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

General: Based on interview, observation, and review of documentation, a staff member (DOH: 07/10/01) was observed working alone with ten (10) children in the Preschool classroom. The staff member's employment status on the National Background Check Program database, Kentucky Applicant Registry and Employment Screening (KARES) report dated 01/17/25 revealed the staff member’s employment eligibility was "in process." Therefore, the staff member was working with no determination of eligibility. The staff in charge stated that she did not know that her determination status had expired.

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 the interview and review of documentation, the childcare center failed to present documentation of adequate staffing coverage to include at least one (1) person certified in First Aid and Cardiopulmonary Resuscitation (CPR) during the full scheduled hours of operation. The staff in charge stated that the staff had completed certifications in 2024 but did not have the documentation proving the certifications at the time of review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on a interview and review of documentation, the following was found: 1. Two (2) staff members (DOH: 07/10/01 and 05/23/19) did not complete fifteen (15) hours of cabinet-approved early care and education training between July 1, 2023, and the following June 30, 2024. 2. One (1) staff member (DOH: 08/23/23) did not complete 1 1/2 hours of cabinet-approved Pediatric Abusive Head Trauma training (PAHT) within the first year of employment. 3. Two (2) staff members (DOH: 07/16/24 and 08/23/23) did not complete six (6) hours of cabinet-approved orientation training within the first ninety (90) days 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, the exhaust vent in the restroom adjacent to the Preschool classroom contained a substantial dust accumulation.

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 sink used by children in the restroom adjacent to the Preschool classroom was not equipped with hot water at a minimum temperature of 90 degrees Fahrenheit.

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, there were no proper methods for diaper changing posted near the diaper changing area shared by the Infant and Toddler classrooms at the time of review. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/18/2024 AND AS OF 08/26/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 observation, two (2) staff members (DOH: 03/19/2011 and 07/10/2001) had negative tuberculin skin results on file that exceeded two years, and therefore were no longer current.

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, verification of completed First Aid and Cardiopulmonary Resuscitation (CPR) training was not presented for review for two (2) staff members (DOH: 07/27/2023 and 08/23/2023). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 11. Staff Requirements.

General: Based on the interview and document review the following was found: 1. Verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for two (2) staff members (DOH:03/19/11 and 07/10/01); 2. 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: 08/23/23). 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 2. Child Care Services.

General: Based on observation, the television was on for approximately two (2) hours in the Ones/Twos classroom. An interview with the staff member indicated the youngest child was three (3) months old. The staff member in charge said she did not know the television was in working condition. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) large ceiling vent in the Preschool bathroom contained a thick accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the emergency telephone numbers for the police department, fire department, emergency medical care and rescue squad, and poison control center were not posted or accessible. Interview with the staff in charge supported these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

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 following was found: 1. The ceiling tile was not tightly fit, exposing a gap in the ceiling above the window between the Infant room and Preschool classrooms; and 2. Multiple ceiling tiles above the television had stains, indicative of water damage, in the Preschool room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet seat in the Preschool bathroom was not tightly fit; it was loose. 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, there was litter across the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was not an adequate fall zone with protective surface material under the slide and swings that was equal to the equipment's height. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the following was found: 1. Sheets were not fitted tight to the mattresses in the cribs in the Infant room; 2. A three-month-old child was sleeping in the car seat. An interview with the staff member indicated that the child had been sleeping there for a while. Therefore, the infant was not provided with a crib for sleeping, An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the drawer below the sink to the right was missing and the bouncer seat was broken in the infant room.

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: The observation of the playground area revealed the following: 1. The purple caterpillar was broken at the end; 2. A play apparatus with red and yellow steering wheels attached to the blue tunnel had two (2) large rusty screws protruding near the base; 3. The basketball stand was leaning to the right side. The basket was hanging across the fence. An interview with a staff member in charge revealed the builders put it there; 4. The wood bench attached to the slide and swing sets was missing the plank, rusty nails were protruding, and the base of the bench was chipped, exposing the sharp edges. Additionally, based on observation in the infant room, white dry spots, indicative of a child's spit-up, were on the area rug in the fenced play area in the room.

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.

Based on observations, a broken white truck with exposed sharp edges was on the playground. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the top shelf in Refrigerator #2 in the kitchen had a dried brown substance. An interview with the staff in charge revealed they were in the process of cleaning it, but a bowl with lunch leftovers was placed on the second shelf. The bottom of the freezer in Refrigerator #2 was covered with a dried brown substance. Food was stored at the bottom of the freezer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

Based on review of documents, the following was found: 1. The files for thrree (3) children (DOE: 08/15/2023, 04/15/2022, and 05/17/2023) did not have information to enable the person in charge to contact the child’s preferred hospital; 2. The files for five (5) children's (DOE: 02/29/2026, 02/29/2016, 11/01/2016, 09/01/2023 and 06/16/2023) listed Kosair Children's Hospital as their preferred hospital; Kosair is no longer an existing children's hospital in the area. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper methods of diapering and hand-washing were not posted at the diaper changing area in the Infant room. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of the Kentucky Applicant Registry and Employment System (KARES), a background check for one (1) staff (DOH: 3/13/2023) had not been submitted through KARES. The staff-in-charge did not have the staff’s file for the surveyor to review. Staff-in-charge stated the employee had not officially been hired at the child care center and that the staff was there “orientating”. During the surveyor’s visit, the surveyor observed the staff working alone with children on two occasions for an undetermined amount of time. Upon the surveyor’s arrival, the staff was observed working alone in the Preschool Room. Later during the visit, the preschool teacher was preparing to leave for a bus run when the surveyor observed the staff working alone in the Nursery as the Nursery staff was in the Preschool Room.

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 the Kentucky Applicant Registry and Employment System (KARES), a background check for one (1) staff (DOH: 3/13/2023) had not been submitted through KARES. The staff-in-charge did not have the staff’s file for the surveyor to review. Staff-in-charge stated the employee had not officially been hired at the child care center and that the staff was there “orientating”; however, the surveyor observed the staff working alone with children at the child care center. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the personnel files for two (2) staff (DOH: 3/19/2011 and 1/12/2022) did not contain a written performance evaluation. Staff-in-charge stated that she didn’t think that evaluations had been completed. The surveyor was unable to verify if the staff's evaluations were completed annually.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of the Kentucky Applicant Registry and Employment System (KARES), a background check for one (1) staff (DOH: 3/13/2023) had not been submitted through KARES. The staff-in-charge did not have the staff’s file for the surveyor to review. Staff-in-charge stated the employee had not officially been hired at the child care center and that the staff was there “orientating”. During the surveyor’s visit, the surveyor observed the staff working alone with children on two occasions for an undetermined amount of time. Upon the surveyor’s arrival, the staff was observed working alone in the Preschool Room. Later during the visit, the preschool teacher was preparing to leave for a bus run when the surveyor observed the staff working alone in the Nursery as the Nursery staff was in the Preschool Room. 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 with staff-in-charge, the surveyor discovered the following: 1. A staff’s personnel file (DOH: 7/10/2001) did not contain a negative tuberculin result; staff-in-charge stated that she had the test result; however, she thought that it was at home. 2. A staff’s personnel file (DOH: 3/13/2023) did not contain a statement from a health professional that the individual was free of active tuberculosis or a copy of negative tuberculin results. Therefore, the child-care center failed to show proof that the employees were free of active tuberculosis or provide a copy of a negative tuberculin result.

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 review of documentation, the surveyor discovered that no information was generated on the ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 1/12/2022); therefore, the surveyor was unable to determine if the staff had received the training on first aid and cardiopulmonary resuscitation (CPR). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor discovered the following: 1. No information was generated on the ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 1/12/2022). Therefore, the surveyor was unable to determine if the staff completed six (6) hours of cabinet-approved orientation training, one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training or fifteen (15) required hours of cabinet-approved early care and education training. Staff-in-charge stated that she did not know if the staff had completed the trainings. 2. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 7/1/2021 thru 6/30/2022, the surveyor discovered that one (1) staff (DOH: 7/10/2001) failed to complete any of the required fifteen (15) hours of cabinet-approved early care and education training. 3. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 7/1/2021 thru 6/30/2022, the surveyor discovered that one (1) staff (DOH: 3/19/2011) had completed six (6) hour of the fifteen (15) required hours of cabinet-approved early care and education training. Therefore, the child-care center failed to ensure that staff's trainings were completed as required. 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, the surveyor discovered a three (3) month old child sleeping in a bouncer seat. Staff stated that the child had been asleep for one (1) hour. Staff stated that the child did not have a signed waiver from a health professional stating that the infant requires an alternate sleeping position 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 surveyor discovered a purse placed on a wooden veneer top table and a tote bag placed on a small blue child-sized table; therefore, the staff's personal items were accessible to the children. Staff stated that the purse and tote belonged to a staff.

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 discovered the following in the Preschool restroom: 1. The exhaust vent contained had a thick layer of dust. 2. The mirror over the sink was dirty with what appeared to be soap and water spots. Therefore, the premises was not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered multiple ceiling tiles with discolored water spots and one (1) ceiling tile with a black substance that appeared to be black mold in the Preschool Room. Staff-in-charge stated that an order has been placed to replace the tiles. Staff-in-charge stated that the black area on the tile is not black mold. Staff- in-charge reported that the black area was from something leaking from upstairs and leaving a black stain. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered that the hot water temperature of the sink, located in the Preschool restroom, measured seventy (70) degrees Fahrenheit; therefore, the water temperature of the sink did not fall within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered that the diaper changing pad in the Nursery contained tears. Staff-in-Charge stated that the diaper changing pad would be replaced. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on review of documentation, the surveyor discovered that the food service permit expired after 12/31/2022.

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, during a tour of the kitchen, the surveyor discovered the following: 1. A thermometer was not placed in the chest freezer. Staff-in-charge stated that the food program and the health department did not require a thermometer for the chest freezer. 2. A thermometer was not placed in the freezer of the Whirlpool side by side refrigerator. Staff-in-charge looked and was unable to locate a thermometer in the freezer. Staff-in- charge found that the thermometer had been placed in another freezer that already had a thermometer. Therefore, the surveyor was unable to determine if the frozen food was kept at a temperature of zero (0) degrees Fahrenheit or below as required. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the personnel files for three (3) staff (DOH: 7/10/2001, 3/19/2001, & 1/12/2022) did not contain a written annual professional development plan; therefore, the surveyor was unable to determine if annual professional development plans were completed as required. Staff-in-charge stated that she did not think that the professional development plans had been completed.

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 with staff-in-charge, the surveyor discovered that documentation for the monthly fire drills and the quarterly tornado and earthquake drills were not available for the surveyor to review. Staff-in-charge stated that the monthly fire drills and quarterly tornado and earthquake drills were conducted; however, staff-in-charge stated that she was unable to locate the documentation for the drills; therefore, the surveyor was unable to determine if the provider maintained the written records detailing the date, time, and children who participated as required.

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 interview with staff-in-charge, the surveyor discovered that documentation for the monthly fire drills and the quarterly tornado and earthquake drills were not available for the surveyor to review. Staff-in-charge stated that the monthly fire drills and quarterly tornado, earthquake and lockdown/shelter-in-place drills were conducted; however, staff-in-charge stated that she was unable to locate the documentation for the drills; therefore, the surveyor was unable to determine if the drills were conducted during hours of operation and documented as required. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the Emergency Preparedness Plan was dated 8/19/2021; therefore, the surveyor was unable to verify that the plan had been reviewed or revised within the past year. Staff-in-Charge stated that the Emergency Preparedness Plan had been reviewed and submitted to the local emergency management by December 31st, 2022; however, she was unable to locate the documentation to provide for the surveyor to review. Animals 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: Observation revealed at 9:14a.m. a staff member exited the preschool room and left four (4) preschool children unsupervised while he/she answered the front door to let a child and a parent into the child care center. Interview with the staff member revealed the youngest child in the classroom was three years old. The staff member was not within scope of vision, and range of voice of the preschool children. 2. Observation of the school-age room revealed at 9:21a.m. a staff member exited the preschool room and left five (5) preschool children unsupervised while he/she answered the door to let a child and parent into the child care center. Interview with the staff member revealed the youngest child in the classroom was three years old. The staff member was not within scope of vision and range of voice of the preschool children. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Upon request, zoning documentation was not presented for review on the day of the inspection. Therefore, the documentation was not reviewed to ensure local zoning requirements are met and/or maintained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There were two (2) electrical outlets that did not have a protective covering within the Infant room. 2. There was one (1) electrical outlet that did not have a protective covering within the Preschool room. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a copy of the administrative regulations, 922 KAR 2:120, 922 KAR 2:280 and 922 KAR 2:090, was not presented for review on the day of the inspection.

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: Upon request, a current annual written staff evaluation was not presented for review on the day of the inspection for the staff member with the hire date 03/19/2011. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a High School diploma, GED or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential was not presented for review for a staff member with the hire date 03/01/2022.

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: Upon request, a current written statement from a health care professional stating that the staff members with the hire dates 10/10/2001 and 03/01/2022 was free of active tuberculosis, or a copy of a tuberculin result, was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, verification that at least one (1) staff member on duty and present with the children was currently certified by a cabinet-approved training agency in first aid and cardiopulmonary resuscitation was not presented for review on the day of the inspection. Interview with the staff in-charge revealed that two (2) staff members were certified in first aid and cardiopulmonary resuscitation certification. However, the certification was not by a cabinet-approved agency. Upon request, a current copy of the van driver’s first aid and cardiopulmonary resuscitation (CPR) certification was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Upon request, verification that the staff members with the hire dates 03/19/2011 and 10/10/2001 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the aforementioned staff members. 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 2. Child Care Services.

General: Upon request, a current daily activity plan was not presented for review for the School-Age room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a drawer that was missing the cabinet face, leaving sharp, splintered edges on the cabinet within the Infant room. 2. The rubber baseboard was partially attached to the handwashing sink cabinet located within the Infant room. 3. The bathroom door within the Preschool room did not close properly. The metal door frame was partially attached to the wall. 4. The white air vents within the Preschool room and the Men’s bathroom within the School-Age room were heavily soiled with dust and debris. 5. The Men’s bathroom door within the School-Age room did not close properly. 6. The mini blinds located within the kitchen contained a heavy build-up of grease, dust and dried food. There were multiple slats that were also bent and broken. 7. The miniblinds located within the School-Age room were heavily soiled with a greasy build-up and dust and debris. There were multiple slats that were bent and broken. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The ceiling tiles in the School-Age room and Preschool room contained brown stains, indicative of water damage. 2. The tile and vinyl floors throughout the child care center were heavily soiled with dust and debris. 3. The walls throughout the child care center were soiled. 4. The walls throughout the Preschool room, Infant room and School-Age room were chipping paint and the drywall was exposed. 5. There was a hole in the wall over the door located in the School-Age room. 6. There was a corner of a wall that was chipping paint and drywall, the metal flashing was exposed. 7. There was a blue floor heating vent that was detached from the wall leaving a hole in the wall. Also, the paint and drywall was chipping off the wall, causing the metal flashing to be exposed. 8. There was a telephone outlet cover that was partially attached to wall, leaving a gap between the wall and the outlet cover, within the School-Age room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the changing pad located within the Infant room revealed there were multiple tears and holes in the pad, exposing the inside absorbent material. Also, the changing pad contained a build-up of dust and debris. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the outside play area revealed there was a soiled diaper lying on the ground where the children play.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the outside play area revealed there was not sufficient protective surfacing under two (2) swings. The ground was visible. 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 6. Sleeping and Napping Requirements.

General: Observation of a crib sheet on which a one-year-old child was sleeping revealed the sheet was heavily soiled with several dried stains, a dried pink substance and a greenish-yellow substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was an orange plastic table that was cracked and broken, leaving the table with sharp pointed edges within the School-Age room. 2. In the Preschool room there was a blue wooden shelf that was chipping paint and wood was exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The nylon canopy that was attached to the wooden climbing structure located within the outside play area was torn and in disrepair. 2. There were four (4) rolls of vinyl seats located within the 1996 white Ford 350 Club Wagon van that were ripped and torn. 3. The fabric headliner was torn and hanging within the 1996 white Ford 350 Club Wagon van. 4. The carpet in the library center within the Preschool room contained two (2) holes that were raveling. 5. There was an electric swing within the Infant room that was heavily soiled with a dried cream-colored substance throughout the swing. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Upon request, a written plan that detailed the type of transportation, staff schedule, transportation schedule and transportation route was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Upon request, a written job description for the van driver and/or for the staff member who accompanies the children while they are away from the child care center was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Upon request, the staff in-charge did not present the following first aid supplies for review: 1. Cardiopulmonary Resuscitation moouthpiece protector. 2. First aid book. 3. Cold pack 4. Medical tape 5. Gloves Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current food service permit was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

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: Observation of the deep freeze and the Whirlpool refrigerator freezer located within the kitchen revealed the temperature could not be measured to ensure the freezer’s temperature was zero degree Fahrenheit or below on the day of the inspection.

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: Observation of the child care center revealed the following: 1. The inside of the Whirlpool refrigerator located within the kitchen contained a brown, sticky substance on several of the shelves. 2. The inside of the Whirlpool refrigerator freezer located within the kitchen was heavily soiled with a brown substance. 3. The deep freeze located within the kitchen was rusted and contained a large a mount dried food particles on the bottom floor of the freezer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Upon request, a current immunization certificate for a child with the enrollment date 10/28/2018 was not presented for review on the day of the inspection.

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: Review of the children’s files revealed the following: 1. There was not a preferred hospital listed for the children with following enrollment dates: 09/30/2022 and 11/01/2016. 2. There were four (4) children’s files with the enrollment dates 11/01/2016, 10/28/2018, 05/12/2019, 10/17/2011 and two (2) children’s files with the enrollment date 02/29/2016 that listed a non-existing hospital. Therefore, a preferred hospital was not listed for the aforementioned children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of documentation revealed the following: 1. A chain of command and an organization chart was not presented for review on the day of the inspection. 2. A job description for the van driver was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written professional development plan was not presented for review on the day of the inspection for the staff member with the hire date 03/19/2011.

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: Upon request, a written quarterly practiced lockdown drill detailing the date, time and the name of the children that participated in the drill for the third (3rd) and fourth (4th) quarter of 2021 was not presented for review on the day of the inspection. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, a description of the services provided by the child care center detailing the currents rates, hours of operation and staff to child ratios and group size was not presented for review on the day of the inspection and the information was not posted in a conspicuous place for the public to view. Animals Not Applicable

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, interview and review of documentation, the child care center failed to maintain staffing requirements. When the surveyor entered the facility at approximately 2:20 P.M. observation revealed two (2) staff members. A staff member with three (3) school age children in the school age room, and a staff member with eight (8) children of mixed ages including a child in a high chair in the preschool room. Interview with the staff in the preschool room revealed the youngest child in the room was under two (2) years of age and the oldest child was eight (8) years of age. Continued interview at approximately 2:30 P.M. revealed the youngest child had been in attendance with the older children since the morning. A review of documentation revealed the child's date of birth as 1/30/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration 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 observation, the child care center failed to assure compliance with regulatory requirements. Based on observation a staff member in the preschool room with eight (8) children failed to have a facial covering over her nose and mouth when the surveyor entered into the preschool classroom upon arrival at the center. The surveyor later returned to find the staff member failing again to have a facial covering. A staff member in the schoolage room also was observed failing to wear her mask while playing a game of Doubles or Triples Uno with three (3) school age children. Additionally, an orange extension cord plugged into the wall and another extension cord were both lying on the floor in the school age room. Both were plugged into an electrical outlet but not connected to a device leaving the electrical current open. 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 12. Contract Substitute Staff Member Requirements.

General: Based on observation and review of documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of documentation for a contracted staff member failed to include negative results from a tuberculin test or a written statement from a health care professional stating the individual is free of tuberculosis. A high school diploma failed to be legible. The file of documents submitted at the time of the survey was illegible. 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 observation, interview and review of documentation, the child care center failed to maintain programming requirements. Observation in the preschool room revealed eight (8) children with one staff member. Interview with the staff member revealed the youngest child was under two (2) years of age and the oldest child was eight (8) years of age. A review of documentation revealed the youngest child's date of birth as 01/30/2020. Further interview with the staff member revealed the aforementioned child had been with her class the entire day. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Infant/Toddler room and the room containing the back door revealed an accumulation of live ants by the rear door and under a wooden shelving unit. A small refrigerator with a lavender colored door in the Infant/Toddler room contained ants frozen in the ice and multiple dead ants on the top shelf of the door of the refrigerator. Numerous insects were also observed in multiple light fixtures throughout the building. 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises. Observation revealed peeling paint throughout the facility, including the school age room, the preschool room and the toddler/infant room. An additional room containing the back door also contained peeling paint. Baseboards in the Infant/Toddler room were observed disconnected from a lavender post in the center of the room and away from the bottom of the sink cabinet. The tape which had been applied to the baseboard was no longer connecting the baseboard to the wall. Also, multiple ceiling tiles revealed brown stains, indicative of water damage. Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory transportation requirements. Upon request, the staff in charge failed to submit policies for loading and unloading children, and policies and procedures for emergency evacuation. The staff in charge was provided approximately twenty (20) minutes to gather and submit the documents.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory transportation requirements. Based on interview, the staff in charge failed to submit a fire extinguisher that was in compliance upon request. Food Service In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain required postings. A review of posted documentation revealed a Statement of Deficiency (SOD)/Plan of Correction (POC) dated 9/26/17. Interview with the staff in charge revealed the most recent SOD/POC had not been posted as of today's date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification of current compliance with the State Fire Marshal's office. The document that was presented for review was from 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/15/2020 AND AS OF 02/04/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 02/19/2021 AND AS OF 03/18/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification of the evaluations assessing the staff persons' interaction with children in care and classroom performance for the employees with the hire dates of 03/19/2011 and 10/20/2015. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center had employed at least two (2) qualified substitute staff persons. Review of documentation presented revealed only one (1) qualified substitute was employed.

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: Upon request, the staff in charge did not present verification that staff members with the hire dates of 10/10/2001, 03/19/2011 and 10/20/2015 had updated their Pediatric Head Trauma training after five (5) years. Review of documentation in ECE-TRIS revealed the staff members listed above had not met the requirement.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the employee/driver with the hire date of 10/10/2001 had an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements as evidence by the following: 1) The outlet located in the school-age classroom was missing the cover plate, exposing the electric wiring; 2)The baseboard located under the sink vanity in the classroom was unglued from the wall and hanging loosely; 3)The ceiling tiles in the pre-school and hallway to the restrooms had brown stains, indicative of a water leak; 4)There was a large hole near the bottom of the wall located near the backdoor. The hole exposed wood and plaster; 5)The walls in four (4) of the four (4) classrooms contained chipped paint; 6) The return vent in the toddler classroom had a buildup of dust; 7) There were cobwebs running the length of the back wall in the toddler classroom; 8)The blinds in the preschool and toddler classroom had a heavy buildup of black stains and had broken slats; 9)The beige carpet in the school age room was torn near the edge and stained; and 10) The blue area carpet in the toddler classroom was stained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation in the infant classroom revealed brown/black droppings that ran along the length of south sidewall and inside an enclosed play area on the rubber floor mats. A two-year-old child was observed playing on the floor mats. The observed droppings were indicative of a rodent problem. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the changing table located in the infant classroom revealed two (2) small rips; therefore, the changing pad was not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the swing set and slide located on the playground did not contain sufficient protective surface underneath the slide and swings. The area underneath had exposed dirt on the ground covering.

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 fence was detached from the fence post near the gate, leaving a gap between the fence and gate. 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 6. Sleeping and Napping Requirements.

General: Based on observation in the infant classroom, four (4) of the four (4) crib mattress sheets had excessive material; therefore, the sheets were not tight fitted.

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: Observation of the sleeping mats located in the pre-school classroom revealed five (5) mats were worn with the inside material exposed. The children were observed napping on the mats. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

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.

Based on observation, the vehicle was missing the rear back window. The area was covered with plastic sheeting and duct tape. Additionally, the left front headlight was broken and was missing the protective covering. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the 1996 Ford 350 Club wagon had maintained a current registration. Review of the vehicle's license tag revealed the registration expired 2018.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center maintained policies and procedures relating to an emergency plan for evacuating the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that a policy had been maintained for safety procedures for loading and unloading a child.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care van was not properly equipped with a working fire extinguisher. The fire extinguisher gauge indicated the extinguisher was empty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification of a current certification of inspection for the 1996 Ford 350 Club wagon, which had been conducted from the Transportation Cabinet. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ceiling tile in the kitchen contained dried food stain splatters. The blind on the kitchen window had a heavy build up of food stains along with broken slats.

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 interview and review of documentation, the staff in charge did not present verification that the child care center had a current food service permit.

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 of the freezer located in the kitchen, there was no thermometer present to verify the freezer temperature of zero degrees Fahrenheit or below.

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, the metal cart in the kitchen that was utilized for storing dishware, had a large buildup of rust flakes on the second shelve, therefore, making the items unsanitary. The microwave interior had a buildup of dried food stains. The stovetop had a greasy buildup on the surface. The interior of the refrigerator had dried food stains on the shelving. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record of the child with the enrollment date of 07/16/2018 had a current immunization record. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

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 interview and review of documentation, the staff in charge did not present verification that the records for children with the enrollment dates of 07/22/2020, 08/25/2020 and 11/06/2020 contained information listing a preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that an annual plan for child-care staff professional development had been completed for the staff members with the hire dates of 03/19/2011 and 10/20/2015.

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 staff in charge did not present for review an accurate account of the names of the children who participated in the fire drills that were conducted within the last twelve (12) months. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897 was posted in a conspicuous place and was made available for public inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 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 interview and review of documentation, the staff in charge did not present verification that the proper handwashing procedures were posted in the infant classroom. Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/03/2019 AND AS OF 11/07/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present fifteen (15) hours of approved training nor could training hours be verified by ECE-TRIS for a staff member with hire date 10/10/01. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements in regards to the floors, walls and ceilings. Throughout the center, the surveyor observed large areas of peeling paint and brown stains on the walls. The ceiling vent had what appeared to be water stains surrounding it and throughout the ceiling in the school age area. The rug located in the school area was extremely frayed causing a safety hazard for children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children records in accordance with regulatory requirements. Upon request, the staff in charge did not present a current immunization record for child with the enrollment date 1/16/19. Documentation presented expired 7/10/19.

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 interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request,the staff in charge did not submit an enrollment packet or documentation to include parents information and contact, the name of each person who is designated to pick up the child and emergency contact information, the parents preferred hospitial and the family's physician information for a child with the enrollment date of 5/5/19. 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 2. Child Care Services.

General: Based on observation, the child care center failed to comply with staffing requirements. Observation in the School age classroom on 8/10/18 revealed one (1) staff member had supervisory authority over twenty-eight (28) children ages three-years-old to nine-years-old from 8:00am to 8:43am; therefore, the center exceeded minimum staff-to-child ratios and maximum group size during this time. 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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation and interview with director revealed written documentation of more than one (1) staff meeting was not presented for review at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for three (3) staff members hired 10/20/15, 3/30/17 and 3/19/11. Interview with director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. 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 director failed to assure compliance with regulatory requirements. Observation of the School Age classroom revealed one (1) outlet located next to the sign in desk was missing the protective plate and had several wires exposed. Continued observation revealed in the Infant room one (1) outlet was not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files on 8/10/18 revealed the statement of negative tuberculin result on file for staff members hired 10/22/15, 9/22/16 and 10/10/01 were no longer current as they were dated 5/8/15, 8/7/15 12/3/03. Interview with director revealed current documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for five (5) staff members hired 10/20/15, 9/22/16, 3/30/17, 3/19/11 and 10/10/01. Continued review of staff files revealed three (3) staff member hired 10/20/15, 9/22/16, 3/30/17 had not received Pediatric Abusive Head Trauma training (PAHT). Review of staff files revealed one (1) staff member with a hire date of 3/30/17 had not completed state approved orientation training. Interview with director revealed this documentation was not on file at the time of survey.

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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a Kentucky Driver History Record presented for review at the time of survey for the driver hired 10/10/01 expired on 7/15/18. Interview with director revealed she needed to obtain a new driving history record. Programming In Compliance 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 Infant classroom revealed several plastic bags located in an unlocked cabinet under the classroom sink that were 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 comply with regulatory requirements regarding premises, specifically pest control. Observation revealed the center failed to utilize measures to control the presence of vermin; several insects resembling beetles were observed crawling on the floor and ceiling of the kitchen and several insects resembling gnats were observed flying around in the kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

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 School Age classroom revealed several floor tiles were broken and cracked around the edges; the carpet was torn and frayed by the window and the walls; and vents and ceiling were covered in a thick layer of dust. Continued observation revealed in the Infant classroom, the carpet was torn and frayed in several areas. Continued observation revealed in the Preschool classroom, the carpet was torn and frayed; paint was chipping and peeling from the walls; and baseboard was missing. Continued observation in the Preschool classroom revealed a ceiling tile that was wet and had what appeared to be a black mildew or mold growing out of it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Girls' bathroom located near the office revealed water leaked from the toilet onto the floor when the toilet was flushed. 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 hygienic practices in accordance with regulations. Observation of the Infant classroom revealed an infant’s hands were not washed after a diaper change.

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 hygienic practices in accordance with regulations. Observation of the Infant classroom revealed a staff member changed an infant’s diaper, then touched other children and several items in the classroom, but did not wash her hands with liquid soap and running water after the diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant classroom revealed a staff member failed to sanitize the diapering surface after changing a child’s diaper. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Three’s Room revealed the large number/alphabet rug was soiled. Observation of the Preschool classroom revealed a blue and red vinyl mat was torn exposing the inner padding. Continued observation revealed in the Infant classroom the front of a wooden cabinet drawer was missing. Observation of the center van revealed the inside of the side door was missing the door covering exposing a large hole in the door. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the center van revealed the registration tags expired in December 2017. Review of documentation revealed verification that the center complied with having a current registration was not presented for review at the time of survey. Interview with director revealed the new registration sticker was stolen from the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the center failed to have documentation of the staff schedule for drivers and monitors and a transportation schedule on file at the time of survey. Continued review of documentation revealed the center failed to have documentation of the emergency procedures practiced monthly by staff that transport children on file at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the vehicles used by the child care center to transport children revealed the vehicle was a twelve (12) passenger van. Review of documentation revealed current certification of an inspection from the Transportation Cabinet was not presented for review at the time of survey. During interview, the director acknowledged the center failed to present this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records revealed documentation of the daily inspection of the child care center van 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. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed a build-up of dirt and dried food on the walls, floor and ceiling around the kitchen cabinets and stove.

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, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed what appeared to be a brown sticky substance built up on the inside of the kitchen stove. Continued observation in the kitchen revealed what appeared to be a buildup of dried food and a brown sticky substance on the inside of the refrigerator. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the immunization certificate on file for a child enrolled 5/3/18 failed to include a validation date. Interview with director revealed the immunization certificate presented for review was the only certificate on file at the time of survey for the child enrolled 5/3/18. 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 regulations. Review of the evacuation plan presented for review at the time of survey revealed the plan was no longer current as it was dated 10/26/16. Interview with director revealed the plan was recently reviewed and was submitted for review to the fire department; however, she acknowledged a current date was not documented on the evacuation plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

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 maintain written documentation in accordance with regulations. Review of attendance records on 8/10/18 revealed on the day of 8/10/18 twenty-five (25) children had been signed in but thirty-two (32) children were present at time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for child care staff professional development was not presented for review at the time of survey for four (4) staff members hired 10/20/15, 9/22/16, 3/30/17 and 3/19/11. Interview with director revealed this documentation was not on file at the time of survey. 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 2. Child Care Services.

General: Based on observation and interview, the childcare center failed to comply with regulations regarding supervision. In the infant room it was observed that the staff member with the hire date of 03/30/2017 walked away from her classroom to go into the kitchen on several different occasions during survey from 11:35am-11:50am leaving two (2) infant children in the age from four months to 8 months unsupervised. In the toddler room it was observed that the staff member with the hire date of 07/30/2017 walked away from her classroom to go to the bathroom at the time of 10:52am-10:56am leaving five (5) children in age from one-year-old to two-year-old unsupervised. Interview with the director revealed she was aware of this issue. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 9 Inspection Report 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 childcare center failed to comply with regulations regarding staffing. In the pre-k room it was observed that staff member with the hire date of 04/26/2017 walked away from her classroom at 10:43am to go into the kitchen leaving eight (8) children in age from three years old to five years old. Interview with the director revealed she was aware of this issue and that the other staff member with the hire date 07/30/2017 was caring for the children until the aforementioned staff member returned from the kitchen. The HSS revealed to the director that this would then make the staff member with the hire date 07/30/2017 be the sole caregiver for thirteen (13) children from the age of one-year-old to five-year-old all at one time. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on review of documentation, the childcare center failed to comply with regulations for director requirements. Review of staff files revealed an annual written performance evaluation was not presented for two (2) staff members with hire dates 09/22/16 and 10/20/15.

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, the childcare center failed to comply with regulations for employee records. The personnel file for a staff member with the hire date of 07/30/17 failed to contain proof of a child abuse and neglect check. The aforementioned staff member was observed to be working alone with five (5) toddler children in the age of one year to two years old. Interview with the director revealed this information was not available at the time of survey. In the pre-k room it was observed that a staff member with the hire date of 04/26/2017 walked away from her classroom at 10:43am to go into the kitchen leaving eight (8) children in age from three years old to five years old unsupervised. Interview with the director revealed she was aware of this issue and that the other staff member with the hire date 07/30/2017 was caring for the children until the aforementioned staff member returned from the kitchen. Therefore, the staff member with the hire date 07/30/2017 was the sole caregiver for thirteen (13) children from the age of one year old to five years old at one time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the childcare center failed to comply with regulations for employee records. A personnel file for a staff member with the hire date of 07/30/17 failed to contain proof of child abuse and neglect check. The aforementioned staff member was observed to be working alone with five (5) toddler children from the age of one year to two years old. Interview with the director revealed this information was not available at the time of survey. In the pre-k room it was observed that staff member with the hire date of 04/26/2017 walked away from her classroom at 10:43am to go into the kitchen leaving eight (8) children in age from three years old to five years old. Interview with the director revealed she was aware of this issue and that the other staff member with the hire date 07/30/2017 was caring for those children until the aforementioned staff member returned from the kitchen. Therefore, the staff member with the hire date of 07/30/2017 was the sole caregiver for thirteen (13) children from the ages of one year old to five years old all at one time.

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 regulations. Review of staff files revealed a staff member with the hire date of 07/30/17 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.

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 childcare center failed to maintain employee records in accordance with regulations. Review of staff files revealed three (3) staff members with the hire dates of 10/10/01, 07/30/17, and 10/20/15 failed to have records of tuberculin result or statement for a health professional 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 childcare 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 the following staff members with hire dates 09/22/16 and 10/20/15. Further review of staff files revealed two (2) staff members with a hire dates 10/20/15 and 04/26/17 had not completed state approved orientation training. Staff members with hire dates 09/22/16 and 10/20/15 failed to contain proof that they had received Pediatric Abusive Head Trauma training PAHT. Interview with the director revealed this documentation was not on file at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 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, the childcare center failed to maintain premises in accordance with regulations. Observation of the kitchen revealed the door was open and accessible to children. Further review, revealed four (4) bottles of cleaning products were located next to the sink, with the label indicating “keep out of reach of children”.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation the childcare center failed to maintain premises in accordance with regulations. Observation of the kitchen revealed the door was open and accessible to children. Further review, revealed the oven was operating and hot to the touch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the childcare center failed to comply with regulations regarding premises. There was dust buildup on the air vents located in the school age, pre-k, infant and toddler rooms. There were several areas of paint chipping from the wall in the following rooms: pre-k, infant, toddlers, school age room. In the pre-k room there were several areas of paint chipping from the book shelf. The pre-k room and the infants room revealed the baseboards was separating away from the wall. Observation in the pre-k room and toddler room revealed there to be a hole in the wall near the block area exposing drywall and insulation. Observation in the following rooms revealed broken floor tiles: pre-k bathroom, infants, bathroom, and school age room. The carpet in the pre-k, infants, and school age rooms were torn and frayed, exposing fabric at the seams causing a tripping hazard.

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 and interview, the childcare center failed to maintain premises in accordance with regulations. Observation of the women’s bathroom revealed from 9:45am until 12:30pm a large puddle of liquid substance with a smell indicative of urine on the floor. Interview with the director revealed she was not aware of the issue, and the aforementioned bathroom possibly had an overflown toilet bowl. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 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 and interview, the childcare center failed to maintain premises in accordance with regulations. Observation of the women’s bathroom revealed from 9:45am until 12:30pm the toilet bowl was filled with discarded toilet paper and a yellow substance indicative of urine. Interview with the director revealed she was not aware of the issue, as the aforementioned bathroom had not been maintained since the early morning. 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 childcare center failed to comply with regulations regarding hygiene practices. Observation in the pre-k room revealed a staff member with the hire date of 04/26/2017 did not assist the children in washing their hands prior to eating lunch.

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 childcare center failed to comply with regulations regarding hygienic practices. In the infant room there was debris underneath the diaper changing pad on top of the diaper changing table. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 Inspection Report 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 childcare center failed to comply with the regulations regarding first aid medication. Observation of the center’s first aid supplies revealed medical tape, scissors, and CPR mouthpiece was not presented for review at the time of survey. Interview with director revealed she could not locate the these items at the time of survey. 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 childcare center failed to comply with regulations regarding the outdoor play area. Observation of the playground revealed there was not enough protective surface under the swing set and climbing apparatus as there was visible ground exposure. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the childcare center failed to comply with regulations regarding equipment. In the infant room there were three (3) cribs with two mattresses one on top of another. Further observation also revealed a four month old infant asleep in the crib. Upon review of documentation there was no waiver or written request from a health professional in the child’s record. Interview with the director, revealed at the parent's request the additional mattress was placed inside the crib, but that no medical statement from a health professional was available at the time of survey. The cribs no longer met Consumer Product Safety Commission standards when additional mattresses were added.

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 childcare center failed to comply with regulations regarding equipment. In the Infant room the upholstery on the swing was stained and dirty An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 Inspection Report

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 childcare center failed to maintain equipment in accordance with regulatory requirements. In the school age room, two (2) bean bag chairs were deflated and not being used according to the manufacturer's safety specifications. Interview with the director revealed she was aware of the issue but that she was currently using the bean bag chairs for additional seating on the carpet. Observation of the child care van revealed a broken left head light. Interview with the director revealed she was aware of the issue. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the childcare center failed to comply with regulations regarding transportation. There is no staff schedule for a driver and a monitor for the child care van. Interview with the director revealed, she is the only driver of the child care van and the monitors for the child care van vary from day to day. Upon request no documentation of a staff schedule for the transportation was presented at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the childcare center failed to comply with regulations regarding transportation. Observation in the child care van revealed two (2) bottles of window cleaner sitting on the floor in the back of the child care van with the label on it indicating “keep out of reach or children”. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the childcare center failed to comply with regulations regarding food service. Observation in the infant room revealed that the refrigerator thermometer registered fifty-five (55) degrees Fahrenheit. Observation of the side by side refrigerator located in the kitchen revealed no thermometer or other appropriate temperature measuring device was present.

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 childcare center failed to maintain food service in accordance with regulatory requirements. Observation of the side by side freezer located in the kitchen revealed no thermometer or other appropriate temperature measuring device was present. The freezer in the infant room was heavily frozen over with ice, making the freezer inaccessible for use. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 Inspection Report

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, the childcare center failed to maintain food service in accordance with regulatory requirements. Observation of the side by side freezer and refrigerator located in the kitchen revealed food debris on the shelves. Further observation in the refrigerator located in the kitchen and the refrigerator in the infant room revealed food debris on the shelves. The stove top, oven, and the dish cart had grease buildup and food debris. This stove top and oven was observed to be used for cooking lunch at the time of survey, and the dish cart was used to transport the food items and dishes from the kitchen into the classrooms to present to children for consumption. Observation in the pre-k old room revealed a staff member with the hire date of 04/26/2017 did not disinfect or sanitize the table after completing an art activity and before lunch was served to the children.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the childcare center failed to maintain food service in accordance with regulatory requirements. Observation in the kitchen revealed several bottles of food containers on top of the refrigerator and on the pantry shelf that had noticeable food spillage, dust and debris atop.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the kitchen revealed several dead insects and vermin located on the kitchen floor and on a sticky insect trap. Interview with the director revealed she was not aware of the presence of pest in the kitchen. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Three (3) children's files did not contain a written record of a current copy of an immunization certificate. The file for a child with the enrollment date 08/14/2017 did not contain a copy of an immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 Inspection Report 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, the childcare center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a professional development plan was not presented for review at the time of survey for two (2) staff members with hire dates of 09/22/16 and 10/20/15.

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 written documentation in accordance with regulations. The center failed to present the names of the people in attendance when the earthquake and tornado drill were conducted within the year for review at the time of survey. Interview with the director revealed the drills were conducted; however, she could not locate the names of people present during the drills at the time of survey.

Open Not marked corrected in the state record

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 written documentation in accordance with regulations. The center failed to present documentation and the names of the people in attendance when the fire drills were conducted within the year (missing Feb, Mar, April, June, and July of the year 2017) for review at the time of survey. Interview with the director revealed the drills were conducted; however, she could not locate this information at the time of survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the childcare center failed to comply with regulations regarding posted documentation. Review of posted documentation revealed the Statement of Deficiencies issued by the cabinet and the Plan of Corrections submitted by the center during the current licensure year and the Kentucky Consumer Product Safety recall were not posted in a conspicuous place. Interview with the director revealed this information was not available 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, the childcare center failed to maintain posted documentation in accordance with regulatory requirements. In the school age room there was no daily schedule posted and the daily activities were no longer current.

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 childcare center failed to maintain posted documentation in accordance with regulations. Observation of the infant room and the women’s bathroom revealed there was no posted documentation of proper hand washing procedures. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 02/27/2017 AND AS OF 07/19/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the child care center’s transportation records and employee records revealed a driver’s history for the child care center director only. Interview with the child care center director on 01/17/17 revealed she was the only individual to transport the children from the bus stop at the corner of the parking lot and return to the child care center. She further stated the transportation vehicle does not leave the parking lot with children from the child care center. Observation by the surveyor was made on 01/30/17 at approximately 4:20 PM, of the bus stop area for the child care center. The surveyor observed the JCPS school bus dropped children off to the child care center staff who awaited the children in the child care center transportation vehicle. The driver of the vehicle was not observed to be the director/owner. Interview with the child care center assistant director on 01/31/17 at 11:37 AM, revealed she was the driver of the vehicle. Review of employee records on 01/17/17 revealed the driver observed did not have documented evidence of a Kentucky driver history records in accordance with KRS 186.018. The child care center assistant director stated she drives when emergency situations happen and the director is not available. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation on 01/26/17, of the Toddler Playroom area revealed dusty spider webs on the left corner wall, close to the Toddler room entry. Review of DRCC records revealed the child care center submitted a plan of correction (POC) with an action date of 12/16/16 to remove all cob/dust webs from the corner, walls and ceiling with a broom. Observation of the webs were made with the child care center director who stated the dust and webbing were formed on the wall due to a vent in the ceiling.

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, review of documentation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the School-age classroom revealed the light fixture was no operational in the area of the school’s front entrance. Review of DRCC records revealed the child care center submitted a plan of correction (POC) with an action date of 01/17/17, which also stated maintenance was called on 12/21/16 to replace the light bulbs. Interview with the child care center director revealed no documented evidence of a work order for light bulb replacement. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, review of documentation and interview, the child care center failed to maintain premises in accordance with regulatory requirements to control the presence of rodents, roaches and other vermin. Observation of the child care center kitchen revealed large black bugs indicative of water bugs under the sink in the kitchen and a mouse caught in a trap behind the freezer by the window. Further observation revealed the floors were not swept as the water bugs were found to be dead for an undetermined period of time. Although the director has indicated pest control services, the water bugs, as well as the mice in the kitchen have identified unsuccessful control measures. Review of DRCC records revealed the child care center submitted a plan of correction (POC) which stated the director had not observed any mice in the child care center, however, she requested a work order from maintenance to address the black water bugs and mice feces. In addition, the director stated the action would be completed by 12/21/16. Interview with the child care center director revealed no documented evidence of a work order for pest control. In addition, the child care center director stated the floors of the kitchen are cleaned in the morning and evening.

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, review of documentation and interview, the child care center failed to maintain premises in accordance with regulatory requirements with regard to floors walls and ceilings. Observation of the Infant, Toddler, Preschool and School-aged classrooms revealed missing and broken floor tiles; dirt, debris, stains and torn carpet areas; the carpet areas were heavily stained with a black grimy substance; and the ceiling tiles and vents were covered in a dark substance indicative of dirt and debris. Review of DRCC records revealed the child care center submitted a plan of correction (POC) which stated a work order was placed, was in process of repair and floor tile would be replaced by 01/17/17, the floor would be stripped by 01/15/17 and vents and walls cleaned by 01/15/17. Interview with the child care center director revealed no documented evidence of a work order with regard to maintenance responsibility for cleaning, maintenance and repairs and expected date of completion. Transportation Not 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 3. Records.

General: Based on Review of Documentation, interview and observation, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of a staff schedule, plan to assure staff perform duties, transportation route, policy stating staff who transport the children will practice emergency procedures monthly, driver’s history for all drivers of the transportation vehicle. Interview with the child care center director on 01/17/17 revealed she was the only individual to transport the children from the bus stop at the corner of the parking lot and return to the child care center. She further stated the transportation vehicle does not leave the parking lot with children from the child care center. Observation by the surveyor was made on 01/30/17 at approximately 4:20 PM, of the bus stop area for the child care center. The surveyor observed the JCPS school bus dropped children off to the child care center staff who awaited the children in the child care center transportation vehicle. The driver of the vehicle was not observed to be the director/owner. The transportation vehicle was not observed to return to the child care center. Additional observation at 4:50 PM revealed the transportation vehicle was not at the bus stop corner of the parking lot or in the area of the child care center. Interview with the child care center assistant director on 01/31/17 at 11:37 AM, revealed she was the driver of the vehicle. She stated she drives when emergency situations happen and the director is not available. She stated that the transportation vehicle picks of children from the corner, drops them off at the child care center and returns to the bus stop to await the next group of children. She stated she has an assistant with her who gets out of the van, meets the children at the school bus and escorts them to the transportation vehicle. The assistant director also stated that she picked the children up from the bus stop, dropped them off at the child care center and returned to the bus stop to await the remaining children.

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 Review of Documentation, interview and observation, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of a written plan that detailed the type of transportation and/or staff schedule. In addition, review of documentation revealed no evidence that the child care staff that transported children practiced emergency procedures monthly. Interview with the child care center director on 01/17/17 revealed she was the only individual to transport the children from the bus stop at the corner of the parking lot and return to the child care center. She further stated the transportation vehicle does not leave the parking lot with children from the child care center. Observation was made on 01/30/17 at approximately 4:20 PM by the surveyor of the bus stop area for the child care center. The surveyor observed the JCPS school bus dropped children off to the child care center staff who awaited the children in the child care center transportation vehicle. The driver of the vehicle was not observed to be the director/owner. The transportation vehicle was not observed to return to the child care center and was not observed at the bus stop at approximately 4:50 PM. Interview with the child care center assistant director on 01/31/17 at 11:37 AM, revealed she was the driver of the vehicle. She stated she drives when emergency situations happen and the director is not available. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child care center's vehicle equipment revealed the following items missing from the first aid supply kit: liquid soap; sterile gauze; a thermometer; flashlight; cold pack; and a cardiopulmonary resuscitation mouthpiece protector. Interview with the child care center director revealed the first aid supply kit in the transportation vehicle was stored as purchased.

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 director failed to maintain a copy of the regulations for staff review. Review of documentation revealed the regulations available for staff review only contained 922 KAR 2:110 and were printed prior to the regulation updates. Further review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to designate one (1) adult staff person in charge to carry out the director’s duties in her absence. Upon arrival to the child care center, interview with a staff with a hire date of 10/01/11 revealed he/she was staff in charge in the absence of the director. However, the staff was not able to carry out the duties of the director, as he/she did not have access to all records, policies and procedures. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 11 Inspection Report

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, the director failed to complete annual staff evalutions. Review of staff files failed to reveal annual staff evaluations for any staff members. Based on interview with the director, she was unable to produce annual staff evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Observation of the diaper changing station in the Infant classroom revealed an unstable and unsteady changing table that was used to change toddlers. Further observation of the Infant classroom revealed a long cord from a television, which sat on a tall dresser, hung in accessible reach of an infant or toddler, next to an infant swing in the classroom. In addition, observation of the Infant classroom revealed crib mattresses double stacked in three (3) of three (3) cribs. Additional observation revealed loose fitted sheets in three (3) of the cribs and soiled sheets in the middle crib. Furthermore, toddlers were observed to sleep in each crib. Review of DRCC records revealed the child care center was cited for the same deficiency under Equipment on 09/04/15 as it related to the cribs in the Infant classroom. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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, the center failed to assure that each staff member completed required training. Based on review of staff records, a staff member hired on 10-20-15 failed to have completed orientation training; therefore, the orientation training was not completed within the first 90 days of employment. The same staff failed to complete 9 additional hours of training the first year of employment, that is to include 1.5 hours training for pediatric abusive head trauma training.

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 Review of Documentation, the center failed to maintain driver requirements for the center van driver. Based on review of staff files, the center van driver hired on 10-10-01 failed to have a current annual Kentucky Driver's History record check available as the document submitted was from October 2015. Programming In Compliance 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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Infant room revealed a purse and cellphone, the personal belongings of staff, in accessible reach of children on the counter space. Additional observation in the Infant and Toddler classrooms revealed loose plastic bags stored in accessible reach of children in unlocked cabinets. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 11 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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation in the Infant and Toddler classrooms revealed loose plastic bags, not used for personal belongings, stored in accessible reach of children in unlocked cabinets. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Toddler class room revealed numerous spider webs throughout the classroom on the ceiling and walls and an uncovered electrical outlet in the ceiling of the room. The vents in the Infant, Toddler and School-aged classroom were covered in dust and debris. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the School-aged room revealed the light fixture was not operational in the area of the school’s front entrance. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain premises in accordance with regulatory requirements to control the presence of rodents, roaches and other vermin. Observation of the child care center’s Kitchen, Toddler, Infant and School-aged classroom revealed live spiders and large black bugs indicative of water bugs. In addition, observation of the cabinet area under the sink of the Toddler room revealed mice feces. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed she did not have a pest control contract. She stated the building superintendents had pest control services completed twice a year, every six (6) months. Although the director has indicated pest control services, the live spiders and water bugs, as well as the mice feces, have identified unsuccessful control measures.

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, record review and interview, the child care center failed to maintain premises in accordance with regulatory requirements with regard to floors, walls and ceilings. Observation of the Infant, Toddler, Preschool and School-aged classrooms revealed missing and broken floor tiles in each room; dirt, debris, stains and torn carpet areas; the floors were heavily stained with a black grimy substance; the walls of each room were covered in dirt, debris and unknown substances, and the ceiling tiles and vents were covered in a dark substance indicative of dirt and debris. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 11 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 6. Sleeping and Napping Requirements.

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Infant and Preschool class rooms revealed dirt and debris on the floors. Further observation revealed the children in each classroom were placed on cots and mats for nap without properly cleaning the floor space used. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Review of a temperature measuring device revealed the hot water temperature in the Infant classroom and School-aged bathrooms revealed a temperature of seventy-eight (78) degrees Fahrenheit, which is twelve (12) degrees Fahrenheit below the minimum temperature of ninety (90) degrees Fahrenheit per regulatory requirement 922 KAR 2:120 Section 10. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant classroom revealed staff, after several diaper changes, failed to wash the hands of each child with liquid soap and warm running water. Further observation revealed the children in the classroom were toddlers and the staff used baby wipes to wash the hands and faces of the children. Exit interview with the child care center director revealed she was with the understanding that it was okay to wipe the hands of the children with baby wipes instead of liquid soap and warm running water.

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 interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant classroom revealed staff, after several diaper changes, failed to wash his/her hands with liquid soap and warm running water. Further observation revealed the staff conducted other tasks such as, put a child in his/her crib and assisted with completed meal service and touched other children without properly washed hands. Exit interview with the child care center director revealed the staff was a new employee and may not have had knowledge of proper hand sanitation procedures. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 11 Inspection Report

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, record review and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant classroom revealed the surface of the diaper pad on the diaper changing table was not free of holes, rips or tears and exposed foam. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of diapering practices in the Infant classroom revealed staff changed several toddlers in the classroom without proper disinfection of the diapering surface after each child was diapered. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, interview and record review, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Interview with Infant care staff revealed that mouthed toys were soaked in bleach water and then sprayed with disinfectant instead of scrubbing in warm, soapy water using a brush to reach into crevices, rinsing in clean water, submerging in a sanitizing solution for at least two (2) minutes and air dried. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. 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, and interview, the child care center failed to comply with the regulatory requirements with regard to first aid and/or medication. Observation of the Toddler classroom revealed a diaper bag that hung in accessible reach of children, which contained Desitin diaper rash cream. The cream was not stored in a separate and locked place, out of reach of children. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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, record review and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the child care center outdoor play area revealed the protective surface which surrounded the main apparatus used for swinging, climbing and sliding was insufficient. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 11 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the numerous mats in the Preschool and infant rooms revealed the edges of the mats were torn with exposed foam and not in good repair. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed the mats were not used in the Infant room and/or the Preschool room. Further observation revealed preschool children asleep on the torn mats.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant and Preschool classrooms revealed toys that were not used according to the manufacturers safety specifications; were not durable and were found to be with sharp points and edges. Exit interview with the child care center director revealed acknowledgement of deficient practice. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of a written plan that detailed the type of transportation and/or staff schedule. In addition review of documentation revealed no evidence that the child care center staff that transported children practiced emergency procedures monthly. Exit interview with the child care center director revealed the documents were in the transportation vehicle when it was stolen.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of a written plan that ensured staff responsibilities, for example, who was to conduct the vehicle daily inspections, vehicle maintenance, boarding and departure times for each child transported, check to assure each child was restrained properly, assist children with loading and unloading, check to assure all children departed the vehicle and who would provide supervision while vehicle was in route. Interview with the child care center director revealed she only transported the children to the bus stop daily for drop off and pick up. The director further stated the information was in the transportation vehicle when it was stolen.

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 Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of agency policy and procedures related to an emergency plan for evacuating the vehicle. Interview with the child care center director revealed the information was in the transportation vehicle when it was stolen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 11 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Review of transportation records revealed no documented evidence of safety procedures for transporting, loading and unloading and providing adequate supervision of a child in care. Interview with the child care center director revealed the information was in the transportation vehicle when it was stolen.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to comply with regulatory requirements with regard to transportation. Observation of the child care center’s transportation vehicle revealed the lack of any first aid supplies, a fire extinguisher, and a device to cut the restraint system. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Interview with the child care center director revealed the supplies were stolen when the transportation vehicle was stolen on 10/16/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements related to transportation. Review of transportation record revealed no documented evidence of an inspection certificate for the child care center transportation vehicle with VIN 1FBJS31H3THA52396. Additional review revealed the vehicle was designed to transport at least nine or more passengers. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements related to transportation. Review of transportation records revealed the child care center failed to maintain a daily pre-trip inspection. Further review revealed the child care center failed to document daily checks regarding tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel and debris for the day of the survey. Exit interview with the child care center director revealed she did not have the daily pre-trip inspections for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements related to transportation. Review of children’s transportation records revealed no documented evidence of when each child got on or off the transportation vehicle. Further review revealed a list of children, the bus numbers and the time each bus was to arrive to pick up the children. Exit interview with the child care center director revealed she did not keep such a list because she only used the van to drop the children off and pick them up from the bus stop. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 11 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the child care center’s kitchen revealed dirt and debris on the floor of the kitchen. In addition, black bugs indicative of water bugs were throughout the kitchen area. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 regulatory requirements. Observation of the refrigerator in the Infant classroom revealed no evidence of a temperature measuring device. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 child care center stove located in the kitchen revealed burnt food and debris within the burners of the stove. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the child care center kitchen food storage area revealed a large can of “Nacho Cheese Sauce” which had been opened and liquid spewed out to the top of the can, leaving the container with the possibility of spoilage. The can was stored for use in the child care center. Surveyor identified the open container and discussed with the child care center director who was unaware the container was open. Exit interview with the child care center director revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 11 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch service at the child care center revealed the children were served chicken nuggets, pork-n-beans, French fries and milk. Review of the child care center’s menu revealed wheat bread was to be served as well. Observation of all classrooms revealed the children did not receive whole or enriched grain bread. Exit interview with the child care center director revealed she was on her way to purchase bread for lunch service, however was unable to successfully do so.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of lunch service at the child care center revealed the children were served chicken nuggets, pork-n-beans, French fries and milk. Review of the child care center’s menu revealed wheat bread was to be served as well. Additional review revealed no evidence of fruit component to be served as meal service which contained one vegetable. Observation of all classrooms revealed the children did not receive whole or enriched grain bread or a fruit component. Exit interview with the child care center director revealed she was on her way to purchase bread for lunch service, however was unable to successfully do so. After additional clarification, it was determined the meal service was also deficient of a fruit or additional vegetable component. 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.

Based on review of documentation, the center failed to maintain children’s records in accordance with regulatory requirements. The files for two (2) children with the enrollment of 10/29/2012 and 11/01/2016 failed to contain current immunization certificates. The file for a child with the enrollment date of 10/19/2016 contained an immunization certificate from out of state that did not have an expiration date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to assure that children's enrollment files contained all required information. Based on review of ten children's files, all ten files stated "In case of emergency all children will be transported to Kosair Children Hospital" this resulted in all ten files failing to have the parents indicate their perfered hospital for the child to be transported to in case of emergency. Further review of children's files revealed that three children's files failed to have a physician listed for the child care to contact the child's physician in case of an emergency. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 9 of 11 Inspection Report 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 2. General.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s policy and procedures manual revealed no documented evidence of an organizational chart or chain of command that listed the child care center’s current staff. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center on 11/06/16 revealed thirteen (13) children in attendance. Review of the child care center’s attendance record revealed eight (8) children were signed in for care. The attendance records were also reviewed with the child care center director who stated some of the children had not been signed in upon arrival on 11/06/16. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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 center failed to complete annual professional development plans. Review of staff files failed to reveal annual staff evaluations for any staff member. Based on interview with the director, she was unable to produce annual professional development plans.

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. Review of Earthquake and Tornado Drill records revealed the child care center failed to document written record of the children who participated in the first quarter of 2016 Earthquake and Tornado Drills between 01/2016 to 04/2016. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center 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 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of Fire Drill records revealed the child care center failed to document written record of the children who participated in the months of January 2016 to April 2016. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed she was unable to locate the documents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 10 of 11 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. Review of the child care center’s policy and procedures revealed the orientation policy written by the child care center did not indicate that the orientation training would be implemented by each child care center staff member into the classroom. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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 maintain posted documentation in accordance with regulatory requirements. Review of the child care center’s posted documentation revealed no evidence of the information on the Kentucky Consumer Product Safety Program and the program’s website as specified in KRS 199.897. Continued review of documentation revealed the lack of the Statement of Deficiency and Plan of Correction during the current licensure year. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain posted documentation in accordance with regulatory requirements. Observation of the Toddler classroom revealed six (6) toddlers in care. Review of the child care center’s posted documentation revealed the Toddler room’s daily activities were for the week of 03/07 to 03/11. Further review revealed no documented evidence of a current daily activities schedule for the Toddlers. Additional observation revealed the toddlers were transferred to the Infant classroom to eat and nap. Review of posted documentation in the Infant classroom revealed no documented evidence of a current daily activities schedule in the classroom. Review of DRCC records revealed the child care center was cited for the same deficiency on 09/04/15. Exit interview with the child care center director revealed acknowledgement of deficient practice. Animals 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 regulations. Upon entrance into the Toddler Room on 10/4/16 at 12:55pm, observation revealed two (2) one-year-olds lying down,asleep in cribs. Continued observation revealed a staff member, the sole caregiver in the room, was asleep in a chair. The staff member’s eyes were visibly closed and she had a small child-sized blanket draped across her chest. Surveyor woke the staff member up in order to speak with her. Interview with the staff member revealed she apologized for “dozing off”. Staffing Requirements In Compliance Premises In Compliance Equipment 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the child care center van revealed a large, visible rip extending down the middle of the seats on the 2nd and 3rd rows of the van. Continued observation revealed tape had been used to patch the large rips on both seats; however, the tape no longer held the seats together as the inner cushion was visibly exposed. Continued observation revealed a rip in the end seat on the 1st row of the van, exposing the inner cushion. Further observation revealed several visible tears in the ceiling fabric of the van, causing the fabric to droop and the ceiling padding to be exposed.

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 Observation, the childcare center failed to maintain an adequate amount of adults to care for the children and maintain child to staff ratios. Review of documentation revealed only two (2) of the seven (7) presented staff members were qualified staff members with all the required background checks. Review of DRCC records revealed the childcare center operates with non-traditional hours and is open from 6 a.m. to 12 a.m. daily, including Saturday and Sunday. Observation of the childcare center revealed the staff cares for children aged from infant through school age. Continued observation of the childcare center revealed when the school age children are present, there is insufficient qualified staff to maintain child to staff ratios in each classroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain confidential information requirements. Review of documentation in the Infant Classroom revealed Medical Consent forms were posted regarding children in attendance; therefore, the childcare staff did not keep information concerning a child in strict confidence. 130 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110. Section 2. General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 31 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 2. General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

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, the childcare center Director failed to maintain a copy of the regulations for staff review. Review of documentation revealed the regulations available for staff review only contained 922 KAR 2:110 and were printed prior to the regulation updates.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center Director failed to assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation. Review of documentation revealed the staff member with the hire date of 10/01/2011 did not have an annual performance evaluation presented for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center Director failed to ensure all the results of the required background checks would be obtained prior to allowing staff members to work alone with children. Upon entry of the childcare center on 09/04/2015 at 10:08 a.m., observation revealed the staff members with the hire dates of 03/19/2015 and 09/01/2015 were working together in the Infant Classroom without a qualified staff present and caring for five (5) children aged from infant to two-years-old. Continued observation of the childcare center revealed a qualified staff member later entered the Infant Classroom and the staff member with the hire date of 03/19/2015 moved to the Preschool Classroom where another unqualified staff member with the hire date of 05/28/2015 was caring for five (5) children aged from two to four-years-old. Continued observation revealed another unqualified staff member with the hire date of 05/14/2015 entered the building at approximately 12:00 p.m. and entered the Infant classroom to give lunch breaks where the unqualified staff member was in the classroom alone with four (4) children aged from infant to toddler. Review of personnel files revealed the above mentioned unqualified staff members did not contain the results of the required background checks presented for review.

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 Observation, the childcare center failed to maintain all background check requirements. Review of documentation revealed the staff members with the following hire dates did not have a Criminal Record Check (CRC) presented for review: 05/14/2015, 05/28/2015, 07/08/2015, 08/11/2015 and 09/01/2015. It was determined the staff members with the hire dates of 05/14/2015 and 05/28/2015 were allowed to work beyond the probationary period of ninety (90) days without the results of the CRC. Continued review of documentation revealed a staff member with the rehire date of 03/19/2015 had a CRC from 11/07/2013, but did not have a CRC presented for review that was completed after the staff member was rehired. Continued review of documentation revealed the staff members with the hire dates of 08/11/2015 and 09/01/2015 did not have completed Child Abuse and Neglect (CAN) checks presented for review. Continued review of documentation revealed the personnel file for the staff member with the hire date of 09/01/2015 contained a High School Diploma from Indiana that was issued in 2012. Interview of the staff member with the hire date of 09/01/2015 revealed the staff member moved from Indiana to Kentucky, "almost a year ago." Continued review of the personnel file for the staff member with the hire date of 09/01/2015 revealed the lack of an out of state criminal record check from Indiana. Upon entry of the childcare center on 09/04/2015 at 10:08 a.m., observation revealed the staff members with the hire dates of 03/19/2015 and 09/01/2015 were working together in the Infant Classroom without a qualified staff present and caring for five (5) children aged from infant to two-years-old. Continued observation of the childcare center revealed a qualified staff member entered the Infant Classroom and the staff member with the hire date of 03/19/2015 moved to the Preschool Classroom where another unqualified staff member with the hire date of 05/28/2015 was caring for five (5) children aged from two to four-years-old. Continued observation revealed another unqualified staff member with the hire date of 05/14/2015 entered the building at approximately 12:00 p.m. and entered the Infant classroom to give lunch breaks where the unqualified staff member was in the classroom alone with four (4) children aged from infant to toddler. Review of documentation on 09/08/2015 revealed the Director emailed copies of CRC's belonging to the staff members with the hire dates of 05/14/2015, 08/11/2015, 05/2/2015, 07/08/2015 to the DRCC surveyor. Continued review of the email correspondence that the listed batch number 1951702 and the Director claimed to have obtained the records prior to the visit on 09/04/2015. In an interview with Records Unit Supervisor of the Administrative Office of the Courts, it was stated that the batch number 1951702 was completed by the AOC staff on 09/05/2015 at 07:53:38 p.m.

Not marked corrected in the state record

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

General: Based on Review of Documentation, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of childcare staff files revealed that staff members hired on 05/14/2015 and 08/11/2015 did not have a high school diploma, GED or Commonwealth Care Credential 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 childcare center failed to maintain all training requirements. Review of documentation revealed the Director with the hire date of 07/10/2001 acquired zero (0) hours of the required annual training hours. According to the https://tris.eku.edu/ website, the Director had not received any annual training hours since 05/08/2012 until 02/03/2015 when the Director completed the online course for CCAP Billing Basics for Licensed Providers. Continued review of personnel files revealed staff members with the hire date of 03/19/2015, 05/14/2015 05/28/2015 had been working at the childcare center for longer than ninety (90) days and had not completed the six-hour mandatory Orientation course. Continued review of personnel files revealed the Director with the hire date of 07/10/2001 and a staff member with the hire date of 10/01/2011 failed to complete one and one-half (1 ½) hours of pediatric abusive head trauma training.

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 Review of Documentation, the childcare center failed to maintain all driver requirements. Review of documentation of transportation records revealed that an employee with the hire date of 07/10/2001 was identified as the driver for the childcare center. Review of staff files revealed an absence of the annual check of the Kentucky Driver History Records for the employee identified as the driver. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all requirements regarding electronic viewing devices. Observation of the Infant Classroom revealed the children present, aged from infant to toddler were watching Monsters University, which contained material that was inappropriate to the children viewing the movie. Continued observation revealed the movie was not being used as an educational tool.

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 Review of Documentation, the childcare center failed to ensure that electronic viewing devices should only be used in the center as a part of the child’s planned program of activity. Observation of the Infant Classroom revealed that the television was on and the children in care were watching a movie. Review of Documentation revealed that there was not a daily schedule or lesson plan that listed television viewing as part of the planned programming.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all inaccessible item requirements. Observation of the outdoor play area revealed five (5) children aged from two to four-years-old were present and playing in the outdoor play area. Continued observation of the outdoor play area revealed there were cigarette butts and litter inside the outdoor play area and accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to maintain a clean premises. Observation of the Infant and Toddler Classrooms revealed numerous spider webs throughout the classrooms. Observation of the bathroom in the Preschool Classroom revealed the wall near the light switch was covered in a dark grimy substance. Observation of the School Age Classroom revealed the window blinds were covered in a dark grimy 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 and Review of Documentation, the childcare center failed to maintain all building requirements. Observation of the three bathrooms connected to the School Age Classroom revealed the light bulbs above the sink in the light fixture were not shielded. Continued observation of the light bulbs revealed a SKU number, a Model number and manufacturer. The light bulbs were determined to not be shatterproof according to the SKU number, the Model number and manufacturer information. Observation of the bathroom near the kitchen revealed the lights were not operational in the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all pest control requirements. Observation of the Toddler Classroom and the kitchen revealed live spiders and bugs. Throughout the childcare center there were numerous spider webs hanging from ceilings, furniture and toys.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to maintain all floor, wall and ceiling requirements. Observation of the Infant, Preschool, Toddler and School Age Classrooms revealed a dark substance derivative of dirt and dust on the ceiling tiles specifically surrounding the air vents. Observation of the School Age Classroom revealed a hole in the wall above the door and the walls of the classroom contained a dark substance covering the surface. Observation of the Toddler Classroom revealed several floor tiles were broken. Continued observation of the Toddler Classroom revealed a ceiling tile that was covered in a substance indicative of mold.

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 and Review of Documentation, the childcare center failed to maintain all sink requirements. Observation of a sink in the Preschool Classroom revealed the sink was not equipped with hot and cold running water that allows for hand washing, as the sink was not operational. Continued observation of a sink the Preschool Classroom revealed the lack of liquid soap. Observation of the sinks in the two (2) bathrooms in the School Age Classroom and a sink in the Preschool Classroom revealed the lack of a hand-drying blower or single use disposable hand drying material.

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 Review of Documentation, the childcare center failed to maintain all toilet requirements. Observation of the bathroom in the School Age Classroom near the kitchen revealed the air vent was not operational; therefore, the toilet did not have ventilation to outside air. Continued observation of the bathroom revealed the toilet was not in a clean condition as when flushed, the toilet had a grimy substance come off the walls of the toilet bowl and down into the toilet. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 31 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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 Review of Documentation, the childcare center failed to maintain all hygienic practices regarding hand washing for children. Observation of the Preschool Classroom revealed a child entered the childcare center and did not wash their hands upon entry.

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 Review of Documentation, the childcare center failed to maintain all diaper changing area requirements. Observation of the diaper pad in the Infant Classroom revealed the surface of the pad was not free of holes, rips or tears.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the childcare staff failed to maintain a proper toy sanitation procedure. Interview with the Infant staff revealed that the mouthed toys are sprayed with a bleach solution instead of scrubbing in warm, soapy water using a brush to reach into crevices, rinsing in clean water, submerging in a sanitizing solution for at least two (2) minutes and 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, the childcare center failed to maintain a clean playground. Observation of the outdoor play area revealed there were several cigarette butts and pieces of litter scattered in the area in which children play. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 31 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 4. Premises Requirements.

General: Based on Observation and Review of Documentation, the childcare center failed to maintain all protective surface requirements. Observation of the outdoor play area revealed the protective surface surrounding the main apparatus used for swinging, climbing and sliding was insufficient.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain a sufficient amount of equipment for each classroom. Observation of the School Age Classroom revealed the lack of any type of Dramatic play toys.

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 and Review of Documentation, the childcare center failed to maintain crib, mattress and sheet requirements. Observation of one (1) crib in the Infant Classroom revealed the crib was a LUV portable crib and manufactured in March of 2000, therefore, the crib failed to meet Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220. Continued observation of the Infant Classroom revealed loose bedding in the cribs with sleeping infants as there was a comforter laying on top of a mattress. Continued observation of the Infant Classroom revealed numerous mattresses were not in good repair due shredding of the outer plastic covering of the mattresses. Continued observation of the Infant Classroom revealed an infant was sleeping in the arms of a staff member and the sleeping infant was placed into a swing instead of a crib for naptime.

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 and Review of Documentation, the childcare center failed to maintain all sleeping mat requirements. Observation of numerous mats in the Preschool Classroom revealed the edges of the mats were torn and not in good repair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to maintain all toy and equipment requirements. Observation of the Preschool Classroom revealed several toys in the classroom were covered in a dark and grimy substance such as a Little Tikes table and chairs, a high chair for a doll and a Step 2 oven. Observation of the Toddler Classroom revealed several toys that were not kept clean such as the Fisher Price toy, hippo push toy (three of them), Fisher Price kitchen and a Step 2 refrigerator. Continued observation of the Toddler Classroom revealed a stand and play infant toy that had a plastic piece broken, exposing the internal electrical parts of the toy. Observation of the chairs in the School Age classroom revealed the surfaces of the chairs were covered in a dark substance. Observation of the childcare van revealed massive amounts of litter on the floor of the van. Continued observation of the childcare van revealed there were two (2) seats on the van that were split open from side to side with the foam exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to ensure all toys should be used according to the manufacturer's safety specifications. Observation of the Infant Classroom revealed a Bumbo seat without the mandatory restraint belt. Review of the company website, http://www.recall.bumbousa.com/, revealed on August 15, 2012 Bumbo International Trust conducted a voluntary recall to add a restraint belt and new warnings to the Bumbo® Baby Seat. Infants can maneuver out of or fall from the seat, posing a risk of serious injuries. Working closely with the CPSC, Bumbo has determined that the potential safety issue can be readily corrected in the home by adding a restraint belt. In addition, Bumbo is providing a new warning sticker for consumers to attach to the seat to re-emphasize existing warnings against use of the seat on any raised surfaces. Consumers should stop using their Bumbo Baby Seats immediately, and complete the order form to obtain a free Repair Kit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain transportation compliance. Review of the license plate on the childcare center van revealed the registration expired in December of 2014. Review of an updated registration could not be completed as an updated registration was not provided for review. Interview with the Director revealed the updated license plate was stolen off the van. Continued interview with the Director revealed children have been transported in the van since the license plate was stolen as the expired license plate was placed back on the van.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all requirements for transportation. Review of documentation revealed the lack of a written plan that details the type of transportation, staff schedule, transportation schedule, transportation route and written policies and procedures, including emergency procedures practiced monthly by staff that transports children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation, the childcare center failed to maintain all vehicle equipment. Observation of the childcare van revealed the lack of any first aid supplies and a device to cut the restraint system. Interview with the Director revealed there was a First Aid kit in the van, but someone broke into the van and stole the first aid kit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain a daily pre-trip inspection. Review of documentation revealed the childcare center failed to document daily checks regarding tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel and debris for the day of the survey. Interview with the Director revealed children were transported the day of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain children's transportation records. Review of the transportation logs revealed the time each child gets on and the time each child gets off the childcare van was not listed on the logs. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 31 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to maintain all kitchen requirements. Observation of the kitchen revealed there were numerous spider webs throughout the kitchen including spider webs on the floor that contained bugs. Continued observation of the kitchen revealed the blinds and the area of the floor between the heating element and the window were covered in a dark substance.

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, the childcare center failed to maintain all refrigerator requirements. Observation of the refrigerator in the Infant Classroom revealed the lack of an indicating thermometer or other appropriate temperature-measuring device.

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 childcare center failed to maintain all bottle requirements. Observation of the bottles in the refrigerator revealed the baby bottles were not individually labeled.

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 maintain children's immunization records. Review of a child's file with the enrollment date of 03/28/2013 revealed the immunization certificate provided for review expired on 08/05/2015. Review of a child's file with the enrollment date of 06/19/2014 revealed the presented immunization certificate was from Indiana. Review of a child's file with the enrollment date of 09/24/2014 revealed the lack of an immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's records. Review of a child's file with an unknown enrollment date revealed an absence of any enrollment information including the child’s address and date of birth, parental contact, family physician, preferred hospital, a pick up list, a medical history, emergency contact and emergency medical care authorization. The presented enrollment form for the aforementioned child with an unknown enrollment date was originally the enrollment for the child's brother that was completed in 2011, prior to the birth of the child with the unknown enrollment date.

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 childcare center failed to maintain documentation for an off premises trip. Review of transportation logs revealed six (6) children are transported by the childcare center. Review of the enrollment forms for the six (6) children that are transported daily by the childcare center revealed the lack of a written permission for the trips off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12. Written Documentation

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 childcare center failed to maintain all evacuation plan requirements. Review of documentation revealed a written emergency evacuation plan was not provided for review that included 1) method of transportation 2) plans to notify parents of relocation 3) plans of procedures for meeting the needs of the children during relocation 4) verification to show the plans were shared with parents and the local emergency official in accordance with KRS 199.185. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 28 of 31 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 2. General.

General: Based on Review of Documentation, the childcare center failed to maintain all required policies and procedures. Review of documentation revealed the lack of an organizational chart.

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 and Review of Documentation, the child care center failed to maintain accurate attendance records. Observation of the center on 09/04/2015 revealed that nine (9) children were in attendance. Review of attendance sheets revealed that thirteen (13) children were signed into the center.

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, the childcare center failed to maintain professional development plan requirements. Review of documentation revealed the lack of a written annual plan for child-care staff professional development.

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 all tornado and earthquake drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the earthquake and tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain all fire drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the fire drill on the fire drill log.

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, the child care center did not present for review a written orientation procedure. Review of documentation revealed that the child care center did not present a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all fire drill requirements. Review of fire drill logs from 2014 revealed a fire drill was not documented and/or completed in September, October, November and December.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all earthquake and tornado drill requirements. Review of earthquake and tornado drill logs from 2014 revealed an earthquake and tornado drill was not documented and/or completed in the fourth quarter. Posted Documentation

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, the childcare center failed to maintain all posting requirements. Review of documentation revealed the lack of the information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. Continued review of documentation revealed the lack of the Statement of Deficiency and Plan of Correction from a renewal conducted on 09/05/2014 and a complaint conducted on 05/18/2015. Review of documentation in the School Age Classroom revealed the lack of a full day daily schedule as the posted daily schedule contained activities for after school only.

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, the childcare center Director failed to maintain all daily activity requirements. Review of documentation revealed the lack of an updated and posted schedule of daily activities that included dates and times of activities in the School Age Classroom.

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 childcare center failed to maintain all diapering postings. Review of documentation revealed the proper methods of hand washing was not posted at the diaper changing area in the Infant Classroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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 director failed to assure compliance with regulatory requirements. Observation of the child care center on March 27, 2015 revealed that the staff person in charge was unable to gain access to staff and children’s records in the director’s absence creating a thirty (30) minute delay while waiting for the director’s arrival to the center.

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 maintain employee records in accordance with regulatory requirements. Review of staff files revealed that an employee with an unknown hire date failed to have documentation to verify that the individual had completed a GED, high school diploma or the Commonwealth Child Care Credential. Interview with the director revealed an acknowledgement that the documentation was not available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal current documentation from a health care professional to verify that individuals with the hire dates of 3/6/06, 7/10/01 and an unknown hire date were free from active TB at the time of the inspection. Programming

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. Review of children’s files revealed that a child with the enrollment date of 1/12/15 and a child with an unknown enrollment date failed to have a current certificate of immunization presented for review. Interview with the director revealed that the documentation was not available at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report

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, observation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files failed to reveal enrollment information for a child observed in the infant room with an unknown enrollment date. Interview with the director revealed that the child only attends part time and is the only infant in care; however, the child’s file was unable to be located at the time of the inspection. A written record of the child’s identifying information including the name, address, date of birth, contact information for the parent, family physician, preferred hospital, child’s general health status, medical history, emergency contacts and authorization by the parent for the child care center to seek emergency medical care for the child in the parents absence failed to be available to present for review.

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 revealed that there was chipped paint thoughout the center on the blue and yellow walls. Continued observation revealed large patches of dry wall behind the Infant Room door and in bathroom #3. Further observation revealed that a ceiling tile in the Toddler Classroom had water damage that turned the tile brown and appeared to have spots of mold.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in bathroom #1 revealed that the door failed to have a handle on the outside. Continued observation in bathroom #2 revealed that the vent is covered in dirt. Further observation in bathroom #3 revealed that the door knob is loose and no longer secured to the door.

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 the premises in accordance with regulatory requirements. Observation in bathroom #2 revealed that the water is continuously running in the tank/bowl. Equipment

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 and Interview the child care center failed to maintain equipment in accordance with regulatory requirements. Upon arrival at 1:00 p.m., a child was observed sleeping in an infant swing. Continued observation at 1:22 p.m. revealed that said child was still sleeping in the swing. Interview with staff revealed that the child was one- year-old, therefore the center failed to provide an individual bed, cot or mat with adequate space for the child during rest time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

the child care center failed to ensure that staff hired on 7/10/2001 and staff hired on 3/6/2006 completed the required fifteen (15) hours of early care and education training for each subsequent 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 3. General Requirements.

General: Based on Observation, the child care center failed to ensure that a toilet cleaning brush in bathroom #3 was inaccessible 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 ensure that the premises were kept clean and in good repair. Observation revealed that overall the condition of the center is dirty with trash lying in the corners of the rooms and accumulated dirt under heating registers. Floors, walls, doors, and trim are dirty and have chipped/peeling paint in many areas. The following areas require attention and/or repair: (1) School Age Classroom: walls are dirty, excessive dust build up from heating vents, paint chipping and peeling in areas, laminate flooring is worn and has a mulitude of cracks and exposed seam areas where dirt has collected, some areas are lifted posing a tripping hazard. Area carpet in school age room is dirty, stained and frayed. The ceiling tiles are stained and have excessive dust/dirt build up from vents. Window blinds are dirty and have bent slats. (2) Pre-School Classroom: Stained ceiling tiles, dirty floor tiles, carpet edging is torn/frayed, dirty area rugs, excessive dust/dirt in heating vents. (3) Toddler Classroom: Stained ceiling tiles (one tile has a large area of mold accumulation/growth), dirty walls, peeling/chipped paint, dirty cabinets, broken floor tiles at rear entry. (4) Infant Classroom: Dirty floor tile, frayed carpet seam, electrical tape used to hold a panel in place on an upright support beam (tape is peeling off), walls are dirty, laminate on the end of the sink counter top is detached. (5) Bathroom #1 and #3 have broken door knobs.

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, bathrooms #1 and #2 have non-shielded light bulbs. Bathroom #3 has a light fixture not working properly

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 ensure that floors, walls and ceilings shall be smooth, in good repair and constructed to be easily cleaned. Observation revealed areas of unfinished drywall repair were noted in bathroom #3 and in the infant room, behind the entry door. Stained ceiling tiles noted in school age classroom, pre-school classroom, toodler classroom. Laminate flooring in the school age room is worn, cracked and has areas of open seams and lifting edges where dirt has accumulated.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that a toilet room shall have a supply of toilet paper and be cleaned and sanitized daily. Observation revealed that all bathrooms were not cleaned daily as there were dirty floors and fixtures. Bathroom #1 and #2 had a strong urine odor. Bathroom #2 had no toilet paper.

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 ensure that sinks in bathroom #2 and #3 were equipped with a hand drying blower or single use disposable hand drying materials.

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 ensure that each toilet shall be kept in clean condition, kept in good repair and have ventilation to outside air. Observation revealed ventilation in all three bathrooms was inoperable. Toilet in bathroom #1 was dirty and had a dried urine ring in the bowl. Toilet in bathroom #2 was dirty and had dried fecal matter splattered on the rim of the bowl. The toilet in Bathroom #2 has water running continuously into the tank/bowl. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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 ensure that a child shall wash their hands with liquid soap and warm running water upon arrival at the center. Observation revealed two children arrived at the center and entered into play areas without having their hands washed.

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 ensure that when a child is diapered the child shall be placed on a surface that is free of holes, rips, tears or other damage. Observation revealed that the diaper changing pad in the infant room is badly torn.

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 ensure that first aid supplies included a CPR mask, liquid soap and thermometer.

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 ensure that the protective surface is sufficient in the area of the slide exit.

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, the child care center failed to ensure that playpens and play yards meet federal standards and are manufactured for commercial use. Observation revealed a playpen in the infant classroom was manufactured in 2006 and does not comply with current federal safety standards.

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 ensure that for an infant a crib mattress is firm and in good repair. Observation revealed mattresses in the two cribs have torn coverings.

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 ensure that individual mats used by a toddler or preschool aged child are in good repair. Observation revealed that the mats are torn and have worn coverings.

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 ensure that a child's bedding is stored in a sanitary manner. Observation revealed that children's individual bedding was not stored in a sanitary manner. Bedding was observed touching the dirty floor tiles and also touching other children's bedding.

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 ensure that all toys, equipment and furniture contacted by a child shall be kept clean and in good repair. Observation revealed children's plastic chairs are overall dirty and grimy. Storage cabinets and play equipment are also dirty. Velour covered storage bins have soiled fabric.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure a vehicle used to transport children was equipped with all required first aid supplies and a device to cut the restraint system if necessary. Observation revealed the first aid kit was lacking a cold pack, CPR mask, liquid soap. No seat belt cutting device was located in the van.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that a twelve (12) passenger or more vehicle used to transport children displayed a current certificate of inspection from the Transportation Cabinet. Review of documentation disclosed an inspection certificate was not available.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that a daily inspection of the vehicle shall be performed and documented. Review of documentation disclosed that the pre-trip inspection checklist used by the center did not document an inspection of fuel level, or wipers as required by regulation, The pre-inspection dated 9/5/2014 indicated the van was inspected for debris, registration, insurance, lights, etc and a first aid kit. The first aid kit was lacking liquid soap, CPR mask, and a cold pack. The registration and insurance paperwork was not located in the van, it was subsequently found in the director's office. The van had debris on the floors and under the seats. The right front turn indicator light was burned out.

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 ensure that the kitchen shall be clean. Observation revealed the kitchen has dirty/greasy floor tiles, dirty walls and cabinetry. Window blinds are dirty and have bent slats. The microwave oven is dirty inside. Stainless steel preparation tables have caked on food. The electric stove has food and grease caked on the side and area where burner controls are located. The refrigerator has food/grease caked on the side. Walls and ceilings have food spattered on them.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that food shall be obtained from a source that is in compliance with the Dept. of Public Health's food safety standards and permits. Observation revealed a child arriving at the center was placed in the infant room and allowed to eat food (sausage biscuits) that his mother brought from outside the center.

Open Not marked corrected in the state record

Category: nutrition. 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 center failed to post a currently dated menu.

Open Not marked corrected in the state record

Open / not marked corrected.

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

the child care center failed to ensure that a child enrolled 6/19/2014 had a current 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 3. Records.

General: Based on Review of Documentation, the child care center failed to document the names of the children who participated in the quarterly practiced earthquake and tornado drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to document the names of the children who participated in the monthly practiced fire drills.

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, the child care center failed to have a program that includes a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child care center staff member.

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, the child care center failed to post information regarding the Kentucky Consumer Product Safety website.

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, the child care center failed to post a daily schedule of activities in the school age classroom and the toddler classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to ensure implementation of their plan of correction resulting from the survey conducted on 12/20/2013. Observation revealed that the child care center did not have a dedicated indoor gross motor space area as specified in the plan of correction. Interview with the staff person identified as the staff-in-charge disclosed that the center does not have a dedicated indoor gross motor space area, that they share the toddler and school aged children areas for indoor gross motor, but only when the weather is bad, that they typically use the outdoor play area. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to ensure that the person designated to carry out the director's duties if the director was not present in the child care center during operating hours was capable of performing the duties. During an interview with the staff person who identified herself as the "staff-in-charge" she indicated that she was unable to provide any employee records because she did not have access to the locked file cabinet. Premises

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 ensure access to an indoor gross motor space which was separate from the minumum thirty five square feet per regulatory requirements. Observation revealed that the center did not have a dedicated indoor gross motor space defined as indicated on their plan of correction resulting from a survey conducted 12/20/2013. Interview with the staff person who identified herself as the staff-in-charge disclosed that the center shares the toddler room for gross motor space as well as they share a portion of the school aged children's room for gross motor space if needed. The designated staff-in-charge later recanted and stated that the center only uses the indoor gross motor area when the weather is bad and children can't go outside, otherwise they use the outdoor play area. Outdoor Play Area

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that the fence surrounding the outdoor play area was in good condition. Observation revealed that the gate leading from the side yard of the center into the outdoor play area was missing.

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, there were two staff members supervising two groups of children. However, when the phone rang or someone arrived at the door, the preschool teacher would leave her classroom of children in the infant room teacher's care. Observation revealed that the infant teacher divided her time between the two groups of children and was unable to provide adequate supervision of both groups. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, due to a lack of staff, when the door bell or phone rang, the preschool teacher would leave her classroom of toddler age children in the care of the infant room teacher, causing the infant room teacher to be out of compliance with staff-to-child ratios. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation and review of documentation, corrections had not been made as indicated in the plan of correction submitted by the staff in charge on 12/3/13. The plan of corrections stated that: Tag 35- "place a wireless phone in the area on September 25, 2013" to allow compliance with correct staff-to-child ratios and to prevent staff members from leaving a classroom to answer the phone or locked entry doors. Staff members were observed leaving the room to answer the land line phone and unlock the entry door and did not have a wireless phone in the area for staff to utilize. Tag 40-plan of corrections stated " that additional staff would be added on September 24, 2013 to assure ratios are maintained while answering phones, and doors. Staff in the infant room were supervising both infant and preschool areas when preschool staff answered the phone or entry door. Tag 520- plan of corrections stated that as of 11/30/13 area was swept and floor tile would be replaced. Floor was observed to have pieces of drywall/plaster from wall near the bottom of the wall and baseboard on wall by side exit door. Paint and drywall had not been repaired. Tag 690-plan of corrections stated that indoor gross motor skill area would be developed by 11/26/13 to replace outdoor space not being used. Observation of room specified by staff during interview revealed space for 8 children per measurement of room. Tag 730-plan of corrections stated that on 11/26/13 old cribs were removed. Crib remained in infant room until follow up survey was conducted on 12/20/13. At that time, the crib was removed from the facility and disassembled. Premises

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 room designated as the gross motor skill area to be used in place of the outdoor area had a wall that was in disrepair due to the drywall/plaster being broken off near the floor and baseboard. Pieces of drywall which were broken off from the wall were laying on the floor and were accessible to children.

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 observation, the minimum number of staff was not sufficient to meet staff-to-child ratios while also attending to phones, parents, and locked entry doors.

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, a staff member in the two-three year old classroom left the room several times to answer the door and telephone leaving the staff member in the infant room to divide her time and attention between the infant and toddler room. There were four (4) children in the infant room and four (4) children in the toddler room.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a crib in the infant room was found to have two mattressess stacked upon each other. The bottom mattress was contained in a loose fitting plastic bag.

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 observation, a staff member was alone in the infant room caring for children without a completed CAN and CRC results.

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, no criminal record check had been requested for a staff member who had resided outside of the state of Kentucky within the past 5 years. The staff member's hire date was 8/19/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with birthdate 1/30/93 had documentation showing 9 hours of approved training and staff member with birthdate 6/14/69 had 12 hours of approved training thereby not meeting the required fifteen (15) hours of cabinet-approved early care and education training.

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, and interview with a staff member, a child had been placed in a crib for time out.

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, an infant was allowed to sleep in a swing for more than one hour.

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's purse was located on a low cubby shelf in the infant room and was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were two walls next to the backdoor which had broken plaster. The plaster was broken by the baseboards which were within a child's reach. There was also paint chipping where the plaster was broken.

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, a child's hands were not washed after diapering in the infant room. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the changing pad in the infant room was torn, therefore it was not waterproof.

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, there was debris on the playground including a broken purple plastic plate, used diaper wipes, and cigarette butts.

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 large wooden climbing structure had a broken piece of wood dangling with 3 rusty screws protruding from the wood, and in addition a separate 2X4 post was unattached and propped up within the structure. The structure also had a rusty nail laying on the landing, and an unstable seat on the pic-nic table contained within the structure.

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 provide enough toys, play apparatus and developmentally appropriate materials to provide each child with a variety of activities during the day. Per interview, due to staffing issues, toddlers were in the infant room and toys from the toddler room were not provided to the children for more than one hour.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were five (5) cribs in the infant room which were manufactured 5/7/08 and were not in compliance with Consumer Product Safety Commission. Interview with owner revealed she was unaware of safety standards regarding cribs.

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, a crib in the infant room had a tear in the plastic covering on the mattress, therby failing to be waterproof.

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 wooden type chest in the infant room was missing the bottom drawer, thereby being in disrepair. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 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 11. Toys and Furnishings.

General: Based on observation, a small refrigerator was located on the floor in the infant room. The door of the refrigerator did not close securely and toddlers were able to open the door and access the contents of the refrigerator.

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, children were not strapped into highchairs and one child was observed to be climbing out of his chair. Transportation 775 - Maintain Records Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (l) A written record of transportation services provided in accordance with 922 KAR 2:120, Section 12. 780 - Transportation Compliance Not Applicable 922 KAR 2:120. Section 12. Transportation. (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff that transport children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.285 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. Food Service

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

General: Based on observation, there were several gallons of milk in the refrigerator that had past expiration dates. Interview with owner revealed she understood milk to be acceptable 30 days past the expiration date.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, children were not seated while eating a snack. Children were walking around with food and cups.

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 daily attendance records documenting the arrival and departure time of each child whereas children who left for school were not signed out.

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, the child care center failed to maintain written records of quarterly practiced earthquake drills and tornado drills detailing the date, time, and children who participated.

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, the child care center failed to maintain a written record of practiced fire drills conducted monthly detailing the date, time, and children who participated.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to post each plan of correction submitted by the child-care center to the cabinet during the current licensure year. The center also failed to post each statement of deficiencies and civil penalties issued by the cabinet during the current licensure year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to keep children's information confidential; a list of children and their medications were posted in full view in the preschool classroom. 92 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110 - Section 2 (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 94 - Resident Interference Not Applicable 922 KAR 2:110 - Section 2 (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 40 Web site: http://chfs.ky.gov/ Inspection Report 127 - Staff Conviction/Substantiation 922 KAR 2:110 - Section 5 (2) A child-care center shall not employ a person: (a) Convicted of a crime pursuant to KRS 17.165(5); or (b) Found by the cabinet to have abused or neglected a child, pursuant to 922 KAR 1:470. 1) CRC In Compliance 2) CAN In Compliance

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 Observation, staff hired 3/13/10 failed to have current TB documentation present in her file. In addition, two staff hired 9/2010 failed to have current TB docuemention as well. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 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 2:090 · 922 KAR 2:090 - Section 5

General: Based on review of documentation, the facility failed to have the current license posted. The licensed posted was not current after January 2012.

Open Not marked corrected in the state record

Open / not marked corrected.