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

General: Observation of the toddler room revealed there was an area of the wooden baseboard that was peeling brown paint. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a large blue rug that contained multiple curled edges within the infant room, causing a potential hazard. 2. There was an exersaucer within the infant room that was soiled with a dried white substance throughout the cloth seat. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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: Upon request, a current written staff schedule was not presented for review on the day of the inspection. The documentation presented had a former staff member listed as still working at the child care center. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the mini refrigerator in the Infant Room revealed the thermometer was not functioning; therefore, the temperature of the refrigerator could not be determined. The staff member in charge acknowledged that the thermometer was not functioning. Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance 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 an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a broken metal hinge around the drainage pipe was sticking out from the side of the building. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation of the toddler room revealed there was an electrical wall outlet that did not have a protective covering over it. Employee Records In Compliance 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

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 comply with regulations regarding equipment. The multi-color rugs were torn and frayed, exposing fabric at the seams and causing a tripping hazard, in classroom 1 and classroom 3. Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. The written record for a child with the enrollment date of 9/8/2016 failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations regarding Posted Documentation. Review of posted documentation revealed the Statement of Deficiencies issued by the cabinet during the current licensure year and the Plan of Corrections submitted by the center to the cabinet during the current licensure year were not posted in a conspicuous place. Interview with the director revealed the previous licensure year is posted; but, upon review of the bulletin board with the director, it was confirmed it was the licensure year from 2015 and it only revealed the cover page and not the full statement of deficiencies. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain employee records in accordance with regulatory requirements. Upon request the director did not present verification that the staff member with the hire date of 08/30/2016 had completed new orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the childcare center failed to comply with regulatory programming requirements regarding sleep position. At 10:40 a.m. a three-month old infant was sleeping on a “boppy” pillow located on the floor, therefore not allowing the infant to sleep or nap on their back. Interview with director revealed the infant did not have a waiver from a physician allowing an alternative sleep position. 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 and interview with the director, the childcare center failed to maintain the premises in accordance with regulatory requirements. The restroom break conducted prior to lunch revealed the restroom contained two toilets. Observation of the restroom revealed there two (2) male children and one (1) female child utilizing the restroom at the same time. Interview with the director revealed she did not have a plan for the children to use the same toilet room at separate times. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request the director did not present verification that the records for the children with the enrollment dates of 04/25/2016 and 12/06/2016 contained information listing the preferred hospital. 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 5. Infant and Toddler Play Requirements.

General: Based on Observation and Interview, the center failed to comply with regulatory programming requirements. Observation of the child care center on 1/4/16 revealed a twenty-three-month-old child participated in activities with two-year-olds from 10:09am-2:28pm. Review of documentation revealed the absence of a transition plan for the toddler. Interview with owner/director revealed the center failed to have a transition plan on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the kitchen revealed the floor was not in good repair as some of the floor tiles were cracked.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed several rubberized mats were placed around the red and yellow slide set and were utilized as a protective surface; however, the rubberized mats failed to meet regulatory standards for approved protective surfaces. Continued observation revealed a small blue side which failed to have an adequate fall zone as it was positioned to closely to the fence and also failed to have a protective surface.

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 regulations. Observation of the Older Two’s Room revealed one (1) of the blue child-sized chairs was not in good repair as the seat was cracked.

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 attendance records on 1/4/16 revealed the week’s attendance had been verified in advance for four (4) children on the DCC-94E form. During interview, owner/director acknowledged the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for staff with the hire dates of 03/09/2011 & 10/28/2013. Interview with the director revealed she was aware of the missing evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the stacked blue/red mats revealed four (4) of the mats were ripped at the seams with the foam padding exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills conducted the months of January, February and June 2014, detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3; The Director was unaware of the missing details for the months identified.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, staff members with hire dates of 8/19/2013 and 10/8/2013 did not have a high school diploma: GED or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant arrived at approximately 9:25 am and did not have his hands washed upon arrival. 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 Observation, a staff member working in the nursery wiped a child's nose and substituted hand sanitizer for hand washing.

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 Observation, the first aid kit located in gray 12 passenger van was incomplete, the following items were missing: CPR Mask, Liquid Soap, Thermometer. The flashlight was inoperable.

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, bottles in the infant room refrigerator were not individually labeled per regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a staff member used threatening language to discipline a child. The referenced staff member threatened to throw the child's shoes away if he did not behave. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were thirty-six children present at the time of the investigation. Review of the center's licensing certificate revealed that the center has an approved capacity of thirty-two; therefore, the center implemented a change of capacity without submitting a written notification to the cabinet and allowing for approval before implementation. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no out-of-state background check available for review for a staff member who listed an Indiana address as her current address on a Child Abuse and Neglect form that was signed and dated in 2010. Interview with the staff in charge confirmed that no out-of-state background check had been completed. 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.

Based on review of the center's file in the DRCC office, the classroom closest to the door that exits to the playground allows for thirty-five square feet of space for six children. Observation revealed thirteen school age children exiting the referenced room. Interview with the staff member revealed that the school age children had been participating in activities in the identified space. Therefore, the center failed to provide thirty-five square feet of space per child for activities. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were thirty-six children present at the time of the investigation. Review of the daily attendance records revealed that only thirty-three children were signed in with a time of arrival documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.