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

General: Based on interview and review of documentation, a four-year-old child was left unsupervised in a classroom for twenty-eight (28) minutes while their classmates were taken to another area of the building on 12/29/25. Staff members failed to ensure each child was accounted for during movement from one location to another, using name-to-face recognition by visually identifying each child on that day. 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 8. General.

General: Based on interview and review of documentation, a four-year-old child's safety and comfort was compromised when they were left unsupervised in a classroom for twenty- eight (28) minutes while their classmates were taken to another area of the building on 12/29/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: In Classroom C, there was one (1) electrical outlet without a safety plug, where four (4) children were present, including the youngest, who was three (3) years old, and the oldest, who was four (4) years old.

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, one (1) staff member (DOH: 05/16/2025) did not complete first aid and CPR training within three (3) months of hiring.

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 interview and review of documentation, verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for one (1) staff member (DOH: 05/16/2025).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the diaper changing pad in Classroom D had small tears in the protective covering. The tears rendered the pad unable to be properly sanitized.

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, Based on interviews and review of documentation, the facility failed to provide for the health, safety, and comfort of a three-year old child in care. During the investigation it was found that a teacher was holding the child upside down when she fell while holding him. As she fell, the child fell and hit his head on a bench. The child required 5 stitches to his wound. Director Requirements In Compliance

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, there were five (5) people on the center's Kentucky Applicant Registry and Employment Screening (KARES) roster who did not currently work at the center. Supervision 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, there was a missing plug cover in a socket under the window in the carpeted area of the 2 year old classroom.

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, it could not be verified that one (1) staff member (DOH: 01/03/22) had an annual evaluation completed. The director stated she is not the direct supervisor of the staff member because she is full time employed at another location. The director also stated the aforementioned staff member is kept on file as a substitute.

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, it could not be verified that one (1) staff member (DOH: 12/28/22) was free from active Tuberculosis. The last read date on the tuberculin results was 12/16/22 which surpasses the two (2) year mark.

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) It could not be verified that one (1) staff member (DOH: 09/16/24) completed six (6) hours of cabinet approved orientation. This was supported via the use of ECE-Tris. 2) It could not be verified that one (1) staff member completed fifteen (15) hours of annual training, which was supported by review of ECE-Tris.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the daily planned programs in the following rooms did not reflect the current weeks daily planned activities. 1) The Infant room had a daily planned program dated for the week of December 16th. 2) The Big Birds classroom had a daily plan for the week of December 23rd. 3) The explorers classroom had a daily planned program dated for the week of December 16th.

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 sink in the 2 year old classroom had broken caulking and the sink was falling away from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There was a splintering shelf in the 2 year old classroom. 2) The backing to a dollhouse in the Dynamite Discovers classroom, was not secure, thus causing a gap between the frame and the wooden backing.

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, there were two (2) bottles in the infant refrigerator that had no covering over the nipple. Food Service In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the administrative regulation, including 922 KAR 2:120 and 922 KAR 2:090 was presented for review, however, 922 KAR 2:280 was not included or made available. 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: ratio. 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 12/28/22) failed to complete one and one-half (1.5) hours of Pediatric Abusive Head Trauma Training. 2) It could not be confirmed that a staff member (DOH 07/05/19) completed fifteen (15) hours of cabinet-approved annual training during the 2022-2023 review period. 3) A staff member (DOH 10/15/18) last completed PAHT on 02/27/19, which had passed its five year renewal date, as of 02/27/24. 4) A staff member (DOH 08/22/23) failed to complete six (6) hours of cabinet-approved orientation training. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the grout in the tile surrounding the commode in the Dynamite Discoverers classroom restroom was soiled with a darkly-colored substance.

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, multiple ceiling tiles in the Explorers room restroom contained brownish stains, indicative of water damage. 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 3. General Requirements.

General: Based on observation, the staff in the Big Birds Nest classroom failed to ensure that a toddler washed their hands after eating lunch. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance 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, a written professional development plan for a staff member (DOH 12/28 /22) was not presented for review upon request. 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 plan of activities posted in the Small World classroom was dated "2/29-03/08" and therefore, did not reflect the plan for activities that would be conducted during the current week at the time of the inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation, this regulatory requirement was not met. A substitute staff member hired on 5/28/2022, did not have written evidence of submitting or completing a KARES background check. This staff member did not have a file and the KARES background check system was also reviewed. This staff member was not working alone during the renewal survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 11/01/2021, listed on her background check paperwork that she had lived in Tennessee within the last five years. The facility did not conduct a child abuse/neglect check or a sexual offender registry check from Tennessee. This staff member was not working alone during the renewal survey. 2. The staff in charge indicated that a substitute staff member hired on 5/28/2022, had previously lived in Indiana within the last five years. This staff member did not have a file. The facility did not have written evidence of completing the criminal background check, a child abuse/neglect check, and a sexual offender registry check from Indiana. This staff member was not working alone during the renewal survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection 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 9. Records.

General: Based on a review of documentation, this regulatory requirement was not met. A substitute staff member hired on 5/28/2022, did not have a file on site; therefore, the staff member was missing proof of education, negative TB documentation, the results of a background check, and other identifying information such as address, date of birth, and documented, written date of hire. This staff member was not working alone during the renewal 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, this regulatory requirement was not met. Two staff were missing proof of education on file. These staff were hired on 11/01/2021, and 12/28/2022.

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, this regulatory requirement was not met. One staff hired on 12/28/2022, did not have negative TB documentation on file and another staff hired on 12/13/2019, had TB documentation on file that was expired. The TB skin test was dated 12/14/2019, and is valid for two years.

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, this regulatory requirement was not met. A staff member hired on 11/01/2021, did not complete the required Pediatric Abusive Head Trauma (PAHT) training. This staff member has been employed for more than a year. The ECE-TRIS system confirmed these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. In Room F (two-to-three-year-old area), a cabinet under the sink contained a bottle of isopropyl alcohol. The cabinet was not locked; therefore, the alcohol was accessible to the children. The label on the bottle of alcohol indicated to "Keep out of reach of a child". 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 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. Classroom A contained a crock-pot, used to heat the bottles, that was not clean. The crock-pot had a white film on the inside of the unit. 2. Classroom A contained what appeared to be a rusty and dusty vent in the ceiling near the diaper changing table. 3. Classroom C contained tape residue on several of the cabinets and drawers under the hand washing sink in the main part of the room. 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 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 interview and review of documentation, Based on interview and record review, the facility reported that on 11/29/2022, a child received a dislocated/nursemaid elbow at the center. The child was picked up by his hand/arm by a staff member and taken to the quite area as he was having an emotional breakdown. Director Requirements In Compliance Employee Records In Compliance

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 observation, interview and review of documentation, the staff in charge did not present verification that the out of state background check had been completed for the employee with the hire date of 12/17/2019. Review of the educational certificate in the employee’s file revealed that it was issued in 2019, from the state of South Carolina. The staff was not working alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, there was no indication there was a ventilation system that was operational in the restroom located inside the two-year-old classroom. Observation of the restroom located inside the five-year-old room revealed that behind the base of the toilet, there were several tiles that had “caved” into the wall, leaving an open gap. The restroom floor in the four-year-old classroom had a grimy build up in-between the tiles on the floor. 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, a small blue vinyl couch and a red vinyl chair located in the three-year-old classroom, the green vinyl chair in the four-year-old room and the blue vinyl couch in the five-year-old room had armrests and seat cushions that were worn with the inside material exposed. Transportation Not Applicable 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

Open / not marked corrected.

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

General: Based on review of documentation, on the bulletin board located in the four-year-old classroom was information posted concerning several children’s allergies. The bulletin board was within public view. Therefore, the document was not kept in confidence by the child-care center staff. Posted Documentation In Compliance Animals Not Applicable 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 11. Staff Requirements.

During onsite visits conducted on 7/10/2020 and 7/22/2020, dozens of children from five-years-of-age to twelve-years-of-age were observed in activities throughout the Northeast YMCA facility (inside and outside). In addition, staff of the Northeast YMCA and the child care center revealed that the dozens of children who were five-years-of-age to twelve- years-of-age were participating in the Northeast Family YMCA Summer Program, which is separate from the child care center. However, the Northeast YMCA staff could not produce any license from the Division of Regulated Child Care or any other licensing authority for the operation of the Northeast Family YMCA Summer Program. Moreover, none of the staff of the Northeast Family YMCA Summer Program had any background checks/fingerprints submitted to the Kentucky National Background Check Program (including any staff hired prior to March 20, 2020 or any new staff completing name-based background checks in accordance with 922 KAR 2:280). As a result, Northeast Family YMCA Summer Program has continuously operated without any staff being qualified and eligible to supervise children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration 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 12. Reports.

During onsite visits conducted on 7/10/2020 and 7/22/2020, dozens of children from five-years-of-age to twelve-years-of-age were observed in activities throughout the Northeast YMCA facility (inside and outside). Specifically, on 7/22/2020, the Division of Regulated Child Care (DRCC) was informed that there were approximately 180 children from five-years- of-age to twelve-years-of-age participating in the Northeast Family YMCA Summer Program. In addition, the investigation revealed that the Northeast Family YMCA Summer Program could not produce any license/certificate for it's ability to operate independently as a summer camp. Furthermore, the investigation revealed that the executive staff was aware the Northeast Family YMCA Summer Program began operating the program in June 2020 without any approval from DRCC or any other licensing authority. Moreover, on 7/22/2020, there were thirty-eight (38) children, infant through preschool age, at the child care center. Finally, based upon the facts above, the child care center was operating above its maximum capacity of eighty (80) children; and was caring for school age children, despite the lack of DRCC approval for school age care, per approved age groups documented on the approved license that was issued by DRCC. Therefore, the center implemented a change in capacity and change in services prior to submitting a written request and allowing for approval before implementation of the changes. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

During onsite visits conducted on 7/10/2020 and 7/22/2020, dozens of children from five-years-of-age to twelve-years-of-age were observed in activities throughout the Northeast YMCA facility (inside and outside). However, there was no area located in the in the Type I child-care center designated for school-aged children. In addition, the child care center license is not approved to care for school-aged children. 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.

During onsite visits conducted on 7/10/2020 and 7/22/2020, dozens of children from five-years-of-age to twelve-years-of-age were observed in activities throughout the Northeast YMCA facility (inside and outside). In addition, staff of the Northeast YMCA and the child care center revealed that the dozens of children who were five-years-of-age to twelve- years-of-age were participating in the Northeast Family YMCA Summer Program, which is separate from the child care center. However, the Northeast YMCA staff could not produce any license from the Division of Regulated Child Care or any other licensing authority for the operation of the Northeast Family YMCA Summer Program. In addition, the investigation revealed that the children participating in the Northeast Family YMCA Summer Program do not have any current immunization certificates in their files. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Section(9)(5) of 922 KAR 2:400E states that new staff shall undergo name-based background checks in accordance with 922 KAR 2:280 and shall not be left alone with children until fingerprint-based background checks are able to be conducted. The investigation revealed that none of the YMCA staff members who supervise school-aged children in the Northeast Family YMCA Summer Program have done any of the above-mentioned requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Review of the KARES surveyor report revealed nine (9) staff members were listed as “current employees”. Interview with the director revealed the nine (9) aforementioned staff members are no longer employed with the child care center. Upon review of the KARES surveyor report revealed a staff member with the hire date of 08/08/2019 is listed as “not employed”. Observation revealed the aforementioned staff member was working in the Four’s classroom on the date of survey. Interview with the director revealed the aforementioned staff member is working in the child care center. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation, the child care center failed to comply with regulations regarding staffing requirements. Observation in the Small World classroom revealed the staff member was the sole caregiver for seven (7) infant children in the age range from two-months-old to nine-months-old, exceeding the minimum staff-to-child ratio at the time of survey. General Administration In Compliance Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation of the Four’s bathroom revealed there was an electrical wall outlet that did not have a protective covering over it. 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 file for a staff member with the hire date of 08/08/2019 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (3) staff members with the hire dates of 09/09/2014, 03/21/2006, and 11/18/2016. Review of staff files revealed two (2) staff members with the hire dates of 07/28/2014 and 08/29/2013 had not completed cabinet-approved pediatric abusive head trauma training. Interview with the director revealed this information was unavailable at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulations regarding premises. Observation in the Pooh’s Corner room revealed a female child and a male child in the bathroom together. The female child had no clothing on from the waist down, allowing no privacy for either gender. The director acknowledge, the children were in the bathroom at the same time using the restroom, and this is a regular routine for the staff members in assisting children with bathroom needs. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. Observation revealed in the Four’s classroom a staff member assisted a four-year-old child in changing soiled clothing. Further observation revealed the staff member discarded of the soiled clothing in a plastic baggie, and did not wash his/her hands. The aforementioned staff member then proceeded to walk across the room and sat down on the carpet to participate in an reading activity with the other nineteen (19) children and a staff member. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance 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

Category: recordkeeping. 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 comply with regulations regarding staffing requirements. Upon arrival into the child care center, observation revealed two (2) staff members in the hallway outside of the two-year-old room and the three-year-old room standing next to the snack cart. Further observation revealed in the Two-year-old room from the timeframe of 1:34pm until 1:37pm a qualified staff member was the sole caregiver of fourteen (14) children in the age range from two-years-old to three-years-old, until the staff member standing in the hallway arrived back into the classroom. Observation in the Three-year-old room revealed from the timeframe of 1:34pm to 1:37pm a qualified staff member was the sole caregiver of seventeen (17) children in the age range of three-years-old to four-years-old, until the staff member standing in the hallway arrived back into the classroom. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a file for a staff member with the hire date of 09/17/2018 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed the aforementioned staff member is a high school student, and has not yet graduated. The request from the director for the high school verification or a most recent report card was not presented for review at the time of survey, as it was unavailable. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding programming. Observation in the Small World room revealed a three (3) month old infant sleeping in a swing seat from 1:39pm to 1:52pm. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with programming regulations. Observation in the Small World room revealed four (4) infants asleep in cribs with loose blankets on top of them from the chest down.

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 interview, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center director failed to provide documented evidence of completed background checks for staff with a hire date of 10/03/01 and 09/17/18. In addition, review of the National Background Check Report revealed neither staff were entered into the KARES system.

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 review of documentation and interview, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center director failed to provide documented evidence of completed background checks for staff with a hire date of 10/03/01 and 09/17/18. In addition, review of the National Background Check Report revealed neither staff were entered into the KARES system nor were fingerprints completed for the staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, interview and observation, the child care center failed to assure compliance with regulatory background check requirements. Review of employee records and the child care center staff schedule revealed staff with hire dates of 09/12/18, 06/15/09, 10/04/94, and 02/14/16 were not correctly identified on the National Background Check Report. Upon request for employee records and the child care center staff schedule, the director identified staff with hire dates 06/15/09, 10/04/94 and 02/14/16 were no longer employed with the child care center; however, the staff were listed as current employees on KARES. In addition, staff with a hire date of 09/12/18 was observed in the classroom. Review of KARES revealed the staff person's "Employment Status" was pending. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the playground revealed three (3) staff and thirty-one (31) children who played as a "group". The playground area was observed to be a "U" shaped format for play. Children were observed in areas of play, which were out of the scope of vision and possible range of voice of the staff who cared for them. A fourth teacher arrived shortly after the surveyor's entrance to the playground area. Interview with staff revealed the age of the children ranged from two (2) to three (3) years old. Further observation of the Two Year and Three Year classrooms at naptime, revealed children slept behind shelves and were out of the scope of vision of the staff who sat in chairs, as they each comforted other children to sleep. A child in the Two Year classroom was observed behind a shelf under a "Welcome" Pooh and Tigger Sign. Interview with staff revealed the children ranged in age from two (2) to three (3) years old. The child in the Three Year classroom was observed to sleep in the far upper left corner of the room, behind a shelf. Interview with staff revealed the children ranged in age from three (3) to four (4) years old. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the outdoor play area revealed three (3) staff and thirty-one children. Interview with staff revealed the children ranged in age from two (2) to three (3) years old. A fourth staff person arrived to the playground shortly after the arrival of the surveyor. The children played as a group of thirty-one (31) which exceeded the maximum group size based on the youngest child in the group, who was identified as two- years-old. Interview with one (1) staff person revealed he/she cared for seventeen (17) three-year-olds for less than three (3) minutes until the second teacher arrived. The staff-to- child ratio was exceeded by seven (7) children. The maximum group size was exceeded by eleven (11) children. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care center director failed to provide a current copy of the administrative regulations. The documents provided were printed on 08/25/14 which was before the amended regulations completed in 2018. 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, a general equivalency Diploma (GED), or qualifying documentation from a comparable educational entity for staff with a hire date of 05/21/18.

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. Upon request, the child care center failed to provide documented evidence of a current statement from a health professional that staff with hire dates 05/29/15, 02/13/14, 07/28/14, 11/19/92 and 10/03/01 are free of active tuberculosis.

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. Upon request, the child care center director failed to provide written documentation that staff with hire dates 09/27/17, 02/13/14, 09/09/14, 10/03/01, 02/05/16, 03/21/17, 11/18/16, 10/19/15, and 12/15/15, completed fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. In addition, there was no documented evidence of the completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment for staff with hire dates of 05/21/18 and 09/27/17. Further review revealed staff with hire dates 09/27/17, 09/09/14 and 10/19/15 failed to provide written documentation of currently completed one and one-half (1 ½) hours of pediatric abusive head trauma (PAHT) training. Staff with a hire date of 10/19/15 and 09/09/14 completed PAHT more than five (5) years from the date of the certificate provided and is subjected to additional certification per regulatory requirement. 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 Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: 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 children's records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a current immunization certificate from an approved source for a child with an enrollment date of 08/06/18. The document provided was prepared in the State of Indiana and did not provide an expiration date for immunizations. 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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director failed to provide written documentation of an evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care, that had been submitted to the local emergency preparedness agency during the review period. The document provided was dated 11/14/16. Additional interview with the director revealed he/she had not submitted the written plan in the review period.

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 maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director failed to provide a current Chain of Command. The Chain of Command provided contained staff who were no longer employed with the child care center. 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 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 4/19/17. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed one (1) staff member hired 4/19/17 failed to have record of negative tuberculin result on file. Interview with director revealed this documentation was not on file at the time of 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 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 8/8/05, 1/8/15 and 5/27/15. Review of staff files revealed two (2) staff members with a hire date of 4/19/17 had not completed state approved orientation training. 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 Not Applicable 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of a child’s file with enrollment date of 10/24/16 revealed the child’s immunization certificate expired on 4/30/17. Interview with director revealed current documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake and tornado drill logs presented for review at the time of survey revealed an earthquake and tornado drill were not documented for the 2nd quarter 2017. Interview with director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs presented for review at the time of survey revealed the center failed to document that a fire drill was conducted for February, March, April, May and June 2017. Interview with director revealed this documentation was not on file at the time of survey. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals 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 13. Animals.

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with regulatory requirements regarding animals. Observation of Classroom C revealed a tank with a fish that was in the presence of children in care. Review of documentation revealed written permission from the parents consenting to the animal was not presented for review at the time of survey. Interview with director revealed the center had not obtained written parental consent for the animals to be in the presence of children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Review of documentation revealed written documentation from the local authority showing compliance with local zoning requirements was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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 one (1) staff member hired 10/17/16. Interview with director revealed she needed to obtain proof of education for this staff member. 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 regulations. Review of staff files revealed two (2) staff members hired 11/23/15 and 2/5/16 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Continued 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 four (4) staff members hired 9/9/14, 1/8/15, 6/15/15, and 8/8/15. Further review of staff files revealed two (2) staff members hired 1/8/15 and 6/15/15 failed to complete one and one-half (1 ½) hours of pediatric abusive head trauma training (PAHT) within the first year of employment. Interview with director revealed the training hours, orientation, and PAHT had not been completed within regulatory timeframes. 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 Review of Documentation, the child care center failed to comply with regulatory programming requirements. Review of the daily schedule in the Two-Year-Old Room revealed rest time was scheduled from 12:15pm-2:30pm. Review of the daily schedule in the Dynamic Discoverers Room revealed rest time was scheduled from 12:45pm- 3:00pm. Therefore, according to the daily schedules, rest time exceeded two (2) hours for the pre-school children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Dynamic Discoverers Room revealed two (2) purses/personal belongings of staff members were stored in an unlocked cabinet underneath the sink, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Dynamic Discoverers’ bathroom revealed the vent was covered with dust. Continued observation of the aforementioned bathroom revealed a tiny unidentified device mounted on the wall with a very small, plastic fan blade dangling from wires which was not in good repair. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the Infant Room revealed a container of diaper rash creams stored on the countertop next to the diaper changing pad, not in a locked place and all items were not properly labeled. Observation of the One-Year-Old Room revealed diaper rash cream and petroleum jelly stored in a basket on the countertop next to the diaper changing pad, not in a locked place. Observation of the Two-Year-Old Room revealed a container full of diaper rash creams stored on the countertop next to the diaper changing pad, not in a locked place and all items were not properly labeled. Observation of the Two-Year-Old bathroom revealed two (2) diaper rash creams stored in an unlocked upper cabinet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the One-Year-Old playground revealed a thin green artificial grass type carpeting material was utilized as the protective surface for two (2) small slides; however, this material failed to meet regulatory standards for approved protective surfaces. Observation of the Twos and Threes playground revealed a thick mat was placed at the bottom of four (4) slides on the large play apparatus; however, this material failed to meet regulatory standards for approved protective surfaces. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation revealed a current food service permit was not presented for review at the time of survey. Interview with director revealed the center has purchased a current food service permit; however, she has not received the permit yet.

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 and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the Dynamic Discoverers Room revealed the mini-refrigerator was used to store children’s milk. Continued observation and interview with a staff member revealed the mini-refrigerator was not equipped with an indicating thermometer.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain food service in accordance with regulations. Review of the daily schedule in the One-Year-Old Room revealed lunch was scheduled from 11:25am-11:55am; however, snack was not scheduled until 3:00pm. Review of the daily schedule in the Two-Year-Old Room revealed lunch was scheduled from 11:15am-11:50am; however, snack was not scheduled until 3:00pm. Review of the daily schedule in the Dynamic Discoverers Room revealed lunch was scheduled from 11:30am-12:00pm; however, snack was not scheduled until 4:00pm. Therefore, according to the daily schedules, meals were not documented as being served every two (2) – three (3) hours. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for two (2) staff members hired 2/13/14 and 6/15/15. Interview with director revealed this documentation was not available for review at the time of survey. 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 Review of Documentation, observation and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the staff members revealed the center could not verify that the child abuse and neglect (CAN) check had been completed for the employees with the hire dates of 09/09/2014 and 01/08/2015. Continued review revealed the childcare center could not verify that the criminal records check (CRC) had been conducted for the employees with the hire dates of 01/08/2015, 02/02/2015, 04/03/2015, 05/22/2015, 08/04/2015, and 06/26/2015. Continued documentation review revealed the staff member with the hire date of 02/02/2015 had resided in the state of Wisconsin within the last five (5) years. The center could not verify an out of state background check had been conducted. Observation of the childcare center revealed the employees with the hire dates listed above were not working alone. 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 5. Staff Requirements.

General: Based on Review of Documentation and interview with the director the child care center failed to maintain employees records in accordance with regulatory requirements. Review of documentation of employees records it was revealed the employees with the hire dates of 04/03/2015,05/22/2015 and 06/29/2015 did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250;. 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 5. Staff Requirements.

General: Based on Observation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the following staff members with the hire dates of 07/25/2014 and 09/09/1999 failed to verify that the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following child with the enrollment date of 06/08/2015 did not contain a listing for their family physician and the preferred hospital. Interview with the director revealed she was not aware the information was missing.

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 Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation posted in the two-year-old classroom, revealed there were no postings of the proper methods of hand-washing and diapering procedures at each diaper changing area. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding animals. Review of documentation provided revealed seven (7) of the twenty-two (22) children listed had not obtained written consent for permission for allowing animals in the presence of children.

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 staff records. Review of documentation revealed two (2) staff members (DOH: 7- 25-14 & 4-23-14) do not have completed child abuse neglect checks on file. Both aforementioned staff member's CAN checks were sent back to the facility by central office due to not having a witness signature on them. Interview with director revealed she was not aware of the CAN checks missing a witness signature and did not realize the results of the CAN checks were not on the forms. Further interview with the director revealed the two (2) aforementioned employees have never worked alone with children.

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's educational requirements. Review of documentation revealed an employee with the hire date of 9-2-14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection. Interview with the director revealed the aforementioned documentation is not on file but has been requested.

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 training records. Review of documentation revealed an employee (DOH: 4-23-14) did not have six (6) hours of cabinet-approved orientation on file at the time of inspection. Continued review of documentation revealed an employee (DOH: 9-16-13) only had three and a half (3.5) hours of cabinet-approved early care and education training within her first year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to keep their premises in good repair. Observation of the bathroom located in the two-year-old to three- year-old classroom revealed a toilet paper dispenser with red duct tape on it. Continued review of the toilet paper dispenser revealed the red duct tape was approximately twelve (12) inches long. Interview with staff in the classroom revealed the toilet paper dispenser is broken and falls on the floor when the children try to grip the toilet paper.

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 child care center failed to maintain children's records. Review of documentation revealed a child (ED: 4-11-14) had an immunization certificate on file that expired on 9-11-14.

Open Not marked corrected in the state record

Category: health medication. 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 posted documentation. Review of documentation revealed the following was missing in the toddlers classroom: schedule of daily activities, to include dates and times of activities to be conducted with the children.

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, several cribs had toys attached to the inside of the crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to have all written components of the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff with hire date June 21, 2011 had documentataion on file for TB screening that was not current after September 28, 2011. 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 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, staff with hire date September 2003 failed to have certificates on file verifying fifteen training hours for the last year. Documentation provied only 6 hours of cabinet approved training. 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 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 Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff with hire date March 3, 2012 failed to have documentation verifying education requirement. 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

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, child with enrollment date of July 23, 2012 had an immunization certificate on file that was not valid after July 31, 2011. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 39 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.