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

General: Based on observation, a plunger was sitting on the floor adjacent to the toilet within the girl’s bathroom located in the basement.

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 during the inspection, the following was found: 1) The personnel file for a staff member (DOH: 09/27/21) contained a TB test dated 06/01/23, which was not current. 2) The personnel file for a staff member (DOH: 08/09/21) contained a TB test dated 05/02/23, which was not current. 3) The personnel file for a staff member (DOH: 05/02/23) contained a TB test dated 05/01/23, which was not current.

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 during the inspection, the following was found: Infant Room 1) An infant slept inside a crib while propped on a Boppy Pillow. The staff member stated that the infant was three months old. 2) An infant slept in a crib with a pacifier that was attached to a clasp.

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 smoke detector located within the two-and-three's room made a chirping noise.

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, during the inspection, the following was found: Infant Room 1) There was a bottle that was used to feed a child that was not covered after use. The staff member stated that the bottle did not have a lid to cover it. 2) There was one (1) bottle that was not labeled. Food Service In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child was served mixed fruit and a waffle for breakfast. Milk was not served with the breakfast.

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 during the inspection, the following was found: 1) The record for two (2) children (DOE: 04/16/19 and 03/01/22) contained the name of a non-existing hospital. 2) The record for two (2) children (DOE: 05/05/25 and 05/05/25) did not contain the name of a preferred hospital. 3) The record for two (2) children (DOE: 06/25/25 and 06/25/25) did not contain the name of a family physician.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a plunger was stored in the corner of the bathroom next to the toilet in the girls' restroom in the basement. 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, three (3) staff members (DOH: 04/26/2018, 04/21/2023, and 09/18/2023) had negative tuberculin skin results on file that exceeded two years, and therefore were no longer current. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Twos/Threes classroom, a black purse sat atop of the half-wall next to the gates. Interview with the staff in charge revealed that the purse belonged to the classroom teacher. The purse was 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, one (1) ceiling vent in the girls' bathroom in the basement was heavily covered with dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: 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 following was found: 1. Two (2) children's (DOE: 08/07/2024) enrollment files did not contain a preferred hospital. 2. Two children's (DOE: 08/07/2024) enrollment files did not contain a child's family physician. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper methods of hand-washing were not posted in the boys' bathroom in the basement. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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, a large, rusted can containing an accumulation of cigarette butts was stored on the playground where it was accessible to the children in care.

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 window sills near the cribs within the infant classroom contained several areas of chipped and peeling paint. Additionally, observation of the school-age classroom revealed that the blue paint on the lower portion of several of the walls was raised and damaged, exposing the concrete beneath. 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: Based on observation, the perimeter of the surface between the infant and toddler classroom that held the changing pad contained an accumulation of dirt and other debris. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, bare dirt was visible at the bottom of the blue slide, indicating that the protective surface covering was not sufficient in that area. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of ten (10) presented children's files revealed that the enrollment information presented for two (2) children, both enrolled on 03/10/22, failed to contain the name of the family's preferred hospital and preferred physician. Additionally, the enrollment information presented for children with enrollment dates of 08/09/16 and 07/26/22 specified a hospital that is no longer in existence as the family's preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the school age room revealed one (1) child was not sleeping on a cot or mat, he/she was sleeping on the floor at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation in the toddler room revealed there were five (5) cots that were not spaced twelve (12) inches apart. Observation of the infant room revealed there were three (3) cots that were not spaced twelve (12) inches apart. During interview the staff acknowledged the findings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired on 10/09/15, 04/26/18, 03/20/14, and 04/15, did not have current documentation on file from a health care professional stating they were free of active tuberculosis. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an infant was found with a bib around his neck while in a crib. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request a current fire marshal report was not presented for review.

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 observation and interview the child care center failed to comply with regulatory requirements. Observation of the school age room revealed an outlet that was not covered located near the fire extinguisher. Interview with the staff in charge revealed the outlet was uncovered. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request written documentation from a health care professional was not presented for review to verify that two (2) staff members with the hire dates: 4/12/2021 and 6/10/2021 was free from active TB.

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 verification that five (5) staff members with hire dates of 4/12/2021, 4/5/2021, 3/20/2014, 4/20/2015 and 4/26/2016 had completed the required fifteen (15) annual hours of cabinet approved early care and education training. A review of an ECE-TRIS report could not verify that the training had been completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the pre-school/school age room revealed light bulb covers that were cracked, broken and in need of replacement. Interview with the staff in charge confirmed the light covers were cracked, broken and in need of replacement.

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 the premises in accordance with regulatory requirements. Observation of the main basement hallway across from the bathrooms revealed a large piece of plaster missing from a blue wall. Interview with the staff in charge confirmed the wall was in disrepair at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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's records in accordance with regulatory requirements. Upon request a current immunization certificate for two (2) children’s files with the enrollment dates of 4/12/2021 and 4/5/2021 was not presented for 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 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. A review of ten (10) children’s files revealed there is no preferred hospital listed for a child with the enrollment date of 4/29/2019. Interview with the staff in charge revealed the document was not there for review. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the KARES report on 3/4/2020 revealed an individual listed as a current employee who was determined to be eligible for employment on 4/30/18. Interview with the staff member in charge revealed that the aforementioned individual was no longer employed with the child care center. Supervision In Compliance Staffing Requirements In Compliance 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: The door to the fuse box located in the School-Age Room was opened, exposing the circuit breakers at the time of the survey. There was two toilet bowl brushes, a plunger and a mop next to the toilet located in the bathroom inside the Two-Year-Old Room at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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: Review of the presented employee records revealed a staff member with hire date 3/20/14 whose file did not contain a current statement from a health professional stating that she was free from active tuberculosis. Upon request, the staff member in charge did not present a current statement for the aforementioned staff member at the time of the 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: Review of the presented employee records revealed a staff member with hire date 4/26/16 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: The boy’s bathroom located in the School Age Room was flooded at the time of the survey. Interviews with several staff members who work in the center revealed that the bathroom floods every time it rains.

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: The bathroom located in the Two-Year-Old Room was not ventilated to outside air due to the window being painted shut. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The blue changing pad located in the Two-Year-Old Room was torn, exposing the absorbent material at the time of the survey. The blue changing pad located in the Toddler Room was torn, exposing the absorbent material at the time of the survey. 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: A portion of the wooden border around the blue slide was missing. There were three (3) deep holes in the ground located toward the back of the School-Age Outdoor Play Area. There were several tree branches protruding into the School Age Outdoor Play Area through the fences at the time of the survey. There were large tree branches laying on the ground in the School Age Outdoor Play Area. There were several tree branches located at the entrance to the Infant/Toddler Outdoor Play Area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: There was no protective surface at the bottom of the blue slide located in the School-Age 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: The bottom of the metal fence between the School-Age Outdoor Play Area and the parking lot was bent upward and inward in several areas at the time of the survey. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The green pillow located in the Pre-K Room was soiled/stained at the time of the survey. 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 11. Toys and Furnishings.

General: The plastic roof attached to the beige toy house located in the Infant/Toddler Outdoor Play Area was cracked, exposing sharp plastic pieces at the time of the survey. Transportation In Compliance 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: The mini-fridge located in the Infant Room had an indicating thermometer reading of fifty (50) degrees Fahrenheit at the time of the survey.

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: The white freezer located in the School-Age Room had an indicating thermometer reading of twenty (20) degrees Fahrenheit at the time of the survey.

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: The bottom of the white freezer located in the School-Age Room was soiled with food debris at the time of the survey. The mini-fridge located in the Infant Room was soiled with food debris at the time of the survey.

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: Observation of the Infant Room revealed a container of formula labeled with a child’s name. Interview with the staff member working in the room revealed that the center provides milk for the children who attend, except for one (1) child who cannot drink the formula provided by the center. The staff member stated that she prepares the bottle for this child even though the parent provides her formula. 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: ratio. Open / not marked corrected.

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

General: Review of the presented children’s records revealed three (3) children with enrollment dates 8/8/16, 3/20/17 and 1/18/19 whose file did not include the name of the family’s preferred hospital. Upon request, the staff member in charge did not present the documentation for the aforementioned children at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The daily planned program was not posted in the Two-Year-Old Room at the time of the survey.

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: The schedule of daily activities was not posted in the School-Age Room at the time of the survey. The schedule of daily activities was not posted in the Two-Year-Old Room at the time of the survey. The schedule of daily activities was not posted in the Toddler Room at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the KARES system revealed two (2) individuals listed as current employees who became eligible for employment on 4/30/18 and 3/6/19. Interview with the director revealed that the two (2) individuals were no longer employed with the child care center. Supervision In Compliance Staffing Requirements In Compliance 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 and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented documentation revealed that verification of conducted staff meetings was not presented for review. Upon request, the director did not present the documentation at the time of the 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 child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 10/9/15 and 11/9/16 whose file did not contain a current annual evaluation. The evaluations presented for review were dated 2/6/17. Upon request, the director did not present a current evaluation for the aforementioned staff members at the time of the survey. 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

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 in regards to the health, safety and comfort of children in care. There were two (2) exposed electrical outlets located in the dramatic play area in the Preschool Room. There was a brown electric cord laid across the black mini-fridge located in the Infant Room with an exposed electrical outlet. There was an exposed electrical outlet located by the sink in the Infant Room. There was a white extension cord going across the floor in the Nursery with an exposed electrical outlet. There were four (4) exposed electrical outlets located in the reading area in the School-Age Room that was occupied by the Preschoolers at the time of the survey. There was an exposed electrical outlet located at the art table in the School-Age Room that was occupied by the Preschoolers at the time of the survey. There was a plunger located next the toilet in the Boy’s bathroom. 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 regulatory requirements. Review of the presented employee records revealed a staff member with hire date 2/19/19 whose file did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present educational documentation for the aforementioned staff member at the time of the 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 regulatory requirements. Review of the presented employee records revealed a staff member with hire date 3/20/14 whose file did not contain a current statement from a health professional that she was free from active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff member at the time of the 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 regulatory requirements. Review of the presented employee records revealed four (4) staff members with hire dates 10/9/15, 4/26/16, 11/9/16 and 3/20/14 whose file did not contain documentation to verify that the staff members had completed the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members had not completed the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room on 3/28/19 from 10:26am-1:27pm revealed that the staff member working in the room did not do any activities with five (5) children in her room ranging in age from five-months-old through two-years-old. Two (2) of the children were observed hanging and looking over the half (1/2) door into the Two’s Room for five to ten minutes while the staff member stood behind them with her hands inside both her pants pockets. 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 regulatory requirements. There were six (6) large cans of paint sitting on the counter in the School-Age Room that was occupied by the Preschoolers at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There were three (3) large white garbage bags located in the corner by the puzzles in the School-Age Room that was occupied by the Preschoolers at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Several of the ceiling tiles located above the dramatic play area in the Two’s Room were bulging from the frame. The ceiling tile located above the cubbies in the Two’s Room was hanging from the frame. The vent located next to the light inside the Boy’s bathroom was not secured to the ceiling. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The first urinal located in the Boy’s bathroom was not working at the time of the survey. The second urinal located in the Boy’s bathroom was not working properly at the time of the survey. The surveyor had to push the knob with extreme force and several times before it flushed. The toilet located in the Boy’s bathroom was not secured to the floor. 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: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The blue changing pad located in the Two’s Room was torn exposing the absorbent material. 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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There were several tree branches (large and small) laying on the ground in the outdoor play area. There were several tree branches hanging low into the Infant/Toddler outdoor play area. There was a tree branch protruding through one of the windows attached to the toy house located in the Infant/Toddler outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. There was not a protective surface under the swings attached to the wooden swing set, located in the outdoor play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The top of the metal fence located between both outdoor play areas was not connected to one of the metal poles. One of the tops of the metal poles attached to the metal fence between both outdoor play areas was missing. The bottom of the metal fence located between the outdoor play area and the parking lot had several areas that were broken, causing sharp metal pieces to protrude onto the outdoor play area. The top of the metal pole located at the back of the Infant/Toddler outdoor play area was not connected to the metal fence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The wooden swing set located in the outdoor play area was not anchored to the ground. The blue metal swing set located in the Infant/Toddler outdoor play area was not anchored to the ground.

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 maintain equipment in accordance with regulatory requirements. The bear crib mattress located in the Infant Room was torn, exposing the absorbent material. The white fairy sheet located in the crib inside the Infant Room was not fitted to the crib mattress. The white crib mattress located in the last crib by the parent board in the Infant Room was torn, exposing the absorbent material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a yellow pillow located in the Preschool Room that was stained. The ceiling fan located in the Infant Room was covered in excessive dust. The yellow interactive chair located in the Infant Room that needed batteries and was not working at the time of the survey. There was a white pillow located in the reading area in the Nursery that was stained/dirty. The wooden picnic table located in the dramatic play area in the School Age Room was extremely wobbly.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a nail protruding from the first wooden bench located in the outdoor play area. The blue plastic piece was broken off the front of the toy pirate ship located in the outdoor play area, exposing sharp plastic pieces. A portion of the wooden shed located in the outdoor play area was dry rotted and broken off, exposing sharp wooden pieces. The wing and handle on the Mickey Mouse ride on toy located in the outdoor play area were broken off. The blue metal swing set located in the Infant/Toddler outdoor play area was severely rusted. Two (2) of the bolts were protruding from the top left portion of the blue metal swing set located in the Infant/Toddler outdoor play area. A white ride on toy located in the Infant/Toddler outdoor play area was cracked, exposing sharp plastic pieces. The door was missing from the red and yellow ride-on toy located in the Infant/Toddler outdoor play area. 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 observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the presented first aid supplies revealed that a cold pack and medical tape was not presented. Upon request, the director did not present a cold pack and medical tape for the vehicle used to transport children at the time of the survey. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 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 child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in the Infant Room had two thermometers at the time of the survey. One thermometer had a thermometer reading of fifty (50) degrees Fahrenheit. The other thermometer had a thermometer reading of forty-six (46) degrees Fahrenheit. The freezer portion of the white refrigerator was not equipped with an indicating thermometer at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The bottom of the white freezer was soiled with food debris. The bottom of the white refrigerator was soiled with a large amount of spilled milk at the time of the survey. The black dishwasher located in the kitchen was soiled with food debris at the time of the survey.

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 regulatory requirements. There were three (3) clear bottles located in the black mini-fridge and one (1) clear bottle located in the sink in the Infant Room that were not labeled. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed three (3) children with enrollment dates 10/22/18, 4/22/13 and 1/18/19 whose file did not contain the name of the family’s preferred hospital. Upon request, the director did not present the documentation at the time of the survey. 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 9. 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 the presented employee records revealed two (2) staff members with hire dates 3/20/14 and 8/10/15 whose file did not contain a current annual professional development plan. The professional development plans presented for review were dated 8/10/17 and 2/25/16. Upon request, the director did not present a current professional development plan for the aforementioned staff members at the time of the survey. 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 observation and interview, the child care center failed to post documentation in accordance with regulatory requirements. The statement of deficiency issued during the current licensure year was not posted at the time of the survey. The statement of deficiency posted and presented for review on 3/28/19 was from May 2017. The plan of correction submitted by the child care center to the cabinet during the current licensure year was not posted at the time of the survey. The plan of correction posted and presented for review on 3/28/19 was from May 2017. Upon request, the director did not present the documentation at the time of the survey. The daily planned schedule was not posted in the Preschool Room at the time of the survey. Interview with the director revealed that children in care do utilize the Preschool Room daily after school and all day when school is out.

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 observation, the child care center failed to post documentation in accordance with regulatory requirements. A diagram outlining the course of action in the event of a natural or manmade disaster was not posted in the child care center at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities was not posted in the Preschool Room at the time of the survey. Interview with the director revealed that children in care do utilize the Preschool Room daily after school and all day when school is out. The schedule of daily activities posted in the School Age Room on 3/28/19 was dated 3/18-3/22. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for the employees with the hire dates of 09/01/2017 and 03/13/2018 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 10/09/2015contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 03/20/2014 had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during the last year of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirements. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. At approximately 12:30 p.m. a five-month-old infant was observed sleeping in a baby swing. Interview with the staff in charge revealed the infant had been sleeping in the swing for approximately ten (10) minutes. Interview with the staff in charge, revealed there was no signed waiver from a health professional stating that the infant required an alternate sleep position that had been obtained. 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 premises in accordance with regulatory requirements. The beige wall located in the infant classroom had a large circle area where the paint was flaking. Continued observation found the blue wall located downstairs near the cots was bubbled and the concrete was flaking away.

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. The downstairs male restroom revealed that the black baseboard near the toilet was pulled away from the wall with the glue exposed and the concrete flaking away from the wall. 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 regulatory requirements. The staff conducted a diaper change on a two-year-old child, upon completion the staff placed the child down to play without washing their hands. 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The staff conducted a diaper change on a two-year-old child. Upon completion, the staff did not wash their hands prior to wiping the nose of another child and then picking toys up off the floor. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Two (2) of the five (5) cribs located in the infant classroom, revealed that the sheets were not tight fitting.

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 maintain equipment in accordance with regulatory requirements. In the infant classroom it was observed that there were two (2) infants sleeping in separate cribs that were placed edge to edge. Continued observation revealed that during nap time several of the cots were side by side. Therefore, the cribs and cots were not spaced twelve (12) inches apart to allow free and safe movement by a person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The 2006 Ford E350 van revealed that the front passenger seat had a large hole that was torn with the foam exposed on the side of the seat and a torn spot on top with exposed foam. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 child care center failed to maintain food service requirements. The bottles located in the small refrigerator in the infant classroom revealed the bottles were not properly labeled to identify for what child the bottles were to be used for during feedings. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the child with the enrollment date of 03/20/2017 contained a current immunization record. 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 9. Records.

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The daily attendance record for the week of 03/12/2018 was verified in advance as evidenced by the signature of the parent or designated person for five (5) of the children listed on the DCC -94E form. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of the child care center revealed the center did not have a diagram outlining the course of action in the event of a natural or manmade disaster that was posted in the downstairs of the child care center. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not provide statements from a health professional that the individuals are free of active tuberculosis or copies of negative tuberculin results for staff members with the hire dates 3/31/14, 4/27/15, 12/21/15, and 11/9/16.

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. Upon request, staff in charge did not provide documentation to verify that the staff members with the hire dates 10/7/15 and 5/26/15 had completed the required training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area 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 an outdoor play area in accordance with regulatory requirements. Located on the playground are two wooden picnic tables, both tables have raised wooden slats on the the table part. The table located in the center of playground has several raised nails in the bench. Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation third party contracts. Record review at survey revealed the child care center does not have a current contract with a third party provider. The Director stated that she is aware of the issue. 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 189.125 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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 25 Web site: http://chfs.ky.gov/ Inspection Report 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 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 unattended: (a) At the site of aftercare delivery; or (b) 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. 907 - Parent Transport during Field Trip Not Applicable 922 KAR 2:120. Section 12. Transportation. (21) A parent may use the parent’s vehicle to transport the parent’s child during a field trip. Food Service

Open Not marked corrected in the state record

Category: transportation. 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. Observation revealed three (3)styrofoam cups, three (3) styrofoam bowls, and a white plastic garbage bag lying in the grassy area between the older children's play equipment and the north fenced property line.

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.

Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding maintaining transportation records. Record review during survey revealed no contract with a third party provider, or documents proving that third party transportation provider is insured. The Director indicated she is aware of the need to address this issue. 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.

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.

Based upon review of documentation and interview, the child care center failed to comply with transportation services regulatory requirements. Record review revealed no written plan concerning transportation services or written policies and procedures concerning same presented at time of survey. In interview, the Director indicated she is aware of the deficiency. 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; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 25 Web site: http://chfs.ky.gov/ Inspection Report 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;

Open Not marked corrected in the state record

Category: transportation. 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 comply with regulatory requirements. Observation revealed pasteurized whole milk was served to ten (10) preschoolers in the downstairs classroom, ages 4 and 5 years old, and to twelve (12) additional children over the age of 24 months in upstairs classrooms. Interview with the staff member preparing the lunches revealed she was unaware of the type of milk being served. Interview with the director confirmed that lunch was prepared by a staff member who doesn't typically prepare children's lunches.

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. Based on observation the one year old classroom contained 6 children which did not allow for 35 square feet per child, as measured by the surveyor at the time of the investigation.

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 interviews, the child care center failed to maintain the premises in accordance with the regulatory requirements. Based on observation and interviews, the child care center failed to maintain the premises as observed on 04/29/15. There was noticeable water damage about six (6) feet long, at the bottom of the drywall, on the wall separating the utility room from the boy's bathroom. The drywall was peeling and flaking with water stains and had evidence of mold under the pieces of drywall that were peeling off. Also based on observation, the drywall above the baseboard, behind the toilet, in the boy’s bathroom was bubbled and peeling. Paint on the concrete floor, in front of the toilet in the boys bathroom also showed evidence of water damage with chipping and peeling paint. Based on interviews with staff members, the basement has standing water in the boy's bathroom when it rains. The boy's bathroom is closed off and only the girl's bathroom is used due to the standing water in front of the toilet.

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. Based on observation, there was no ventilation to outside air in the boy's bathroom in the basement. 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 maintain hygienic practices in accordance with regulatory requirements. Based on observation in the infant room, after diapering, 2 children failed to have their hands washed. One of the infants was immediately placed in a high chair and given a sippee cup. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

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 regulatory requirements. Based on observation, a staff member changed two (2) children's diapers and failed to wash her hands upon completion.

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 assure compliance with regulations. Review of staff files revealed the employee hired 7/23/14 failed to have a completed Child Abuse & Neglect Check (CAN) on file at the time of survey. Interview with the staff-in-charge revealed she was not aware that the CAN check had not been completed. Continued interview with the staff-in-charge revealed this employee had worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the center failed to maintain employee records in accordance with regulations. Review of staff files revealed the employee hired 7/23/14 failed to have a completed Child Abuse & Neglect Check (CAN) on file at the time of survey. Interview with the staff-in-charge revealed she was not aware that the CAN check had not been completed. Continued interview with the staff-in-charge revealed this employee had worked alone with children in care.

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 center failed to maintain the premises in accordance with regulations. Observation of the Pre-k Room revealed a yellow mop bucket filled half-way with soiled water that was accessible to children in care. Interview with the staff-in-charge revealed the water in the mop bucket was mixed with bleach. During continued interview, the staff-in-charge indicated the mop bucket should have been poured out after use, but the staff had a very busy morning.

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 regulations. Observation of the Boys' Bathroom revealed brown dirt particles and a visible brown ring around the inside of the toilet bowl. Hygienic Practices

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 hygienic practices in accordance with regulations. Observation of the Nursery revealed water and dust particles touching the bottom surface of the diaper changing pad.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulations regarding first aid and/or medication. Observation of the First Aid Kit revealed the first aid supplies were not stored in a sanitary manner as the bottom of the box containing the supplies was covered in a yellowish, bluish sticky residue which appeared to be dried liquid soap. Continue observation revealed the scissors in the kit contained several rust spots and were covered at the tip with the sticky residue. In addition, other items in the kit had spots of sticky residue on them.

Open Not marked corrected in the state record

Category: health medication. 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 Crawlers Room revealed the lid on the white garbage can was soiled with dirt particles and a yellowish, brown sticky residue.

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 Nursery revealed the center failed to have an indicating thermometer in the refrigerator. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the refrigerator in the Nursery revealed the bottom of the refrigerator was covered with a dried, yellowish substance which appeared to be dried milk.

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 refrigerator in the Nursery revealed several bottles and sippy cups were not individually labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with regulatory requirements regarding animals. Observation of the Crawlers and Pre-K Rooms revealed a small fish tank in each room. Review of children’s files revealed the center failed to obtain written permission from the parents consenting to the fish. During interview, the staff-in-charge revealed she was aware of this regulation but she forgot to obtain written parental consent for the fish.

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 interviews, the child care center failed to comply with the regulatory requirements. Based on separate phone interviews conducted with staff members, a sick child usually remains in the classroom while waiting for a parent to pick them up rather than being isolated from the rest of the children. Based on a phone interview with staff in charge, there is not always staff coverage that would allow for a child to be removed from the class and isolated from other children. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation, the chain link fence which separates the large play area from the preschool play area, was broken with a piece of the fence protruding horizontally out from the fence. The piece of wire was about 4 inches up from the ground.

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 maintain equipment in accordance with regulatory requirements. Based on observation, at least seven (7) mats were observed not to be in good repair as the mats contained large rips and tears in the plastic coverings. Based on observation, the mats were stored in a classroom which was not being used as a classroom, however, the area was used for napping by eight children aged 2 years through 10 years, after the lunch meal was served.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, the child care center failed to maintain the high chairs in the infant room. Both chairs were missing the seat belts.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, all four (4) of the wooden lunch tables in the large play area had nail heads which were not flush with the wood on the seats of the tables which would scrape children's legs when sat upon. Additionally, based on observation, the maintenance storage shed, on the back of the building, had white trim surrounding two doors. The trim had broken, sharp edges of wood on both doors. Each of the doors also had 4-5 sharp nails protruding from the wood. Based on observation in the preschool playground, one of the railroad ties which surround the 3 swings had broken and separated from the other ties, creating a tripping hazard. Based on continued observation in the preschool area was an orange swing with the number "3" on it, which had a broken seat belt. A turquoise, ride toy was also observed to be broken with no handles or steering wheel.

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 maintain documentation in accordance with transportation regulatory requirements. Based on a review of documentation, the child care center failed to maintain a current certification of inspection from the Transportation Cabinet. Based on a review of documentation, the last inspection at the Department of Transportation was 09/17/2012.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation none of the bottles in the refrigerator were labeled.

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 director failed to assure compliance with regulatory requirements. Based on a review of documentation, there were no staff evaluations available for review. Based upon an interview with the staff in charge, there were no written performance evaluations assessing each staff person's interaction with children in care and classroom performance. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to maintain the health, safety and comfort of the children. Based on observation of the preschool room, the two year old room and, the basement area, the electrical outlets were not properly covered and were accessible to a child. An outlet in the floor of the preschool room contained an outlet that was not secured and was positioned in a hole in the floor. The staff in charge stated during interview that the outlet did not have electricity connected to it.

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 director failed to assure compliance with regulatory requirements. Based on a review of documentation, a staff member with a re-hire date of 09/20/13 failed to have a completed Criminal Record Check available for review. Based on observation, the staff member was alone supervising a group of eight (8) children, aged 2 years through 10 years.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A staff member with a re-hire date of 09/20/13 failed to have a completed Criminal Record Check in the personnel file. Further observation revealed the staff member was alone supervising eight (8) children between the ages of 2 years and ten (10) years.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of records, a staff member with a hire date of 03/09/12 failed to have documentation of a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on observation, a staff member with a hire date of 09/20/13 failed to maintain a current statement from a health professional that the individual is free of tuberculosis or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of 11/23/11, 11/02/10, and 03/19/12,failed to maintain records verifying 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 Review of Documentation, the child care center failed to comply with programming requirements. Based on a review of documentation, the child care center failed to have a planned program posted in writing in a conspicuous place that offers a variety of creative activities including the following: art, music, dramatic play, stories and books, science, block building, tactile activity and culture. Based on observation, the clocks located in the preschool room and infant room were several hours incorrect, and staff were not observed to have acessibility to the time so that a schedule could be followed.

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 regulatory programming requirements. Based on observation, there was no current schedule posted. Also based on observation, the children were not participating in the activity listed on the schedule for the time period observed. Based on an interview with the staff member in the preschool room, there was no schedule prepared or followed due to the children being on spring break and because of the range of age differences of which she was caring for at the time of the survey. The staff member was observed to be caring for 8 children aged from 2 years to 10 years.

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 regulatory programming requirements. Based on observation, an eight month old infant was placed in a high chair for restraint while the staff member conducted an art activity with the other children in the classroom. Based on further observation, the staff member supervised five children between the ages of eight months and two years. Additionally observed, the infant in the high chair was not provided with any food or toys during the entire time the staff member conducted the activity with the other children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the cabinet in the bathroom used by the children contained a can of Lysol Disinfectant labeled, "Keep out of reach of children" and was accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation in the infant room, there were two toddlers laying on the floor and crawling. The carpeting had paper debris and dirt on it which could have been put in a child's mouth. Based on an interview with the staff in charge, the vacuum had broken and the carpeting had not been maintained. Further information obtained in the interview with the staff in charge, revealed the issue was in the process of being addressed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A child with an enrollment date of 08/26/13 failed to have a current immunization record maintained in the 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 maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the staff in charge failed to maintain a written schedule of staff working hours. Based on an interview with the staff in charge, because there are only three (3) staff members working at this location, she didn't think there was a need for a written schedule.

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 documentation in accordance with regulatory requirements. Based on a review of documentation there was no written annual plan for child care staff professional development. Based on an interview with staff in charge, there was no staff development plan that she was aware of.

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 written documentation in accordance with regulatory requirements. Based on a review of documentation, there was no documentation of fire drills conducted for December 2013, January 2014, February 2014.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. The complete statement of deficiencies and plan of corrections was not posted in its entirety.

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 and Review of Documentation, the director failed to notify the parent of an injury that ultimately required medical treatment of a child. Interview with a staff member with the hire date of 11/23/2011 that was present at the time of the injury to the child, stated that she did not notify the mother of the injury because the mother did not pick the children up that night. Continued interview with the staff member with the hire date of 11/23/2011 revealed that she did not call the mother because she knew that the mother was on call at work and after the injury occurred, she said that she forgot about it. Review of an Accident Report completed on the injury that occurred on 02/25/2014 indicates that the mother was notified, however, the staff member present at the time of the injury did not complete the Accident Report, and instead the "Acting Director" completed the report. Interview with the Acting Director revealed that she believed the staff member notified the mother when she picked up her children that night, but was not aware that the mother did not pick up the children the night of the injury. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center did not ensure First Aid/CPR coverage. Interview with the Acting Director revealed that on the night of 02/25/2014, an employee with the hire date of 11/23/2011 was alone at the center with children when a child was injured. Review of employee files revealed that the employee with the hire date of 11/23/2011 did not have current First Aid/CPR certification as it expired on 02/18/2014. Interview with the employee with the hire date of 11/23/2011 confirmed that she was alone with the children at the center with no other co-workers the night of 02/25/2014.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based interview, on an undetermined date in May 2013, the Director was notified by a parent of allegations of neglect against a child which occurred while the child was in care at the center. The Director failed to notify the Cabinet of said allegations as required by these administrative regulations and by KRS 620.030. The allegations were later reported by a different source and accepted for investigation by the Crimes Against Children Unit.

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, at approximately 11:00 am the staff in charge began preparing lunch while supervising a group of 10 preschool children. Another staff person arrived at approximatley 11:20 am to assist staff in charge.

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, four children were transported to school by a staff person in her personal vehicle on the morning of April 30,2013. Interview with said staff person revealed that three of the children rode in the back seat while one of the children, a nine year old male, rode in the front seat of the vehicle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired April 2013 did not have verification of negative TB screening on file at the time of the survey. Documentation presented noted a TB test had been conducted on March 15, 2013 but no indication of the date test was read was noted on the form.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, staff person with hire date March 26,2012 transported four children in her personal vehicle to school on April 30,2013. Review of said staff person's file revealed she does not have current certification in CPR and First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, insurance documentation provided for the staff vehicle used to transport children had expired on March 21,2013. The registration documentation presented for the vehicle had expired on March 1, 2009.

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 staff vehicle used to transport children did not have the required equipment of a flashlight, first aid kit, reflective triangles and a device to cut the seatbelts in the event of an emergency on the vehicle at the time of the survey. 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.

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, a pretrip inspection was not done on the vehicle prior to transporting children on the morning of April 30, 2013.

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, children transportation record documenting time on and off the vehicle was not completed for four children transported on the morning of April 30,2013.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, child enrolled February 14, 2013 had an immunization certificate on file that did not note the date of expiration for the immunizations documented. A child with enrollment date of March 18, 2013 did not have a current immunization certificate on file at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, staff person transported four children in her personal vehicle to school on the morning of April 30,2013. Document review revealed no written permission was obtained from the parent of each child. Written 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 chain of command provided for review did not reflect the names of current staff.

Open Not marked corrected in the state record

Open / not marked corrected.

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

toddlers: Based on observation, an insect/rodent glue trap was placed on the floor beside the refrigerator, accessible to the children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, a landscape timber was rotting around the edges, thus exposing the stakes where the hardware was driven into the ground. Therefore, the hardware was no longer flush with the timber and slightly protruded above the wood 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

nursery: Based on observation, the proper methods of diapering failed to be posted. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 38 of 39 Web site: http://chfs.ky.gov/ Inspection Report Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance 2) Wild In Compliance 3) Exotic In Compliance C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement In Compliance 2) Partnership statement In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, twelve (12) children were observed being cared for in one (1) programming area. Interview with staff revealed one (1) child was eighteen-(18)- months-old and the oldest child was four-(4)-years-old. The staff in the room stated that the children were being cared for in the same programming area because they were one (1) staff member short. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report General Administration 23 - Qualify and Maintain a License 922 KAR 2:090 - Section 5 (8) To qualify for and maintain a license, a child-care center shall: (a) Provide written documentation from the local authority showing compliance with local zoning requirements; (b) Be approved by the Office of the State Fire Marshal or designee; (c) Have an approved water and sewage system in accordance with local, county, and state laws; (d) Have adequate equipment, supplies, and staff to serve initial enrollment of children; (e) Provide written proof of liability insurance coverage of at least $100,000 per occurrence; (f) Comply with provisions of this administrative regulation, 922 KAR 2:110, and 922 KAR 2:120; (g) Cooperate with the state agency during an investigation of an alleged complaint, including an allegation of child abuse or neglect pursuant to KRS 620.030(3); and (h) Have a director who meets the requirements listed in 922 KAR 2:110. 6) Comply with Regulations In Compliance Director Requirements 110 - Regulatory Compliance 922 KAR 2:110 - Section 4 (1) (d) Ensure compliance with 922 KAR 2:090, 922 KAR 2:120, and this administrative regulation; 2) 922 KAR 2:110 In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Preschool room: Based on Observation, the children were taken from their activities on two (2) separate occasions and their breakfast meal was interuppted to go the front door to allow a staff member to escort a child to the school bus which was waiting outside. The enviornment was chaotic and the children were confused and was unaware of what they were to be doing. On one occasion, the staff member was about to take ten (10) of the children outside as it was pouring down rain in order to escort one (1) child to the school bus which was waiting outside. None of the children were wearing coats. However, the surveyor asked another staff member in the building to take the children into an adjacent room so the children would not get drenched in the rain. During interview the staff member stated that there were a couple of "drop in" children and they were short one (1) staff person. General Premises 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean In Compliance Premises - Classroom 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 5) Equipped with liquid soap and single use disposable hand drying material Not In Compliance Findings: Infant Room: Based on Observation, the sink located next to the diaper changing station did not have single use disposable hand drying materials available.

Open Not marked corrected in the state record

Open / not marked corrected.