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

General: Based on the interview and documentation review, one (1) staff member (DOH: 04/01/2009) had a background check dated 12/09/2019. Her determination status on the inspection day was "in process," as noted in the KARES report, and was dated 01/17/2025. During an interview with the staff member in charge, it was revealed that this individual still needed to complete fingerprinting. However, on the day of the inspection (02/20/2025), this staff member was observed supervising a child in the Caterpillar classroom. A review of the Applicant History Report shows that her fingerprints were taken on 02/21/2025, after the inspection date, and were submitted to the CHFS on 01/21/2025 at 9:25 AM.

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, documentation from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result was not presented for four (4) employees (DOH: 09/14/2011, 08/01/2012, 04/01/2009, and 07/15/2013) The presented four (4) certifications were dated 09/29/2022 and, therefore, were expired on 09/29/2024.

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, five (5) staff members (DOH: 09/14/2011, 08/01/2012, 04/01/2009, 07/15/2013, and 10/05/2023) did not complete fifteen (15) hours of cabinet-approved annual education training completed between July 1 and the following June 30. A review of the ECE-TRIS report supported these findings.

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 an interview and a review of documentation, the immunization certificated for (2) children (DOE: 11/07/2024) did not contain an expiration date.

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 following was found: 1. Two children's (DOE: 11/07/2024) enrollment files did not contain the child's preferred hospital and contact information to enable a person in charge to contact the child’s preferred hospital. 2. Two (2) children's (DOE: 08/22/2022 and 05/24/2021) enrollment files did not contain the name of each person who is designated in writing to pick up the child. 3. One (1) child's (DOE: 05/24/2024) enrollment file did not contain the name and phone number of each person to be contacted in an emergency involving or impacting the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, five (5) staff members (DOH: 09/14/2011, 08/01/2012, 04/01/2009, 07/15/2013, and 10/05/2023) did not have an annual written professional development plan available for review.

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 results of a negative tuberculin (TB) test or a statement from a healthcare professional verifying that a staff member (DOH: 10/05/23) was free from active TB were not presented for review upon request. 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, two (2) ceiling tiles in the dining area were stained with large brown spots, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the centrally-located Girl's restroom (blue door) was not equipped with a supply of toilet paper.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the water temperature of the handwashing sink in the Two year old classroom measured eighty-five (85) degrees Fahrenheit, failing to reach the minimum allowable temperature of ninety (90) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the wooden border surrounding the northern section of the playground contained areas of splintered wood and one (1) large, protruding nail head. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was not sufficient protective surfacing under and around two (2) slides, one that was blue and one that was red. The asphalt surfacing was visible.

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 and interview, two (2) toddlers shared the playground space with six (6) preschool-aged children. The children played together and intermingled, therefore, the toddlers were not provided with a separate play area within the outdoor space. 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, one mattress in the Infant classroom contained a tear and was soiled with an accumulation of unidentifiable, darkly-colored debris. 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, the posted menu was dated 05/20; therefore, did not reflect the planned meals that would be served during the current week at the time of the inspection. 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 review of documentation, the following was found: 1) The immunization certificate presented for a child (DOE: 10/01/19) was expired. 2) The immunization certificate presented for a child (DOE: 08/22/22) was expired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, written professional development plans for four (4) staff members (DOH: 09/14/11, 04/01/09, 10/27/21, and 07/15/13) were not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Documentation verifying the fire, earthquake, tornado, and lockdown drills were conducted at appropriate intervals in 2024 was presented for review; however, the names of the children who participated in the drills were not included. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the plan of activities posted in the Two year-old classroom was not dated. 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, education credentials for a staff member (DOH: 10/05/23) were not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, written performance evaluations for two (2) staff members (DOH: 04/01/09 and 07/15/13) were not presented for review upon request. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, all 14 children present were combined on the playground at the time of observation. Per interview, the youngest child was 18 months old. Therefore, the maximum group size per regulatory standard, as determined by the youngest child, was exceeded by 2 children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, within the Caterpillars Room there was no staff present with the three, infant aged children upon the surveyors arrival at 12:28PM. When staff arrived in the classroom at 12:36PM, she smelled like tobacco smoke and stated she had gone to the bathroom. Therefore, the children within the classroom were left unsupervised for eight minutes. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence of staff meetings being conducted during the current licensure year presented at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two staff hired 10/19/2012, and 11/3/1990, did not have documentation of completing the pediatric abusive head trauma training within the past five years. 2.) Two staff hired 04/01/2009, and 11/20/2019, did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the Caterpillars Room there were two children asleep in the cribs with bottles. It should be noted that the children were not drinking the bottles. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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 review of documentation, one out of the ten children's files reviewed did not have documentation of a preferred hospital listed by the parent. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence that the facility's emergency preparedness plan had been updated or submitted to the proper authority for review.

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, it was found that there were earthquake, fire, tornado, and lockdown drills documented; however, there was no names of the children who participated in the drills. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a schedule of daily activities was not presented for review in the beetle bug room. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a written annual staff evaluation was not presented for review for five (5) staff members with the hire dates 08/01/2012, 01/17/2002, 04/01/2009, 07/15/2013, and 11/20/2019.

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: Review of documentation and observation of the caterpillar room revealed a staff member with an unknown hire date was the sole caregiver for three (3) children. The staff member was observed being the caregiver for the three (3) children for the duration of the inspection. Upon request, a completed background check from the National Background Check Program (NBCP) with an eligible status was not presented for review for the staff member with an unknown hire date. Review of the Kentucky Applicant Registry and Employee Screening (KARES) report revealed the staff member with an unknown hire date was not listed as an employee at the child care center. Interview with the owner revealed he/she could not verify that a national background check from the National Background Check Program (NBCP) had been initiated and completed for the staff member with an unknown hire date. The owner did present a completed background check from the National Background Check Program (NBCP) that was initiated by a different child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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 9. Records.

General: Review of a staff member’s personnel file with an unknown hire date did not contain the following; 1. The staff member’s address; 2. The staff member’s birthdate; 3. The staff member’s hire; and 4. The staff member’s completed background check with an eligibility date.

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 a high school diploma, GED or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential was not presented for review for a staff member with the hire date 07/15/2013.

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 a written statement from a health care professional stating that six (6) staff members with the hire dates 11/20/2019, 07/15/2013, 04/01/2009, 09/14/2011, 01/17/2002, and 08/01/2012 were free of active tuberculosis or a copy of a negative tuberculin screen was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of a presented staff schedule and staff files revealed there was not one (1) employee, on duty and present with the children, that was currently certified in a cabinet- approved agency in the following skills: A. Infant and child first aid; B. Infant and child cardiopulmonary resuscitation (CPR); C. Adult cardiopulmonary resuscitation (CPR); and D. Adult First aid.

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: Upon request documentation verifying that two (2) staff members with the hire dates 08/01/2012 and 07/15/2013 had completed the required cardiopulmonary resuscitation and first aid training was not presented for review. There was no documentation presented to verify that the aforementioned staff members were certified in cardiopulmonary resuscitation and first aid. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the staff members with the hire dates 08/01/2012 and 07/15/2013 had completed the required training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the staff records revealed the following: 1. Upon request, verification that five (5) staff member with the hire dates 08/01/2012, 01/17/2002, 09/14/2011, 04/01/2009, and 11/20/2019 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the staff members. 2. Upon request, verification that three (3) staff members with the hire dates 11/20/2019, 04/01/2009 and 08/01/2012 had completed one and one half (1 ½) hours of cabinet- approved pediatric abusive head trauma training once every five (5) years was not presented for review. Review of the ECE-TRIS report did not verify that the one and one half (1 1/2) hours of cabinet-approved pediatric abusive head trauma training had been completed by the staff members. 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: Observation of the child care center revealed the following: 1. The rubber baseboard was partially attached to the wall within the hallway. 2. There were two (2) red wooden lattice gates within the beetle bug room that had small nails protruding from the top of both gates. 3. There was a large yellow metal air vent within the beetle bug room that was rusted and chipping paint.

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.

General: Observation of the caterpillar room revealed a staff member with an unknown hire date was the sole caregiver for three (3) children. The staff member was observed being the caregiver for the three (3) children for the duration of the inspection. Upon request, a completed background check from the National Background Check Program (NBCP) with an eligible status was not presented for review for the staff member with an unknown hire date. Review of the Kentucky Applicant Registry and Employee Screening (KARES) report revealed the staff member with an unknow hire date was not listed as an employee at the child care center. Interview with the owner revealed he/she could not verify that a national background check from the National Background Check Program (NBCP) had been initiated and completed for the staff member with an unknown hire date. The owner did present a completed background check from the National Background Check Program (NBCP) that was initiated by a different child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report

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: Observation of the caterpillar room revealed a staff member with an unknown hire date was caring for three (3) children. Upon request, documentation was not presented to verify that the child care center had initiated the process for obtaining a background check from the National Background Check Program (NBCP) for the staff member with an unknown hire date. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the aforementioned staff member with an unknown hire date was not listed as an employee. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 06/28/2022 AND AS OF 07/11/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/26/2022 AND AS OF 09/21/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There were several ceiling tiles within the bumble bee room that contained holes. 2. The plastic air vent in the ceiling within the bumble bee room contained a hole. 3. There were multiple areas of the main hallway wall that were peeling wallpaper. The wallpaper was hanging from the wall onto the floor. The wall was also peeling paint. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the child care center revealed the following: 1. There was a green vinyl changing pad that was torn and the inside absorbent material was exposed in the caterpillar room. 2. The changing pad within the beetle bug room was peeling vinyl and the inside absorbent material was exposed. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the beetle bug room and the hallway revealed there were vinyl mats that were cracked and the inside material was exposed. Interview with a staff member revealed the mats were used for children to sleep on.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. In the hallway was an adult size chair with a vinyl seat that was torn and the inside absorbent material was exposed. 2. There was a metal chair within the outdoor play area that contained rusted screws protruding from the back of the chair. Transportation Not Applicable Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Interview with the staff member in the caterpillar room revealed that the staff members prepare the children’s bottles. The staff member stated that the parents provide the children’s formula and water. The staff member stated that the child care center does not participate in the food program. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review for a child with the enrollment date 04/28/2021. The document presented was valid through 05/31/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of the children’s records revealed the following: 1. The records for two (2) children who were enrolled on 05/16/2022 and 07/17/2020 did not contain a preferred hospital. 2. The records for (3) children enrolled on 08/28/2017 and one (1) child enrolled on 09/07/2017 listed a non-existent hospital. Therefore, a preferred hospital was not listed. 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: Upon request, verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situations that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a written annual professional development plan was not presented for review for five (5) staff members with the hire dates 11/20/2019, 08/01/2012, 01/17/2002, 04/01/2009, and 07/15/2013.

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 earthquake, tornado, and fire drill logs revealed the following: 1. The fire drills for January, February, March, April, and May 2022 were conducted. However, the names of the children that participated in the procedure were not documented. 2. The tornado drill for the first quarter of 2022 was conducted. However, the names of the children that participated in the procedure were not documented. 3. The earthquake drill for the first quarter of 2022 was conducted. However, the children that participated in the procedure were not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, verification that a lockdown drill had been conducted during the child care center’s hours of operation for the first quarter of 2022 was not presented for review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a current liability insurance document was not presented for review. The document presented expired on 11/26/2019. Interview with the staff member in charge revealed he/she could not present a current liability insurance document at the time of the survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the science room located off of the kitchen revealed an electrical outlet that was not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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 presented staff files for the employees with the hire dates 05/08/2018 and 11/20/2019 contained a copy of a high school diploma, GED, or a qualifying document from a comparable educational entity or a 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: Review of presented staff files revealed one (1) staff member with the hire date 05/08/2018 did not complete six (6) hours of cabinet approved orientation training within ninety (90) days of employment. Review of the ECE TRIS report did not verify that the training hours were completed. 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 daily activity plan was not presented for review in the bumble bee classroom. The document presented was dated 10/30/2019. 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: Observation of the green wall located in the caterpillar room revealed,an one (1) inch hole above the handwashing sink. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the small playground located on the side of the child care center revealed a large piece of asphalt that was seperated and elevated one and one half (1 1/2) inches above the ground, therefore, creating a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the caterpillar room, there were triple mattresses inside of two (2) cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the of the caterpillar room revealed nine (9) crib mattresses that were ripped and torn, therefore, the inside absorbent material was exposed. Observation of the beetle bug classroom revealed several red and blue vinyl mats used for napping that were torn and ripped. The inside absorbent material was exposed. Observation of the butterfly classroom revealed nine (9) blue vinyl mats used for children sleeping had holes in them and the inside absorbent material was exposed. Observation of the main walk way revealed multiple colored vinyl mats used for sleeping children that contained tears and holes. The inside absorbent material was exposed.

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 large outside playground located on the side of the child care center revealed a four way seesaw; three (3) of the four (4) seats were broken and cracked. Observation of the child care center revealed the smoke detector was making a chirping noise; therefore the smoke detector was not in good working condition. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current food permit was not presented for review; the document presented was dated 12/31/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the thermometer inside the white refrigerator freezer located in the kitchen was broken; therefore, the temperature could not be measured to verify if the freezer's temperature was zero (0) degrees Fahrenheit or below.

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, a current menu was not posted for review. The menu posted was dated 11/09/20. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review for child at the child care center.

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: Review of the ten (10) presented children's files revealed one (1) child's file with the enrollment date 03/10/2020 did not contain the name of a hospital and a preferred physician. Observation of the caterpillar room revealed, an older child. The surveyor asked, the staff member "How old the child was? The staff member revealed the child did not normally come to the child care center, "He is thirteen (13), he is my grandson, he is here helping me today." The surveyor asked the staff in charge if there was an enrollment file for the aforementioned child; the staff in charge replied "No". Therefore, there was no written record that was completed and signed by the parent identifying the child. The following documents were not maintained by the child care center: 1. The child's name, address, and date of birth and enrollment date; 2. Parents home address or place of employment; 3. A family preferred hospital and a family physician; 4. The name of each person who is designated to pick up the child; 5. The general health status and medical history; 6. The name and phone number of each person to be contacted in case of an emergency involving or impacting the child; and 7. Authorization by the parent for the child care center to seek medical care for the child in the parent's absence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 observation, interview and review of documentation, the child care center failed to submit current documentation revealing procedures in the event of a fire, natural disaster, or other threating situations that may pose a health, safety hazard for a child in care. The document presented was dated 02/20/2017. Interview with the staff member in charge revealed that he could not present current documentation 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 8. General.

General: Upon request, the child care center failed to present a current organization chart and job descriptions for the director, assistant director, teacher, assistant teacher, and the cook.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current staff schedule was not presented for review. Interview with the staff in charge revealed that a current staff schedule was not available at the time of the survey.

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: Review of the presented documentation revealed written documentation of practiced fire drills conducted monthly detailing the date, time and the name of the children that participated was not presented for the months of October and November 2020. Further review of the documentation revealed that a written record of quarterly earthquake and tornado drills detailing the date, time and the name of the children that participated was not presented for review for the third (3rd) quarter of 2020. Upon request the documentation was not present for review. Posted Documentation In Compliance 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 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:405e. Per the standards established in 922 KAR 2:405e, each child shall remain in the same group throughout the day without interacting with another group. Observation of the cafeteria at lunch time revealed two (2) classrooms of children were combined together for the meal. Additionally, the standards established in 922 KAR 2:405e prohibits the use of machine washable toys. Observation of the bumble bee classroom revealed cloth baby dolls, pillows, stuffed animals and child size dress up clothes accessible for the children to use.

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 baseboard trim running the length of the interior hallway had become unglued and was beginning to hang loosely from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. 1) Upon request, the staff in charge did not present verification that the record of the employees with the hire dates of 1/17/2002 11/13/20016, 04/01/2009, 09/14/2011, and 08/01/2012 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. 2) Continued review revealed that the employee with the hire date of 11/13/2006 had not updated their pediatric abusive head trauma training. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation the child care center failed to maintain the premises in accordance with regulatory requirements. The water temperature at the sink located in the infant classroom was measured and it revealed that the hot water temperature exceeded the maximum temperature of hundred-twenty (120) degrees. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom revealed one (1) of the two (2) toilets did not flush. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The area where the children exit into the playground area contained numerous broken discarded equipment, along with a wooden flat where the slats were broken with edges that were splintered. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The stove had a greasy build-up, along with several dried food particles in the burner pans. 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 children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records of the children with the enrollment dates of 05/10/2018, 02/05/2019 and 08/12/2019 contained a current immunization record. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with background checks. Upon request, the staff in charge did not provide verification that the following employee with the hire date of 04/01/2009 had been submitted to the KARES system for the initiation of obtaining a background check on the child care staff member. The above-mentioned staff member was not observed working alone.

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 observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. The child care center failed to terminate the employees with the hire dates of 04/19/1992 and 01/17/2002 within the ten (10) days of receiving notice of a disqualifying background check. The above-mentioned staff were not observed working during the duration 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

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 interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. The child care director failed to provide electronic notification to the cabinet affirming the child care staff member's dismissal within three (3) business days. Review of the KARES system revealed no appeal process was initiated.

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 observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. The child care director failed to maintain accurate records of staff in the KARES system who were determined to be ineligible. The report does not reflect that the employees with the hire dates of 04/19/1992 and 01/17/2002 had been listed as separated from employment. The employees were not observed working in the center during the duration of the survey. 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 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 staff in charge 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. Review of the KARES system revealed the director was determined to be ineligible for employment on 11/19/2018. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

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 maintain employee's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of the evaluation assessing the staff person's interaction with children in care and classroom performance for four (4) of the five (5) employees who were eligible.

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 director failed to assure compliance with regulatory requirements. Upon request the staff in charge did not present verification that the child care center had coordinated at least one (1) annual activity involving parental or family participation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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: Based on interview and review of documentation, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employee with the hire date of 10/10/2018 contained a copy of a High school diploma, or 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 staff in charge did not present verification that the record of the employees with the hire dates of 1/17/2002, 11/13/2006, 04/01/2009, 9/14/2011, 08/01/2012, and 10/10/2018 contained a current copy of a statement with a date that was verifiable from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. 1) Upon request the child care director did not present verification that the children with the dates of enrollment of 11/12/2018 and 02/05/2019 had an enrollment record to contain identifying information, contact information, preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency. 2) Continued review revealed the children with the enrollment dates of 09/13/2018 and 09/25/2018 did not contain emergency authorization. 3) The records of the children with the enrollment dates of 05/10/2018, 08/27/2018, 09/13/2018 and 09/25/2018 did not contain information listing a preferred hospital or emergency contacts. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year. The record presented was dated 2017.

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 maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of an updated policy identifying the chain of command. The documentation provided listed employees who were no longer employed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that the daily attendance record for 10/01/2019, reflected the total number of children in care. The attendance record indicated eleven (11) children had been signed in. Observation revealed there were seventeen (17) children present. 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: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the requirement that each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was readily accessible for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Upon request the staff in charge did not present verification of a posted daily schedule of activities, to include dates and times of activities to be conducted with the children in three (3) of the three (3) classrooms inspected. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. On 01/16/2019, the staff-in-charge disclosed that the child care center was currently covered by liability insurance and provided a copy of the declaration page of the insurance policy, which showed the coverage period as 11/26/2018 thru 11/26/2019. However, the staff-in-charge disclosed that the child care center could not provide proof that that the child care center paid the premium for the coverage. In addition, the staff-in-charge contacted the insurance agent to check on the status of coverage. The insurance agent disclosed to the staff-in-charge that the coverage described in the declaration page had been canceled because the premium payment was never received. Furthermore, the insurance agent disclosed that the insurance could be reinstated if the child care center immediately submitted the premium payment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and observation, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of staff files failed to reveal completed CAN/CRC results, or the submission of fingerprints upon hiring, for a staff member with an unknown hire date. Observation revealed the staff member to be working alone with three (3) children for an undetermnined amount of time. A staff member with a hire date of 11/13/06 also failed to have documentation of CRC/CAN results or submission of fingerprints. The staff member was not observed at the time of the survey. 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 child care center failed to comply with the regulatory requirements. A review of documentation failed to reveal current liability insurance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation revealed a small water drinking fountain in the hallway. The water was not projecting out of the faucet high/far enough to drink without placing a mouth upon the hole.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Observation in the Bumblebee room revealed a staff member working alone during naptime with three (3) children aged one (1) year. A review of staff files failed to reveal a file, and also failed to have documentation of fingerprints having been submitted for review on a staff member with an unknown hire date. Interview with the staff in charge revealed the staff member was new and did not have a file at the time of the survey. Interview with the staff member revealed she was in the class room relieving a teacher for lunch break.

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. A review of documentation revealed an insurance liability document revealing effective dates of: 12/26/19-12/24/18 with Insurance Company Affording Coverage, policy # CP11121850. The document also contained the signature allegedly from a representative of the insurance company. Interview with the insurance company representative revealed there was no current coverage for this center, nor did she sign the document. Interview with the staff in charge revealed she was unaware that the policy was not valid. 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 9. Records.

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal a personnel file for a staff member with an unknown hire date. The center failed to have a current personnel file including a staff member's name, address, date of birth and date of employment, proof of educational qualifications, record of performance evaluation, documentation of compliance with tuberculosis screening, and the results of background checks in accordance with 922 KAR 2:280. Interview with the staff in charge revealed the documentation was not available 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 11. Staff Requirements.

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal a high school diploma, GED or qualifying documentation from a comparable entity, or a Commonwealth Child Care Credential. Interview with staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files revealed that staff members with hire dates of 8/1/12, 6/15/13, 11/13/06, and an unknown date, failed to have negative results from a tuberculin test, or a written statement from a health care professional stating the individuals were free of tuberculosis. An interview with the staff in charge revealed the documentation was not available 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 11. Staff Requirements.

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal documentation of having completed 15 hours of cabinet approved training for staff members with hire dates of 4/19/92, 4/1/09, 9/14/11, 8/1/12, 1/17/02, 1/17/02 and an unknown hire date. Additionally, staff members with hire dates of 9/14/11 and 1/17/02 failed to have written documentation showing pediatric head trauma training completed once every five (5) years. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding programming. Observation in the Infant room revealed two (2) infants sleeping with pacifiers attached to his/her clothing with a clip. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in both bathrooms failed to reveal any hand drying materials or a hand-drying blower. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation revealed broken equipment including six (6) ride/pedal cars, two (2) plastic tables, and a section of a bike tire lying on the ground in the play area. Interview with staff revealed the area is used by the children who are riding the tricycles. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation revealed a broken pedal on one (1) of the three (3) tricycles. Additionally two (2) seats of the four-seater bouncing equipment were broken with sharp plastic edges in the area where the children sit. Transportation Not Applicable 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 the food service in accordance with regulatory requirements. Observation of the refrigerator revealed 1% and 2% milk. Further observation revealed the children in the one (1) year old room received the 1% milk with lunch. Interview with the staff in charge revealed she was unaware that the children under two years of age were required to be served whole milk. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the Infant room failed to reveal a thermometer in the refrigerator. Interview with staff revealed a thermometer was not available at the time of the survey, but the refrigerator was used for storage for infants' food and millk. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of ten (10) children's files revealed that a child enrolled on 6/9/14 failed to have an immunization certificate located in the file. An interview with staff revealed the document was not available at the time of the interview. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal documentation of fire, earthquake, and tornado drills after 4/22/18. Interview with provider revealed the documentation was not available at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. A review of documentation failed to reveal a copy of the most recent statement of deficiency issued by the cabinet to the provider, and the plan of correction submitted to the cabinet, by the provider, for the current year. Interview with staff in charge revealed the documents were discovered prior to the completion of the survey; however, the documents had not been posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the dining area revealed that there were fourteen (14) three and four-year-old children sitting there with one (1) staff member. Interview with the staff member verified that she was working alone with fourteen (14) Preschool children. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

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, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed written documentation of staff meetings was not presented for review 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. Observation of the Infant Room revealed a staff member with hire date 10/18/17 working alone in the Infant Room with four (4) children. Review of the presented employee files revealed the aforementioned staff member’s file did not contain a child abuse and neglect check (CAN). The director did not provide a child abuse and neglect check (CAN) for the employee at the time of the survey. 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 6. License Issuance.

General: Based on observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Infant Room revealed a staff member with hire date 10/18/17 working alone in the Infant Room with four (4) children. Review of the presented employee files revealed the aforementioned staff member’s file did not contain a child abuse and neglect check (CAN). The director did not provide a child abuse and neglect check (CAN) for the employee at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee files revealed staff members with hire dates of 4/19/92, 1/17/02, 1/17/02, 4/1/09, 9/14/11 and 8/1/12 who had not completed the fifteen (15) hours of cabinet- approved early care and education training. Review of the ECE-TRIS report verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. The director did not provide documentation to verify that the staff members had completed fifteen (15) hours of cabinet approved training at the time of the survey. Continued review of the presented employee files revealed a staff member with hire dateof 1/17/02 who had not completed the one and one-half (1 ½) hours of pediatric abusive head trauma. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The Girls' stall in the bathroom was not equipped with toilet paper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 Girls' stall in the bathroom was loose and not secured to the floor. The toilet roll holder located in the Boys' stall in the bathroom was broken. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Several of the blue mats located in the hallway by the Preschool Room were torn exposing the absorbent material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The plastic was missing out of the white and blue toy microwave door located in the Preschool Room. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The white mini-fridge located in the Infant Room was not equipped with an indicating thermometer or other appropriate temperature measuring device.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a bottle located in the white mini-fridge in the Infant Room that did not have a lid. 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 2:120 · 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. The menu posted outside the kitchen was not dated. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s files revealed a child with enrollment date 5/12/12 whose file did not contain the name of the family’s preferred hospital. Continued review of the presented children’s files revealed a child with enrollment date 12/6/16 whose file did not contain the name of the family physician. Written 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 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 documentation revealed that a staff schedule was not presented for review. The director did not provide a staff schedule at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities posted in the Two’s Room and Toddler Room were not dated. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of attendance records on 2/16/17 revealed a child enrolled 10/4/11 was signed in and out of the center on 2/13/17, 2/14/17, and 2/15/17 and was signed in as present at the center on 2/16/17. Review of children’s files revealed a current immunization certificate was not presented for review at the time of survey for the child enrolled 10/4/11. Interview with owner/director revealed she could not locate this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of attendance records on 2/16/17 revealed a child enrolled 10/4/11 was signed in and out of the center on 2/13/17, 2/14/17, and 2/15/17 and was signed in as present at the center on 2/16/17. Review of children’s files revealed a written record was not presented for review at the time of survey for the child enrolled 10/4/11 that is completed by the child’s parent and includes the following: 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; e. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child; and f. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Interview with owner/director revealed she could not locate this documentation at the time of survey. Review of DRCC records revealed the failure to maintain a written record for each child in care is a violation of the Intermediate Sanctions Agreement dated 10/13/16.

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 childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request the director did not present verification that the record for the child with the enrollment date of 09/22/2016 contained information listing the name of a physician and a preferred hospital. Review of DRCC records revealed the director had stated that all enrollment information would be completed or anticipated to be completed by 12/31/2016.

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 center failed to maintain employee records in accordance with regulatory requirements. Review of current staff records revealed the following: 1. Staff with a hire date of 4/1/09 had obtained 13.50 annual hours of training. 2. Staff with a hire date of 9/19/99 had obtained 9 hours of annual training. 3. Staff with the hire date of 10/19/12 had obtained 9 hours of annual training. 4. Staff with the hire date of 1/17/02 had obtained 9 hours of annual training. 5. Staff with a hire date of 10/31/91 had obtained 9 hours of annual training. 6. A staff with a hire date of 1/17/02 had obtained 10.50 hours of annual training. The director commented during the exit interview that she was aware that she and the staff had not obtained all of the child development training that is required annually. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview the center failed to maintain the premises. Observation throughout the center revealed numerous fluorescent tubes in the ceiling fixtures were not working. The director stated that she was aware that many of the fluorescent tubes were not working.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview it was determined the center failed to maintain the premises in accordance with regulatory requirements. Observation of the toilet room located off of the main hallway revealed that neither of the two stall areas contained a supply of toilet paper. The director acknowledged the deficient practice during the exit interview.

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 and interview revealed that the center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom located off of the main hallway revealed that there was no single use hand drying material or a hand drying blower. The director acnknowledged the deficient practice during exit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 9. Food and Meal Requirements.

General: Based on Observation and interview it was determined that the center failed to maintain food service in accordance with regulatory requirements. During a menu and meal service discussion, a staff person took the surveyor to the kitchen to show what food items would be served to the children for lunch. The staff person showed the surveyor a large aluminum foil container, half full with macaroni and cheese in the stove. A large bowl of green beans, a glass bowl containing ribs and a second container also with ribs were also shown to the surveyor. The staff person stated that she had brought all of the food items from her home for the children's lunch today. The staff person commented further that the food items being served were left over from a catered Christmas meal at her home. The staff person stated that she did not realize she could not bring the remaining food to the center for the children to eat.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview the center failed to maintain food service in accordance with regulatory requirements. Observation of the eating area revealed that all of the children were served whole milk. Interview with staff revealed that the age of the youngest child was two (2) years old. The director commented that her husband had picked up the milk for the children and wasn't aware of the regulation requiring 1% or skim milk to be served to children twenty-four (24) months of age and older.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the center failed to maintain food service in accordance with regulatory requirements. Review of the center's posted menu revealed that it was a month to month rotational menu; however, it was not dated. A staff person commented during interview that she was normally responsible for keeping the menu current; however, she had recently been on medical leave. During interview, the director acknowledged that the menu had not been dated. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child center failed to maintain children's records in accordance with regulatory requirements. Review of the files of ten children, who were in attendance at the center on 12/28/16, revealed the following: 1. Review of a child's file (enrollment date of 2/9/09) revealed that the written record failed to be signed by the parent and retained on file the first day. 2. Review of four children's files (enrollment dates of 2/30/16, 4/28/14, 11/1/12 and 9/21/16) revealed that the contact information for the family physician and/or the preferred hospital was not noted. The director acknowledged the deficient practice during the exit interview. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written 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 3. Records.

General: Based on Observation, review of documentation and interview the center failed to maintain written documentation in accordance with regulatory requirements. Observation of the eating area and infant area revealed a total of twenty-one (21) children in care at the center. Review of the attendance records revealed they were dated for the previous week; i.e. 12/19/16 thru 12/23/16. When this issue was brought to the director's attention, she commented that another staff person was responsible for making sure the sign in and sign out attendance records were current for the parents to sign. The director located the sign in and sign out attendance sheets dated for the current week; i.e. 12/26/16 through 12/30/16 and provided them to the surveyor. Examination of the sign in and out sheets dated 12/26/16, 12/27/16 and 12/28/16 revealed they were blank. The staff did not provide attendance records for the children in care at the center on 12/26/16 and 12/27/16. The staff also did not provide evidence of children that were currently present on 12/28/16.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview it was determined that the center failed to maintain a written record of practiced fire drills conducted monthly detailing the date, time and children who participated. Review of the center's fire drill log revealed that the center failed to document a practiced drill for November, 2016. The director acknowledged the deficient practice during exit.

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 it was determined that the center failed to maintain a written record of practiced fire drills conducted monthly. Review of the center's fire drill log revealed that the center failed to document a practiced drill for November, 2016. The director acknowledged the deficient practice during exit. 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 2. Child Care Services.

General: Based on Observation, and interview the child care center failed to comply with staffing requirements. Observation of the caterpillar’s room revealed eight (8) children in care with one (1) staff member. Interview with a staff member revealed the youngest age child in care was one-year-old. General Administration In Compliance Premises In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed there was not a current immunization certificate on file for two (2) children with the enrollment dates 12/4/13 and 9/21/16. Interview with the director revealed she was unable to locate the documents at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The surveyor observed children in attendance and requested files for some of the children. On 11/30/16 the surveyor requested the files for five (5) identified children from the director of the child care center. The director did present four (4) of the requested children’s files for review; however, she did not present the fifth requested file although she searched for at the least thirty-two (32) minutes. Interview with the director revealed she was unable to locate one of the requested files and made the statement “you will just have to write me up” she also stated she was unsure of the enrollment date for the child whose file was not located. Review of the four (4) presented children’s files revealed there was one child’s file with the enrollment date 9/21/16 that did not contain the following: 1. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child, 2. Authorization by the parent for the child care center to seek emergency care for the child in the parent’s absence. Since a child’s file was not presented for review the following required information was not reviewed: 1. Identifying information about the child, which includes, at minimum, the child’s name, address and date of birth, 2. Contact information to enable a person in charge to contact the child’s parent at the parent’s home or place of employment, 3. Contact information for the family physician, 4. Information of the parents preferred hospital for the child, 5. The name of each person who is designated in writing to pick-up the child, 6. The child’s general health status and medical history, 7. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child, 8. Authorization by the parent for the child care center to seek emergency care for the child in the parent’s absence. Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The childcare center failed to comply with regulatory requirements regarding notification of change of location. Based on interview the director revealed she had cared for five (5) children in her non-licensed home on 08/27/2016. The director did not seek prior approval for change of location from the cabinet before implementation.

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 childcare center failed to comply with regulatory requirements regarding compliance with the State Fire Marshal. Observation on 09/26/2016 revealed the childcare center did not maintain electricity within the building. Interview with the director revealed the fuse breaker box was non-operational. Interview with the staff fire marshal present for an annual visit on 09/26/2016 revealed the breaker fuse box was non-operational, fire extinguishers had expired, mechanical room contained combustible items, smoke detectors were not working, fire alarm system was not inspected within the last year and the exit signs were not lit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview and documentation review, the childcare director failed to assure the health, safety and comfort of children. Based on interview it was determined that on 08/27/2016 the director received five (5) children at her home, that were non-related. Review of DRCC records indicated that the director’s home was not licensed for childcare and had not been surveyed to assure minimum health, safety and comfort standards. The director revealed the five (5) children had been brought to the home by the parent in the morning hours and later picked up at approximately 09:30 p.m. by the parent. 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 childcare center failed to maintain premises in accordance with regulatory requirements. Observation of the center on 9/26/26 revealed the lack of electricity in the center, resulting in no lighting. During interview, the director stated that the fuse box became non-operational on 9/23/16. Therefore, the building failed to be suitable for the intended purpose of a childcare center. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation the childcare center failed to maintain food service in accordance with regulatory requirements. Based on observation in the kitchen, the refrigerator was non-operational, due to no electricity. Continued observation in the kitchen revealed a small Styrofoam cooler, located in the sink. The contents of the cooler revealed there was a half-gallon of whole milk, one (1) gallon of artificially flavored orange drink and two (2) packs of bologna with a bag of ice. The cooler did not contain a thermometer or other appropriate temperature measuring device. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to maintain children's records in accordance with regulatory requirements. The childcare director did not present for review at the time of the visit on 09/26/2016, documentation of enrollment to include the following: identifying information, contact information, family physician, preferred hospital, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency for seven (7) of the thirteen (13) children. Based on interview, the director did not provide dates of enrollment for the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on Interview and Review of Documentation, the childcare center failed to maintain children’s records in accordance with regulatory requirements. Interviews confirmed that the director provided care for five (5) children, who are not related to her, in her home on 8/27/16. The children were brought to the home by the parent, during the morning and picked up at approximately 9:30p.m. No documents were available for review verifying permission from the parent for the children to be cared for at an off-premises location. Written 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 3. Records.

General: Based on Review of Documentation, the childcare center failed to maintain written documentation in accordance with regulatory requirements. The childcare center director did not present for review at the time of the survey verification that the daily attendance record had been completed for 09/26/2016.

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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Science Classroom revealed two (2) lights to not be in working order at the time of the survey. Observation of the Preschool Area revealed four (4) lights to not be in working order at the time of the survey. Exit interview with the director revealed the deficiency is in the process of being addressed.

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 regulatory requirements. Observation of the Science Classroom revealed a hole approximately two (2) inches in size in the wall on the left side. Observation of the Eating Area revealed approximately six (6) inches of baseboard missing by the entrance door to the Science room. Observation of the Bettle Bug Classroom revealed the paint to be chipped and peeling on the purple wall. Continued observation revealed the paint to be chipped and peeling on the blue wall. Exit interview with the director revealed an acknowledgement of the deficiency.

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 the premises in accordance with regulatory requirements. Observation of the back bathroom failed to reveal toilet paper at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Caterpillar Classroom failed to reveal hand washing by a staff member before feeding an infant a bottle. Exit interview with the director revealed an acknowledgement of the deficiency.

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 and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Bettle Bugs Classroom revealed dirt and debris under the diaper changing pad at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

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 and Interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed cigarette butts and paper at the time of the survey. Exit interview with staff revealed an acknowledgement of the deficiency.

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 and Interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed an orange window with jagged broken glass that is accessible to children. Interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Caterpillar Classroom revealed an infant crib with a soiled sheet with brown and yellow matter on it. Continued observation revealed a infant to be put into the crib. Interview with a staff member revealed sheets are changed every Friday.

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 Bettle Bugs Classroom revealed five (5) rest mats to be torn with the inside material exposed. Observation of the Three-Year-Old Classroom revealed two (2) rest mats to be torn with the inside material exposed. Continued observation revealed one (1) rest mat with a black substance on it. Observation of the Bumblebees Classroom revealed one (1) rest mat to be torn with the inside material exposed at the time of the survey. Exit interview with the director revealed an unawareness of the deficiency.

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 the Caterpillar Classroom revealed two (2) battery operated toys to not be in working order. Observation of the Bettle Bugs Classroom revealed several battery operated toys to not be in working order. Continued observation revealed dirt and or dust build up on the following items: Doll house, play kitchen sink, play stove and the yellow intake vent. Further observation revealed a section of the top portion of the changing table to be detached from the lower section of the changing table leaving it unstable at the time of the survey. Observation of the Three-Year-Old Classroom revealed Duplo blocks with dirt residue at the time of the survey. Observation in the Bumblebee Classroom revealed a pretend plastic sink that was broken with a sharp edge protruding at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Caterpillar Classroom revealed an infant in a bouncy seat. Continued observation revealed a staff member to be feeding the infant a bottle while in the bouncy seat. Interview with the staff revealed the infants age to be six (6) months of age.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Kitchen revealed a freezer with brown matter inside. Continued observation revealed a microwave with food debris covering the inside area. Further observation revealed food debris in the oven at the time of the survey. Exit interview revealed the deficiency is in the process of being addressed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of refrigerator revealed two (2) percent (2%) milk. Observation of milk served to children failed to reveal whole milk and low fat one (1) percent milk. Interview with a staff member revealed that two (2) percent milk is served to children of all ages. Continued interview revealed the staff member was not aware children under the age of two (2) require whole milk. Further interview revealed the staff member was not aware children age two (2) up to age twelve (12) require low fat one (1) percent milk or fat-free skim milk.

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. Observation of the Caterpillar Classroom revealed varying types of infant formula to be in seven (7) children’s cubbies. Interview with staff member revealed the formula in the cubbies is provided by parents. Continued interview revealed staff members prepare bottles for infants using the formula provided by parents.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch served failed to reveal milk being served as part of the meal. Continued observation revealed when children finished eating the food on the plate and plates were cleared away then milk was offered to the children. Interview with staff members revealed the milk was withheld from children until the food was consumed. 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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files failed to reveal an immunization certificate for three (3) children with the enrollment dates 6/8/15, 7/20/15 and 9/4/15 at the time of the survey. Interview with the director revealed an inability to locate the documentation at the time of the survey. 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 and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed five (5) of the children’s files failed to have enrollment information signed by a parent. Continued review revealed three (3) of the children’s files failed to have the parents preferred hospital listed. Further review revealed one (1) of the children’s files failed to have the following: 1. Information about the child, 2. Be retained on the first day of care, 3. Parental contact information, 4. Medical Information, 5. Pick up list for the child, 6. Emergency contacts, 7. Child’s Physician, and 8. Emergency Authorization to seek medical treatment in case of an emergency. Interview with the director revealed an acknowledgement of the deficiency.

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 written documentation failed to reveal a current evacuation plan at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

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 Earthquake and Tornado drills revealed the child care center failed to document the names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

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 Fire drills revealed the child care center failed to document the names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of documents posted failed to reveal the statement of deficiency at the time of the survey. Exit interview with the director revealed the statement of deficiency is kept in an office that is locked. Continued interview revealed the locked office area is for staff members only.

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 regulatory requirements. Review of documentation in the Three-Year-Old Classroom failed to reveal a daily activity plan. Review of documentation in the Bumblebee Classroom failed to reveal a current daily activity plan. Review of documentation in the Bettle Bug Classroom failed to reveal a daily activity plan. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files failed to reveal an annual evaluation for two (2) staff hired 1/17/02. Interview with the director revealed an inability to locate the evaluations at the time of the survey. 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 Observation and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Science Classroom revealed an electrical outlet by the window to not be covered at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

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, Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Bumblebees Classroom revealed a staff member with the hire date 11/13/15 to be the sole care provider for six (6) children for the duration of the survey. Review of staff files failed to reveal a Criminal Records Check for the staff with the hire date 11/13/15. Continued review of staff files revealed an altered Child abuse and Neglect check for the staff with the hire date 11/13/15. Interview with the director revealed unawareness that the Criminal Record Check was not complete. Continued interview revealed the director stated the staff member presented her with the altered Child Abuse and Neglect check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed a Child Abuse and Neglect Check for a staff with the hire date 11/13/15. Continued review of the CAN check the surveyor noticed the following discrepancies: 1. The date the employee and employer signed the document to be 11/19/15. 2. The date stamped as received in the office in Frankfort to be 11/5/15. 3. The date for which the Child Abuse and Neglect Check was conducted on to read 7/15/15. Interview with Division of Child Care Representative reviewing the Child Abuse and Neglect Check submitted to DRCC for a staff with the hire date of 11/13/15 revealed following discrepancies with the document: 1.There has not been an employee in the office with the initials AT for two (2) years. (The initials AT were by the date stamp for received in Frankfort and as the person conducting the check). 2. The CAN FEE PAID stamp on the form is no longer used. 3. The date stamp reads Office of Inspector General, which is not used now. 4. The date in the date stamp is hand written not stamped.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Bumblebees Classroom revealed a staff member with the hire date 11/13/15 to be the sole care provider for six (6) children for the duration of the survey. Review of staff files revealed the absence a Criminal Records Check for the staff with the hire date 11/13/15. Continued review of staff files revealed an altered Child abuse and Neglect check for the staff with the hire date 11/13/15. Interview with the director revealed unawareness that the Criminal Record Check was not complete. Continued interview revealed the director stated the staff member presented her with the altered Child Abuse and Neglect check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed a staff hired 11/13/15 did not have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey. Interview with the director revealed an inability to find the documents at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for staff members hired 4/19/92, 1/17/02, 9/14/11, 11/13/06, and 8/1/12. Interview with the director revealed an acknowledgement of the deficiency.

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 three (3) staff members with the following hire dates: 1/17/02 (2) and 11/13/06. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the director failed to provide for the health, safety and comfort of each child. Observation revealed a smoke detector located in the hallway leading where the children's bathroom is located, beeping intermittently. Additionally, two infants were observed sitting in individual carseats, one (1) located atop a table and one (1) located on the floor in the infant classroom for approximately ten (10) minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. The center failed to provide documentation for review at time of survey verifying one of the following: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results for two (2) staff members with the following hire dates: 4/1/09 and 8/1/12.

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 the completion of fifteen (15) hours of annual cabinet-approved early care and education training for seven (7) staff members with the following hire dates: 1/17/02 (2), 4/14/92, 11/3/06, 4/1/09, 9/14/11 and 8/1/12.

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 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, Bumble Bee and Butterfly classrooms.

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 premises, specifically inaccessible items. Observation revealed a can of "Lysol" on a T.V. cart accessible to children in the Butterfly classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, It was determined the center failed to comply with regulatory requirements regarding premises, specifically floors. Observation revealed the carpet located in the Bumble Bee classroom was frayed around the edges, exposing threads.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding premises, specifically the sink. Observation revealed the bathroom the children use failed to be equipped with a hand-drying blower or single use disposable hand drying material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diaper changing surface. Observation revealed that the diaper changing surfaces located in the infant classroom, contained several large holes exposing the absorbent material under the protective lining.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, 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 a child enrolled on 11/15/11.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically policies and procedures. The center failed to provide documentation for review at time of survey of written staff policies.

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 written documentation, specifically professional development. The center failed to provide documentation for review at time of survey verifying a written annual plan for child-care staff professional development for five (5) employees with the following hire dates: 1/17/02 (2), 11/13/06, 4/1/09 and 9/4/11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the yellow vent in the toddler classroom was dusty, dirty and within reach of the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there was one staff member alone with thirteen children ages two to four at breakfast time as the second staff member walked out of the room twice for a period of approximately thirty seconds each incident.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, a child's confidential allergy information was publicly posted throughout the center.

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, staff members did not have a staff evaluation completed since 2011.

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, numerous sleeping mats in the toddler and preschool classrooms were torn exposing the interior foam creating a choking hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the center has not coordinated a parental/family involvement activity within the last licensure year. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 12-5-06, 1-17-02, 4-19-92, 9-14-11, 7-7-13 and 7-19-13 did not have a statement from a medical provider that they were free from active T.B.

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, staff member hired on 7-7-13 has not completed orientation training. Based on review of documentation, none of the staff members have completed the required fifteen hours of annual child development training hours. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, an infant was in a carseat placed inside of a crib as she was awake and not provided any programming or developmentally appropriate activities for approximately fifteen minutes. Based on observation and interview, the infant/toddler room did not have any books.

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, an infant was sleeping with two heavy blankets positioned on him as opposed to one light blanket as recommended by the American Academy of Pedicatrics.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the infant and toddler room, in a bin closest to the ground, accessible to the walking children that were present, there were plastic bags and a pair of scissors. In the toddler classroom under the diaper changing station in an unlocked cabinet low to the ground, easily accessible to the children, were disposable rubber gloves and plastic bags. In an unlocked cabinet in the hallway on a bottom shelf level with the floor, accessible to children, was three cans of paint, a can of tile adhesive and a can of tile grout.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center did not have a carbon monoxide detector and uses a fuel burning appliance; i.e. a gas stove.

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, in the preschool classroom there were thirteen children and the classroom measures for a capacity of no more than eight children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was soiled toilet paper on the bathroom floor. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the water temperature in the bathroom measured with a calibrated thermometer at 122 degrees Fahrenheit. A sink in the bathroom did not have any running water and did not provide hot or cold water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the toilet was not flushing properly in the restroom located immediately on the right in the hallway. 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, an infant's hands were not washed 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 11. Toys and Furnishings.

General: Based on Interview, with the infant/toddler room staff, the toys that are mouthed by the infants and toddlers are not sanitized in the regulatory method, staff reported that the toys are sprayed with bleach and wiped off or washed in the sink used to wash hands after diaper changes. First Aid/Medication

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, an outdoor turtle shell that is used for the children to crawl in and out has sharp chipped plastic edges around the entry hole causing the equipment to not be in good repair or safe. This was previously cited in 2012 annual survey.

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 freezer temperature could not be determined as the thermometer was broken.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, posted menu was not dated.

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 with center cook, breakfast did not include all of the required components as it did not include a fruit, vegetable or 100% juice.

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, daily attendance records were not completed as there were 10 children signed in and 23 children present. Two children had been signed out for the day at 4:30 p.m. although the children were still present at the center and it was not yet 4:30 p.m.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, staff members did not have an annual professional development plan completed in the previous year.

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, a lesson plan was not posted in the infant room and was not dated in the three and four year old class and the two and three year old class did not have a lesson plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two older infants that were sleeping in cribs each had a pacifier that was equipped with a clip. 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 Requirements.

General: Based on observation and interview, the center did not have written documentation to verify one crib in the Infants' Room was in compliance with the new Federal Crib standards.

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, a disaster course of action (disaster map) was not posted.

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, a list of daily activities (lesson plan) was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on record, the center failed to ensure that each staff person had a current TB test certificate on file as staff person hired 1/7/02 had a TB test certificate on file that was current through 8/13/12 and staff person hired 9/30/12 had a TB test certificate on file that was current through 11/11/12. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on review of documentation, the center failed to ensure that staff had received orientation training within ninety days of hire as two staff persons hired 8/1/12 did not have any documentation on file to verify that they had recieved orientation training. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two & Three Year Old Room: Based on observation, the center failed to ensure that all equipment was in good repair as several of the mats, that were stacked up in the hallway, had tears in them and the foam was exposed. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 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.

922 KAR 2:090 · 922 KAR 2:090 - Section 5

General: Based on Observation, the surveyor was not granted access to the facility for twenty minutes. Starting at 11:00am, the surveyor rang the door bell, knocked on the door, and walked around the premises multiple times without achieving entry into the center. The surveyor was able to see drapes moving in one of the windows located on the side of the building where the playground was located. At approximately 11:15am, the surveyor made a telephone call to a supervisor in the DRCC office. The supervisor then called the center and the director's cell phone. She received a recording with each call. At approximately 11:20a.m. the surveyor saw an employee looking out of a window while talking on a cell phone. The employee then opened the door for the surveyor. The employee stated that she was not able to hear the surveyor at the door because they were in the back of the building participating in music activities. The employee stated that she was speaking on the phone with the center's director at the time she opened the door for the surveyor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were no staff evaluations available for review at the time of the survey. The director was given time to locate the documents and acknowledged that they were missing.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Infants: Based on Observation, the tip of the water spout at the sink was covered with a form of corrosion. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 7) Personal belongings of staff Not In Compliance Findings: Infants: Based on Observation, a staff member's purse was located on top of a plastic storage container and was within reach of children. 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 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infants: Based on Observation, the proper methods of diapering were not posted near the changing table. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Wild In Compliance 3) Exotic In Compliance C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement In Compliance 2) Partnership statement In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.