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

General: Based on observation, the following was found: 1) The water temperature of the handwashing sink in the front restroom measured one-hundred twenty-five (125) degrees Fahrenheit. 2) The water temperature of the handwashing sink within the rear restroom measured one-hundred twenty-eight (128) degrees Fahrenheit.

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 five (5) staff members (DOH 08/01/17, DOH 10/14/15, DOH 04/01/22, DOH 01/26/22, and DOH 05/19/22) were not presented for review upon request.

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 tuberculin (TB) test documentation presented for a staff member (DOH 10/14/15) contained a read date of "02/04/23" and was therefore, not current at the time of the inspection.

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: Documentation verifying that two (2) staff members (DOH 07/28/24 and DOH 04/11/24) 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1) It could not be confirmed that a staff member (DOH 05/08/24) had completed six (6) hours of cabinet-approved orientation training. 2) It could not be confirmed that a staff member (DOH 07/28/24) had completed six (6) hours of cabinet-approved orientation training. A review of ECE-TRIS could not verify that the aforementioned staff members had completed the training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, written professional development plans for five (5) staff members (DOH 08/01/17, DOH 10/14/15, DOH 04/01/22, DOH 01/26/22, and DOH 05/19/22) were not presented for review upon request.

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, a staff member (DOH: 04/11/24) was observed working with children prior to receiving a background check. A review of the KARES database confirmed this finding. 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 review of documentation, the file for a staff member (DOH: 05/19/22) did not contain a current negative tuberculosis test, stating the individual is free of active tuberculosis; or a copy of a negative tuberculin results. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1) A staff member (DOH 04/01/22) failed to complete fifteen (15) hours of cabinet-approved early care and education training during the training year 07/21/22 and 06/30/23. 2) The cabinet-approved pediatric abusive head trauma training for a staff member (DOH: 10/14/15) expired 03/28/23. A review of ECE-TRIS verified this information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, three (3) children's files were missing documents at the time of review: 1. (DOE: 06/29/23) did not have preferred hospital listed. 2. (DOE: 08/23/23) did not have physician's contact information. 3. (DOE: 02/15/17 and 11/15/19) did not have enrollment packets. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, an annual written plan for childcare professional development for 2023 for staff (DOH: 10/14/15, 05/19/22, 04/01/22, 01/26/22, 05/19/22, and 08/01/17) employed by the childcare center for more than one (1) year were not presented at the time of review. The staff member in charge acknowledged professional development plans were not completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 6. License Issuance.

General: Based on interview and review of documentation, documentation of current liability insurance was not presented for review. The insurance policy presented for review expired on 11/26/2022.

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, a large computer monitor was sitting on top of the mini-refrigerator in the infant room. The monitor was not secured and wobbled when the refrigerator was touched, creating a potential for it falling on the ten-month-old infant who played on the floor. In the Twos' room and the Threes' and Fours' room, there were uncovered electrical outlets. Also, in the Twos' room there was a plunger and toilet bowl brush located in a closet that was without a door, which was accessible to children. 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 13. Reports.

General: Based on review of documentation, the center was approved to operate from 9:00a.m. to 5:00p.m. Interview with the staff in charge confirmed that the center has been opening at 7:30a.m. and closing at 5:00p.m. Therefore, the center changed the hours of operations prior to submitting written notification to the cabinet and allowing time for approval before implementing the change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, current compliance with the Kentucky Fire Marshal codes could not be verified. The Fire Marshal inspection report that was presented for review was from 2019. No additional current documentation of correspondence with the Fire Marshal was presented for review. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a current copy of 922 KAR 2:280 was not presented for review. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, no current tuberculin test results or statement from a health professional verifying that the staff member was free of active tuberculosis was presented for review for two (2) staff members whose dates of hire are 1/26/2022 and 10/14/2015.

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, staff members with hire dates of 4/1/2022 and 5/19/2022 did not have annual training hours. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training. Also, to verify if the staff had been in child care within the past five (5) years an interview was conducted with staff hired 4/1/2022 and with the director for the staff hired 5/19/2022, and it was confirmed that the two (2) staff members had worked in child care within the past five (5) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the infant room there was an eleven-month-old infant asleep in the crib on their stomach. The infant room teacher confirmed that she had just put the infant in the crib. Therefore, infant was not placed on his/her back to sleep.

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, in the infant room there was an eleven-month-old infant asleep in the crib covered with a blanket. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle of Arm and Hammer laundry detergent was stored on top of the washing machine in the restroom located within the Twos' classroom. The label on the detergent contained a warning to keep the product out of reach of children. Additionally, there were lit candles throughout the center, in each room and kitchen.

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 infant room was dimly lit. Interview with the infant room staff member and center director confirmed the lights did not go any brighter. 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 outdoor playground was not free from foreseeable hazards. A section of drywall was stored against the building on the playground. The drywall had the sharp ends of screws protruding out from the drywall on the side that was exposed. Additionally, multiple plastic bags full of wood slats were stored in the outdoor play area. The wood slats were not fully enclosed by the bags and they contained splinters and protruding nails. Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, no current immunization certificate was presented for review for a child whose enrollment date was 01/13/2019. 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 5. Evacuation Plan.

General: Based on interview and review of documentation, documentation of a current evacuation plan in the event of a fire, natural disaster, or other threatening situation that was shared with the local emergency official was not presented for review. The evacuation plan presented for review was last dated on 01/01/2022. Interview with the staff in charge confirmed the document has not been submitted to the local emergency official in several years due to the lack of editing of the document.

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 documentation presented for review for quarterly earthquake and tornado drills conducted in 2022 only included one (1) date and time for both drills. Therefore, documentation verifying that both drills were conducted was not presented for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the ceiling revealed there was a heavy build-up of dust hanging from the ceiling through-out the kitchen. The staff in-charge acknowledged the deficiency.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Review of the employee records revealed a staff member with the hire 01/26/2022 was employed at the child care center. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report did not list the staff member as being employed at the child care center. The staff member was not observed working at the child care center on the day of the inspection. 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: Upon request, written proof of liability insurance coverage of at least $100.000 per occurrence for the child care center was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the outdoor play area revealed there was an area where there were multiple feet of black wire that was dangling from the facility. The wires were low and accessible to the children. 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 8. General.

General: Upon request, a copy of the administrative regulations 922 KAR 2:120 and 922 KAR 2:090 was not presented for review on the day of the inspection. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Upon request, a current written statement from a health care professional stating that the staff member with the hire date 01/26/2022 was free of active tuberculosis or a copy of a tuberculin result was not presented for review on the day of the inspection.

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: Upon request, verification that the staff member with the hire date 01/26/2022 had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the outdoor play area revealed there was a pink infant/toddler push tricycle that contained a broken safety restraint. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of staff files revealed the following: 1. Upon request verification that the staff members with the hire dates 03/10/2010, 08/01/2017, 10/14/2015, and 07/30/2018 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 aforementioned staff members. 2. Upon request, verification that a staff member with the hire date 01/26/2022 had completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment 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 six (6) hours of cabinet-approved orientation training had been completed by the staff member. 3. Upon request, verification that two (2) staff members with the hire dates 01/26/2022 and 08/01/2017 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 Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the training hours 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. There was paint and plaster chipping off the wall within the preschool room. 2. There was a hole in a ceiling tile within the infant room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 changing table within the infant room revealed there was a build-up of dust and debris on and under the changing pad. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the container where the first aid supplies were stored revealed there was a dried white crusty substance throughout the container and the first aid supplies. Therefore, the first aid supplies were not stored in a sanitary manner. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the outdoor play area revealed there were multiple pieces of glass that were scattered throughout the dirt within the outdoor play area.

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 outdoor play area revealed the following: 1. There was a wooden fence that was missing wooden planks, leaving a large opening for a child to exit the play area. 2. There was a wooden gate that was not connected to the fence. The gate was propped up against the wooden frame. Therefore, the gate was not stable. 3. The bottom portion of the chain link fence was not secured with the tension wire that was partially attached, causing the fence to curl outward. The tension wire and fence were a potential tripping and entanglement hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. In the preschool room there were multiple vinyl stacking blocks that were cracked and the inside absorbent material was exposed. 2. In the infant room was a black vinyl couch and stool that were cracked in multiple places, causing the inside absorbent material to be exposed. Also, there was a seat cushion on an adult size wooden rocking chair that was soiled with a grey substance.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the refrigerator freezer within the kitchen revealed there was a build-up of dust and dried food particles. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Review of presented children’s files revealed the following: 1. There were three (3) children with the enrollment dates 09/05/2017, 08/26/2017 and 04/15/2019 whose files had a non-existent hospital listed as a preferred hospital. Therefore, a preferred hospital was not listed. 2. There was a child with the enrollment date 12/07/2016 whose file did not have a preferred hospital listed. 3. There was a child with the enrollment date 12/07/2016 whose file did not contain the name of each person who is designated to pick up the child from the child care center. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written organizational chart and chain of command were not presented for review on the day of the inspection.

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: Review of lock down drill logs revealed that a lock down drill was not conducted for the first (1st) quarter of 2022. Upon request on the day of the inspection, the staff-in charge did not provide documentation verifying that the drill had been conducted and documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the kitchen revealed light bulbs not shielded or shatterproof. Interview with the staff in charge confirmed the bulbs were not shielded or shatterproof. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the back outdoor play area revealed a broken metal strip at the base of the old purple door causing a danger to children. Interview with the staff in charge confirmed the metal strip was a danger. 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 and interview, the child care center failed to comply with regulatory requirements regarding Outdoor Equipment. Upon request, the staff member in charge did not present verification that the van used to transport children was able to start, run and function properly in order to pass an inspection. The van also had a flat tire, it was not clean and in good repair. Interview with the staff in charge revealed that she agreed the van was not clean and it was in need of repair. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the required documentation and record of transportation services provided in accordance with 922 KAR 2:120, section 12 was not presented for review at the time of survey. This includes a written plan in detail regarding plans, schedules, routes, inspections, rosters, and many aspects of the daycare Transportation as detailed in the regs. Interview with the staff in charge confirmed the documents were unavailable.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation and interview revealed the center was unable to produce documents of compliance to KRS Chapter 186 KAR 5:072 pertaining to: Vehicles; Drivers; and Insurance.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed policies and procedures specific to transportation was not presented for review. Interview with owner/director revealed this documentation was not available for review at the time of survey. Also, Interview with owner/director revealed she no longer uses the vehicle and plans to no longer provide transportation. She stated she will have transportation taken off of her license. The staff in charge stated the vehicle was inoperable and she did not know where the keys were. 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

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation and interview revealed the staff in charge was unable to provide the documentation regarding a plan for ensuring staff perform duties relating to transportation properly. Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the site director did not present an immunization certificate for a child's file with the enrollment date 12/8/19. Interview with the site director revealed the center had not received documentation for the child that is updated. 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 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 of a written emergency preparedness plan updated and submitted to ensure how children will be kept safe during any disaster, and ensure the plan meets the specific requirements listed in KRS 199.895. Interview with the staff in charge confirmed the documentation was not available at the time of the survey. The plan had not been submitted to the local emergency preparedness agency within the last year. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation in bathroom I revealed an electrical wall outlet with no protective covering. Employee Records In Compliance 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

Open / not marked corrected.

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

General: Based on observation, child care center failed to maintain premises in accordance with regulatory requirements. Observation in bathroom I revealed the ceiling light was not shielded and had no shatterproof bulb. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, child care center failed to maintain children’s records in accordance with regulatory requirements. Records for the child with the enrollment date of 08/02/2019 did not contain a preferred hospital or a named physician. Interview with the staff in charge revealed the requested documentation was unavailable at the time or survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. The child care center failed to present the names of the people in attendance for the fire drill conducted in the month of September for review at the time of survey. Interview with the staff in charge revealed the drill was conducted; however, she could not locate the names of people present during the drills 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 2. Child Care Services.

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. Review of documentation revealed there was no written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. The child care center failed to present the names of the people in attendance when the fire drill was conducted in the month of September for review at the time of survey. Interview with the staff in charge revealed the drill was conducted; however, she could not locate the names of people present during the drills at the time of 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 interview and review of documentation, the child care center failed to comply with regulations regarding posted documentation. Review of documentation revealed the current rates for child care services were not posted in a conspicuous area or readily available for review at the time of survey. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding posted documentation. Review of documentation revealed the diagram outlining the course of action in the event of a natural or manmade disaster was not posted in a conspicuous area or readily available. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with the regulations regarding background checks. Upon review of presented staff files and the KARES surveyor report, it was revealed there are no active staff members at the child care center who had a determination of clearance from the Kentucky National Background Check Program (NBCP) under this child-care center's license L359131. Interview with the director revealed all of the staff members of the child care center were entered in the database for the child care center Munchkin Manor Child Enrichment Center, L 383330. This was confirmed by a review of KARES. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with the regulations regarding background checks. Upon review of presented staff files and the KARES surveyor report, it was revealed that there are no active staff members at the child care center listed with a determination of clearance from the Kentucky National Background Check Program (NBCP). Interview with the director revealed all of the staff members of the child care center were entered in the database for the child care center Munchkin Manor Child Enrichment Center, L 383330, which was confirmed through a review of KARES. Supervision 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 interview, the child care center failed to comply with the regulations regarding director requirements. The health, safety, and comfort of a five-year-old child was compromised when he was grabbed aggressively by the back of his pants by a staff member. Interview with a staff member revealed that he/she grabbed a five-year-old child aggressively by the back of the pants, causing a rip in the jeans. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the director's personnel file failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the director revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with the regulations regarding employee records. Review of staff files revealed no employee at the child care facility has current approved CPR/First Aid certification. Interview revealed the CPR/First Aid certification had been completed by EMS Safety, an agency that is not cabinet-approved. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulations regarding programming. Interview with a staff member revealed she instructed a five-year-old child to go to the bathroom for “timeout” as a form of discipline. Interview revealed the bathroom is used for “timeout” for children who need to be redirected.

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 a review of documentation and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of documentation failed to reveal a request of a criminal record check for each state of residency within the past five (5) years for a staff member with a hire date of 9/25/18 who resided in Oklahoma in the past five years. 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, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal verification that staff members with hire dates of: 3/15/14, 3/10/10, 10/15/17, and 8/1/17 have completed 15 hours of cabinet approved training for subsequent years of employment. Also staff members with hire dates of: 10/15/17 and 8/1/17 failed to have documentation verifying pediatric head trauma training was completed once every five (5) years. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation revealed a pink and purple tricycle, and a smaller pink tricycle, with broken plastic baskets attached to the rear of the cycles, which had sharp, rough edges exposed. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. A review of documentation failed to reveal transportation routes for children who are transported from home to the center or from the center to the child's home. 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

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation revealed a broken seat belt for the outermost seat in the front passenger row of the vehicle. The belt could not be retracted. 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 a review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of childrens' files failed to reveal a preferred hospital designated for the child. Additionally, a child's file failed to reveal information to enable a staff person to contact the child's physician. 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 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 statement of deficiency issued by the cabinet to the provider, and a plan of correction submitted to the cabinet by the provider, posted in a conspicuous area and made available for public inspection. Interview with the provider revealed the document was not posted at the time of the survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor playground in accordance with regulatory requirements. Observation of the wooden fencing surrounding the outdoor playground revealed several areas in which long, sharp, rusted nails, pointed in the direction of the playground. In addition, due to an insufficient amount of surface protection, plastic material was observed throughout the playground area, posing as a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor playground area in accordance with regulatory requirements. Observation of the outdoor playground's protective surface revealed plastic material and surface dirt with scattered mulch throughout the area.

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 outdoor playground area in accordance with regulatory requirements. Observation of the wooden fencing surrounding the outdoor playground revealed several areas in which long, sharp, rusted nails, pointed in the direction of the playground. Equipment In Compliance Transportation In Compliance 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 program in accordance with regulatory requirements. Observation of food service revealed the children were served "chex mix" and water for snack. Several of the children responded that they did not want the snack and were told to throw the "chex mix" in the trash. There was no evidence that the children received two (2) of the following components: milk, protein, bread, fruit, vegetable or 100 percent juice. Interview with the child care center director revealed the child care participates in the food service program. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to to maintain food service in accordance with regulatory requirements. Observation of the Infant classroom revealed a nine (9) month old child, who held his/her own bottle, on the floor on his/her back, as he/she drank milk from a bottle. The classroom teacher sat on the floor next to the child. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the premises in accordance with regulatory requirements. In the hallway located near the Infant classroom an open purse was sitting on the top of the bookshelf within reach of the children. Observation the two (2) restrooms revealed there was bleach and window-cleaning products located in the vanity with no safety lock, therefore making the items accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the childcare center failed to maintain the premises in accordance with regulatory requirements. The windowsill located in the front classroom had metal that was exposed along the edge, along with paint that was beginning to chip away. The small step-up located at the entrance to the Infant classroom revealed a frayed edge with loose carpet strands hanging from the edge of the carpet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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

Category: physical safety. 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 an outdoor play area in accordance with regulatory requirements. The playground located behind the childcare center revealed three (3) broken slats, along with a support beam that was not securely attached to the fence. 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 with regulatory requirements. The small blue couch and red lounge chair located in the classrooms contained areas on the arm and seat edges where the material had become worn and the foam interior was exposed. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. The ceiling fan located in the kitchen contained a visible build-up of dust on the blades. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the director did not present verification that the records for the children with the enrollment dates of 11/02/2011 and 10/25/2011 contained information listing the preferred hospital. Continued review revealed the children with the enrollment dates of 07/18/2016 and 11/01/2016 did not contain a listing for their family physician or emergency authorization. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Observation, record review and interview, the child care center failed to comply with staffing requirements. Observation of the Three to Five Year Old classroom revealed staff with a hire dates of 07/11/16 and 09/12/16, in the role of caregiver. Review of employee record for staff with a hire date of 07/11/16 revealed the staff was under the age of eighteen (18) years of age. Further review of employee record for staff with a hire date of 09/12/16 revealed the staff did not meet criteria as a qualified staff person as he/she failed to complete criminal record background and child abuse or neglect (CA/N) checks. Therefore, it was determined the staff with a hire date of 07/11/16, was not considered under the direct supervision of a qualified adult staff person. Exit interview with the child care center director revealed acknowledgement of deficient practice. Director Requirements 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, record review and interview, the child care center director failed to assure compliance with regulatory requirements. Observation on 09/29/16 of the Three to Five Year Old and the Infant classrooms revealed staff with unsupervised contact, supervisory and disciplinary control of children in their care. Review of record for staff in the Three to Five Year Old classrooms with hire dates 07/11/16 and 09/12/16, revealed no documented evidence of completed criminal records check from the Administrative Office of the Courts or the Kentucky State Police. Further review of record for staff with hire dates 07/11/16, 09/12/16 and 05/20/16, revealed no documented evidence of completed child abuse or neglect checks using the central registry in accordance with 922 KAR 1:470. Therefore, it was determined that each staff person in the Three to Five Year Old and Infant classrooms were allowed to work alone without completed criminal record back ground and child abuse or neglect (CA/N) checks. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 6. License Issuance.

General: Based on Observation, interview and record review, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation on 09/29/16, of the Three to Five Year Old and the Infant classrooms revealed staff with unsupervised contact, supervisory and disciplinary control of children in their care. Interview with each staff revealed each person was recently employed with the child care center. Staff with a hire date of 07/11/16 was stated to be in the role of Volunteer; however, the staff was observed in the role of caregiver. Review of record for staff with a rehire date of 09/01/16 and staff in the Three to Five Year Old classroom with hire dates 07/11/16 and 09/12/16 revealed no documented evidence of completed criminal records check from the Administrative Office of the Courts or the Kentucky State Police. Further review of record for staff with hire dates 07/11/16, 09/12/16, 05/20/16 and 09/01/16 revealed no documented evidence of completed child abuse or neglect checks using the central registry in accordance with 922 KAR 1:470. Therefore, it was determined that each staff person in the Three to Five Year Old and Infant classrooms were allowed to work alone without completed criminal record back ground and child abuse or neglect (CA/N) checks. Telephone interview on 10/19/16, with staff with the hire date of 05/20/16, revealed he/she normally works alone in the classroom. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Three to Five Year Old classroom revealed staff with a hire date of 07/11/16, in the role of caregiver. Review of staff records revealed no documentary evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee record for staff with a hire date of 09/12/16 revealed no documented evidence of a statement from a health professional that the staff is free of active tuberculosis. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the blue chair located in the two-three-year-old classroom room revealed the blue vinyl chair to had become worn, exposing the foam cushion. Continued observation in the two-year classroom revealed the red vinyl chair had several small holes with exposed foam. Interview with the director revealed she was not aware of the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she did not have a policy.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the transportation log for the field trip dated 11/02/2015 revealed that the center did not record accurately each time the child got on the vehicle and each time the child got off the vehicle. Interview with the director revealed she did not maintain the accurate times.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation the child care center ailed to maintain food service in accordance with regulatory requirements. Based on observation in the kitchen revealed the stove had a buildup of grease and splattered food on top of the stove and inside the oven. Interview with the director revealed she was not aware of the condition of the stove.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documents revealed that the requirement for KRS 199.898, rights for children in child-care programs and their parents, custodians, or guardians was not available for review. Interview with the director revealed she was unable to locate the document.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the childcare centers fire drill records revealed the childcare center failed to maintain the monthly drill conducted for October 2015. Interview with the director revealed she could not locate the drill.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care centers documents revealed the child care center failed to maintain the fire drill conducted October of 2015 that included the names of the children who participated. Interview with the director revealed she could not locate the document.

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 with the director, the child care center failed to post documentation in accordance with regulatory requirements. Based on observation, the child care center did not post the information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897in a conspicuous place and make it available for public inspection. Interview with the director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation in the three-year-old and infant classroom revealed there was no posted schedule of daily activities, which included the dates and times of activities to be conducted with the children in each classroom. Interview with the director revealed she was not aware the posting was not present.

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 with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation near the two-to three-year-old classroom revealed there was one (1) overhead light that was non-operational making the area dimly lit. Interview with the director revealed she was aware the light was non-operational.

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 with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation throughout the center had walls that were beginning to peel and flake. Continued observation revealed the baseboards and doors within the center to have a build-up of grime and dirt. Interview with the director revealed she was in the process of addressing.

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 with the director revealed the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed there nine (9) fence slats that were broken with jagged edges. Interview with the director revealed she was not aware of the issue.

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 comply with employee records requirements. Review of documentation revealed that staff person with hire date 10-11-11 had documentation on file from a health professional that the individual was free from active TB that was not current after 11-20-14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records requirements. Review of documentation revealed that each of the three (3) staff members identified as drivers with hire dates, 10-11-11,12-2-10 and 3-1-11, failed to have documentation of a Kentucky drivers record on file at the time of the survey. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with premises requirements. Observation of the classroom located adjacent to the kitchen revealed that the light fixture contained only one of the three required light bulbs causing the room to be dimly lit and not suitable for programming.

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 comply with food service requirements. Observation at the time of the survey revealed there to be an opened bag of veggie straws and a opened bag of corn chips sitting on a cart in the kitchen.

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, in the infant room, there was one bottle that was not name labeled and two bottles that were not covered.

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, a child enrolled on 6-22-13 does not have a current immunization record on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, center transportation records do not include the first and last name of the children transported and the time children are exiting the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, a volunteer who started volunteering on 10-1-11 was observed to be in a supervisory role in the infant room, alone, from approximately 10 a.m. until approximately 12:00 p.m. Based on review of documentation volunteer has not completed any training to be considered a qualified staff person. Based on interview, volunteer is normally scheduled to work alone with the children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, a child's allergy to peanuts was publicly posted with his first and last name, not maintaining this child's medical information in a confidential manner.

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, in the infant room on five crib mattresses, the plastic shipping bag was covering the mattresses that the children were using to sleep on. The plastic shipping bag clearly stated to remove the plastic bag prior to use to prevent suffocation. Based on observation in the toddler room on a low open shelf under the diaper changing station, there was a bag of empty plastic bags, easily accessible to the walking children in the classroom. Based on observation on the toddler playground there was a ten gallon bucket of water accessible to the children. Based on observation on the toddler playground there were two ladders leaning against the fence in a manner that they could fall onto a child.

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, a staff member hired on 5-27-13 did not have her child abuse and neglect check requested in accordance with 922 KAR 1:470 as it was not signed by the director until 6-10-13.

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 member hired on 1-28-13 did not have documentation from a health professional that individual was free of 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, a staff member hired on 2-1-11 completed eleven of the required fifteen hours of annual child development training.

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, a two month old child was placed to sleep on his stomach.

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, there were toys attached to the inside of two cribs.

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, under the unlocked bathroom sink cabinet accessible to children was multiple bottles of cleaning supplies including Swiffer, Lysol and Clorox. Based on observation in the second bathroom, under the unlocked sink cabinet, accessible to children was multiple bottles of chemicals including bleach, Lysol, window cleaner, carpet cleaner and roach and ant killer. In the bathroom on the middle shelf of the changing table was an uncovered can of spray disinfectant easily accessible to the children. On the diaper changing station in the toddler classroom was a Lysol cleaning solution and hand sanitizer accessible to the toddlers getting their diapers changed.

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, in the toddler room, there is not a sink in close proximity to the diaper changing station.

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, a child wiped her nose and was directed to use hand sanitizer afterward as opposed to washing her hands with soap and water. Based on interview with toddler room staff, after diaper changes, hand sanitizer is used on the toddlers hands. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 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 3. General Requirements.

General: Based on Interview, with toddler room staff, staff member will change all of the children's diapers prior to washing her hands with soap and water.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview, the infant room and toddler room toys are not being sanitized per regulation. 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, center was providing diaper cream and administering diaper cream to infants without written parental consent.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childrens sheets and blankets are not stored in a sanitary manner as the sheets and blankets are stored on the cots, the cots are stacked up on end with the feet of the cots touching the sheet on the cot below and the blankets and sheets are touching the blankets and sheets on the cots below.

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 Bye, Bye Buggy used to transport six children for outdoor walks was missing seat belt components for all six seats.

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, on the playground was a small red table with one of the legs broken off.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was a can of bed bug killer on the van accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center does not have a written plan of how to proceed if the parent or designee is unavailable, where the child can be picked up from.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center used one field trip permission slip for approximately twenty one field trips that took place in the Summer of 2013. There was not any dates listed for the field trips other than Summer 2013. Based on review of documentation, the center does not have signed parental permission for children to be transported on the center vehicle to the center from home. Written 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 interview, staff person hired February 2013 was working in the child care center without having documentation varifying education requirement on file. Equipment - Classroom 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 2) Meets Standards Not In Compliance Findings: Infants: Based on observation, the 5 cribs being used for children were not compliant with current federal safety standards. Each crib had a manufacturing date of June 2, 2000. 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 Not In Compliance Findings: Infants: Based on observation, there were four Bumbo seats sitting in the corner of the infant room. Further observation revealed that these items have been recalled by the Consumer Product Safety Commission.

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 for all staff members in the personnel binder, one (1) file did not contain a copy of a current negative TB skin test for a staff member with the hire date of 10/11/11. 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 In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 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 In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

infants: Based on Observation, there were two loose, rusty screws on the changing table; one on each side of the pad. There was also a ceramic angel statue sitting on top of a half wall that was next to a crib with a small sleeping infant. Older children were playing on the other side of the wall, which could have caused the statue to fall onto the infant. 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 Not In Compliance Findings: Preschool: Based on Observation, there were bottles of toxic cleaning supplies stored on a rack in the restoom. The cleaning supplies consisted of 409 and Clorox Cleaner. The bottles were hanging from a shelf that allowed them to be within reach of children. 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. 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 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Toddlers: Based on Observation, a 14 month old toddler was permitted to sleep in crib that was located in a room with five older children that were two through four years old, The same child was observed joining a group of two year olds during reading time.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, there was no current immunization certificate on file for a child with the enrollment date of January 15, 2008.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.