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

General: Based on review of documentation and interview, the child care center failed to maintain the employment status of each staff member who has submitted a fingerprint-based criminal background check by reporting the status in the Kentucky Applicant Registry and Employment Screening (KARES) report. The staff in charge confirmed that ten (10) individuals who were listed as current employees on the KARES report were no longer employed by the center. Therefore, the employment status for the ten (10) referenced individuals was not accurately maintained on the report Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on record review, one (1) staff member (DOH:08/03/2023) had negative tuberculin skin results on file that exceeded two years, and therefore were no longer current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for two (2) staff members (DOH: 12/01/2022 and 08/03/2023). Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Verification that a staff person hired on 08/04/12 had completed training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General:Review of presented employment authorization forms revealed the following: 1) The eligibility determination of a staff member hired on 08/03/23 was documented on their employment authorization form as "information not available," therefore, the employment eligibility status of the staff person could not be determined. The staff person was not documented on the center's KARES roster at the time of the inspection. The staff person was not present at the center on the day of the inspection. 2) A background check/fingerprint scan for a staff person hired on 08/01/23 had last been completed on 08/01/18 and was, therefore, expired at the time of the inspection. The staff person was not documented on the center's KARES roster at the time of the inspection. The staff person was not present at the center on the day of the inspection. 3) The background check/fingerprint scan for a staff person hired on 08/11/23 had last been completed on 08/15/18 and was, therefore, expired at the time of the inspection. The staff person was not documented on the center's KARES roster at the time of the inspection. The staff person was observed working directly with children in a supervisory role.

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: Review of the center's KARES roster revealed that several staff members were documented as being permanently employed, however, the director reported that the aforementioned staff were no longer employed at the center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the Early Care and Education Training Records Information System (ECE-TRIS) database could not confirm that a staff person hired on 08/04/12 had completed fifteen (15) hours of annual training during the 2022-2023 review period. Further review of the ECE-TRIS database revealed that a staff person hired on 08/07/18 completed only thirteen (13) hours of annual training during the 2022-2023 review period. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, several children in the Aspen classroom were not directed to wash their hands after eating their lunches and before touching books and materials in the classroom. 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 13. Toys and Furnishings.

General: Based on observation, the wooden stairs, used to access the handwashing sink in the restroom within the Aspen classroom, were soiled with dark substance throughout their surface. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the thermometer within the small refrigerator in the Redbud classroom read "forty-three (43)" degrees Fahrenheit and the thermometer within the small refrigerator in the Aspen classroom read "forty-four (44)" degrees Fahrenheit, therefore, the internal temperatures of both of the refrigerators exceeded the maximum allowable temperature of forty (40) degrees Fahrenheit. 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: Observation of lunch in the Aspen classroom revealed that several of the children were not provided with milk. The staff in charge reported that physician's statements were available for those with dairy allergies, however, this did not apply to all of the children who were not served milk. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a screwdriver was located inside an unlocked drawer by the sink in the Holly Classroom and was observed to be accessible to the children. Therefore, the health, safety, and comfort of the children was compromised. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following staff (DOH: 08/12/13, 08/09/17, and 08/07/18) files did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview with staff-in-charge, the surveyor learned that the up-to- date TB skin test for the staff mentioned were not available for review. 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor found that the child-care center had no staff on duty from approximately 4:00 p.m. to 6:00 p.m. with a current certification in First Aid. During interview, staff-in-charge stated that she had completed the training for First Aid/CPR and thought that she was certified in both. Staff-in-charge stated that she would look into why she did not have certification in First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 08/04/12) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 08/02/21) obtained nine (9) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 08/02/21 – 08/02/22. 3. A staff (DOH: 04/16/21) obtained seven and one-half (7 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 04/16/21 – 04/16/22. The staff obtained six (6) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 04/16/22 – 06/30/22. 4. A staff (DOH: 08/03/17) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 09/15/17; therefore, the training was not completed within the last five (5) years. 5. A staff (DOH: 08/02/21) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 01/18/23; therefore, the training was not completed within one (1) year of employment. 6. A staff (DOH: 08/02/21) obtained zero (0) hours of the required six (6) hours of cabinet-approved orientation training; therefore, the training was not completed within the first three (3) months of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the smaller sinks located inside the Acorn, Aspen, Dogwood, and Maple Classrooms were observed to hold water and not drain properly; therefore, the sinks were not kept in good repair.

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 surveyor found a yellow residue on the toilet seat in the restroom that was located between the Acorn Classroom and Sprouts Classroom; therefore, the toilet seat was not kept in clean condition. During interview, staff-in-charge stated that the restroom and the Acorn and Sprouts Classrooms had not been utilized by children for approximately one and one-half years (1 1/2). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 surveyor found a tree located beside the side fence roll that contained approximately three (3) thick branches that were observed to be sticking out; therefore, the playground was not safe from foreseeable hazards. During interview, staff stated that they would remove the tree from the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the protective surface around a green/brown climbing structure on the playground was depleted and did not have an adquate fall zone.

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 surveyor found a small gap at the bottom of the fence roll located in the back corner of the playground. The gap was located where the back corner and side corner of the fence rolls meet. The surveyor observed the bottom of the back fence roll to appear to be detached from the side fence roll. A nail was observed to be exposed on the end of a wooden board located on the bottom of the back fence roll. During interview, staff stated that the playground was sloped and that the mulch gets pushed against the fence roll. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following children's (DOE: 02/12/22 and 07/30/21) files did not contain the name of each person who is designated in writing to pick-up the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. No documentation of a fire drill conducted during the months of February and April of 2022. During interview, staff stated that the fire drill for February was conducted in March and the fire drill for April was conducted in May. The surveyor reviewed documentation that verified the fire drill for February was scheduled for 02/07/22 and was conducted on 03/01/22. The documentation verified by the fire drill for April was scheduled for 04/11/22 and was conducted on 05/02/22. 2. No documentation of an earthquake drill conducted during the fourth quarter of 2022. During interview, staff stated that the earthquake drill was not conducted. 3. No documentation of a lock down drill conducted during the second and fourth quarters of 2022. During interview, staff stated that they thought the lock down drill was to be conducted two (2) times per year. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the employee file for a staff member with a hire date of 8/2/2021 did not contain verification that the staff member had submitted fingerprints for a background check. Review of the KARES database revealed the aforementioned staff member's name and demographic information were entered into KARES; however, the staff member's eligibility could not be determined due the staff member's failure to submit fingerprints. The staff member in charge acknowledged that the aforementioned staff member had not submitted fingerprints prior to working at the center. The staff member was not observed working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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

Open / not marked corrected.

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

General: Based on review of documentation, there were no staff members employed by the center that were certified by a cabinet-approved training agency in infant and child cardiopulmonary resuscitation, and infant and child first aid. The CPR and first aid certification for staff members presented at the time of the inspection listed the training as "online only."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the employee files for staff members with hire dates of 8/9/2006, 8/7/2018, 8/10/2020 and two staff members with a hire date of 8/9/2017 did not contain verification that the staff members had completed fifteen (15) annual hours of cabinet approved early care and education training. Review of ECE-TRIS also failed to verify completion of the aforementioned trainings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the protective surface did not sufficiently cover the ground around and under two climbing structures on the playground. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. A review of documentation and interview on 6/02/2021 revealed one (1) child, age five-years-old, was left alone on 5/25/2021 around 11:00 a.m., for approximately twenty-eight (28) minutes. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the staff members with the hire dates of 08/10/2015, 08/08/2011 and 08/09/2017 had met the requirement of completing one and one-half (1 ½) hours of pediatric abusive head trauma training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the climbing apparatus located on the playground revealed there was not sufficient protective surface covering the areas under the monkey bars and climbing walls; there was dirt and grass showing. Equipment In Compliance 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, the sack lunch that was served did not meet all of the required components. Several children were not offered or served vegetables, fruit or pasteurized skim or low fat 1% milk. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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 interviews and review of documentation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interviews with staff members revealed a child was left unsupervised for approximately fifteen (15) minutes while the remainder of the classroom was on the playground. Interviews revealed the number of children in attendance was incorrectly noted when a child arrived late and was inadvertently not included in the total number of children in attendance. A review of written statements from staff revealed staff members did not concur on individual counts of the children, and the attendance sheet was not reviewed. 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 interviews and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. Interviews with staff revealed a child was left alone for approximately fifteen (15) minutes in a classroom, while the other children and staff were on the playground. The child was found crying quietly at the door when the class returned. Interviews also revealed staff failed to concur on the number of children taken to and from the playground, and the written attendance was not reviewed. Also, written statements revealed an incorrect count occured when a child arrived late and failed to be counted in the total number of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory background checks requirements. Review of the presented employee records revealed a staff member with hire date 9/9/18, whose file contained a current Arizona driver’s license, did not obtain a Arizona background check. Upon request, the director did not present a Arizona background check for the aforementioned staff member at the time of the survey. Continued interview with the director revealed the staff member with hire date of 9/9/18 had not worked alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the director failed to ensure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for three (3) staff members hired 10/5/15, 4/27/16 and 5/4/16. Interview with director revealed an evaluation had not been completed for the staff members. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for two (2) staff members hired 2/12/19 and 10/1/18. Interview with director revealed she needed to obtain proof of education for these staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (3) staff members hired 8/10/15, 10/5/15 and 5/4/16. Interview with director revealed this documentation was not on file at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake drill logs presented for review at the time of survey revealed earthquake drills were not documented for the 2nd and 3rd quarters of 2018. Interview with director revealed the drills were conducted; however, she could not locate the documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake drill logs presented for review at the time of survey revealed earthquake drills were not documented for the 2nd and 3rd quarters of 2018. Interview with director revealed the drills were conducted; however, she could not locate the documentation at the time of survey. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on interviews with staff members and a parent, it was determined that three (3) two-year-old children were left unsupervised for an undetermined amount of time while a staff member exited the classroom to use the restroom on 06/26/18. Staffing Requirements In Compliance Director Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 2/5/18 and 7/1/11 that did not contain a current statement from a health professional that they were free of active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 10/5/15 and 5/4/16 that did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present the educational documentation for the aforementioned staff members 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. Review of the presented employee records revealed staff members' files with hire dates 9/22/15, 10/5/15, 8/6/07, 8/9/06, 8/12/13, and 8/15/13 that did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Continued review of the presented employee records revealed staff members' files with hire dates 8/14/17 and 8/3/17 that did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Review of the presented employee records revealed a staff member’s file with hire date 8/15/13 that did not contain documentation to verify completion of the one and one-half (1 ½) hours of pediatric abusive head trauma. Upon request, the director did not present the documentation to verify completion of the trainings for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a water stain in the ceiling tile located above the math area in the Dogwood Room. There were several water stains in the ceiling tiles located above the reading area in the Birch Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 bathrooms located in the Birch Room and Willow Room were not ventilated to outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance to regulatory requirements. The white cushion in the chair located in the Maple Room was dirty. The white cushion in the wooden rocker located in the Dogwood Room was dirty. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children’s files with enrollment dates 4/21/17 and 3/8/17 that did not contain the name or contact information for the family physician. Upon request, the director did not present the information at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. 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 Maple Room, Dogwood Room, and Willow Room were not dated. There was not a schedule of daily activities posted in the Aspen at the time of the survey. Animals 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, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements as follows: 1) Review of presented staff files revealed that the CAN check for a staff member with the hire date 6/1/16 had information that the staff member had lived in Florida and South Carolina within the last five years; however, there was not an out of state criminal record check on file. 2) Review of presented staff files revealed a CAN check for an additional staff member with the hire date 8/5/16 that had information that the staff member had lived in Tennessee within the last five years; however, there was not an out of state criminal record check on file. 3) Review of presented staff files revealed the criminal record check for a staff member with the hire date 8/5/16 was completed on 3/15/17; therefore, it was not submitted by the end of the first work day. Interview with the director revealed the aforementioned staff members have not worked alone with children. She stated each classroom has two (2) staff members working together. Neither of the aforementioned staff members were observed alone with children during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

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. Three (3) staff members with hire dates of 5/31/16, 8/11/10 and 8/8/11 did not have written documentation from a health care professional to verify that the individual was free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements as follows: 1) Review of presented staff files revealed a staff member with the hire date 5/31/16 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. 2) Review of presented staff files revealed staff members with the hire dates 8/3/09, 8/26/14 and 6/2/14 did not complete fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The left back wall had three (3) areas that were not smooth, covered with a white material.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The toilet handle is loose and dangling down in the bathroom located in the O’Keefe room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 six (6) staff members with the hire dates; 2/15/07, 8/8/11, 9/2/14, 8/15/13, 7/1/11 and 6/2/14 failed to complete Fifteen (15) hours of cabinet-approved early care and education training for the subsequent year of employment. Review of ECE TRIS report verified the training hours were not completed. Interview with the director revealed not all staff members of the child care center had completed the fifteen (15) hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 toddler room sink revealed the sink failed to be equipped with hot water. Observation of the toddler bathroom sink revealed the sink failed to be equipped with hot water at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and Interview, The child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the playground revealed a sandbox without a cover at the time of the survey. Interview with the staff in charge 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 3. General Requirements.

General: Based on Review of Documentation, and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of disaster drills revealed the child care center failed to conduct fire drills for August 2015, November 2015, February 2016 and March 2016. Interview with a staff member revealed an inability to locate the documentation at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of disaster drills revealed the child care center failed to conduct earthquake drills for two (2) quarters of the year 2015 and the first quarter of the year 2016. Continued review of disaster drills revealed the child care center failed to conduct tornado drills for two (2) quarter of the year 2015. Interview with a staff member revealed an inability to locate the documentation at the time of the survey. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 02/24/15 having supervisory power over a minor failed to have a high school diploma, GED or other qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential contained in the file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 02/24/15 failed to have a current tuberculosis results, or a signed statement from a health professional stating the individual is free of tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of: 07/28/13, 08/11/14 and 06/07/14 failed to have completed a cabinet approved orientation training within 90 days from the start of employment. Based on further review, staff members with hire dates of 07/28/13 and 08/01/13 failed to have documentation of 15 hours of cabinet-approved training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation. a large black purse was observed on a shelf in the library unattended by a staff member, allowing easy access to any child entering the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and review of documentation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation there were 134 children in care on 05/04/15. Based on a review of documentation, the center has a capacity of 120.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation, five (5) female school age children were unsupervised as they left the upstairs floor and traveled down the steps to the first floor, while the surveyor was going down the steps. Based on an interview with the staff in charge she surmised a parent volunteer was responsible for allowing the children to leave unattended.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements. Based on a review of documentation, there was no written documentation from the local authority showing compliance with local zoning requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation, and interview, the child care center failed to comply with the regulatory requirements. Based on observation, twenty-four (24) school-aged children between the ages of nine (9) and twelve (12) were cared for in another building at the time of the survey. Based on a review of documentation, there is no evidence that a request, or an approval, to care for children in another building was made. Based on a phone interview with the staff in charge, she stated the builder cleared it for use in January 2015. The staff member was unaware that a request for approval from Frankfort was needed when additional, unregulated space was used.

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 maintain employee records in accordance with regulatory requirements. Based on a reviw of documentation, a volunteer with a start date of 9/2012 failed to have a Criminal Record Check and CAN results available for review. Based on an interview with the staff in charge, the volunteer had been alone with children when tutoring for one hour twice a week. An employee with a hire date of 08/11/14 had a CRC and CAN results processed in 09/2013 prior to employment by this child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a reviw of documentation, a volunteer with a start date of 9/2012 failed to have a Criminal Record Check and CAN results available for review. Based on an interview with the staff in charge, the volunteer had been alone with children when tutoring for one hour twice a week. An employee with a hire date of 08/11/14 had a CRC and CAN results processed in 09/2013 prior to employment by this child care center.

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 the property in accordance with regulatory requirements. Based on observation, the wall outside of the Toddler room had a circular door stop mounted onto the wall, which was broken and had sharp plastic edges 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: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a tall, gray plastic storage shed had a missing door. The door was sitting next to the shed. A seat on a wooden bench/toy box was missing , leaving only a small slat of splintered wood connected to the remaining hinges. A wooden bench sitting along the back of the fence had a nail head protruding up from the seat. Two pic-nic tables, one retangular and one octagon-shaped had nail heads which were not flush with the seat and were hazardous.

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 Review of Documentation, the child care center failed to maintain the food services according to regulatory requirements. Based on a review of documentation, there was no current food service permit available for review. The food service posted expired 12/31/14.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation, a child enrolled on 06/19/11 failed to have a current immunization certificate contained in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation. Based on a review of documentation, the child care center failed to have a written record of the children who participated in quarterly earthquake and tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Based on a review of documentation, children who had participated in monthly fire drills were not recorded.

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, the child care center failed to post documentation in accordance with regulatory requirements. Based on a review of documentation, each statement of deficiency issued by the cabinet in the current year, and plan of correction submitted by the child care center failed to be posted in a conspicuous place and made available for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare center failed to maintain adequate supervision of all children in care. Interview revealed that on 02/05/2015, a three-year-old child was left unsupervised in a hallway outside the Matisse Room for approximately twenty (20) minutes. Continued interview revealed that the three-year-old child was tardy and not escorted to his classroom; therefore, he remained outside of the classroom out of the scope of vision of all staff members until a staff member noticed him. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, the childcare center failed to maintain minimum child to staff ratios. Interview revealed that the childcare center routinely exceed child to staff ratios during breaks of staff as there are two (2) staff members supervising up to thirty-seven (37) children aged from two-years-old to six-years-old during outdoor play. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview and Observation, the childcare Director failed to maintain the health, safety and comfort of all children in care. Interview with staff and the Director of the childcare center revealed that children aged two-years-old to six-years-old were allowed to play in an outdoor unfenced area on the property due to the fenced area being muddy. Continued interview revealed that the ratio exceeded maximum ratios, two (2) staff members caring for thirty-seven (37) children aged two-year-old to six-years-old, while the children were outside of the fenced area. Observation of the unfenced outdoor area in which the children recently played revealed a large ravine with a steep drop-off surrounding the area. Continued observation revealed that the unfenced area was accessible to the parking lot of the childcare center and the surrounding strip mall. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain all required background checks. Review of documentation revealed that the staff members and/or volunteers with the following hire dates did not have a Criminal Record Check (CRC) presented for review: 01/19/2015, 01/27/2015 and one volunteer with an unknown hire date. Continued review of documentation revealed that the staff members and/or volunteers with the following hire dates did not have a Child Abuse and Neglect (CAN) Check presented for review: 11/20/2014, 01/19/2015, 01/27/2015 and one volunteer with an unknown hire date. Interview with staff and the Director revealed that the staff members and/or volunteers without the required background checks did not work alone in the center. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of staff files revealed that a staff member hired on 01/27/2015 did not have a high school diploma, GED or Commonwealth Care Credential on file and available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that all staff members were free from active Tuberculosis. Record review revealed that staff members with the hire dates of 01/09/2012, 06/23/2014 and 01/27/2015 did not have documentation from a health professional to verify that the individuals were free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain all training requirements. Review of documentation revealed that the staff member with the hire date of 06/23/2014 did not have an Orientation Certificate presented for review. Interview with the staff member with the hire date of 06/23/2014 and the Director revealed that the aforementioned staff member's primary duties are in the office, but is also used as a floater when necessary. Outdoor Play Area

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 Interview and Review of Documentation, the childcare center failed to maintain fence requirements. Interview revealed that children were taken outside of the fenced area to play during outdoor playtime due to the muddiness of the fenced area for approximately two (2) weeks in January. Review of documentation confirmed the area outside of the fence in which the children played.

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 childcare center failed to maintain playground conditions. Observation of a woodshed containing blocks revealed that the door of the shed was broken off, exposing five (5) screws at a low height accessible to the children in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

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, the childcare center failed to maintain documentation of off premises trips. Review of Documentation revealed that the childcare center did not obtain written permission prior to allowing the children access to the unlicensed outdoor area on the property of the childcare center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview the childcare center failed to maintain adequate supervision of all children. In an interview with a staff member, it was determined on January 28, 2015, a five-year-old child in the O'Keeffe Classroom suffered a second-degree burn when he spilled hot water on his lap during tea lesson time. Continued interview revealed that the staff member observing the tea lesson walked away from the lesson to help another child that was pulling ceramic plates off a shelf and was not properly supervising the children using the hot water during the tea lesson. General Administration

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the childcare center failed to report to the cabinet an accident or injury to a child that required medical care within twenty- four (24) hours from the time of discovery. Interview with the Director revealed that a five-year-old child was burned on his thigh on January 28, 2015 and the burn required medical attention. Continued interview with the Director revealed that the cabinet was not notified of the injury. Review of DRCC records revealed that the cabinet did not receive notification of the incident. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare center failed to maintain the health, safety and comfort of all children in care. Interview with staff revealed that on January 28, 2015 there were two (2) adults, one (1) staff member and one (1) volunteer, supervising twelve (12) children aged from two-years-old to six-years-old. Continued interview revealed that there were two (2) children participating in a tea lesson that consisted of numerous steps to allow for the scalding water to cool, however the staff member supervising the lesson walked away to ensure that another child did not pull ceramic dishes off a shelf prior to confirming that the children using the tea kettle did not sustain an injury due to the hot water, and a five-year-old child spilled water on his lap causing a burn. Interview with a parent of the injured child confirmed that the five-year-old sustained a second degree burn due to the incident at the childcare center. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Observation, the child-care center failed to provide a daily planned program that offered developmentally appropriate self-help procedures in respect to eating. Interview with staff revealed that a five-year-old child received second-degree burns due to a spill during a tea lesson. Observation of the teakettle used during the tea lesson revealed that the kettle was a Proctor Silex white teakettle that reaches temperatures that range between 175° and 212°. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of documentation, the childcare center failed to maintain Medication Administration Requirements. Interview with staff at the childcare center revealed that a child was burned with hot water on January 29, 2015. Continued interview revealed that a cream for the burn was applied as first aid. Review of documentation revealed that the childcare center did not have written permission to administer any type of burn cream on the child in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center did not maintain all required background check documentation. Review of personnel files revealed that employees with the hire dates of 08/11/2010 and 08/12/2013 did not have out of state background checks presented during review. Continued observation of the file for the employee with the hire date of 08/11/2010 revealed that according to her resume and Child Abuse and Neglect (CAN) check, she resided in the state of Tennessee in as recent as 2010. Continued observation of the file for the employee with the hire date of 08/12/2013 revealed that according to her resume, education certification and Child Abuse and Neglect (CAN) check, she resided in the state of Georgia in 2010.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that a staff member was free from active Tuberculosis. Record review revealed that an employee with the hire date of 08/12/2013 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain annual required training hours. Review of documentation revealed that the employees with the hire dates of 02/15/2007 (0 of 15 hrs) and 08/06/2007 (14 of 15 hrs) did not have available all required annual training hours presented for review. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center did not maintain all premises requirements. Observation of the before/afterschool classroom revealed that there were approximately ten ceiling tiles that were stained with water spots.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center did not maintain milk requirements. Observation of the toddler classroom revealed that the milk served to the children for lunch was 1% milk. Interview with the Director revealed that in attendance in the toddler classroom were children aged from 18 months and older. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

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, a staff (DOH 7/26/10) failed to have a high school diploma, GED or Commonwealth Child Care Credential on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff (DOH 2/15/07) had a TB Skin Test no longer current after 3/26/12. A staff (DOH 11/1/11) had no TB Skin Test on file for review. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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 2) Type II In Compliance 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 In Compliance 2) 9 hours-first year In Compliance 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. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, a staff failed to complete fifteen (15) hours of annual training. Review of the documents provided revealed only eleven (11) hours were obtained for the last year. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable 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.