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

General: Review of presented documentation and review of the Early Care and Education Training Records Information System (ECE-TRIS) could not confirm that a staff member hired on 11/05/21 had completed six (6) hours of cabinet-approved orientation training. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General:Review of the posted menu revealed that the planned afternoon snacks failed to include at least two (2) of the required nutritional components.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Observation of lunch service in several of the classrooms revealed that milk was not served to the children. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the schedule of activities posted in Room 17 was dated "09/11-09/15" and therefore, did not reflect the current week's activities at the time of the inspection. Additionally, the plans of activities posted within Room 1 and Room 22 were not dated. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A pack of batteries were located inside an unlocked top desk drawer in Classroom 1. The drawer was located on the side by the exit door. The item mentioned was observed to be accessible to the children. 2. A small bottle of Mio Energy Caffeine and B Vitamins located inside an unlocked bottom desk drawer in Classroom 1. The drawer was located on the side by the exit door. The item mentioned was observed to be accessible to the children. 3. A mop bucket, mop, broom, and dustpan located at the end of a set of cabinets in Classroom 1. The items mentioned were observed to be accessible to the children. 4. A toilet brush was placed beside the toilet in the restroom in Classroom 1 and observed to be accessible to the children. 5. One (1) tube of toothpaste that stated, “Keep Out of the Reach of Children,” was located in an unlocked middle desk drawer in Classroom 2. During interview, staff stated that the children ranged in age from three-years-old to four-years-old. 6. A vacuum cleaner located on the wall in front of the toilet and a toilet brush placed beside the toilet in the restroom in Classroom 2. The items mentioned were observed to be accessible to the children. 7. A vacuum cleaner, mop bucket, mop and toilet brush located next to the wall behind the restroom door in Classroom 3. The items mentioned were observed to be accessible to the children. 8. The following items were found inside the restroom in Classroom 4: a toilet brush beside the toilet and a gallon of Sherwin Williams Super Paint located on the second shelf from the bottom of a silver shelf. A brown covering was observed to be placed over the shelf. The items mentioned were observed to be accessible to the children. 9. Loose shopping bags located inside the top drawer of a two (2) tiered storage shelf that was placed beside the exit door in Classroom 5. The bags were observed to be accessible to the children. 10. A vacuum cleaner located beside the toilet in the restroom in Classroom 5 that was observed to be accessible to the children. 11. A mop bucket, mop, broom, and dustpan located behind the restroom door in Classroom 15. The items mentioned were observed to be accessible to the children. 12. A plunger placed beside the toilet in the restroom in Classroom 22. The plunger was observed to be accessible to the children. 13. One (1) Mouse and Insect Glue Trap placed beside the exit door that was located on the left side of the Indoor Play Area. Two (2) Mouse and Insect Glue Traps placed by the exit door in the Indoor Play Area that leads to the playground. The glue traps stated, “Keep Out of the Reach of Children,” on the labels and were observed to be accessible to the children. The items mentioned were observed to be accessible to the children; therefore, the health, safety and comfort of the children was compromised. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 12/01/22) file contained a blank form for a TB skin test; therefore, the staff's file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. During interview, staff-in-charge stated that the staff person was scheduled for a TB skin test next week. 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 ECE-TRIS, the surveyor found the following: 1. The following staff (DOH: 11/05/21 and 10/07/22) obtained zero (0) hours of the required six (6) hours of cabinet-approved orientation training; therefore, the training was not completed within the first three (3) months of employment. 2. A staff (DOH: 08/11/16) obtained thirteen (13) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. During interview, staff-in-charge stated that staff (DOH: 08/11/16) had completed fifteen (15) hours of training before school went out and was given credit. Staff-in-charge stated that she printed the report again before school was back in session and found that the staff person had no longer been given credit for a course she had taken. Staff-in-charge stated that she was advised that a course the staff person had taken was not accepted. 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 3. General Requirements.

General: Based on observation, the surveyor found the following: 1. A brown purse hanging from a door hanger on the back of the restroom door in Classroom 22. A strap to the purse was observed to be hanging down below the door handle. The purse was observed to be accessible to the children. During interview, staff stated that the purse belonged to a staff person. Staff stated that the door to the restroom stays open when the children are in the restroom and that the children have never bothered the purse. 2. The following items were located inside an unlocked desk drawer in Classroom 5: One (1) pack of Halls Breezers that contained drug facts on the back label and stated, “Keep Out of the Reach of Children,” on the label and one (1) box of Cepacol Extra Strength that contained drug facts on the back label and stated, “Keep Out of the Reach of children,” on the label. The items mentioned were placed in the top desk drawer located next to the wall and were observed to be accessible to the children. During interview, staff stated that the items mentioned belonged to a staff person. Staff-in-charge stated that the staff person had a medical condition. 3. A 1.125 gallon of Lysol that read “Keep Out of the Reach of Children,” on the label was located on the end of the bottom of a shelf in the restroom in Classroom 4. The shelf was observed to be covered with a brown covering. The Lysol was observed to be accessible to the children. 4. A 1.125 gallon of Lysol that read, “Keep Out of the Reach of Children,” on the label was located inside an unlocked bottom cabinet by the sink in Classroom 20. The item mentioned was observed to be accessible to the children. The surveyor did not observed children inside the classroom on the day of the visit. During interview, staff-in-charge stated that the classroom had not been utilized by children all year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The hot water temperature at the sinks located in Classroom 19, Classroom 22, and restrooms 16 and 18 measured at a temperature of approximately 125 degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. 2. The hot water temperature at the sinks located in Classroom 13, Classroom 20, Classroom 21, and the restroom located between Classroom 20 and 21 measured at a temperature of approximately 130 degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. 3. The hot water temperature at the sinks located in Classroom 15 and Classroom 17 measured at a temperature of approximately 135 degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found no protective surface around three (3) small climbing structures that contained one (1) slide each on the playground. The surveyor observed a black Craftsman mat to be placed at the foot of the slide. During interview, staff-in-charge stated that she was advised by a surveyor that the black mat was sufficient. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 02/24/22) file contained an immunization certificate that was no longer current as of 11/15/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the following children’s (DOE: 02/09/22 and 02/20/22) files did not contain the contact telephone number for the child's preferred family physician. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Review of staff files revealed a staff member with the hire date 8/19/11 had listed on a background check application that she had lived in Indiana in 2017. Upon request, the Indiana sex offender registry information was not presented for review. The aforementioned staff member was not observed working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of all staff files revealed each file did not contain the background check. Review of a KARES report revealed all staff members are eligible for employment. 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 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 9. Records.

General: Based on review of documentation, the child care center failed to comply with regulatory requirements. In five (5) of the six (6) classrooms, there was information posted concerning the children’s allergies. Therefore, the document was not kept in confidence by the child-care center staff. Posted Documentation In Compliance Animals Not Applicable

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 director did not present verification that the record of the employee with the hire date of 01/08/18 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. 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 Not Applicable 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 2:090 · 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 director did not present verification that the records for nine (9) of the ten (10) children files reviewed contained information listing a name of a preferred hospital. Continued review revealed the record for the children with the enrollment date of 03/19/2017 and 01/23/2017 did not list a name of a physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and documentation review, the child care center failed to maintain the premises in accordance with regulatory requirements. Rooms of the two, three, and four-year-olds contained a bottle of hand sanitizer. The bottles of hand sanitizer were located within reach of children on the bookshelves. Review of the hand sanitizer documentation revealed the label stated, “Keep out of the reach of children.” 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain premises in accordance with regulatory requirements. The ventilation system was not working in the boys' restroom located off interior hallway. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

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 Observation, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Located on the shelf, above the changing table in the two-year-old classroom, was a tube of “Destin “diaper cream. The diaper cream was not secured or labeled for individual use. 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: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the record of the child with the enrollment date of 08/15/2016 listed names for authorized pick-up. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request the child care director did not present for review a complete account of the names of the children who participated in the fire drills that were conducted from May 2016 to March 2017. 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: physical safety. Open / not marked corrected.

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

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 director did not present verification of a written policy that specifies that each child-care center staff member will receive orientation training within the first ninety (90) days of hire and the employees shall implement the procedures that were taught at the orientation training.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request the child care director did not present for review an complete account of the names of the children who participated in the earthquake and tornado drills that were conducted from May 2016 to March 2017. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation, and interview, the child care center failed to comply with the regulatory requirements. Based on observation, eight (8) children ranging in age from four (4) years to five (5) years were receiving care in a classroom which had not previously been approved for child care use. Based on a review of documentation, the room containing the aforementioned children was scheduled to be inspected to add to regulated space. Based on interview with the staff in charge, she was unaware that children could not be in the space until DRCC had approved the space. Additionally, based on interview with staff members in the Two Year Old room, two (2) children under the age of two years were in attendance without approval for Infant/Toddler services. Based on continued interview, the children are 23 months old. 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 5. Infant and Toddler Play Requirements.

General: Based on Interview, and observation, the child care center failed to comply with regulatory programming requirements. Based on interview, two (2) children under the age of two were participating in the two year old class. Based on observation the aforementioned children were in the Two Year Old class during the time of the survey from approximately 10:00 A.M. to 11:30 A.M. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Posted Documentation 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 review of documentation, the child care center failed to comply with regulatory requirements regarding general administration. Record review at survey revealed no documentation presented verifying the child care center has a procedure to inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Record review of all current staff members’ files presented at survey revealed no annual written performance evaluation for staff members with a hire date of 03/11/2013, 02/01/2014, 08/19/2011, 08/19/2011, 08/19/2011, 10/31/2011, 08/22/2011, 09/23/2014, and 06/10/2013. During survey, the staff in charge phoned the Director, and reported the Director is aware of issue and is in the process of addressing. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 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 regarding background checks. Record review revealed a criminal record check and CAN check run in October, 2011 for an employee with a hire date of 03/11/15. Affixed to the CAN check was a hand written post-it note indicating the employee was not actually hired until March, 2015. Interview with the staff in charge confirmed that: 1) the handwriting on the post-it note resembled that of their previous director, and that 2) another criminal record check and CAN check in compliance with statutory requirements were not available at time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements regarding employee educational requirements. Record review of all current staff members’ files presented at survey revealed no proof of high school diploma, GED or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential for a staff member with a hire date of 06/10/2013.

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 regulatory requirements regarding TB verification. Record review of all current staff members’ files presented at survey revealed no required documentation that two (2) staff members with hire dates of 06/10/2013 and 09/23/2014 were free of active tuberculosis nor was a copy of negative tuberculin results presented.

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 regulatory requirements. Record review revealed staff members with the following hire dates had less than fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment: 08/19/2011, 08/19/2011, 06/10/2013, 07/19/2012, 08/19/2011, 08/22/2011, 09/23/14, and 06/10/2013. Additionally, record review revealed no documentation confirming completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment for three (3) staff members with hire dates of 09/23/2014, 03/11/2015, and another employee with a hire date of 08/03/2015. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding first aid supplies. Observation revealed no first aid book amongst several first aid kits presented during survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation the child care center failed to comply with regulatory requirements. Record review revealed that no employee/staff handbook or any other type of written written documentation was presented at time of survey demonstrating written policies and procedures and job descriptions.

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 presented at survey, the child care center failed to comply with regulatory requirements. Record review of all current staff members’ files presented at survey revealed no written annual plan for child care staff professional development for employees with hire dates of 03/11/2013, 02/01/2014, 08/19/2011, 08/19/2011, 08/19/2011, 10/31/2011, 08/22/2011, 09/23/2014, and 06/10/2013. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation the child care center failed to comply with regulatory requirements regarding orientation procedure. Document review at time of survey revealed no written policy specifying that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member in the classroom.

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 posted documentation review, the child care center failed to comply with regulatory requirements regarding posted documentation. Record review revealed no posted information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center director failed to comply with staff evaluation regulatory requirements. Review of staff files revealed all of the staff members did not have the following information on file: annual written performance evaluation. Interview with the director revealed that all of the staff members did not receive an annual written performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. 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 comply with employee records regulatory requirements. Review of staff files revealed an employee with the hire date of 6/4/13 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 she has not received proof education from the aforementioned staff member.

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 comply with employee records regulatory requirements. Review of staff files revealed three (3) staff members with the hire dates of 10/13/11, 6/4/13, and 8/24/13 did not have documentation from a health professional to verify that the individuals was free from active Tuberculosis. Interview with the director revealed the aforementioned staff members do not have an updated TB verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with employee records regulatory requirements. Review of staff files revealed seven (7) staff members only had six (6) hours of cabinet-approved early care and education training on file. The aforementioned staff members hire dates are as follows: 8/8/11, 9/4/13, 7/19/12, 9/1/11, and three (3) hired on 8/18/11. Continued review of staff files revealed seven (7) staff members did not have any cabinet-approved early care and education training. The aforementioned seven (7) staff members hire dates are as follows: 8/24/13, 10/13/11, 6/4/13, 8/18/11, 2/19/12, 11/15/11, and 11/1/11. Continued review of documentation revealed a staff member (DOH: 8/24/13) did not have six (6) hours of cabinet-approved orientation on file. Interview with the director revealed the aforementioned staff members completed training and that it was not within time frame of the staff member's yearly anniversary date. Continued Interview with the director revealed the aforementioned staff member (DOH: 8/24/13) has not completed six (6) hours of cabinet-approved orientation.

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 comply with children's records regulatory requirements. Review of ten (10) children's files revealed the following information was missing: authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. The enrollment dates of the aforementioned children are as follows: 2/11/14, 2/17/14, 2/28/14, 2/25/14, 5/5/14, 9/8/14, 8/17/14, 3/21/14, 2/11/14, and 8/21/14. Interview with the director revealed the enrollment forms were recently updated and that the aforementioned missing information may have been removed.

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 comply with written documentation regulatory requirements. Review of staff files revealed that all of the staff members did not have the following information on file: written annual plan for professional development. Interview with the director revealed a written annual plan for professional development has not been implemented for any of the staff members.

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 Review of Documentation, and interview the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed the following information was not on file: 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 director revealed that the aforementioned policy has not been written.

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, the child care center director failed to assure compliance with regulatory requirements. Observation revealed that there were two toilet bowl brushes located in the floor of the girls bathroom, within reach and accessible to children; failing to ensure the health safety and comfort of the children in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employees with hire dates of 9/4/12 and 5/10/12 did not have criminal records checks from an approved source available for review. Employee with hire date of 10/30/13 did not have documentation of a completed criminal records check available for review. The mentioned employees were not observed in classrooms at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of thirteen employee records revealed nine employee files failed to have documentation available from a health care professional to verify that the individuals were free from active TB. Interview with the director revealed that the risk assessments signed off by a health care professional were intended to meet this requirement. Further interview with the director revealed that it had not been realized that the risk assessments did not provide a final determination from the health care provider, just a signature that the assessment was reviewed.

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 regulatory requirements. Observation of the Three Year Old Room revealed a staff purse laying in the floor and toxic cleaning supplies accessible to 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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girls restroom revealed broken and cracked tiles around the toilet in the first stall creating a floor that was not smooth nor in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation revealed there was not a sufficient amount of protective surfacing under the six slides and two swings located in the outdoor play area.

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. Observation of the refrigerator located in the kitchen revealed apple slices and single serving snack items. Further observation revealed that there was not an indicating thermometer to determine if the food was being stored at forty degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer located in the kitchen revealed that there was not an indicating measuring device to determine if the food was stored at zero degrees Fahrenheit or below as required.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s records revealed that a child with the enrollment date 8/19/13 had an immunization certificate that was not current after 12/29/13. A current immunization certificate was not made available for review at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation of the bathrooms revealed that there were toilet bowl brushes and a plunger accessible to children. Observation of the center revealed that there was an extension cord that ran along the hallway from the printer in the office area into a classroom that was accessible to 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, the center failed to ensure that each staff had a completed background check on file within ninety days of their hire date. Review of all staff files revealed the following: staff hired 9/4/12 did not have a Criminal Records Check (CRC) on file, staff hired 5/10/12 did not have a CRC on file, and staff hired 10/29/12 did not have a CRC on file. Each of these three staff had a Nexis report on file which the director stated that she was not aware that the Nexis report was not an acceptable background check. Further review revealed that staff hired 1/2012 had a request for an Indiana background check however, there was no documentation on file showing the results of the Indiana background check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation on file to verify that staff person hired 6/10/13 had a high school diploma, GED, or equivalent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to ensure that each staff person had a current TB test certificate on file as staff hired 11/1/11 had a TB test certificate that was current through 12/1/12 and two staff hired 1/2012 and 10/29/12 did not have a TB test certificate on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to ensure that staff completed orientation training within ninety days of their hire date as staff hired 1/2012 and 10/29/12 did not have any documentation on file to verify that they had completed orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, of the Pre-School 2 room revealed that the walls were dirty, especially in the area where the garbage can was located.

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 of the Pre-School 2 room, revealed a missing floor tile beneath the window. Observation of the Girls' Bathroom revealed several broken floor tiles that were peeling up in front of the toilet. Further observation revealed that there were numerous areas of peeled paint in the hallway. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 26 Web site: http://chfs.ky.gov/ 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation of Room 6, the childrens items, such as back packs, lunch boxes, and water bottles, were all piled together on the floor near the cubbies. 645 - Toothbrush/Toothpaste Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (15) Toothbrushes shall be: (a) Individually identified; (b) Allowed to air dry; and (c) Protected from contamination. (16) Toothpaste used by multiple children shall be dispensed onto an intermediate surface, such as waxed paper, to avoid cross contamination. 650 - Toy Sanitation Procedure Not Applicable 922 KAR 2:120. Section 11. Toys and Furnishings. (4) Toys and other items that are considered mouth contact surfaces by a child not toilet trained shall be sanitized daily by: (a) Scrubbing in warm, soapy water using a brush to reach into crevices; (b) Rinsing in clean water; (c) Submerging in a sanitizing solution for at least two (2) minutes; and (d) Air dried. First Aid/Medication

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, there was not a protective surface provided for the Little Tykes double slide.

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, there were planks missing from the wooden fence. Further observation revealed that there were several screws protruding approximately two inches from some of the wooden planks. 705 - Infant/Toddler Outdoor Space Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (4) If a child-care center provides an outdoor play area for an infant or toddler, the outdoor area shall be: (a) Shaded; and (b) A separate area or scheduled at a different time than an older child. Equipment

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 square area rugs, through out the center, were dirty and stained.

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, of the outdoor play area, there was a plastic sand box boat that had large cracks in the lid.

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 failed to have a current immunization certificate on file for each child. Review of ten children's files revealed the following: one child enrolled 8/28/11 had an immunization certificate on file that was current through 11/21/12 and two children enrolled 7/26/12 and 2/5/13 did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the center failed to post information on the Kentucky Consumer Product Safety Program for public inspection.

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, three (3) staff (DOH 1/1/2, DOH 1/1/12, DOH 11/1/11) failed to have a TB Skin Test on file for review. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 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 Not In Compliance Findings: General: Based on review of documentation, the facility substitute (DOH 2/1/12) failed to have a TB Skin Test or High School Diploma, GED or Commonwealth Child Care Credential on file for review. 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 In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on observation, four (4) staff (DOH 1/1/12, DOH 1/1/12, DOH 11/1/11, DOH 11/1/11) failed to complete orientation training within their first ninty days of employment. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year Not Applicable 3) 15 hours annually Not Applicable 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children failed to have immunization certificates that were still current. Child enrolled 8/6/11 had an immunization certificate that was expired when presented upon enrollment and a child enrolled 8/11/11 had an immunization that was no longer current as of 3/29/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Room #6: Based on observation, there were no diaper change instructions posted above the diaper change tables in the boys bathroom or the girls bathroom. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement In Compliance 2) Partnership statement In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.