m. on 4/28/15, a total of eleven (11) children were observed, individually walking unsupervised from the cafeteria - where they had arrived for care, around the corner, down the hallway, to the gym; the children failed to be within scope of vision or range of voice of a supervising staff member while the children were in the hallway leading to the gym.

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 observation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented, revealed the center failed to provide documentation at time of survey verifying a completed child abuse or neglect check using the central registry in accordance with 922 KAR 1:470 for two (2) staff members hired 9/15/14 and 9/24/15. Additionally, the center failed to provide documentation at time of survey verifying a completed criminal records check required by KRS 199.896(19) for a staff member hired 9/24/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed, the center failed to provide documentation at time of survey verifying the completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment for a staff member hired 9/24/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview, and observation, it was determined the center failed to comply with regulatory requirements regarding first aid/medication, specifically first aid supplies. At 8:00 a.m. interview with center staff revealed that the first aid supplies had been stored for the day in the office. Observation revealed a parent volunteer directed the surveyor to the office, which was around the corner and down a hallway, located within the maintenance office. Further observation revealed, five (5) minutes passed before the maintenance supervisor was able to unlock the door the first aid supplies were stored; the first aid supplies were immediately inaccessible by being stored in a locked area away from the area the children were.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for two (2) children with the following enrollment dates: 8/1/14 and 8/11/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records. Review of employee records revealed that a staff member with the hire date 2/9/09 failed to have Criminal Record Check and Child Abuse and Neglect Check on file 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, the center failed to maintain employee records. Review of employee records revealed that staff members with the hire dates 2/9/09 and 8/12/85 failed to have current documentation from a health professional to verify that these individuals are free from active TB.

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 maintain employee records. Review of employee records revealed that a staff member with the hire date 8/21/13 failed to have documentation of completing the required six hours of cabinet approved orientation training during her first three months of employment on file for review. Further review revealed that a staff member with the hire date 8/12/85 failed to have documentation of completing all fifteen hours of cabinet approved training during her last full year of employment on file for review. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to adequately maintain earthquake and tornado drill documentation. Review of earthquake drills revealed that the center failed to record the time for February 2014 drill. Continued review of tornado drills revealed that the center failed to record the time for March 2014 drill.

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 adequately maintain fire drill documentation. Review of fire drills revealed that the center failed to document January 2014 drill including time, date and children who participated.

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

General: Based on observation and interview, the center was restricted to using only the two restrooms located in the gym. Continued observation revealed the girls' restroom contained two sinks with three toilets and the boys' restroom contained two sinks with two urinals and two toilets. Further observation revealed this did not allow enough toilets and sinks for the center's licensed capacity of 286. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 40 Web site: http://chfs.ky.gov/ Inspection Report 279 - Toilet Room 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 In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 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 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 In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance Hygienic Practices 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 1) Personal Care/Cleanliness In Compliance 2) Handwashing upon arrival In Compliance 3) Handwashing before eating/handling food and after eating/handling food In Compliance 4) Handwashing after toileting or diaper change In Compliance 7) Handwashing after touching soiled item In Compliance 8) Handwashing after outdoor/indoor play In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 40 Web site: http://chfs.ky.gov/ Inspection Report 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 5) Handwashing after handling animals Not Applicable 6) Handwashing after wiping/blowing nose Not Applicable 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 1) Personal Cleanliness In Compliance 2) Hygienic practices In Compliance 3) Handwashing upon arrival In Compliance 4) Handwashing after toileting or assisting child In Compliance 6) Handwashing after wiping nose In Compliance 8) Handwashing after caring for a sick child In Compliance 9) Handwashing before and after feeding a child In Compliance 11) Handwashing before administering first aid In Compliance 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 5) Handwashing before/after diapering Not Applicable 7) Handwashing after handling animals Not Applicable 10) Handwashing before dispensing medication Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 40 Web site: http://chfs.ky.gov/ Inspection Report 190 - Staff Communicable Disease 922 KAR 2:120 - Section 3 (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 1) Not perform duties while contagious In Compliance 2) Statement from health professional In Compliance 283 - Diapers/Clean clothing supply 922 KAR 2:120 - Section 10 (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 1) Diapers Not Applicable 283 - Diapers/Clean clothing supply 922 KAR 2:120 - Section 10 (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 2) Clean clothing In Compliance 284 - Training Chair Not Applicable 922 KAR 2:120 - Section 10 (7) If a toilet training chair is used, the chair shall be: (a) Emptied promptly; and (b) Sanitized after each use. 1) Emptied promptly Not Applicable 2) Sanitized Not Applicable 285 - Soiled Diapers/Clothing 922 KAR 2:120 - Section 10 (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day. 1) Changed as needed In Compliance 2) Stored in a covered container In Compliance 3) Washed and disposed In Compliance 287 - Diapering equipment/Supervision Not Applicable 922 KAR 2:120 - Section 10 (10) When a child is diapered, the child shall: (a) Not be left unattended; and (b) Be placed on a surface that is: 1. Clean; 2. Padded; 3. Free of holes, rips, tears, or other damage; 4. Nonabsorbent; 5. Easily cleaned; and 6. Free of any items not used for diaper changing. 1) Child not unattended Not Applicable 2) Clean surface Not Applicable 3) Padded Surface Not Applicable 4) Surface free from holes Not Applicable 5) Easily cleaned surface Not Applicable 6) Free of non-diapering items Not Applicable 288 - Wipes Not Applicable 922 KAR 2:120 - Section 10 (11) Unless allergic, individual disposable washcloths shall be used to thoroughly clean the affected area of the child. 289 - Disinfect Diaper Surface Not Applicable 922 KAR 2:120 - Section 10 (12) Staff shall disinfect the diapering surface after each child is diapered. 290 - Disposable Gloves Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 40 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 10 (13) If staff wear disposable gloves, the gloves shall be changed and disposed after each child is diapered. 291 - Children's Individual Items 922 KAR 2:120 - Section 10 (14) Combs, towels or washcloths, brushes, and toothbrushes used by a child shall be: (a) Individually stored in separate containers; and (b) Plainly labeled with the child’s name. 1) Individually stored In Compliance 2) Labeled In Compliance 292 - Toothbrushes Not Applicable 922 KAR 2:120 - Section 10 (15) Toothbrushes shall be: (a) Individually identified; (b) Allowed to air dry; and (c) Protected from contamination. 1) Identified Not Applicable 2) Air Dry Not Applicable 3) Protected Not Applicable 293 - Toothpaste Procedure Not Applicable 922 KAR 2:120 - Section 10 (16) Toothpaste used by multiple children shall be dispensed onto an intermediate surface such as waxed paper to avoid cross contamination. 297 - Toy Sanitation Procedure Not Applicable 922 KAR 2:120 - Section 11 (4) Toys and other items that are considered mouth contact surfaces by a child not toilet trained shall be sanitized daily by: (a) Scrubbing in warm, soapy water using a brush to reach into crevices; (b) Rinsing in clean water; (c) Submerging in a sanitizing solution for at least two (2) minutes; and (d) Air dried. First Aid/Medication 244 - First aid supplies 922 KAR 2:120 - Section 7 (3) If a child becomes ill while at the center: (a) The child shall be placed in a supervised area isolated from the rest of the children; (b) The parent shall be contacted immediately; and (c) Arrangements shall be made to remove the child from the child-care center as soon as practicable. 1) Availability In Compliance 2) Storage In Compliance 3) Inventoried In Compliance 4) Sanitized, if reusable In Compliance 5) Maintained in sanitary manner In Compliance 6) Liquid soap In Compliance 7) Adhesive bandages In Compliance 8) Sterile gauze In Compliance 9) Medical tape In Compliance 10) Scissors In Compliance 11) Thermometer In Compliance 12) Flashlight In Compliance 13) Cold pack In Compliance 14) First aid book In Compliance 15) Disposibale gloves In Compliance 16) Cardiopulmonary resuscitation mouthpiece protector In Compliance 247 - Daily written request for prescription Not Applicable 922 KAR 2:120 - Section 7 (4) Prescription medication shall not be administered to a child in care, without a daily written request of the parent. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 40 Web site: http://chfs.ky.gov/ Inspection Report 248 - Nonprescription medication protocol Not Applicable 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request Not Applicable 2) Administered according to label Not Applicable 249 - Administration Record Not Applicable 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time Not Applicable 2) Date Not Applicable 3) Amount Not Applicable 4) Staff name Not Applicable 250 - Medication Storage Not Applicable 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 1) Separate and locked Not Applicable 2) Original Bottle Not Applicable 3) Labeled Not Applicable 251 - Expired Medication Not Applicable 922 KAR 2:120 - Section 7 (8) Medication shall not be given to a child if the expiration date on the bottle has passed. Outdoor Play Area - Staffing Requirements 117 - Cooking/Cleaning Staffing Not Applicable 922 KAR 2:110 - Section 4 (1) (k) Assure that additional staff are available during cooking and cleaning hours, if necessary, to maintain staff-to-child ratios pursuant to 922 KAR 2:120; 1) Cooking Not Applicable 2) Cleaning Not Applicable 135 - Adequate Adults/Qualified Staff Not Applicable 922 KAR 2:110 - Section 5 (10) The minimum number of adult workers in a child-care center shall be sufficient to ensure that: (a) Minimum staff-to-child ratios in accordance with 922 KAR 2:120 are followed; (b) Each staff person under eighteen (18) years of age and each student trainee are under the direct supervision of a qualified staff person who meets the requirements of this section; and (c) Unless providing care with a qualified staff person, a person under the age of eighteen (18) shall not be counted as staff for the staff-to-child ratio. 1) Ratio Compliance Not Applicable 2) Under 18 directly supervised Not Applicable 162 - Ratios and Group Size Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 40 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 2 (2) Minimum staff-to-child ratios and group size for an operating child-care center shall be maintained as follows: Age of Children Ratio Maximum Group Size* Infant 1 staff for 5 children 10 Toddler 1 staff for 6 children 12 2 to 3 years 1 staff for 10 children 20 3 to 4 years 1 staff for 12 children 24 4 to 5 years 1 staff for 14 children 28 5 to 7 years 1 staff for 15 children 30 7 and older 1 staff for 25 children (for before and after school) 30 1 staff for 20 children (full day of care) 30 *Maximum Group Size shall be applicable only to Type I centers. 163 - Defined Groups Not Applicable 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area Not Applicable 2) Specific Staff Not Applicable 166 - Related Children Not Applicable 922 KAR 2:120 - Section 2 (d) If a child related to the director, employee, or person under the supervision of the licensee is receiving care in the center, the child shall be included in the staff-to-child ratio. Outdoor Play Area - Supervision 167 - Children supervised/Protected Not Applicable 922 KAR 2:120 - Section 2 (3) (a) Each center shall maintain a child care program that assures each child will be: 1. Provided adequate supervision at all times; and 2. Protected from abuse or neglect. 1) Adequately supervised at all times Not Applicable 2) Protected from abuse/neglect Not Applicable 186 - Activity Areas/Equipment/Materials Not Applicable 922 KAR 2:120 - Section 3 (2) Activity areas, equipment, and materials shall be arranged so that the child's activity can be given adequate supervision by staff. 232 - Supply Storage Not Applicable 922 KAR 2:120 - Section 4 (28) Supplies shall be stored so that the adult can reach them without leaving the child unattended. Outdoor Play Area 215 - Fence Requirement Not Applicable 922 KAR 2:120 - Section 4 (18) An outdoor play area shall be: (a) Except for an after-school child care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children;

Open Not marked corrected in the state record

Open / not marked corrected.