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

General: Based on observation and review of documentation, there was one (1) can of Sure Scent air freshener that was stored within an open storage compartment in the front of the van, making it accessible to the children. Review of the label revealed the warning, “Keep Out of Reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a current Fire Marshal report was not presented for review. The document presented for review was dated 06/01/17.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, during the inspection, the following was found: Super Star Room 1) There was a black cup and a bottle of water sitting on the low handwashing sink. Interview with a staff member confirmed that the aforementioned items were his/hers. 2002 Ford E350 Van 1) There was one (1) can of First Glass window cleaner that was stored within an open storage compartment within the front of the van.

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: Infant #1 Room 1) The entry door would not close and latch into the strike plate to secure the closing of the door. Big Dipper Room 1) When the entry door was pushed to close, the door would not meet to latch into the strike plate to ensure the door was closed securely. Bright Stars Room 1) There was a large air vent that contained an accumulation of dust and debris.

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: Infant #1 Room 1)There were two (2) holes within the ceiling that was exposing metal. Infant #2 Room 1)There were two (2) holes within the ceiling that was exposing metal.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water exceeded one hundred (120) degrees Fahrenheit within the Bright Star Room, Super Star Room, and Sparkling Star Room 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: Toddler Outdoor Play Area 1) There was a small climbing structure that did not have any protective surfacing under and around the slide. The dirt and grass were visible. 2) There was a large climbing structure that did not have sufficient protective surfacing at the foot of the slide. The dirt was visible. Preschool Outdoor Play Area 1) There were four (4) swings that did not have sufficient protective surfacing under the swings. The dirt was visible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a metal cabinet within the Gym Area that contained a broken drawer face that was partially attached to the lower part of the cabinet, causing pointed edges. 865 - Indoor/Outdoor Equipment Discussed 922 KAR 2:120. Section 13. Toys and Furnishings. (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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on records review, two (2) staff members’ (DOH:05/02/17 and 07/31/18) background checks expired on 04/24/23 and 11/21/23. 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 8. General.

General: Based on observation, one (1) electrical outlet did not contain a safety plug in the Shining Star classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, annual evaluations assessing the staff persons' interaction with children in care and classroom performance was not presented for two (2) staff members (DOH: 05/02/17 and 07/31/18). Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the 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 three (3) staff members (DOH: 01/19/23, 05/02/17, and 07/13/18). 2. Verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for one (1) staff member (DOH: 01/19/23). Review of ECE-TRIS report supported these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. One (1) large wall vent in the Bright Stars classroom contained a thick accumulation of dust. 2. One (1) large wall vent in the Shining Stars classroom contained a thick accumulation of dust. 3. The bathroom ceiling vent in the Sparkling Star classroom contained a thick accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Super Stars bathroom had a strong urine smell, indicating infrequent cleaning.

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.

Based on observation, the toilet seats were loose in the Shining Star and Super Stars bathrooms. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the changing tables located in the Bright Stars classroom had unknown debris under the changing pad. Therefore, the changing table was not kept in a hygienic manner. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 review of documentation, an annual plan for staff development for two (2) employees (DOH: 05/02/17 and 07/31/18) was not presented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The shining stars classroom (two-to-three-year-old's), contained an adult pair of scissors in the top drawer of the diaper changing table. This drawer was not latched and was within reach of a child. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The facility did not have adequate protective surfacing under the swings on the outdoor play area used by the older children. The swings on the older children's outdoor play area contained very little mulch and mostly dirt underneath them. 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 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1.The twinkling stars classroom (two-year-old's), contained two dusty vents on the wall. 2. The twinkling stars classroom (two-year-old's), contained a beeping smoke detector. This usually indicates a low battery or a malfunction of the device. 3. The shining stars classroom (two-to-three-year-old's), contained a dusty vent on the wall above the chalk board. 4. The shooting stars room contained a dusty vent near the musical instruments and a dusty vent over the toilet in the bathroom. 5. The older children’s outdoor play area contained a green metal climber with a plastic yellow slide that the wooden platform was no longer in place at the top of the slide. The wooden slats were piled up next to the top of the slide. The ladder was also pulled up. This piece of equipment was not in good repair. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The facility did not have documented monthly emergency vehicle evacuation drills. The only drills documented on the form were from September and October of 2021. The facility provides morning and afternoon transportation to local schools in the area. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, the staff member in the Shining Stars classroom was not aware of the accurate number of children in his/her care. Nine (9) children were observed in the room; however, when asked how many children were in his/her care, the staff member stated that there were ten (10) children present in the room. After further interview and assessment, the staff member acknowledged that she forgot that a child was removed from the room by another staff member. Review of Division of Regulated Child Care (DRCC) records revealed a regulatory violation was issued during the 03/07/2022 monitoring inspection for similar occurrences involving staff members not knowing the accurate number of children in their care. Premises Discussed Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon the Division of Regulated Child Care (DRCC) representative's entry into the School Age classroom, located in the gym, eleven (11) school age children were observed sitting at tables and the supervising staff member was observed walking into the kitchen. The kitchen door closed behind her. The DRCC representative then immediately exited the room and approached the staff in charge, who was in the hallway. The DRCC representative re-entered the school age classroom with the staff in charge. The staff member responsible for the school age children exited the kitchen at the same time. Based on interview, the supervising staff member entered the kitchen to retrieve a cleaning rag. The school age children were left unsupervised for less than one (1) minute. 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 observation and interview, the staff members in two (2) classrooms were not aware of the accurate number of children in their care. Eleven (11) children were observed in the school age classroom with one (1) staff member. When asked how many children were in her care, the staff member expressed uncertainty whether there were eleven (11) or twelve (12) children in her care. There were nine (9) two and three-year-old children in the Shining Stars classroom with one (1) staff member. When asked to identify the number of children in her care, the staff member reported that ten (10) children were in her care. After further interview, the staff member verbally confirmed that she was mistaken, and no child was missing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Contract Substitute Staff Member Requirements.

General: Based on observation, interview and review of documentation, the employee record for a contract employee, whose first day of employment at the center was 3/7/2022, failed to include documentation of the contractual agreement with the licensed child care center and the outside agency. The file also failed to include documentation from a health professional verifying that she is free of active tuberculosis. The aforementioned missing components of the record were presented for review via email following the onsite inspection. The referenced contracted employee was observed as the sole supervising staff member with eleven (11) school age children. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include verification of the individual's employment eligibility, was not onsite and available for review. Therefore, the individual had sole supervisory control of children prior to the center obtaining verification of the submission and completion of the required background checks. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include verification of the individual's employment eligibility and all other required documentation, was not onsite and available for review. No documentation was presented for review verifying that the individual was a qualified staff member. Therefore, six (6) preschool children failed to be supervised by a qualified staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include verification of the individual's employment eligibility, was not onsite and available for review. Therefore, there was zero (0) qualified staff members with six (6) preschool children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a personnel file was not onsite and available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include verification of education, was not onsite and available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include a written statement from a health professional verifying the individual was free of active tuberculosis or negative results from a tuberculin test, was not onsite and available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:290 · 922 KAR 2:290. Section 12. Contract Substitute Staff Member Requirements.

General: Based on observation, the sole staff member in the Sparkling Stars classroom was supervising six (6) three-year-old children. The staff member identified herself as 'agency staff'. She further stated that it was her first day at the center. Interview with the staff in charge confirmed that a staff file, to include verification of the individual's employment eligibility, education documentation, tuberculosis documentation and a contract, was not onsite and available for review. Therefore, the individual had sole supervisory control of children prior to the center obtaining the required documentation. Animals 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 8. General.

General: Based on observation of the Bright Stars Room, a staff member washed bottles at a sink with his/her back turned to the children. A radio on the counter of the sink played loud music. The surveyor entered the classroom, unnoticed by the staff member. The surveyor attempted to gain the staff member's attention several times by speaking to her in a loud voice, but the staff member continued to wash bottles and failed to turn around. During this time, a small child played on an adult size rocking chair, placing his/her head on, but not through, the gap between the seat and back rest of the chair. This was unnoticed by the staff member, as he/she continued to wash bottles with his/her back turned to the children. The surveyor moved in very close proximity of the staff member and used a loud voice to gain his/her attention. The staff member acknowledged the surveyor at that time. The surveyor addressed the concern of the children's safety being compromised, due to the staff member's apparent inability to hear or see them while she washed the bottles. The staff member in charge acknowledged that the staff member had a hearing loss. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the infant room revealed a staff member with hire date 5/25/2021 working with another staff member caring for children. Review of the presented employee records revealed that the staff member with hire date 5/25/2021 had a file that did not contain documentation to verify that they had a completed background check. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report verified that the staff member did not have a complete background check. Upon request, the staff member in charge did not present documentation to verify that the aforementioned staff member had a complete background check at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: While waiting to gain entry into the child care center on 10/11/2021, a little girl was observed in the hallway at the entrance of the center alone. The aforementioned child played with the dog in the hallway for several minutes before entering the bathroom, located two (2) doors down from the office. Continued observation while waiting to gain entry into the center revealed several little boys walking into the hallway from a room, alone, and standing in front of the aquarium located in the hallway. Interview with the staff member in charge revealed that all the aforementioned children were three-years-old. Observations revealed that none of the aforementioned children was within the range of voice or scope of vision of any of the staff members present in the center at the time of the visit. Observations revealed that the three-year-old little girl was four (4) rooms down from her classroom and the little boys were several feet from their class, which was in the cafeteria at the time of the incident. While continuing to wait to gain entry into the center, observations revealed a staff member walking from the cafeteria with their children across the hallway into their room. The same staff member was observed several minutes later, from the front door of the center leaving their room and going back across the hallway to the cafeteria, causing the children in their room to be unsupervised. Observation of the room and interview with the staff member working in the room after entering the center revealed that the aforementioned staff member was caring for twelve (12) children ranging in age from two-years-old through three-years-old.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Upon entry into the preschool room, observations revealed the staff member working in the room walking away from a child laying on the changing table to retrieve items from the shelves located behind them. Staffing Requirements 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 10. Director Requirements and Responsibilities.

General: Review of the daily schedules posted in the rooms at the time of the visit revealed that lunch was scheduled to be served between 11:30am and 12:00pm. Observations of the center and interview with the cook on 10/12/2021 revealed that they were working in a room to maintain ratios instead of preparing lunch for the children in care. Observations revealed that the children were not preparing for lunch until after 12:15pm. Observations revealed that the center did not have adequate staff available to cook the lunch and maintain ratios until after the surveyor spoke with the regional director and expressed concerns regarding the lack of staffing. Additional staff members began to arrive at the center, which allowed the cook to prepare and deliver lunch to the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: While waiting to gain entry into the center, observations revealed a staff member walking their class from the cafeteria to their room. Observations and interviews revealed that prior to the surveyor arriving and gaining access to the center, there were twenty-nine (29) children ranging in age from two-years-old through six-years-old in the cafeteria causing the room to exceed the maximum group size by nine (9) children. Upon entry into the center, observations revealed the staff member in charge removing a child from the infant room. Interview with the staff members working in the infant room revealed that prior to the surveyor entering the center; they were caring for eleven (11) children ranging in age from eight-weeks-old through two-years-old causing the room to exceed the maximum group size by one (1) child. Observation of the preschool room from 10:30am-11:30am and interview revealed one (1) staff member caring for twelve (12) children ranging in age from two-years-old through three-years-old causing the room to exceed the minimum staff to child ratios by two (2) children. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: The child care center licensee failed to comply with regulatory requirements in regards to the health, safety and comfort of children in care. The health, safety and comfort of a child in care was compromised when they were sent home in a diaper that was two (2) sizes smaller than the diaper that they wear. The child was sent home in a size four (4) diaper but wore a size six (6) pull-up causing the child’s poop to spread all the way up their back by the time they got home. The staff member in charge acknowledged that a two- year-old child was sent home in the wrong size diaper at the time of the visit. Continued interview with the staff member in charge revealed that when they checked the child’s room after the incident occurred the aforementioned child had plenty of size six (6) pull-ups available in their cubby. Interview with a staff member working in the room revealed that even if the child had on the wrong size diaper, at least the diaper they had on was clean. Continued interview with a staff member working in the room revealed that these things happen but at least the child had on a clean diaper. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records and presented staff schedule revealed that the child care center does not have two (2) qualified substitute staff members assigned to the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Observation of the preschool room revealed two-year-old children combined with three-year-old children. Upon request, the staff member in charge did not present transition plans for the aforementioned two-year-old children at the time of the survey. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: A three-year-old little girl was observed leaving the bathroom and not washing her hands with liquid soap and running water. Meal Planning/Center Provides Meals In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

General: Observation of the child care center from the front door while waiting to gain access to the center revealed a three-year-old little girl playing alone with a dog in the hallway outside of the office. At the time of the observation, the dog was not under the supervision and control of any of the adults present while interacting with the aforementioned child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain regulatory staffing requirements. Based on observation, when the surveyor entered into the school age room there were sixteen (16) children. Interview with the staff member confirmed sixteen (16) children were in attendance and the youngest child was four (4) years old, thereby exceeding the minimum staff to child ratio. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation revealed a staff member with a hire date of 12/8/2020 failed to have documentation of a high school diploma, GED, or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of employee records revealed staff members with hire dates of: 7/9/18, 10/29/10 and 10/10/19 failed to have documentation verifying completion of pediatric head trauma training. Interview with staff in charge revealed she was aware of staff needing the training. 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, the child care center failed to comply with regulatory programming requirements. A review of daily lesson plans in the Infant, Toddler, and Two Year Old rooms failed to reveal current postings listing the daily activities. The postings were dated 2/1/2021-2/5/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the School Age room revealed multiple areas where floor tiles were missing completely or were broken. Additionally, in the Three Year Old room multiple tiles were stained and showed evidence of water damage in the area around the bathroom. Also the tiles at the bathroom threshold were broken and cracked in disrepair. An area in the the Three Year Old room revealed a section of the carpeting which was frayed and 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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Two Year Old room revealed several windows which were open without screen coverings. Interview with the staff in charge revealed the room gets overly warm and she was unaware of the regulation. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices. Observation in the Three/Four Year Old room revealed two (2) children failed to wash their hands after eating breakfast and before entering into play. 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 child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, the wooden privacy fence had five (5) nails protruding from the fence, creating a hazard for the children in that area. Additionally, a railroad tie was observed to be rotted with sharp, jagged edges exposed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, the 2002 Ford van was inoperable at the time of the survey due to a dead battery. The van was also observed to be very dirty and littered with candy wrappers, sucker sticks, food, and general debris covering all areas of the floor of the van. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of children's files revealed a child with an enrollment date of 9/16/13 failed to have contact information for the child's listed physician. Interview with the staff in charge revealed the information was not available at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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: Based on observation, the child care center failed to comply with emergency regulations, KAR 922:410E, regarding masks and group size. Based on observation, staff in the Toddler, 2 year old, Three/Flour year old, and a kitchen staff in the School Age room, failed to wear face masks covering their mouths and noses. Repeated observations revealed staff continued to wear masks inappropriately throughout the length of the survey. Additionally, when the surveyor entered into the School Age class 16 children were observed. Interview with staff confirmed 16 children in attendance. A later observation revealed 23 children in attendance, exceeding the maximum group size of 15 during the pandemic. Further observation revealed 22 of the 23 children failed to have facial coverings. Interview revealed documentation verifying a documented disability, or physical or mental impairment that prevents the child from safely wearing a face covering was not available 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 2. Child Care Services.

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. While observing the three year-old classroom, it was noted that a staff member left the classroom, closing the door, then entered into the classroom next door to retrieve bedding. Therefore, the staff left eleven (11) three-year-old children unsupervised for an undetermined amount of time. Staffing Requirements In Compliance General Administration In Compliance Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on observation, the childcare center director failed to assure compliance with the health, safety and comfort of the children. 1) Observation in the classroom revealed three (3) infants seated in highchairs. The infants were not securely fastened in the highchairs with proper restraints. 2) Continued review revealed a toilet plunger in the two-year-old restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employee with the hire date of 09/28/2015 contained a current copy of a statement with a date that was verifiable 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records for the employees with the hire dates of 07/16/2018 and 10/15/2018, had met the requirement of updating pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center staff in charge failed to comply with regulatory requirements. 1) Observation in the Infant classroom revealed there was an infant standing inside of the crib, with a bib attached, along with a stuffed animal hanging inside of the crib. 2) Continued observation revealed an infant sleeping with a pacifier that contained an attachment. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements regarding building requirements. 1) The vents located in the six (6) classrooms contained a visible buildup of dust. 2) Continued observation in the toddler classroom revealed the flooring near the sink had a buildup of grimy sticky substance. 3) The blue carpet in the infant classroom was heavily soiled.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) The toilet located in the four/five year-old classroom did not flush. 2) The ventilation system located in the restrooms throughout the center appeared to be non-operational. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. After completion of the lunch meal in the one-year-old classroom, a child left the table and proceeded to lay down on a cot for naptime. The staff did not prompt or assist the child in hand-washing procedures.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. After completion of a diaper change, the staff proceeded to suction the infant’s nose. After each task, the staff did not wash their hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the “Twinkling Stars” classroom contained a large rip on the side, exposing the foam material inside of the pad. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The 2002 Ford Van's edge of the front seat had a large tear, which exposed the foam inside. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that the changing areas located in the infant, two’s and three-year–old classrooms contained a posting of the proper methods of diaper changing and handwashing procedures. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, the child care director did not present verification that the fingerprint scan had been conducted for an employee with the hire date of 01/07/2019. Observation revealed the employee was working with an unqualified staff member, with twenty-one (21)children who ranged in age from three to four year olds.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the out of state background checks had been conducted for an employees with the hire date of 01/07/2019. The document reviewed revealed the employee had resided in the state of Indiana within the last five (5) years. The employee was observed working with a seventeen-year-old staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interview with the director revealed on numerous occasions, staff left the classroom, leaving the children unsupervised for an undetermined amount of time. Observation on 01/09/2019 revealed twenty-one (21) children present, ranging in age from three to four years old in the gym area. There were two (2) staff members present. Review of documentation revealed one (1) staff member with the hire date of 01/07/2019 did not have the fingerprint check conducted and the second staff member with the hire date of 11/19/2018 was seventeen years of age. Therefore, there was no qualified staff member present with the children. Staffing Requirements 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 11. Staff Requirements.

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation in the gym area revealed the child care center had two (2) staff members present with twenty-one (21) children ranging in age from three to four years old. Review of documentation revealed one (1) staff member with the hire date of 01/07/2019 did not have background checks, the second staff member with the hire date of 11/19/2018, was seventeen years of age. Therefore, there was no qualified staff members present with the children. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on observation, review of documentation, and interview, the child care center failed to maintain regulatory requirements. Upon request, the child care director did not present verification that the background checks had been initated and the out of state background check had been conducted for the employee with the hire date of 01/07/2019. The document reviewed revealed the employee had resided in the state of Indiana within the last five (5) years. The employee was observed working with a seventeen-year-old staff member while supervising twenty-one (1) three to four year-old children present. Programming In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain background checks in accordance with regulations. Review of staff files revealed the staff member with the hire date of 10/30/2018 is under the age of eighteen-years-old, and does not have a record of submission of a background check request in their personnel file. Interview with the director revealed this information was unavailable at the time of survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulations regarding director requirements. Observation of the infant room revealed a one- year-old child sitting on the floor playing near a crib. A mobile that was partially hanging from the crib almost fell on top of aforementioned one-year-old child. Interview with a qualified staff member revealed she was not aware the mobile was partially hanging from the crib and proceeded to remove it away from harm of the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for seven (7) staff members with the hire dates of 04/10/2009, 06/20/1995, 03/16/2017, 10/29/2010, 09/28/2015, 05/28/2015, and 08/16/2005. Interview with the director revealed this information was unavailable at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulations. Observation in following rooms revealed there was dust and debris in the air vent: Infant, Bright Stars, Twinkle Stars, Shooting Stars, and Indoor Gross Motor. There was several cracked floor tiles throughout the Indoor Gross Motor room. In the Twinkle Stars room and the Shining Stars room, there was dust and debris on the carpet. In the Shooting Stars room, the carpet was torn and frayed exposing fabric at the seams, causing a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation in the Shining Stars bathroom revealed there was no available hand drying blower or single use disposable hand drying material. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. In the Bright Stars room there were several areas of paint chipping away from the diaper changing table. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. There were several areas of paint chipping away from the book shelves in the following rooms: Infant room, Big Dipper room, Twinkle Stars room, Shining Stars room, and School age room. In the school age room there was a brown sectional sofa that was stained and dirty on the cushions; and the edges of the sofa were torn and frayed exposing fabric at the seams. In the Infant room, there were several Boppy pillows on the floor that were stained and dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the child care vehicle revealed several discarded food and candy wrappers on the door and floor board. Further observation revealed the break-lights on the child care vehicle were not operational when the director pressed on the break pedal and turned on the emergency flashers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Various multi-colored battery-operated toys in the Infant room were not maintained and were not used according to the manufacturer's safety specifications; the batteries were nonoperational. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain transportation in accordance with regulations. Review of transportation records revealed the current certificate of inspection from the Transportation Cabinet for the child care vehicle was not presented for review. Further review of documentation revealed the last vehicle inspection date was 07/26/2017. Interview with the director revealed current information 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Bright Stars room revealed the refrigerator unit had no thermometer or other appropriate temperature-measuring device. Further observation revealed the shelves on the refrigerator were dirty with food debris and food spillage. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Bright Stars room revealed the freezer unit located in the mini refrigerator was frozen over, causing the freezer door not to be functional for opening and closing. Children's Records In Compliance Written Documentation In Compliance Posted 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 8. General.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. The following rooms had no daily planned program posted or readily available: Bright Stars, Twinkle Stars, Shining Stars, and School Age room. Interview with the director revealed the requested documentation was unavailable at the time of survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care enter failed to comply with regulatory programming requirements. Interview with multiple sources revealed some children are moved to different classrooms three (3) to four (4) times in one day; therefore, the regularity of routines is interrupted and does not afford the child the familiarity with the daily schedule of activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation at approximately 9:25 A.M. revealed six (6) children in the Infant room with one (1) staff member for an undetermined amount of time. Interview with staff revealed the children ranged in age from two (2) months to five (5) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. A review of the Accident Report submitted to DRCC on 08/17/18 revealed an incident occurred on 08/14/18 to a two-year-old child, which required medical attention. A telephone report revealed that the staff in charge tried telephoning the report to DRCC on 8/16/18, but no one answered and the staff in charge chose not to leave a voice mail. Interview with the staff in charge at the time of the incident stated she was not sure why the incident had not been reported within 24 hours from the time of discovery. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. Based on observation, three (3) separate areas are used for outdoor play. A large area contained six (6) large swings. A smaller area contained equipment for toddler-aged children. A small area contained three (3) bucket-type swings. Interview with staff members revealed the area with six (6) swings was described as the older children's area. The area with toddler-aged appropriate equipment was for the toddlers, and a very small area containing three (3) bucket-type swings was for the infants. Per interviews and review of written documentation, a two-year-old child was injured, requiring medical attention, when he walked in front of a moving swing while playing on the larger playground. Interview with staff members revealed it was uncertain why toddler children had been allowed to play in the area with the large swings, as the swings were described by staff as "inappropriate" for the younger children. Continued interviews revealed that three-year old children were using the swings during the time the combined class of two and three year olds were on the playground. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation revealed a staff member carrying an infant throughout the building for an undetermined amount of time. Interview with the staff member revealed she was carrying the infant to prevent the Infant room from being over ratio. Although the surveyor addressed the fact that the staff member was not needed outside of the classroom, the staff member continued to care for the infant outside of the classroom, failing to maintain a regularity of routine for the infant.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain regulatory programming requirements. A review of documentation revealed a child with a date of birth as 11/28/15. Interview with the staff in charge revealed the child attended in a classroom of children ranging in age from two (2) years to three (3) years. Further interview with an additional staff member revealed that the aforementioned child was in a class of children ranging in age from two (2) years to three (3) years for the duration of the day when an incident on 08/14/18 occurred. An additional staff interview revealed that the aforementioned child was attending in a class room of two-year-olds and young 3's. Further interview revealed that the child was moved into the three year old class prior to turning three-years-old and prior to completing a transition plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain regulatory programming requirements. Observation in the infant room revealed an infant sleeping on a boppee, on his/her stomach and on the floor, for an undetermined amount of time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain regulatory programming requirements. Observation revealed a sleeping infant in a crib with a paci-clip attached to his/her clothing. 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 child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the playgrounds revealed a large tree with limbs lying over the fence and onto the ground in the infant playground area. Further observation revealed approximately 20 feet of black plastic tubing approximately 2 inches in circumference lying on most of the ground in the infant area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on interview and observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Interview with staff revealed toddlers were taken to the "big playground" along with three-year-old children, failing to be kept separated. Observation failed to reveal trees or shade equipment in the area where the toddlers had played on the day of the incident. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the infant play area revealed three (3) bucket-type swings containing dirt, leaves and cobwebs. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the infant room revealed a bottle in the mouth of a sleeping infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the child care center director failed to provide evidence that a background check was submitted for a staff member hired on 02/12/2018. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of children in care. Observation of the outdoor playground area revealed fencing that contained sharp, rusted nails, which protruded toward the playground area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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 failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff with a hire date of 02/12/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of a current statement from a health professional that staff members with hire dates 10/29/10, 02/12/18 and 06/20/95 are free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of completed fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for staff members with hire dates 07/15/16, 01/16/17, 09/28/15, and 05/25/15. In addition, review of ECE-TRIS did not indicate the staff members completed the training requirement. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation revealed the outdoor play area was not well drained as it contained pools of water on the playground. In addition, the outdoor playground fencing revealed protruded sharp, rusted nails in the direction of the play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor playground fencing revealed protruded sharp, rusted nails in the direction of the play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain playground equipment in accordance with regulatory requirements. Observation of metal playground equipment revealed chipped-peeled paint and rusted surfaces. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Interview with the child care center director revealed the driver of the transportation vehicle was responsible for the completion of transportation records when he/she transported children. There were no other staff members who recorded or verified the transportation records for all children transported, to include the first and last name of each transported child, as well as the time each child got on and got off of the vehicle. Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of written documentation, the child care center director failed to assure compliance with regulatory requirements. Based on an interview with staff, a staff member stated she did pick up a child inappropriately by one arm creating a safety and comfort issue. A review of documentation from the staff member, and the report submitted by the center, reveals the staff member was observed by the parent, and was reported to the director, after observing the staff member inappropriately handling the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with staffing requirements. Interview with multiple sources revealed that the child care center is normally out of ratio every day from 2:40pm-4:15pm with only one staff member present to work with the afterschool children. General Administration 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 2. Child Care Services.

General: Based on Observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. A child with enrollment date 3/20/17 was left alone in the Bright Stars Room for approximately 5-10 minutes while staff members attempted to locate the Director. DRCC discovered that a staff member with hire date 7/25/16 was supposed to be supervising the child. Interview with the aforementioned staff member revealed that she could not explain how the child was separated from the other seven (7) children in her room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements 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 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/15/2017 AND AS OF 10/10/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room revealed one (1) infant sleeping in a rocker and another infant sleeping in a bouncer. The infants were left in these devices asleep for approximately 15-20 minutes.

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 regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 5/31/16. Interview with director revealed she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the Threes/Shooting Stars Room revealed one (1) staff member was the sole caregiver of thirteen (13) children ages three-years-old to four-years-old from 10:25am-10:28am. During interview, the director acknowledged staff-to-child ratios were not maintained in that classroom. General Administration In Compliance 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

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Nursery/Little Dippers Room revealed a half wall with a door divides the room into two (2) separate and distinct areas. Continued observation revealed one staff member had supervisory authority over five (5) infants on one side of the wall and a staff member hired 2/3/17 had supervisory authority over five (5) infants ages eight-weeks-old to two-months- old on the other side of the wall from 10:16am-11:20am. Further observation revealed the infants in the care of the staff member hired 2/3/17 were not visible at all times to the staff member on the other side of the wall. Review of staff files revealed a Child Abuse & Neglect Check (CAN) was not presented for review at the time of survey for the staff member hired 2/3/17. Interview with director revealed this documentation was not available for review at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain employee records in accordance with regulations. Observation of the Nursery/Little Dippers Room revealed a half wall with a door divides the room into two (2) separate and distinct areas. Continued observation revealed one staff member had supervisory authority over five (5) infants on one side of the wall and a staff member hired 2/3/17 had supervisory authority over five (5) infants ages eight-weeks-old to two-months- old on the other side of the wall from 10:16am-11:20am. Further observation revealed the infants in the care of the staff member hired 2/3/17 were not visible at all times to the staff member on the other side of the wall. Review of staff files revealed a Child Abuse & Neglect Check (CAN) was not presented for review at the time of survey for the staff member hired 2/3/17. Interview with director revealed this documentation was not available for review at the time of survey. Review of staff files revealed the staff member hired 6/22/16 listed two (2) Ohio addresses on her Child Abuse & Neglect Check (CAN) signed 6/10/16. Continued review of staff files revealed an Ohio Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 6/22/16. Interview with director revealed she could not locate this documentation at the time of survey. Continued interview with director revealed the staff member hired 6/22/16 has not worked alone with children in care.

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 regulations. Review of staff files revealed documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for two (2) staff members hired 5/28/15 and 1/25/16. Interview with director revealed she could not locate this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with regulatory programming requirements. Observation of the Toddler/Big Dippers Room revealed one (1) two-year-old child participated in activities with several one-year-old children from 10:20am-11:08am. Review of attendance records for 2/8/17 and interview with a staff member revealed the two-year-old child had been in the classroom with the one-year-olds since 9:30am. Therefore, the two-year-old had participated in activities with the toddlers for more than one (1) hour that day. Interview with director revealed the two-year-old child participated in activities with the toddlers for more than one (1) hour that day because the two-year-old has specialized needs. However, documentation showing that all of the one-year-olds met the regulatory criteria for transitioning toddlers and/or documentation by a health professional of the two-year-old child’s special need was not presented for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to comply with regulatory programming requirements. Observation of the Toddler/Big Dippers Room revealed one (1) two-year-old child participated in activities with several one-year-old children from 10:20am-11:08am. Review of attendance records for 2/8/17 and interview with a staff member revealed the two-year-old child had been in the classroom with the one-year-olds since 9:30am. Therefore, the two-year-old had participated in activities with the toddlers for more than one (1) hour that day. Interview with director revealed the two-year-old child participated in activities with the toddlers for more than one (1) hour that day because the two-year-old has specialized needs. However, documentation showing that all of the one-year-olds met the regulatory criteria for transitioning toddlers and/or documentation by a health professional of the two-year-old child’s special need was not presented for review at the time of survey. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Threes/Sparkling Stars Room, Threes/Shooting Stars Room, and Twos/Shining Stars Room revealed the bathroom vents were covered with dust. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Toddlers/Big Dippers Room revealed the diaper changing pad was torn on the outer edges. Interview with a staff member revealed the diapering surface was used for diapering children. Observation of the Nursery/Little Dippers Room revealed the diaper changing pad was torn on the outer edges. Continued observation revealed a staff member changed a child’s diaper on this diapering surface. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed the wooden swing set with three (3) green toddler swings was positioned on the ground covered only with grass and there was no protective surface underneath the swings and surrounding this equipment. During interview, the director acknowledged there was no protective surface for the swings. Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 12 Sep 16 AND AS OF 07 Nov 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to comply with regulatory programming requirements regarding sleep position. Observation from 03:54 p.m. to 04:02 p.m. revealed an eight-week-old infant sleeping in a bouncy seat, therefore not allowing the infant to sleep or nap on their back. Interview with director revealed the infant did not have a waiver from a physician allowing an alternative sleep position. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Upon observation at 3:56 p.m., in the one- year old classroom, the staff member did not assist or prompt the child in hand washing procedures after a diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview the childcare center failed to maintain supervision in accordance with regulatory requirements. Interview with staff revealed a two-year-old child had been brought to the gym at 05:45p.m. for parent pick up and the child's presence was not acknowledged by the supervising staff member in the gym. The parent arrived at 05:50 p.m. and the staff member was unable to identify the location of the child. The two-year-old child was located, after a search by the staff and parent, outside of the building with his left arm wedged in the partially closed exit door of the gym that leads directly to the parking lot at 05:58 p.m. Therefore the two-year-child was not within sight or sound of the staff from approximately 05:45 p.m. to 05:58 p.m.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to comply with staffing regulatory requirements. Observation of the toddler classroom was conducted on 10/20/15 from 1:32pm-1:34pm and the classroom was out of ratio, with one (1) staff member supervising nine (9) children ages one-years-old to two-years-old. The surveyor made a second trip to the toddler classroom and it continued to be out of ratio from 1:39pm-1:43pm, with one (1) staff member working alone supervising nine (9) children ages ones-years- old to two-years-old. The staff in charge acknowledged the aforementioned classroom was out of ratio. 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 Equipment

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with equuipment regulatory requirements. Observation of the infant classroom was conducted on 10/20/15 at 1:27pm and it was revealed the lights to be out and children were sleeping in a crib except two infants were sleeping in swings. Observation of the infant classroom at 1:44pm revealed only one (1) child continuing to sleep in a swing while the rest of the children were sleeping in a crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Based on a review of documentation, the policy/procedure was not followed when a child was released to a person who was not designated in writing to be a pick up person.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Based on a review of documentation and interview, a child was released to a person not listed in writing to pick a child up. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, a staff member with a hire date of 07/10/15 failed to have documentation of requests for CRC and CAN check contained in the files. Based on interviews, this staff member did not work alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member with the hire date 11/29/12 completed eight out of nine hours of cabinet approved training during her first year of employment. Based on Review of Documentation, a staff member with the hire date 3/10/10 completed fourteen out of fifteen hours of cabinet approved training during her last full hear of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation in the Toddler Classroom at 2:32 p.m., one school age child was observed listening to a book with the toddlers and another school age child was observed holding a toddler while listening to music. Based on Interview, the two school age children are cared for in the ctoddler lassroom when they get off the bus at 2:30 p.m. to 3:30 p.m. when the school age teacher arrives. Therefore from 2:30 p.m. to 3:30 p.m. the toddler indoor space failed to be separate from an area used by older 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 interview, on 06/14/13, a seven-year-old child suffered a sunburn on his back after spending the day outside on a field trip which required medical attention. Based on interview, the child had sunscreen applied to his exposed skin prior to leaving for a field trip, however, the child took off his shirt during the field trip. Interview revealed that no staff person intervened to assure that sunscreen was applied to the newly exposed area of the child's back and said child was not instructed by staff to put his shirt back on as a protective cover against sun exposure. Employee Records

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, parent permission to apply sunscreen to a seven-year-old child failed to be obtained on 06/14/13.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center failed to notify the cabinet when EMS and firefighters arrived at the center to provide medical care for a child. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member with the hire date 3-14-13 proof of education was a letter from JCPS stating that she is enrolled in our online “PAWS” GED program. Therefore the center failed to have the proper proof of education on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.