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

General: Based on observation, there was an electrical outlet that was not covered within the One-and-Two-Year-Old Room.

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 personnel file for a staff member (DOH: 01/13/25) did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential. Interview with the staff in charge stated he/she was not able to obtain the requested documentation on the day of the inspection.

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, during the inspection, the following was found: Left Bathroom 1) The handwashing sink was draining water very slowly. One-and-Two-Year-Old Room 1) There was a step that was raveling carpet, and the wood was exposed.

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, during the inspection, the following was found: Preschool Room 1) There were two (2) vertical holes in a wall and the drywall was exposed. Right Bathroom 1) There were broken floor tiles 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, during the inspection, the following was found: Infant Room 1) The hot water exceeded one-hundred-and-twenty (120) degrees Fahrenheit. Left Bathroom 1) The hot water exceeded one-hundred-and-twenty (120) degrees Fahrenheit. Right Bathroom 1) The hot water exceeded one-hundred-and-twenty (120) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet within the Left Bathroom contained a brown ring and a brown substance inside the toilet bowl, indicative that the toilet had not been cleaned daily. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was not sufficient protective surfacing at the foot of a red slide on the Outdoor Play Area. The mud was visible.

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, of the kitchen, there was a yellow substance, dried food particles, and hair inside of the refrigerator freezer.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the record for a child (DOE: 02/12/25) did not contain the name of a family physician and the name of a preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 05/02/2022) has not received the first aid and cardiopulmonary resuscitation (CPR) training. Review of the ECE-TRIS report supported this finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. Verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for two (2) staff members (DOH: 03/26/2025 and 05/02/2022.) 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two (2) ceiling vents in the Infant/Toddler classroom were heavily covered in dust, which had spread to the surrounding ceiling tiles.

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 ceiling light fixture in the Fours' classroom was heavily covered with dust, which had spread to the surrounding ceiling tiles. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the playground contained rubbish. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, three (3) crib sheets were gathered and not tight fitted in the infant/toddler room. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was two (2) bottles not labeled with a child's name and one of the bottles was not covered in the refrigerator in the Infant/Toddler room refrigerator. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no evidence to indicate that a fire drill had been practiced in March 2024. Additionally, the list of the children who participated in the January, February, and June 2024 fire drills was not documented. 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on interview, the sole staff member in the infant room was changing the diaper of a seven (7) month old child when she turned her back to the infant who was still on the changing table to retrieve a diaper. While her back was turned, the infant had fallen from the changing table, and the staff had to pick her up off the floor. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the sole staff member in the infant room was changing the diaper of a seven (7) month old child when she turned her back to the infant who was still on the changing table to retrieve a diaper. While her back was turned, the infant had fallen from the changing table, and the staff had to pick her up off the floor. The incident resulted in medical treatment being sought for the child.

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, two staff members with hire dates of 3/25/2015 and 5/2/2022 did not have the minimum of 15 annual training hours completed. The staff member hired on 3/25/2015 completed 12 hours of training and the staff member hired on 05/2/2022 completed zero hours of training. Furthermore, verification of six (6) hours of cabinet-approved orientation training was not presented for review for a staff member with the hire date of 12/8/2022. Finally, one and one-half hours of pediatric abusive head trauma (PAHT) training was not presented for review during the inspection for a staff member with the hire date of 5/22/2022. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed trainings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, the refrigerator located in the infant room contained prescription medication (ibuprofen). The fridge was not locked, nor was the medication in a locked container inside the refrigerator. Furthermore, the refrigerator was located on the floor of the infant room and, therefore, accessible to children. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was a wooden fence board on the ground with several sharp nails sticking out of it and facing up, posing a hazard. Also, there were several fence boards short enough to access that were splintered, posing a hazard. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 11. Staff Requirements.

General: Based on interview and review of documentation, educational documentation (HS diploma, GED, CCCC or other qualifying documentation) was not provided for review for three (3) staff members with hire dates of 6/27/2023, 6/12/2023 and 3/13/2023.

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, current documentation from a health professional stating that the individual is free from active tuberculosis, negative results from a tuberculin skin test or tuberculosis screening, was not presented for review for four (4) staff members with the hire dates of 12/8/2022, 6/12/2023, 3/13/2023 and 7/25/2023. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a chain of command that included a flow of authority and responsibility for operation of the child care center was presented during the time of the inspection, however, the staff included on the list no longer worked at the facility.

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, a written staff schedule was not presented at the time of the inspection.

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 interview and review of documentation, record of fire, tornado and earthquake drills from January 2023 up to the day of the inspection was not presented for review. It was confirmed through an interview with the staff in charge that drills had not been conducted within that timeframe. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the general liability insurance was effective until 08/24/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation, a staff member hired 11/10/98, had not initiated the process for the national background check program (NBCP). The staff member had a name-based criminal records check and child abuse/neglect check on file. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center failed to provide documentation for recurring staff meetings.

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 interview and review of documentation, three (3) staff members hired on 01/06/20, 08/05/13 and 03/25/15, did not have an annual written performance evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 11/10/98, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 11/10/98, did not have first aid and CPR training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) staff members hired 08/05/13 and 11/10/98, lacked fifteen (15) hours of annual training from 07/2020 to 06/2021. A staff member hired 01/06/20, completed eight and one-half (8 ½) hours of annual training from 07/2020 to 06/2021. A staff member hired 03/25/15, completed six and one-half (6 ½) hours of annual training from 07/2020 to 06/2021. Staff member hired 01/06/20, completed the Pediatric Abusive Head Trauma training on 08/06/13, but failed to complete the training again every five (5) years. Programming In Compliance 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 2 of 4 Inspection Report 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 13. Toys and Furnishings.

General: Based on observation and interview, rust and chipped paint were on a red metal stationary tunnel/car apparatus on the outdoor playground. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, an uncovered, 9-ounce clear Gerber First Essential Clear View infant bottle was not labeled to indicate to whom it belonged. This bottle was on the counter next to the sink in the infant/toddlers’ room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 11/10/21, had an immunization certificate on file valid until 02/09/22. In addition, a child enrolled on 01/10/22, had an immunization certificate on file that was valid until 02/08/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) children enrolled 01/10/22, 09/08/20, 02/09/22, 03/25/18, did not have the phone number for their physician listed in the enrollment information. Three (3) children enrolled 01/10/22, 09/21/21, and 04/23/19 did not have information on file to enable the person in charge to contact the child’s preferred hospital. Four (4) children, enrolled on 01/10/22, 09/21/21, 09/08/20 and 11/10/21, did not have allergy information listed on the enrollment form. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 interview and review of documentation, two (2) staff members hired 01/06/20 and 08/05/13, did not have professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current fire marshal report was not presented for review. The document presented was dated 12/1/2017. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Upon request, a written evaluation was not presented for review for a staff member with the hire date 11/10/1998.

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: Interview and review of all presented staff files revealed a staff member with the hire date 01/06/2020 whose file did not contain verification that a completed Criminal Records Check had been completed. The aforementioned staff member was the sole caregiver for three (3) children ranging in age seven (7) months through twelve (12) months old from 8:50a.m. until 9:30a.m. Then at 9:30a.m. the staff member was the sole caregiver caring for five (5) children until 12:30p.m. The staff in-charge did not present the requested document for the aforementioned staff member and could not verify that the Criminal Records Check (CRC) had been completed for the aforementioned staff member. 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: Interview and review of all presented staff files revealed there were not two (2) qualified substitute files for review. The staff in-charge presented documentation for one (1) qualified substitute but not two (2) qualified substitutes at the time of the survey. Therefore, the child care center only has one (1) qualified substitute.

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: Interview and review all presented staff files revealed one (1) staff member with the hire date 08/10/2020 whose file did not contain verification of six (6) hours of cabinet- approved orientation training had been completed within ninety (90) days of employment. Review of ECE TRIS report did not reveal the training had been completed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current daily activity plan was not presented for review for the infant classroom and the two-year-old / three-year-old classroom. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the outside playground revealed the facilities overhanging eaves on the back side of the building and the right side of the facility was rotting and the overhanging was peeling wood and chipping pain,t leaving small pieces of wood on the playground. The entry way door entering into the pre-school classroom did not close properly, the slide lock would not latch into the wooden frame. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the infant classroom ceiling revealed there was a round vent above the high chairs that was rusted. Observation of the girl's restroom ceiling revealed there were two (2) brown stains, indicative of water damage. Observation of the two-year-old and three-year-old classroom ceiling revealed a vent was not secured to the ceiling, leaving a large gap in the ceiling; adjacent to the vent was a brown stain, indicative of water damage. Further observation of the classroom ceiling revealed there was a five (5) foot crack and several more cracks in the ceiling throughout the classroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Interview and review of ten (10) children's files revealed a child was required to have an Epinephrine Injector at any time due to a medical issue. Upon request, the child care center did not present a written permission from the parent to administer the medication to the child when needed. Outdoor Play Area Not 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 4. Premises Requirements.

General: Observation of the toddler outside playground revealed the wooden gate entering the playground did not close properly. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the infant room revealed five (5) cribs with loose fitting sheets. Therefore, the sheets were not tight fitting. Further observation of the crib sheets revealed the last crib on the right side of the classroom had a hole in the middle of the sheet.

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 of the pre-school classroom revealed there were ten (10) vinyl mats that were torn and ripped; the inside absorbent material was exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the two-year-old and three-year-old classroom revealed there was a child size green rectangle table on which the rubber edging was not attached to both ends of the table. 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: Observation of the Pre-School classroom revealed a wooden kitchen unit made-up of a refrigerator, sink and stove. The sink was missing the faucet and a screw was protruding from the play structure. Continued observation of the classroom revealed a green shag rug in the car center that was frayed and curled. In the block center there was a blue shag rug that was curled on one side. The carpet on the corner of the step leading to the library center was raveling and the wood was exposed. Observation of the two-year-old and three-year-old classroom revealed a wooden child size cabinet that was missing a wooden knob, leaving a screw protruding from the wooden play structure. Observation of the third role of seating in the 1997 white van revealed the seatbelt nearest to the window would not latch and lock. Observation of the wooden loft inside the pre-school classroom revealed a nail was protruding from the right corner when entering the stairs of the loft. 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: Upon request, the child care center did not present verification that the child care center maintained policies and procedures to ensure staff's duties related to transportation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Interview and review of the first aid supplies presented revealed a cardiopulmonary resuscitation (CPR) mouth piece was not presented for review 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 12. Transportation.

General: Upon request, a current vehicle inspection document was not presented for review. The document presented for review was dated 7/24/2019. 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: Observation of kitchen refrigerator revealed the bottom shelf contained a dried, flaky, white substance and the three (3) shelves inside the refrigerator door revealed a buildup of debris and food particles. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General:Interview and review of ten (10) presented children's files revealed one (1) file with the enrollment date 02/11/2016 did not contain a signed authorization document by the parent for the child care center to seek emergency authorization for the child in care in the absence of the parent. 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 9. Records.

General: Review of posted documents revealed the child care center did not have a written plan outlining the course of action in the event of a natural or manmade disaster. Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: The child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:410e, Section 8 (Personal Protective Equipment (PPE) Requirements). Each adult, including parents and guardians at drop-off and pick-up, shall wear a face mask while inside a child care center or family child care home. Based on observation, a staff member in the infant room was not wearing his / her mask properly while caring for the children. The staff member's nose was not covered. In accordance with 922 KAR 2:410 Section 6, individual children's bedding should be separated and stored in individual labeled bins without touching another child’s bedding. Observation of the main hallway revealed a shelf hanging on a wall that stored the children's bedding, some of the children's bedding was touching other children's personal items. Therefore, the bedding was not individually labeled and stored inside of a bin. Observation of the kitchen center in the school age room revealed there were four blankets that were stacked on top of one another on a shelf, therefore the bedding was touching, not individually labeled and stored in a bin. 922 KAR 2:410e requires name based background checks, to include a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check to be requested for all staff members who have been hired since the onset of the current pandemic. Additionally, the results of the required checks must be obtained prior to a new staff member working alone with children, without the direct oversight of an employee who has the required background checks on file. Observation of the infant classroom revealed one (1) staff member was the sole caregiver for three (3) children ranging in ages seven (7) months to twelve (12) months old. Review of documentation revealed the staff member with the hire date 01/06/2020 did not have a Criminal Records Check (CRC) on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation in the Shining Stars room and the three’s and four’s room revealed an electrical wall outlet with no protective covering. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for four (4) staff members with the hire dates of 08/05/2013, 02/01/2017, 12/27/2010, and 08/01/2016. Review of staff files revealed three (3) staff members with the hire dates of 08/05/2013, 04/16/2018, and 01/16/2006 had not completed cabinet-approved pediatric abusive head trauma (PAHT). Interview with the staff in charge revealed this information was unavailable at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulations. In the three’s and four’s room, there were several areas of paint chipping away from the wall and baseboard. In the following rooms there was dust and debris in the air vent gate; Shining Stars, Big Dippers, and infants. In the Big Dippers room the carpet on the stairs was torn and frayed causing a trip hazard. Observation in the girls bathroom revealed a piece of the wall was missing near the diaper changing area exposing plaster and drywall. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain first aid medication in accordance with regulations. Observation of the child care center's vehicle VIN# 1FBJS3IL7VHA95209 first aid kit revealed the CPR mouthpiece was missing. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation in the Shining Stars room revealed a blue toy shelf with several areas of paint chipping away from it.

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 transportation in accordance with regulations. Observation of the child care center's vehicle VIN# 1FBJS3IL7VHA95209 revealed one (1) of the left passenger side doors did not open and was not accessible for use. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain transportation in accordance with regulations. Observation of the child care center's vehicle VIN# 1FBJS3IL7VHA95209 revealed there was no documentation of emergency procedures practiced for the months of July, August, September, and October. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. In the Big Dipper’s room, there was a one-year-old child standing upright in the dramatic play area drinking water from a sippy cup. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. The attendance records and interview with the staff in charge revealed that only twenty-four (24) of the thirty-one (31) children present were signed in on the daily attendance record for that day.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of the presented earthquake, tornado, and fire drill logs did not reveal the names of the children who participated in the quarterly drills for the months of January, February, March, April, May, June, July, August, and October. Interview with the staff in charge revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of the presented fire drill logs did not reveal the names of the children who participated in the monthly drills for the months of January, February, March, April, May, June, July, August, and October. Interview with the staff in charge revealed this documentation was not available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations regarding posted documentation. 1) Review of posted documentation revealed the Statement of Deficiencies issued by the cabinet, and Plan of Corrections submitted by the center during the current licensure year were not present and readily available. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. 2) Observation in the infant’s room revealed there was no diaper changing procedure posted near the diaper changing area. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed one (1) staff member hired 1/16/06 failed to have record of negative tuberculin result on file. Interview with staff in charge revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report on 11/7/18 revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 2/1/17 and 12/27/10. Continued review of staff files revealed two (2) staff members hired 2/1/17 and 12/27/10 had not received Pediatric Abusive Head Trauma training (PAHT). Interview with staff in charge revealed this documentation was not on file at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Two’s classroom revealed a teacher's purse, sitting open on a table used by children, that 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 and interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Infant classroom revealed (1) full ceiling light was not operational. During interview, the staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Three’s and Four’s classroom, revealed paint chipping and peeling from the wall in several places. Continued observation in the Two’s classroom revealed paint chipping and peeling from the door leading to the classroom. Observation of the Boy and Girl’s bathrooms and the center kitchen revealed several brown circles on the ceilings that appeared to be water stains.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Girl’s bathroom revealed the counter around the bathroom sink was cracked and broken in several places. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 and interview, the child care center failed to maintain food service in accordance with regulations. Interview with the staff in charge revealed food is be cooked and prepared in the kitchen at the child care center. Observation revealed the kitchen was not adequately ventilated to the outside air. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 11/7/18 revealed twenty-eight (28) children had been signed in. Continued review of attendance records on 11/7/18 revealed the departure time for three (3) children had been documented in advance. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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 director did not present required fifteen (15) training hours for staff member with the hire date 12/27/10. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation the childcare center failed to comply with staffing requirements. Observation from 08:45 a.m. to 08:54 a.m. revealed thirteen (13) children, who ranged in age from three to four years-old present with one (1) staff member. Continued observation revealed the one to two-year-old classroom with seven (7) children and one (1) staff from 08:45 p.m. to 08:54 a.m. General Administration In Compliance Director Requirements In Compliance 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

Category: ratio. 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 child care center director did not present verification that the record for an employee with the hire date of 01/16/2006 contained 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.

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 child care director did not present verification that the employee with the hire date of 12/27/2010 had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent 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 2. Child Care Services.

General: Based on Review of Documentation, and interview the child care center failed to post documentation in accordance with regulatory requirements. Upon request the staff in the infant room did not present verification of a current daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview the child care center failed to comply with programming requirements. A five-month-old infant was observed sleeping on the floor on a "bobby pillow" at 09:03 a.m. Per interview with the staff member, no signed waiver from a health professional stating that the infant requires an alternate sleep position was obtained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 the child care center failed to maintain the premises in accordance with regulatory requirements. In the three to four-year-old classroom it was observed that a staff open purse, plastic bag with ice, and a metal hook was located on the table; therefore, making the items accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain premises in accordance with regulatory requirements. Observation throughout the center classrooms and restrooms revealed the baseboards to have a buildup of grime and dirt stains. Continued observation revealed the gray area carpet located in the three and four-year classroom to have an edge that was turned upward, creating a potential tripping hazard. Observation in the infant classroom revealed the paint was peeling around the two (2) vents located above on the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

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 equipment in accordance with regulatory requirements. Observation of the large play equipment in four (4) of the four (4) classrooms revealed the large toys to have a build-up of grime and dirt. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. Upon request the child care director did not present verification that the child care center maintained a pre-trip inspection on a daily basis. The child care center did not present for review that a pre-trip inspection had been conducted for the months from January through June of 2016, to include that the following was working and in good repair; tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel, and that the vehicle was free of debris. 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 12. Transportation.

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. Upon request the child care center director did not present for review the transportation logs for the children transported on a daily basis to and from the center, which recorded each time the child got on the vehicle and each time the child got off the vehicle for the months from January 2016 to June 2016. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant classroom at 09:20 a.m. revealed a five-month-old infant laying on the floor, on a “bobby” pillow, holding a bottle to self-feed. Therefore, the infant was not being held during feeding.

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 in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen revealed there was no temperature gauge persent.

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 in the kitchen, the refrigerator had a buildup of an unknown sticky substance located on three (3) of the shelves that contained milk and food products. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request the childcare director did not present verification that the records for the children with the enrollment dates of 08/02/2016 and 12/05/2016 contained information listing the preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Upon request the childcare director did not provide verification of a current daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served for the three to four year old classroom. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the infant classroom revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non- operational. The director revealed she was not aware of the issue.

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 with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in four (4) of the four (4) classrooms revealed the baseboards to have a buildup of grime and dirt. Continued observation revealed the doorways to the classrooms, kitchen, and outer door to the entrance to have smudge stains along with crayon markings. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation in the infant classroom it was revealed that the blue changing pad have rips that were located on the corner seams, exposing the foam. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview with the owner, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two- inch mats in the one-year-old classroom that were utilized for napping revealed that there were two (2) mats that were ripped at the seams exposing the foam inside. Interview with the director revealed she was not aware of the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain premises in accordance with regulatory requirements. Based on observation in the two-year-old classroom it was revealed that the yellow bookshelf have a dirt residue along with chipped and peeling paint.Continued observation in the infant classroom revealed the white cabinet utilized for diaper changing had chipped and peeling paint, along with a dirty grime residue. Interview with the director revealed she was not aware of the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the childcare centers policies revealed the childcare center failed to maintain a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and, including emergency procedures practiced monthly by staff that transport children. Interview with the director revealed she was unable to locate the documentation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain a written plan for ensuring staff perform duties relating to transportation properly. Interview with the director revealed she was unable to locate the policy.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the childcare center did not maintain policies and procedures relating to an emergency plan for evacuating the vehicle. Interview with the director revealed she could not locate the policy.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the childcare center did not maintain a policy for the safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she was unable to locate the policy. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first-aid kit located on the eighteen (18)-passenger van revealed the first-aid supplies did not contain a CPR mouthpiece. Interview with the director revealed she was not aware the CPR was not present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the childcare center did not maintain a pre-trip inspection on a daily basis. The information provided was inconsistent with the dates and months, therefore the documentation could not verify on a daily basis that the following was working and in good repair, tires; lights, signals, mirrors, gauges, and wiper blades; safety restraints; fuel; and that the vehicle was free of debris. Interview with the director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the transportation logs provided revealed the center did not maintain documentation for the months of January, February, March, April, May, June, July of 2015 to indicate the dates that the children were transported and the times each child gets on and the time each child gets off from the vehicle. Interview with the director revealed she was unable to locate the documentation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the childcare center failed to maintain food service in accordance with regulatory requirements. Observation in the kitchen revealed the walls located near the entry door and behind the stove and sinks to have a build–up of splattered food stains. Continued observation revealed there was visible dirt build-up of residue on the baseboards in the kitchen. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview with the director ,the child care center failed to maintain food service requirements in accordance with regulatory requirements. Observation the refrigerator unit located in the rear area of the kitchen revealed the temperature gauge was not maintained at the required temperature reading of forty (40) degrees Fahrenheit or below. Observation of the thermometer was revealed to be at forty-nine (49) degrees Fahrenheit. Interview with the director revealed she was not aware of the issue.

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 with the director, the childcare center failed to maintain food service in accordance with regulatory requirements. Based on observation in the refrigerator located in the kitchen, it was revealed that the bottom shelf contained a build-up of a sticky substance. Continued observation revealed the side shelves to have a build -up of food debris. Observation of the stove revealed the top, side and bottom contained a build-up of grease, along with food stains and inside of the oven had a buildup of food particles. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented revealed that seven (7) of the ten (10) children enrollment form did not list a name of a preferred hospital. Continued reveal of childrens records revealed the children with the enrollment date of 03/23/2015 did not indicate information concerning emergency contacts. Interview with the director revealed she was unable to locate the completed information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided revealed the center failed to maintain a detailed record of the names of the children who participated in the fire drills for the months of January 2015,Febuary, 2015, March 2015, October 2015 and November of 2015.The director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of a CAN check for a staff member revealed a substantiation of child neglect found on the registry; the date of the conducted check was 6/25/15. Interview with the director on 6/30/15 revealed the aforementioned staff member was hired on 3/27/15 and was currently working with the children. Additionally, interview revealed that the completed CAN check was received on 6/29/15 at the center’s administrative office and faxed to the center the same day; however, an error prohibited the center from receiving the “findings” page of the CAN check until 6/30/15. Therefore, the staff member was permitted to work beyond the allowed ninety (90) calendar day probationary basis without a completed CAN check. 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks/discharged. Review of a CAN check for a staff member revealed a substantiation of child neglect found on the registry; the date of the conducted check was 6/25/15. Interview with the director on 6/30/15 revealed the aforementioned staff member was hired on 3/27/15 and was currently working with the children. Additionally, interview revealed that the completed CAN check was received on 6/29/15 by the center's main office and faxed to the center the same day; however, the staff member was not terminated until 6/30/15 due to an error that prohibited the center from receiving the “findings” page of the CAN check until 6/30/15. Review of a written statement submitted to DRCC by the director revealed consistent information as obtained during interview; the staff member worked with another staff member at the center from 3/27/15 to 6/30/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare program failed to include a procedure to inform childcare staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030. Review of policies and procedures revealed that the Child Abuse/Neglect Policy presented for review stated the following: Steps to take if abuse/neglect is suspected 1. Notify Director 2. Document all necessary information 3. Notify Business Office and call the Hotline.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain compliance with the State Fire Marshal requirements established in KRS 227.220. Observation of the childcare center revealed that several smoke alarms were chirping throughout the center indicating a low battery.

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 childcare director failed to maintain accurate copies of the current regulations. Review of documentation revealed that the regulations available for staff review were dated 12/15/2010.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare director failed to maintain the health, safety, and comfort of the children in care. Observation of the Three and Four-Year-Old Classroom revealed that there was a mop bucket full of an unknown substance on the floor near the exit door and accessible to children in care. Observation of the Toddler Classroom revealed a small piece of red material, resembling the plastic covering on the sleeping mats, was on the floor and accessible to children. Continued observation of the Toddler Classroom revealed several mats stacked in a corner. Observation of the mats revealed torn corners and exposed foam that was accessible to children. Observation of the cabinet adjacent to the door of the Girls Bathroom revealed two (2) broken drawers that when pushed could pose a pinching hazard to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Observation, the childcare director failed to assure that a person acting as a caregiver of a child in care shall not be left alone with a child, if the licensee has not received the results of the background checks. Review of staff files revealed that a staff member with an unknown hire date did not a Criminal Record Check or a Child Abuse and Neglect Check available for review. Observation of the childcare center revealed that the aforementioned staff member was left alone with children for the duration of the survey, more than two hours.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Observation, the childcare center failed to ensure that all staff members' required background checks were received prior to leaving the staff member alone with children. Review of documentation revealed that staff member with an unknown hire date did not have a Criminal Record Check (CRC) or a Child Abuse and Neglect Check (CAN) available for review. Observation of the childcare center on 12/03/2014 revealed that the aforementioned staff member with an unknown hire date was alone with children for the duration of the survey, more than two hours. Based on Review of Documentation, the childcare center failed to maintain all required background checks. Review of documentation revealed that the staff member with a hire date of 08/06/2014 did not have a CAN check available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain a current personnel file for each staff person. Review of Documentation revealed that a staff member with an unknown hire date did not have a current personnel file that included the following: Name, address, date of birth, and date of employment, Proof of educational qualifications, Record of annual performance evaluation, Written record of training, a statement from a health professional that the individual is free of active tuberculosis or a Copy of negative tuberculin result and the results of a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470, a Criminal records check required by KRS 199.896(19), and criminal records check from any previous state of residence completed once if the individual resided outside the state of Kentucky in the last five (5) years and no criminal records check has been completed for the individual’s previous state of residence and an address check of the Sex Offender Registry.

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 assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member with an unknown hire date did not have a high school diploma, GED or Commonwealth Care Credential on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that all staff members were free from active Tuberculosis. Record review revealed the staff members with the hire dates of 09/13/2010, 08/05/2014, and a staff member with an unknown hire date did not have documentation from a health professional to verify that the individuals were free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to ensure at least one (1) person on duty and present with the children was currently certified by a cabinet- approved training agency in First Aid and CPR. Review of staff files and staff schedule revealed that there were no staff members with a current certification in First Aid and CPR present with the children on a daily basis from 6:00 am to 8:30 am, as well as from 4:00 pm to 6:00 pm.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to ensure all staff completed the required annual state approved training hours. Review of documentation revealed that the staff members with the following hire dates did not complete the required training: 01/16/2006 (0 of 15 hrs), 09/13/2010 (6 of 15 hrs), 05/03/2012 (6 of 15 hrs), 11/08/2013 (0 of 9 hrs), and 11/13/2013 (6 of 9 hrs). Continued Review of Documentation revealed that a staff member with a hire date of 08/06/2014 did not have an orientation certificate presented for review. Interview with Director revealed that the staff member with the hire date of 08/06/2014 had not obtained orientation training and had exceeded the 90-day limit.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all driver requirements. Review of transportation records revealed that the staff member with the hire date of 11/08/2013 was identified as a driver for the childcare center: Review of staff files revealed an absence of the annual check of the Kentucky Driver History Records for the staff member identified as a driver. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 27 Web site: http://chfs.ky.gov/ Inspection Report Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the premises in good repair. Observation of the Toddler Classroom revealed an air vent at the rear of the room, which was covered with a dusty substance. Observation of the Girls Bathroom revealed a large hole in the wall, inside the cabinet, that exposed the beams behind the dry wall. Observation of the door exiting from the outdoor play area into the center revealed that the wood on the door was splintering and accessible to children.

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 childcare center failed to use measures to control the presence of vermin. Observation of the Girls' bathroom revealed that there was a large hole in the wall, allowing vermin access to the childcare center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the floors in good repair. Observation in the Three and Four-Year-Old Classroom revealed that a portion of the floorboard was not in good repair as the floorboard was missing paint exposing splintering wood that is accessible to 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the childcare center failed to maintain the toilets in clean condition. Observation of the Girls' Bathroom revealed an unflushed toilet with urine in the bowl. 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 childcare center failed to maintain hygienic practices. Observation of the Two-Year-Old Classroom revealed that a staff member failed to assist a child with washing hands with liquid soap and warm running water after eating breakfast. Observation of the Toddler Classroom revealed that a staff member failed to assist a child with washing hands with liquid soap and warm running water after eating breakfast.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain hygienic practices. Observation of the Toddler Classroom revealed that a staff member failed to wash her hands with liquid soap and warm running water after serving breakfast to a child in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain hygienic practices regarding changing pads. Observation revealed that the changing pads in the nursery and the girls' bathroom were torn.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain fall zones. Observation of the outdoor play area revealed an orange, blue, and green little tikes slide that was positioned adjacent to the concrete, which did not provide sufficient space for a fall zone equal to the height of the equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the mats in good repair. Observation of the Toddler and Two-Year-Old Classroom revealed several mats that were torn, exposing foam.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all toys and furniture in good repair. Observation of the Nursery and the Toddler Classroom revealed several battery-operated toys were not operational. Observation of the Toddler Classroom revealed several of the yellow seats in the feeding table were stained with a dark substance. Observation of the Two-Year-Old Classroom revealed two (2) blue child-sized chairs with cracks in the seat. Based on Observation, the childcare center failed to maintain the equipment in clean condition. Observation of the van used to transport children revealed that the floor was covered in debris, including paper and wrappers. Continued observation of the van revealed the carpet was discolored and stained in several areas.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the outdoor equipment in good repair. Observation of the outdoor play area revealed a spinning teacup apparatus that was not in good repair as the teacup was not secured to the base. Continued observation of the outdoor play area revealed an orange and blue little tikes slide that was not in good repair due to a cracked support beam.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain all vehicle equipment. Observation of the van revealed the lack of a device to cut the restraint system.

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 a current certification of inspection from the Transportation Cabinet. Review of Documentation revealed that the certificate presented for review was completed in 2012.

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 document daily inspections. Review of transportation logs revealed several dates in which a daily inspection was not completed and/or documented.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the kitchen in clean condition. Observation of the kitchen revealed the floor surrounding the oven was discolored with a black substance. Continued observation of the kitchen revealed the walls surrounding the oven were splattered with a dark substance. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the frozen food was not being kept at a temperature of zero degrees Fahrenheit or below. Observation of the thermometer in the freezer revealed that the frozen food is being stored in a freezer that registered at 10 degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the cooking surfaces in clean condition. Observation of the kitchen revealed the stovetop and the oven were soiled with a dark black substance.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's immunization records. Review of children's files with the enrollment dates of 08/06/2014 and 08/15/2014 revealed the immunization certificates provided for review were out of state (MI/NY) immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Interview and Review of documentation, the childcare center failed to maintain documented quarterly earthquake and tornado drill logs. Interview with the Director revealed that earthquake and tornado drills were practiced on the same day as fire drills. Review of Documentation revealed that there have not been earthquake or tornado drills documented in 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare director failed to post a schedule of daily activities, to include dates and times of activities to be conducted with the children in each classroom. Review of Documentation in the Three and Four-Year-Old Classroom revealed that the schedule of daily activities were dated October 13-October 17, 2014. Continued review of documentation in the Nursery revealed that the schedule of daily activities were dated November 24-November 28, 2014. Continued review of documentation in the Toddler Classroom revealed that the schedule of daily activities was not dated.

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 last completed daily inspection was documented on September 3, 2013.

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, staff in the infant room was feeding a bottle to an infant who was sitting in a bouncy seat and not being held by the staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Toddler Room: Based on observation, several of the mats, that the children used to nap on, had tears in the corners and on the edges. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 40 Web site: http://chfs.ky.gov/ Inspection Report 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there were no current documents verifying that two staff members with the hire dates of 09/03/10 and 01/16/06 were free of active tuberculosis. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, a staff member with the hire date of 10/21/10 only had six (6) hours of documented state approved training during her first full year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, a staff member with the hire date of 01/16/06 only had twelve (12) hours of documented state approved training hours during her last full year of employment. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 2) Background checks Not In Compliance Findings: General: Based on record review, there was no criminal records check available for review for the driver that was ran in the last twelve (12) months. The last CRC was dated 08/02/10. Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant: Based on observation, minimum staff to child ratios were not met as there were six (6) infants ranging in age from five (5) months to one (1) year old with only 1 staff member from 8:25-8:38am. At that time an additional staff member arrived and took one (1) child to the toddler room. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff 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 5

Toddler: Based on observation and interview with the classroom staff, two (2) of the six (6) children present were over the age of two (2) years old, and four (4) of the children were one (1) year olds.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Infant: Based on observation, three (3) cots located along the same wall as the classroom entrance were placed side by side, with no space between them. Five (5) of the six (6) cots located along the opposite wall were placed approximately six (6) inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Infant: Based on observation, one (1) crib mattress had a very large tear down the middle of the matress exposing much of the foam. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 40 Web site: http://chfs.ky.gov/ Inspection Report 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.