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

General: Based on interview and review of documentation, the background check for one (1) staff member (DOH:11/14/2020) expired on 08/26/24. 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, a current Fire Marshal report was not presented for review. Director Requirements In Compliance 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: 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 personnel file for one (1) staff member (DOH: 09/11/11) contained a TB skin test dated 06/17/2022. The personnel file for one (1) staff member (DOH: 09/01/21) did not contain documentation from a health professional stating that the individual is free from active tuberculosis, or negative results from a tuberculin skin test.

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, verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for four (4) staff members (DOH: 11/14/20 and 09/01/21). The ECE TRIS report verified the 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, multiple ceiling tiles throughout the building had yellow and brown stains indicative of water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance 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: 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 following was found: 1. The record for two (2) children (DOE: 04/13/15) enrollment information listed “Kosair”, a non-existent hospital, as their preferred hospital. 2. The record for two (2) children (DOE: 02/15/23 and 06/20/23) did not contain a preferred hospital. 3. The record for one (1) child (DOE: 02/15/23) did not contain a preferred physician and their contact number. 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 last fire drill was conducted and documented on 05/14/24. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

the staff member in charge did not present verification that a fingerprint background check had been initiated for a staff member (DOH 10/3/23). Review of the KARES database revealed the aforementioned staff member was not entered into the National Background Check Program, fingerprints were not identified to have been taken, nor was an “eligible for employment" status determined. The staff member in charge stated the aforementioned staff member recently turned 18-years-old, and a background check was not conducted for him/her at that time. 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 review of documentation, the last Fire Marshal report was dated 8/23/17. Staff in charge stated that she could not locate the current Fire Marshal report at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 review of documentation, there were no conducted, managed, or documented written recurring staff meetings presented at the time of review.

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 review of documentation, three staff members (DOH: 9/1/11) did not have record of a current annual written performance evaluation on file for 2023 at the time of review. 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 personnel records for two staff members (DOH: 10/3/23 and 9/1/11) did not contain a statement from a health professional that the individual is free of active tuberculosis (TB) or a copy of negative 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 review of documentation, the following was found: 1. The personnel record for staff members (DOH: 9/1/11 and 9/1/11) completed only 1 hour of annual training. 2. The personnel records for staff member (DOH: 11/4/10) completed only 3.5 hours of annual training. 3. The personnel records for staff member (DOH: 9/1/11) completed only 10 hours of annual training. Review of the Early Childhood Education Training Report Information System (ECE-TRIS) dated 2/14/24, confirmed the lack of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, child (DOE: 6/20/23) did not have an immunization certification on file at the time of review.

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 review of documentation, a child's (DOE: 6/20/23) enrollment packet information was not completed when child started attending the childcare center. Findings include: 1. No parent signatures. 2. No medical information. 3. No physician. 4. No preferred hospital. 5. No emergency authorization. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, childcare center did not have written documentation to present at the time of review. Findings include: 1. No job descriptions on file. 2. No current regulations, 922 KAR 2:090, 2:120, and 2:280. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the food permit was dated 12/31/23; therefore, expired at the time of review. Animals 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 state regulations. Review of staff files found a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 9/1/2011. A subsequent interview with staff-in-charge found she could not locate this documentation at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. A large, rolled up floor rug was lying in a blind spot in the small hallway leading to the exit door used to access the outdoor play area. During the inspection, the surveyor tripped over the rug on his way to the exit door. 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: 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 state regulations. Multiple ceiling tiles in the Infant Room had several brown circular spots on the surface, located just above the cribs used by children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The outdoor play area did not have any protective surfacing material under or around any of the play equipment. The ground was mainly dirt, patches of weeds, and a few pieces of mulch. Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The inner cooking surface of the white microwave oven, located in the kitchen, had multiple yellow stains and food particles on it. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. Review of children’s files found an immunization certificate was not presented for review at the time of survey for two (2) children with enrollment dates of 8/22/2022, and 5/20/2022. A subsequent interview with staff-in-charge found this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's general liability insurance expired 07/16/18. Interview determined the center had current insurance but could not provide documentation. 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 8. General.

General: Based on observation, interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations, 922 KAR 2:120, and 922 KAR 2:280.

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 interview and review of documentation, two (2) caregivers hired 02/28/19 and 09/10/12 and three (3)additional caregivers hired 09/01/11, did not have an annual written performance evaluation available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on record review, a caregiver hired 11/14/10, had TB skin test documentation on file that was dated 08/29/19. A caregiver hired 09/01/11, had TB skin test documentation on file that was dated 08/29/19. A caregiver hired 09/01/11, had TB skin test documentation on file that was dated 06/17/19. A caregiver hired 09/01/11, had TB skin test documentation on file that was dated 08/15/16. A caregiver hired 09/10/12, had TB skin test documentation on file that was dated 06/22/17. A caregiver hired 02/28/19, had TB skin test documentation on file that was dated 07/05/19.

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 observation, interview and review of documentation, the caregivers present, from 7:00 a.m. to 10:20 a.m. on 10/14/21, were not certified in first aid and CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) caregivers hired 09/10/12, 09/01/11, and 02/28/19, did not complete first aid and (CPR) training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 02/28/19, had no proof one and one-half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma Training was completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 and interview, sparse protective surface material and grass were underneath two (2) swings, a slide and a blue, metal climbing apparatus. Also the fall zone was unprotected. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, five (5) children were served water instead of milk with the lunch meal in the preschool classroom on 10/14/21. Record review determined the children had no written documentation to exclude milk from meals. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled on 08/30/21, had an immunization certificate on file that was valid until 09/25/21. A child enrolled on 09/07/21, had an immunization certificate on file that was valid until 03/11/21. A child enrolled 07/06/21, did not have an immunization certificate on file. A child enrolled 04/12/21, did not have an immunization certificate on file.

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, two (2) children enrolled 04/12/21 and 10/11/21, did not include the name and contact information for their physician, the preferred hospital, and authorization by the parent for the center to seek emergency medical care in the parent's absence. In addition, two (2) children enrolled 04/12/21 and 10/11/21, contact information did not include the name and phone number of the person to be contacted in case of an emergency. Three (3) children enrolled 10/11/21, 04/12/21 and 07/20/20, enrollment information did not include the health status on allergies. 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 center did not have a written evacuation plan that included directions to the off site location. In addition, interview determined the center did not provide a copy of a written plan for evacuation to the local emergency management officials, in accordance with KRS 199.895. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, five (5) children were present on 10/14/21 but only one (1) child had an arrival time documented.

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, three (3) caregivers hired 11/14/10, 02/28/19, and 09/10/12, and three (3)additional caregivers hired 09/01/11, did not have a professional development plan on file.

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, earthquake and tornado drills were conducted in the second and fourth quarters of 2020 but documentation was not available for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, a monthly fire drill was conducted September 2020, October 2020, November 2020, December 2020 and January 2021 but documentation was not available for review. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a current fire marshal report was not presented for review. The document presented was dated 08/23/2017. 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: Upon request, the child care center did not present verification of any staff meetings that had been conducted and documented in writing within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the two and three year old classroom revealed an electrical outlet that was not flush to the wall, leaving a gap and causing a potential hazard. Further observation of the electrical outlet revealed that it was not covered. 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

Open / not marked corrected.

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

General: Upon request, the child care center did not present verification that the staff member with the hire date of 02/28/2019 had met the requirement of completing one and one- half (1 1/2) hours of pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training report revealed the staff member listed above had not met the requirement. 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: Upon request, a current plan of activities was not presented for review in the preschool and school age classroom. 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: Observation upon entering the child care center revealed a half wall separating the entry way of the child care center and the preschool/school-age room. There was a bottle of Magic Power Bleach Cleaner that was stored on top of the half wall, accessible to the children. The label warning on the back of the bottle stated "Keep out of reach of children."

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was carpet that was loose and rippled in many areas, creating a potential tripping hazard. Observation of the two and three year old classroom revealed two (2) air vents that had a buildup of dust and debris. Continued observation of the two and three year old classroom revealed a large, white air vent located beside the exit door that had a buildup of debris and dust. Continued observation of the two and three year old classroom revealed a wooden half door that contained two (2) large holes, located at the bottom of the door, that was splintered and had sharp, jagged edges. Also, the baseboard and dry wall was missing on the corner of the wall, exposing a metal material. Observation of the inside play area revealed a wooden exit door frame that had a large area of plaster on it that was sharp and rough. Further observation of the inside play area revealed three (3) air vents that had a buildup of dust and debris. Observation of the infant room revealed two (2) air vents that had a buildup of dust and debris. Further observation of the infant room revealed a piece of baseboard that was missing on the corner of the yellow wall, exposing the dry wall. Observation of the preschool/school age room floor revealed two (2) broken floor tiles that were missing pieces. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the red door frame entering into the kitchen had numerous areas that had been broken, with large holes and exposed wood that was splintery.

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: The wall in the women's restroom contained four (4) small holes beside the toilet. Further observation of the restroom revealed a sagging ceiling tile that had a brown stain on it, indicative of water damage. Observation of the ceiling located in the kitchen revealed a ceiling tile, left of the refrigerator, that had a three (3) inch hole and a brown stain around the hole, indicative of water damage. Further observation of the kitchen ceiling revealed numerous brown stains on the ceiling tiles, indicative of water damage. Observation of the two and three year old classroom ceiling revealed a ceiling tile with a brown stain, indicative of water damage. Further observation of the two and three year old classroom revealed a wall that had a 12 x 12 area of plaster that was not smooth and also revealed a brown and black stain, indicative of water damage. Continued observation of the two and three year old classroom revealed a floor tile that was broken and missing a piece of the tile. Observation of the inside play area revealed a hole in the ceiling tile with a black wire hanging that was not capped. Further observation of the ceiling revealed a ceiling tile that had a brown stain, indicative of water damage. Observation of the preschool and school age classroom ceiling revealed a ceiling tile that was sagging with a small hole in it. Further observation of the ceiling tile revealed a brown stain that was 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: Observation of the sink in the infant room revealed there was no hand-drying blower or single use disposable hand drying materials. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the wooden changing table located in the women's restroom revealed the wooden platform that stores the changing pad was missing. Therefore, the changing table was not in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a cold pack was not presented for review. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the outside playground, located in the rear of the child care center, revealed a small swing set with a slide that did not contain sufficient protective surface under the slide and swings. The area under the swings and slide had exposed dirt and grass. 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: Observation of the one and two year old room revealed four (4) blue vinyl mats, dressed with sheets and used for sleeping children, were stacked on top of one another. Further observation of the mats revealed one (1) of the sheets was soiled with a dried yellow substance on it that was touching another child's mat. Interview with a staff member revealed that the sheets are laundered once a week.

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: Observation of the outside play area, located in the rear of the child care center, revealed a tricycle that was rusted and a rubber covering was missing from one (1) of the handle bars, causing the handle to be sharp around the edges. Further observation of the equipment on the playground revealed a blue riding toy with cracks on both plastic handles, causing the toy to have sharp edges. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the microwave located in the kitchen revealed a buildup of a dried substance. Continued observation of the kitchen revealed a large amount of dirt, a plastic glove, and a rag that was left on the kitchen floor. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Review of ten (10) children's files revealed four (4) files did not contain the information for the parents' preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the child care center did not present a copy of job descriptions for the director, assistant director, teachers, assistant teachers, cook and substitutes.

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 emergency drill logs revealed there was not documentation that detailed the children who participated in fire drills for 08-11-2020 and 09-01-2020, earthquake drill for 08-11-2020 and tornado drill for 07-14-2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Review of posted documentation revealed the proper methods of hand-washing was not posted in the infant room. Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the preschool and school age room revealed three (3) plastic containers filled with dress up clothes, cloth puppets, stuffed animals, five (5) cloth baby dolls and two (2) soft material bean bag chairs were available for the children to use. Observation of the two and three year old classroom revealed two (2) wooden doll cradles that had soft material dolls and stuffed animals in them. According to 922 KAR 2:405E Section six (6) (3) Machine washable toys shall not be used.

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 owner did not provide verification that at least one staff member employed was certified in CPR and First Aid.

Open Not marked corrected in the state record

Category: health medication. 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 owner did not provide verification that the child care center had employed at least two (2) qualified substitute staff persons.

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 owner did not present verification that the records for the three (3)employees with the hire date of 09/01/2011 had met the requirement of fifteen (15) hours of cabinet- approved early care and education training during the last year of employment. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 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. The enmployee with a hire date of 02/28/2019 had not completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. The above-mentioned employee was observed working alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, the child care owner did not present verification that the fingerprint scan had been conducted and completed within the ninety day timeframe required for the employee with the hire date of 02/28/2019. Observation revealed the above-mentioned employee was working alone for the duration of the survey from 09:20 a.m. to 12:00 p.m. 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 6. Disqualifying Background Check Results.

General: Based on observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon review of the KARES System it was determined on 08/14/2018 that the director with a hire date of 11/14/2010 was ineligible to be employed at the center. The above-mentioned employee did not submit a request for a rehabilitative review. The above-mentioned employee is still named as the director and review of the staff schedule indicated her working hours. The director was not present during the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 8. Termination or Relocation of a Child Care Staff Member upon Receipt of Notice of a Disqualifying Background Check

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. The child care owner failed to terminate the employee within ten (10) days of receiving a disqualifying background check on 08/14/2018. The employee with the hire date of 11/14/2010 did not request an informal review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 8. Termination or Relocation of a Child Care Staff Member upon Receipt of Notice of a Disqualifying Background Check

General: Based on observation, interview and review of documentation, the child care center failed to maintain compliance with regulatory requirements for background checks. The child care owner failed to update the NBCP to provide electronic notification to the cabinet affirming the child care staff member's dismissal within three days. The employee with the hire date of 11/14/2010 was determined to be ineligible for hire on 08/14/2018. The above-mentioned employee was still employed as of 06/05/2019. Interview with the owner and DCC revealed no appeal was requested.

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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the KARES Surveyor Report revealed the center had completed background checks for four (4) employees. The employee records reviewed indicated that the above-mentioned staff were employed at the center. The employees were listed under eligible not employed. Therefore, the system was not maintained correctly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Upon entry into the child care center at 09:20 a.m., a three-month infant was observed laying in a crib with no adult supervision in the classroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding notification to the cabinet in reference to a change of director. Upon request, the child care owner did not provide verification that documentation had been submitted to the cabinet to name an acting director, within the one (1) week period as required. The child care center was notified on 08/14/201, that the director was not eligible to work as indicated by the KARES report and an appeal was not requested. 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 8. General.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Upon request, the child care owner did not present verification of a current copy of the administrative regulations.

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 interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Upon request, the child care owner did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Upon request, the child care owner did not present verification of the evaluation assessing the staff person’s interaction with children in care and classroom performance for the employee with the date of hire of 09/10/2012 and two (2) employees with the hire date of 09/01/2011.

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 assure complianice with regulatory requirements. The employee with a hire date of 02/28/2019 had not completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. The above-mentioned employee was observed working alone with four (4) children, ranging in age from three months to one year of age. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care owner did not present verification that the record of the employee with the hire date of 02/28/2019 contained a copy of a High school diploma, a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

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 owner did not present verification that the records for the employees with the hire date of 02/28/2019 and two (2) employees with the hire date of 09/01/2011 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with programming requirements. Upon entry into the child care center at 09:20 a.m., a three-month infant was observed laying in a crib face down.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with programming requirements. Upon entry into the child care center at 09:20 a.m., a three-month infant was observed laying in a crib with a blanket covering his/her face and body that was loose fitting. 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, child care center failed to maintain premises in accordance with regulatory requirements. The sink located in the infant classroom revealed the drywall behind the sink was cracking, exposing a gap between the sink and the wall. Continued review of the classrooms revealed two (2) area carpets that were soiled with black stains. The play area and the area next to the restrooms were cluttered with various items that included discarded toys, clothing, boxes and a large amount of paper products.

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. The doorframe leading to the kitchen had numerous areas that had been broken with large holes and exposed wood that was splintered.

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. The restrooms located off the hallway contained a buildup of urine stains around the base of the toilet. In the male restroom the walls contained a brown smeared substance on the wall near the toilet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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. The changing pad, located in the restroom, had several small rips, exposing the material inside. Therefore, the changing pad was not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The playground area located in the rear of the building contained broken asphalt, numerous weeds and discarded equipment.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The small slide and swing set located on the playground did not contain sufficient protective surface underneath the slide. The area located underneath the slide and swings had exposed grass and dirt on the ground covering. 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. In the Infant classroom, that the sheets for four (4) cribs were not tight fitting, as evidenced by the access material located on top and side of the mattresses.

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. Among the toys located throughout the classrooms was battery-operated toys that were not maintained and used according to the manufacturer's safety specifications; the batteries were non-operational. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Food Service/Food Program 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 Meal Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. The lunch meal that was served at 11:30 a.m., did not include a bread component or the required milk component. The milk served to the one-years old was 1% milk and not the required whole milk. Interview with the owner revealed the child care center was not on the Food Program. Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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 owner did not present verification that the record of the child with the enrollment date of 07/20/2016 contained a current immunization record. Continued review reveal two (2) children with an unknown enrollment date did not contain a current immunization record.

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. Upon request, the child care owner did not present verification that the enrollment records for five (5) of the ten (10) files reviewed contained the enrollment date and signature of the parent. Continued review revealed (4) of the files with no enrollment date did not contain emergency authorization for medical care, physician and a preferred hospital. The file for a child with the enrollment date of 05/13/2017 did not list a name of a physician, preferred hospital or authorization for emergency authorization medical care. 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 child care owner 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. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the daily attendance record for the children enrolled in the Child Care Assistance Program for the date of 06/05/2019 revealed that eight(8) of the eight (8) parents had verified the child’s attendance in advance as evidenced by the signature of the parent or designated person on the DCC -94E form. For the ending date of the week.

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 owner did not present verification that an annual plan for child-care staff professional development had been completed for three (3) of the four (4) employees who were eligible. 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 child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 9/10/12 and two with the same hire date of 9/1/11 that did not contain a current annual evaluation. Upon request, the director did not present current evaluations for the aforementioned staff members at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member’s file with hire date 9/1/11 that did not contain a current statement from a health professional that she was free from active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the child care center revealed two staff members working with twelve (12) children ranging in age from three-years-old through seven-years-old from 10:05am- 11:00am. Review of documentation revealed that there was not at least one (1) staff member on duty and present with the children that had current certification in infant and child CPR and first aid from an approved source. Upon request, the director did not present current certification in infant and child CPR and first aid for the aforementioned staff members 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 9/1/11 and 9/10/12 that did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Continued review of the presented employee records revealed staff members' files with hire dates 9/10/12 and two with the same hire date of 9/1/11 that did not contain documentation to verify current completion of the one and one-half (1 ½) hours of pediatric abusive head trauma. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of transportation documentation revealed that an annual Kentucky driver history record was not presented for review for the driver with hire date 9/1/11. Upon request, the director did not present a current annual Kentucky driver history record for the driver at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The light cover located in the playroom was not secured to the ceiling. The fluorescent light bulbs located in the middle of the School-Age Room were not shielded or shatter proof.

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. There was a water stain in the ceiling tile located by the exit door and above the number wall in the Two & Three –Year-Old Room. The pink Dora toilet training seat located in the first bathroom was cracked. There was a water stain in the ceiling tile located above the colors board in the playroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The sink located in the second bathroom was not equipped with liquid soap.

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. The toilet located in the first bathroom was not secured to the floor. The toilet seat and toilet base located in the second bathroom was stained/dirty. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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. The white changing pad located in the first bathroom was torn exposing the absorbent material. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. Observation of the first aid supplies revealed that medical tape was not presented. Upon request, the director did not present medical tape at the time of the survey. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The protective surface located under the swing set consisted of a torn padding that failed to comply with regulatory requirements for protective surfaces. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The blue swing/slide set located in the outside play area was not secured to the ground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The green metal trike located in the outside play area was missing one (1) of the handle bar cushions. The blue and red ride on trike located in the outside play area had two (2) cracked handle bars, exposing sharp plastic pieces. The red, blue and yellow ride on trike located in the outside play area was missing the seat. The silver metal ride on trike located in the outside play area was missing both foot pedals. The van used to transport children in care had damage to the front side of the van, causing the right headlight to be nonfunctional. 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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation documentation revealed that verification of current CPR and first aid certification for the driver with hire date 9/1/11 was not presented for review. Upon request, the director did not present verification of current CPR and first aid certification for the driver at the time of the survey. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The freezer portion of the refrigerator located in the kitchen was not equipped with an indicating thermometer or other appropriate temperature measuring device.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children’s files with enrollment dates 1/8/14 and 6/7/17 that did not contain the name of the family’s preferred hospital. Upon request, the director did not present the documentation for the aforementioned children at the time of the survey. 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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation revealed that an evacuation plan was not presented for review. Upon request, the director did not present an evacuation plan at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 9/10/12 and two with the same hire date of 9/1/11 that did not contain a current annual plan for professional development. Upon request, the director did not present current professional development plans for the aforementioned staff members at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with staffing requirements. On 7/11/17, the owner was the sole caregiver of eight (8) children from 9:24am-9:49am. Review of children’s records revealed the youngest child was ten-months-old and the owner revealed the oldest child was two- years-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Current documentation verifying the center was in compliance with the State Fire Marshal requirements was not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Current documentation verifying the center was in compliance with the State Fire Marshal requirements was not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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. Written documentation of staff meetings was not presented for review at the time of survey. The director revealed the meetings were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center director failed to assure compliance with regulatory requirements. There was one (1) uncovered outlet behind the children’s vanity set in the Fours/Fives/School-Age Room and two (2) uncovered outlets behind the television in the Play Room, all three (3) outlets were accessible to children. The director acknowledged the outlet was uncovered in the Fours/Fives/School-Age Room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation and review of staff files revealed current certification by a cabinet approved training agency in Infant and Child First Aid/First Aid was not presented for review at the time of survey for at least one (1) person present and on duty with the children on 7/11/17 and 7/12/17. The director revealed First Aid certification had been completed by herself and the owner; however, this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation on 7/11/17 and 7/12/17 revealed the owner works directly with children in care. Review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 9/1/11, one (1) staff member hired 9/10/12, and the owner hired 9/1/11. Documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for two (2) staff members hired 9/1/11, one (1) staff member hired 9/10/12, the director hired 11/14/10, and the owner hired 9/1/11. The director revealed the training hours and PAHT were not completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 5. Infant and Toddler Play Requirements.

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with regulatory programming requirements. In the Ones/Twos Room on 7/11/17, eight (8) children participated in programming activities together from 9:24am – 10:56am. Review of children’s records revealed the youngest child was ten-months-old and the owner revealed the oldest children were two-years-old.

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, Review of Documentation, and Interview, the child care center failed to comply with regulatory programming requirements. In the Ones/Twos Room on 7/11/17, eight (8) children participated in programming activities together from 9:24am – 10:56am. Review of children’s records revealed one (1) of these children was twenty- one-months-old and the owner revealed the oldest children were two-years-old. A transition plan signed by the toddler’s parent was not presented for review at the time of survey. The director revealed the center did not have a transition plan signed by the toddler’s parent on file at the time of survey.

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 Review of Documentation, the child care center failed to comply with regulatory programming requirements. The daily schedule in the Ones/Twos Room revealed rest time is scheduled from 12:15pm-2:45pm, which is more than two (2) hours of rest time for the preschool children. 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 and Interview, the child care center failed to maintain the premises in accordance with regulations. Multiple ceiling tiles in the Ones/Twos Room and Fours/Fives/School-Age Room were soiled with what appeared to be brown water stains. In both bathrooms, the exhaust fans/vents were covered with dust. In the kitchen, the beige rug with a green border was heavily soiled. In the storage room located at the back of the kitchen, there was an insect nest that had formed at the top of the exit door; however, there was no evidence of any insects. The director acknowledged the presence of the insect nest.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. In the kitchen, there were several dead insects on the inside of three (3) ceiling light panels. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. In the Fours/Fives/School-Age Room, one (1) small section of the baseboard was missing and another small section of the baseboard was on the floor along the wall near the second exit door in the room. In the Ones/Twos Room, part of the border of the large, dark carpet was frayed. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. When surveyor entered the Infant Room on 7/11/17, there was no one in the room, but a soiled diaper was laying on the diaper changing table.

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 and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. In the Infant Room, the diaper changing pad was torn, exposing the inner padding. A staff member used this surface for diapering a child. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with the regulations regarding first aid and/or medication. A first aid book was not presented for review at the time of survey and the medical tape presented for review at the time of survey was covered with lint. The director revealed she could not locate the first aid book at the time of survey, and she acknowledged the medical tape was covered with lint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. On the playground, the double swing and slide set was positioned on rocky, grassy ground, and there was no protective surface surrounding this equipment, and the large mats placed underneath the swings and at the bottom of the slide failed to meet regulatory standards for approved protective surfaces. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain equipment in accordance with regulations. In the Ones/Twos Room: (1) The large alphabet rug was soiled; (2) A Dora doll was lightly soiled; and (3) Another doll had matted hair. In the Fours/Fives/School-Age Room, the blue and red rocket rug at the entrance of the center was heavily soiled. In the Infant Room, the border along one (1) of the corners of the large alphabet rug was torn. In the boys’ bathroom, the red children’s step stool was cracked. In the Play Room, the large blue rug was heavily soiled. Observation of the child care center van revealed: (1) The front right head light was visibly cracked and not operational; (2) The front right turn signal was not operational; and (3) The floor was covered with tiny food crumbs/debris. The director acknowledged the head light was cracked and not operational and the turn signal was not operational. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. A written policy that documents the emergency procedures practiced monthly by staff that transport children was not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the insurance coverage presented for review at the time of the survey for the center’s van revealed the director’s name was listed as the named insured and not the name of the child care center; therefore, verification of the center’s full insurance coverage was not presented for review at the time of survey. The director revealed this was the only documentation available for review at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. The gauge read “empty” on the fire extinguisher presented for review at the time of survey. The director acknowledged the gauge read “empty”. A first aid book and a CPR mouthpiece protector were not presented for review at the time of survey, and the medical tape presented for review at the time of survey was covered with lint. The director revealed the center did not have a first aid book and a CPR mouthpiece protector, and she acknowledged the medical tape was covered with lint. 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

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. In the kitchen, the inside of the small microwave was lightly soiled with what appeared to be food splatter and the large microwave was heavily soiled on the outside and soiled on the inside with what appeared to be food splatter. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed a current immunization certificate was not presented for review at the time of survey for two (2) children. The director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and 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 written record for one (1) child failed to contain the child’s general health status and medical history and contact information to enable a person in charge to contact the child’s family physician. The director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain children’s records in accordance with regulations. Observation on 7/11/17 revealed the director took a group of children on a walking field trip to Cane Run Elementary School for the free lunch program. The director revealed the children have been going to the school for the free lunch program since the summer began. Review of the permission forms presented for review at the time of survey revealed the forms did not specify the destination of the trip off premises, i.e., Cane Run Elementary School nor the dates when these trips would be taken. The director revealed this was the only documentation available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. The written evacuation plan was not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Documentation of earthquake drills conducted in the 4th quarter 2016 and the 2nd quarter 2017 was not presented for review at the time of survey. Documentation of a tornado drill conducted in the 4th quarter 2016 was not presented for review at the time of survey. The director revealed the drills were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Documentation of fire drills conducted from October 2016 – December 2016 and June 2017 was not presented for review at the time of survey. The director revealed the drills were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Documentation of fire drills conducted from October 2016 – December 2016 and June 2017 was not presented for review at the time of survey. The director revealed the drills were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Documentation of earthquake drills conducted in the 4th quarter 2016 and the 2nd quarter 2017 was not presented for review at the time of survey. Documentation of a tornado drill conducted in the 4th quarter 2016 was not presented for review at the time of survey. The director revealed the drills were conducted; however, she could not locate this documentation at the time of survey. 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. Each plan of correction submitted by the child care center to the cabinet during the current licensure year was not posted in a conspicuous place and made available for public inspection at the time of survey. The director acknowledged this documentation was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. On 7/11/17, a daily schedule of activities was not posted in the Ones/Twos Room and the Fours/Fives/School-Age Room. The owner and director acknowledged this documentation was not posted. 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. Observation of the child care center revealed three (3) preschool age children left their classroom to go to the bathroom without adequate supervision. The children were observed to be out of sight and sound of staff in the child care center four (4) minutes or less on each incidence. Further review of DRCC records revealed the issue was previously addressed during a renewal survey on 07/09/15 resulting in a statement of deficiencies. Review of the center’s plan of correction revealed staff were to assure ongoing compliance by taking all children to the hallway area when children/child went to the bathroom and staff were to have all children in eyesight at all times.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file for an employee with a hire date of 09/01/11 revealed no annual staff evaluation assessing the staff person’s interaction with children in care and classroom performance. Additional review of DRCC records revealed the issue was previously addressed during a renewal survey on 07/09/15 resulting in a statement of deficiencies. Exit interview with the child care center director revealed she failed to conduct the evaluation for the employee.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, interview and record review, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation on 09/06/16 revealed an individual who performed in the capacity of caregiver of children in the child care One-year-old classroom. The individual with an unknown hire date was not observed to work alone. Interview with staff revealed the individual was there on a “trial basis” although she was observed to hold and feed children in the classroom. Interview with the child care center director revealed the individual did not have a hire date or employee records as she was not considered an employee. Review of employee records revealed no documented evidence of a requested child abuse or neglect check (CA/N) using the central registry in accordance with 922 KAR 1:470 or criminal records background check required by KRS 199.896(19).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. An individual was observed to care for children in the child care center. Interview with staff revealed the individual was hired on a "trial basis." Review record revealed the only document on file for the individual was a TB certificate dated 10/30/15. There were no other employee records available for review. Interview with the child care center director revealed she did not create a file for the individual as she was considered staff on a "trial basis."

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. An individual with an unknown hire date was observed in the role of caregiver for children in the child care center One-year-old classroom. Review of employee records revealed no documented evidence of a high school diploma; GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250. Interview with the child care center director revealed the individual was there working on a “trial basis.”

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for all staff revealed no documented evidence of Pediatric Abusive Head Trauma (PAHT) training completed within their first year of employment. Additional review of record for staff with hire dates of 09/01/11 and 09/10/12 revealed no documented evidence of completed fifteen (15) hours of cabinet-approved early care and education training during subsequent year of employment. Further review of DRCC records revealed the issue was previously addressed during a renewal survey on 07/09/15 resulting in a statement of deficiencies. Exit interview with the child care center director revealed she was unaware that staff needed PAHT training. She stated none of the staff completed the PAHT training and further acknowledged deficient practice of all stated training concerns.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of two (2) preschool-aged children when toileting revealed the children failed to wash his or her hands with liquid soap and warm running water. The children were also observed to go to the restroom alone without supervision, therefore they were not assisted with personal care and cleanliness based upon their developmental skills. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with regulatory requirements with regard to first aid supplies. Observation of the child care center’s first aid supplies stored in the child care revealed unusable soiled and yellow-substance stained plastic gloves. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed a multicolored tricycle with a broken, missing seat. Further observation revealed a green tricycle with rusted areas on the surface to include the handlebars. In addition, observation of the child care center transportation vehicle, License #421-TLW revealed a broken, inoperable passenger side head-light and clutter and debris throughout the vehicle. Although the vehicle was not in motion, the director stated there was a possibility that children would be transported in the vehicle. Exit interview with the child care center director revealed acknowledgement of deficient practices.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of two (2) tricycles on the child care center outdoor play area were without seats and failed to operate according to the manufacturer’s safety specifications. Exit interview with the child care center director indicated she was not aware the tricycle seats were missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records for the child care center revealed no documented evidence of a current annual Inspection Certificate conducted by the Transportation Cabinet for a vehicle used for transportation of children in care. In addition, no documented evidence of emergency evacuation drills practiced by staff, transportation route, plan for staff performance of duties, plan for safety procedures for transporting, loading, unloading and or supervising children when transported. Exit interview with the child care center director revealed the documents were taken from the vehicle as she has conducted limited transportation within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Record review revealed no documented evidence that the center complied with KRS Chapter 186 and 603 KAR 5:072 pertaining to the child care center vehicle or drivers. There was no documented evidence of current license plate and registration as observation revealed an expired license and registration of 03/31/16; and no evidence of a current vehicle inspection conducted by the Transportation Cabinet, Department of Vehicle Regulations or its designee; and no documented evidence of current full coverage insurance for the vehicle. Exit interview with the child care center owner revealed acknowledgment of deficient practice.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records for the child care center revealed no documented evidence of a written plan that detailed staff schedule, transportation schedule and transportation route as well as, written documentation of the emergency procedures practiced monthly by staff that transported children. Exit interview with the child care center director revealed the documents were taken from the vehicle as she has conducted limited transportation within the last year.

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 related to transportation. Observation of the transportation vehicle, License Plate #421-TLW, used to transport children of the child care center revealed no evidence of a fire extinguisher, first aid supplies and/or a device to cute the restraint system. Exit interview with the child care center director revealed she took the items from the vehicle because she had not used the vehicle recently for transportation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements related to transportation. Review of transportation records revealed the child care center failed to obtain a current certification of inspection from the Transportation Department. Exit interview with the child care center director revealed she had not completed the inspection as of the review date due to limited transportation within the last year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Record review request for the child care center’s transportation documents revealed no documented evidence of daily pre-trip inspection records. Interview with the child care center director revealed she maintained all transportation documents at home as she had no recent transports of children of the child care. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Record review revealed no documented evidence of a transportation log for the child care center to include the names of the children, time each child got on and off the bus and the signature of the staff person who verified the information. Interview with the child care center director revealed all documents were located at her home as she had not conducted any recent forms of transportation for children in care. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food services in accordance with regulatory requirements. Observation of the child care center kitchen area for food preparation revealed cluttered space before and after food preparation for lunch service. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Record review of the child care center’s posted food service menu revealed a menu completed for the month of August 2016. The menu was outdated. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of record for a child with an enrollment date of 05/09/16 revealed no documented evidence of a current immunization certificate. Further review revealed the immunization certificate in the child’s record expired 06/21/16. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: health medication. 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 maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed no documented evidence of a chain of command which listed current staff or documentation of an organizational chart to include the flow of authority and responsibility. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records for an employee with hire date of 09/01/11 revealed no documented evidence of a written, annual plan for child-care staff professional development. Interview with the child care center director revealed acknowledgement of deficient practice.

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 regulatory requirements. Review of posted documentation revealed the child care center failed to post the Statement of Deficiency/Plan of Correction (SOD/POC) in a conspicuous place. Exit interview with the child care center director revealed the documents were not made readily available for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Infant classroom at 8:55 am revealed two (2) infants with no staff member. Continued observation revealed a staff member to enter the classroom at 9:02 am. Interview with a staff member revealed the ages of the infants to be seven (7) months old and eight (8) months old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the Two-and-Three-Year-Old classroom revealed eleven (11) children with one (1) staff member. Interview with a staff member revealed the ages of children in care to be two-year-olds to five-year-olds. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to assure compliance with regulatory requirements. Interview with multiple sources revealed the director to be employed in a position outside the child care center during the hours of operation. Interview with the director revealed an unawareness that being employed outside of the child care center during hours of operation was against regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation in the Infant classroom revealed an infant sleeping on a cot with a blanket covering them from the top of the head to the bottoms of the feet. Interview with a staff revealed the age of the infant to be eight (8) months old. Continued observation revealed an infant in a crib with a pacifier in the mouth and an extra pacifier laying in the crib at the time of the survey. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with regulatory programming requirements. Observation in the Infant classroom revealed an infant in a crib with two (2) loose blankets in the bed. Continued observation revealed one (1) loose blanket around the infant’s face at the time of the survey. Interview with a staff member revealed the infant to be seven (7) months old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant classroom revealed a child lying on a cot. Continued observation revealed an empty crib. Interview with a staff member revealed the age of the child on the cot to be eight (8) months old.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation at 10:05 a.m. in the two-year- old classroom revealed a three–year-old child was allowed to go to the restroom alone, while the staff remained at the doorway of the classroom. Observation of the bathroom revealed the staff was unable to see the child while in the restroom area. The child returned to the classroom at approximately 10:08 a.m. Therefore, the staff was not within scope of vision and hearing.

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 with the director, the child care center failed to comply with staffing requirements. Observation of the infant classroom and the two to three-year-old classroom from 10:00 a.m. to 10:15 a.m. revealed that the child care center did not maintain the minimum staff-to-child ratios and group size. Observation revealed that during this time frame, there was only one (1) staff member present for the two (2) classrooms. Continued observation revealed there were thirteen (13) children present, with the youngest being five (5) months-old and the oldest being three (3) years of age. Observation from 10:15 a.m. to 12:50 p.m. revealed the two to three-year-old classroom contained eleven (11) children ranging in age from two to three years old, with only one (1) staff member present. Interview with the director revealed she was aware she did not maintain ratios.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center director failed to assure compliance with regulatory requirements. Based on review of documentation, the director could not verify in writing that a staff meeting had been conducted. Interview with the director revealed she was unable to locate the document.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for staff for four (4) of the four (4) staff employed. Interview with the director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the childcare center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff member with the hire date of 09/01/2011 did not contain a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Interview with the director revealed she was unable to locate a current TB test.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the following three (3) staff members with the same hire date of 09/01/2011 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met. Continued review of documentation revealed that the staff member with the hire date of 09/26/2011 could not verify the completion of Fifteen (15) hours of cabinet-approved early care and education training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for employee with the hire date of 09/26/2011 did not contain an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. Programming

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 premises in accordance with regulatory requirements. Based on observation of the men’s restroom it was revealed that the tank cover to the toilet was not present, leaving the tank water exposed to the children. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the childcare center revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non- operational. The director stated she was in the process of addressing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain policies and procedures relating to an emergency plan for evacuating the vehicle. Interview with the director revealed she could not locate the documents.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the kitchen revealed the prep table was cluttered with various small appliances items, food containers, and loose food particles on the surface. Continued observation revealed the kitchen did not maintain an area that was clean for food preparation. Interview with the director revealed she was in the process of addressing.

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, Based on observation, the child care center failed to maintain food service requirements. Observation of two (2) bottles located in the refrigerator revealed that the infant’s bottle was not properly labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation at 11:15 a.m. of the lunch that was served in the two to three-year-old room, not all of the required components of lunch had been served. The children were served turkey wheat wraps, applesauce, and milk. An additional serving of a fruit or vegetable was not offered. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s records revealed the following children with the enrollment dates of 07/02/2013 02/27/2015, and 06/06/2015 did not contain a current immunization certificate. Interview with the director revealed she was unaware the immunizations were no longer current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented revealed the following children with the enrollment dates of 01/05/2015, 02/05/2015, and 02/27/2015 did not indicate a listing for a physician. Continued review of the documentation revealed the children with the enrollment dates of 01/08/2014, 01/05/2015, 02/05/2015, and 02/27/2015, did not contain a listing for a preferred hospital.

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 with director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation the child care center failed to maintain a copy of the quarterly disaster/tornado drills conducted between August 2014 to December 2014 detailing the date, time, and children who participated. Interview with the director revealed he was unable to locate the documents.

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 with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided revealed the center failed to maintain a record of practiced fire drills conducted between the months of August of 2014 to December of 2014, detailing the date, time, and children who participated in the drills. The Director was unable to locate the documents.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation the child care center failed to maintain a copy of the fire drills conducted between the months of August of 2014 to December of 2014 during the hours of operation on a monthly basis. Interview with the director revealed he was unable to locate the documents.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation the child care center failed to maintain a copy of the quarterly disaster/tornado drills conducted between August 2014 to December 2014. Interview with the director revealed he was unable to locate the documents. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation in the infant and two to three–year-old classroom revealed the schedule of daily activities, did not include the dates and times of activities to be conducted with the children in each classroom.

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, it was determined the center failed to comply with regulatory requirements regarding staffing, specifically group size. Upon arrival, observation revealed a group of five (5) toddlers were combined with a group of eight (8) preschool and school-age children in the school-age classroom which exceeded the maximum group size of twelve (12) by one (1) child. The children were separted into two (2) individual groups within ten (10) minutes.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding general administration, specifically liability insurance. The center failed to provide documentation for review at time of survey, verifying written proof of liability insurance coverage of at least $100,000 per occurrence. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically regulation copy. The center director failed to provide documentation for review at time of survey, verifying staff are provided with a current copy of 922 KAR 2:110, 922 KAR 2:090, and 922 KAR 2:120. The copy provided was dated 9/7/11.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically staff meetings. The center failed to provide documentation for review at time of survey verifying that the director conducted, managed, and documented in writing staff meetings. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding director requirements, specifically staff evaluations. The center failed to provide documentation for review at time of survey verifying a completed annual written performance evaluation for a staff member hired 9/1/11.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. The center failed to provide documentation for review at time of survey a valid copy of negative tuberculin results for a staff member hired 9/1/11. Review of the presented copy of tuberculin results revealed an invalid "date read" of 11/29/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. The center failed to provide documentation for review at time of survey verifying fifteen (15) hours of annual cabinet-approved early care and education training for six (6) staff members with the following hire dates: 9/1/11 (four (4) staff members), 9/26/11 and 9/10/12.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically driver requirements. The center failed to provide documentation for review at time of survey to verify the following for the identified driver, hired 9/1/11, of the vehicle identified to transport children: 1. A completed annual check of the driver history records through the state transportation agency. 2. A current driver’s license which has not been suspended or revoked during the last five (5) years. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding programming, specifically program of activities followed. The center failed to provide documentation for review at time of survey, verifying a daily planned program posted in writing in a conspicuous location with each age group and followed for the infant, toddler, two-year-old, preschool and school-age classrooms.

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 review of documentation, it was determined the center failed to comply with regulatory requirements regarding programming, specifically electronic viewing. Upon arrival, observation revealed children in the school-age classroom watching television. However, neither a daily schedule nor daily program of planned activities was available to determine if the electronic viewing was included in the planned program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, It was determined the center failed to comply with regulatory requirements regarding premises, specifically floors and walls. Observation revealed the following: 1. The large alphabet carpet located in the toddler classroom was frayed around the edges, exposing threads. 2. The base of the wall near the floor by the entrance of the infant room contained a hole.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child handwashing. Observation revealed the following: 1. Children in the toddler, preschool and school-age classrooms failed to wash hands with liquid soap and warm water after eating lunch. 2. A child failed to wash hands with liquid soap and warm water after a 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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff handwashing. Observation revealed that a staff member in the infant room prepared to change a child's diaper by putting on gloves, however failed to wash her hands with liquid soap and warm running water before changing the child's diaper.

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, It was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diapering practice. Observation revealed a staff member failed to disinfect the diaper changing surface after changing a child's diaper.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding first aid supplies. Observation revealed the center failed to include a working a first aid book with the first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding outdoor play area, specifically playground conditions. The center failed to keep the playground well maintained; observation revealed a high grass area surrounding the swings and slide.

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, it was determined the center failed to comply with regulatory requirements regarding outdoor play area, specifically protective surface. Observation revealed the center failed to provide an adequate amount of protective surface for sliding.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically crib sheets. Observation revealed the center failed to provide tight-fitting sheets for a crib mattress located in the infant classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding transportation. The center failed to provide documentation for review at time of survey to verify full-coverage insurance for the vehicle identified for the transport of children. Interview with the director revealed that since the vehicle has been in an accident and not currently operating, the insurance was cancelled.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding transportation. The center failed to provide documentation for review at time of survey to verify written policies and procedures, including emergency procedures practiced monthly by staff that transport children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically pre-trip inspections. The center failed to provide documentation for review at time of survey to verify completed pre-trip inspections for the vehicle identifed for the transport of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. The center failed to provide documentation for review at time of survey verifying a current immunization certificate within thirty (30) days of the child’s enrollment for three (3) children with the following dates of enrollment: 5/1/13, 6/19/13 and 1/8/14. Additionally, the immunization certificate presented for a child enrolled 4/8/14 failed to have an expiration date. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. The center failed to provide documentation for review at time of survey a written record for each child with information as follows: 1. Completed and signed by the child’s parent; 2. Retained on file on the first day the child attends the child-care center; and 3. To contain: a. Identifying information about the child, which includes, at minimum, the child’s name, address, and date of birth; b. Contact information to enable a person in charge to contact the child’s: (i) Parent at the parent’s home or place of employment; (ii) Family physician; and (iii) Preferred hospital; c. The name of each person who is designated in writing to pick-up the child; d. The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center; e. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child; f. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Review of ten (10) children's records revealed a file for a family of two (2) children contained only one enrollment record for both children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically off premise trips. Observation revealed at approximately 11:00 a.m., a staff member left the premises with eight (8) children to walk to the local public school for lunch. Review of documentation revealed, the center failed to provide documentation for review at time of survey verifying a written record for each child to contain a permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically evacuation plan. The center failed to provide documentation for review at time of survey, verifying a completed written 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 in accordance with KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the provider failed to comply with regulatory requirements regarding written documentation, specifically earthquake and tornado drills. The provider failed to provide documentation for review at time of survey, of quarterly practiced earthquake and tornado drills to include the participant's names.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the provider failed to comply with regulatory requirements regarding written documentation, specifically fire drills. The provider failed to provide documentation for review at time of survey, of monthly practiced fire drills to include the participant's names.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation. The center failed to provide documentation for review at time of survey to verify a current daily schedule for the school-age classroom. The daily schedule presented for review listed 9:00 a.m.-4:00 p.m. as "school time"; however the school-age children currently attend the center full-day for summer break.

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, it was determined the facility failed to maintain minimum staff-to-child ratios. Observation revealed at approximately 9:20 a.m., a staff member left her classroom of eight school-aged children to clean the girl's bathroom. A second staff member who was caring for six toddlers, stood between the classrooms for approximately five minutes to supervise.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the facility failed to provide documentation of current liability insurance. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the facility failed to notify the cabinet of transportation changes. Review of documentation revealed a field trip scheduled for 7/10/13 to a local skating rink. Interview revealed the director has been using a third party to transport children on field trips. Director stated she was unaware the facility needed to be approved for transportation when using a third party.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the director failed to provide documentation verifying completed staff meetings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the director failed to provide documentation of a completed staff evaluation for a staff member hired 9/1/11.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the director failed to provide for the safety of each child. Observation revealed three sockets were not protected within the two wall outlets of the Toddler Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the director failed to provide documentation verifying a coordinated parent/family involvement activity. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to provide documentation verifying the completion of 15 hours annual training for two staff members with the following hire dates: 9/26/11 and 9/1/11.

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 facility failed to prepare and post current lesson plans for each classroom. Additionally in the room that is planned to be added to capacity, no curriculum centers were set up, as well as, no science materials were observed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined a staff member failed to use the proper sleep position for infants. Observation revealed at approximately 10:30 a.m. two infants were asleep in their cribs on their stomachs.

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, it was determined the facility failed to keep the following items inaccessible to children: 1. A staff member's purse was observed on a low shelf in the school-age room 2. A staff member's purse was observed in a chair in the infant room. 3. Plastic bags were observed in a chair in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the ceiling vents throughout the facility contained a build-up of dust and residue. Additionally, the carpets throught the facility were heavily stained.

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, it was determined the facility failed to keep the floors and walls in good repair. Observation revealed the carpet fraying around the edges in each classroom. Additionally in the girl's bathroom, the tile flooring was separating from the concrete around the toilet, as well as, the wall around the sink was cracking. Additionally, the tile in the boy's bathroom contained a small hole at the entrance.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to keep the toilet room clean. Observation revealed the walls in the boy's bathroom contained several brown and yellow stains.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to keep the toilet in clean condition. Observation revealed the toilet in the girl's bathroom was filled with urine, feces and toilet paper for approximately 20 minutes until a staff member cleaned the bathroom. Additionally, the floor around the toilet in the boy's bathroom contained miscellaneous debris. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined a staff member failed to wash a toddler's hands after a diaper change. Additionally, seven children were observed arriving to the center at approximately 9:15 without washing hands.

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, it was determined a staff member failed to wash her hands before a diaper change, as well as, before feeding an infant a bottle. Additionally, a staff member was observed arriving to the center at approximately 9:15 a.m. and did not wash her hands before beginning work.

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, it was determined the facility failed to empty the toilet training chair promptly after each use. Observation revealed the toilet training chair in the girl's bathroom was filled with feces for approximately 20 minutes before a staff member emptied and sanitized the chair.

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, it was determined a staff member failed to disinfect the diaper area after changing a diaper.

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, it was determined the facility failed to provide sufficient protective surface for swinging and fall zone.

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, it was determined the facility failed to provide a schedule for separate outside play times for the infant/toddlers. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility was found to have four non-compliant cribs, pursuant to the Federal Crib Standards at 16 CFR 1219 and 16 CFR 1220.

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 interview, it was determined the facility is transporting children using a third party however has not been approved by the cabinet to do so. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff that transport children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle;

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.

Based on interview, it was determined the facility is transporting children using a third party however has not been approved by the cabinet to do so. Additionally, the facility does not have a third party contract.

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.

Based on interview, it was determined the facility is transporting children using a third party however has not been approved by the cabinet to do so. Additionally, the facility failed to provide documentation of safety procedures regarding transporting, loading/unloading adn supervision. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.285 shall be used for each child. 855 - Pre-trip Inspection Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. Food Service

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

General: Based on Observation, and interview, it was determined the facility failed to meet the milk requirements. Observation revealed only two percent milk in the refrigerator at the facility. Interview revealed the director was unaware that two percent milk was unacceptable to be served.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to post a weekly prepared menu.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the facility failed to provide current immunizations for three children with the following dates of enrollment: 12/26/11, 11/17/12, and 12/27/11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to provide documentation of the enrollment form being retained on the same day as enrollment for four children, since the forms were not dated, no date of enrollment was provided. Additionally, three children failed to have emergency authorization forms. Additionally, one child failed to have medical, doctor and hospital information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the facility failed to include the names of the children that participated in earthquake and tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the facility failed to include the names of the children that participated in the conducted fire drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the facility failed to document quarterly earthquake and tornado drills. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to post the current statement of deficiencies and plan of correction. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to post a disaster course of action for the room that is planned to be added in capacity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the facility failed to post a list of daily activities in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, rodent feces were piled on the rocky area of the playground accessible to children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Infant/Toddler Room - suitable for four children: Based on observation, one (1) bed was placed immediately next to some wires that were protruding from the wall. In addition, there was an open cabinet under the "counter space" with no door to prevent the children from accessing the items stored under the counter. The wall between the classroom and the kitchen contained swinging doors and there was no system in place to prevent the children from accessing the swinging doors. 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair Not In Compliance Findings: School Age Children - a space suitable for 11 children: Based on observation, the carpet was not secured to the wall and was missing carpet strips to prevent a hazard. Preschool Room - a space suitable for 9 children: Based on observation, the carpet was not secured to the wall and was missing carpet strips to prevent a hazard. Gross Motor Room - a space suitable for 3 children: Based on observation, the carpet was not securely attached to the floor and there were no "carpet strips" to prevent hazards at the edge of the carpeted areas. 2) Walls smooth/good repair Not In Compliance Findings: School Age Children - a space suitable for 11 children: Based on observation, there were numerous baseboards missing from the walls. Preschool Room - a space suitable for 9 children: Based on observation, there were numerous baseboards missing from the walls. Gross Motor Room - a space suitable for 3 children: Based on observation, there were numerous baseboards that were not securely connected or missing from the wall. 3) Ceilings smooth/good repair Not In Compliance Findings: Gross Motor Room - a space suitable for 3 children: Based on observation, the gross motor room contained one (1) ceiling tile that was stained and sagging. 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 2) Summer Temperature sixty-eight to eighty-two In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 4) Traffic Pattern 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 General Premises

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 Equipment.

Infants: Based on Observation, One of the three crib mats were less than two inches thick. Based on interview, the director was not aware of the this regulatory violation. 237 - Crib Mattress/Standards Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 43 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 2) Meets Standards In Compliance 238 - Sheets/Covers Not Applicable 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided In Compliance 2) Laundered In Compliance 3) Sanitary Storage In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Infants: Based on Observation, Two of the three crib mats were torn. Based on interview, the director acknowledged the findings and indicated that she was not aware of the condition of the mats. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 28 of 43 Web site: http://chfs.ky.gov/ Inspection Report 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.