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

General: Upon request, written document verifying that the child care center has current liability insurance and has at least $100,000 per occurrence was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current fire marshal report was not presented for review on the day of the inspection. 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, verification that the child care center had conducted recurring staff meetings was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current written annual staff evaluation was not presented for review for a staff member with the hire date 07/19/2018. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current written statement from a health care professional stating that two (2) staff member with the hire dates 07/19/2018 and 06/02/2010 were free of active tuberculosis or a copy of a tuberculin result was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, verification that the staff member with the hire date 07/19/2018 and had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, verification that the child care center had hired two (2) adequate substitutes in case of need was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of staff files revealed the following: 1. Verification that a staff member with the hire date 07/19/2018 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the staff member. 2. Verification that a staff member with the hire date 09/22/2021 had completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the six (6) hour of cabinet-approved orientation training had been completed by the staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current daily activity plan was not presented for review on the day of the inspection. There was an activity plan posted; however, the document was empty.

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.

On the day of the inspection the children were not observed being served snack. Review of the child care center’s daily schedule revealed the children would be served snack from 3:45p.m. to 4:30p.m. At 4:30p.m. the children and staff members were observed going outside to the playground. The surveyor asked a staff member when snack was going to be served to the children and he/she stated that, “The children will not be served snack today, it is too pretty outside, we are going outside today and if they want snack the children can get it as they leave.” The staff member was observed pushing a metal food storage locker outside beside the child care center’s entry door and leaving it. When a parent came to pick-up their child, the child was told to get a snack if they wanted one. Therefore, the children were not served snack. 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

Open / not marked corrected.

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

General: Observation of the outside play area revealed there was not sufficient protective surfacing under the large plastic rock-climbing wall. The ground was visible. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the child care center’s documentation revealed the following: 1. Job descriptions for the director and substitute were not presented for review on the day of the inspection. 2. A current chain of command was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current staff schedule was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current written professional development plan was not presented for review on the day of the inspection for a staff member with the dire date 07/19/2018.

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: The child care center’s license was not posted or readily available for review at the time of the inspection. Interview with the staff in-charge revealed the document was unavailable at the time of inspection. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations for background checks. A review of the KARES surveyor report revealed three (3) staff members with the hire dates of 11/15/2018, 11/28/2018, and 6/17/2019 were listed as “current employees”. Interview with the staff in charge revealed the three (3) aforementioned staff members are no longer employed with the child care center. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/11/2019 AND AS OF 01/16/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. The staff in charge failed to present proof of a conducted staff meeting. The staff in charge acknowleged she could not locate the documented staff meeting at the time of survey. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. There was a plunger in the girls' bathroom and the boys' bathroom next to the toilet. 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 revealed the two (2) staff members with the hire dates of 08/09/2019 and 10/08/2013, failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the staff in charge revealed this information was unavailable 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 observation, interview and review of documentation, the child care center failed to comply with regulations regarding employee records. Observation in the cafeteria revealed from the timeframe of 3:42pm until 3:50pm, the two (2) staff members with the hire dates of 8/15/2019 and 08/09/2019 were the caregivers for thirty-three (33) children. Review of staff files revealed that records for neither of the aforementioned staff members contained a First Aid or CPR certification; therefore, from the timeframe of 3:42pm until 3:50pm there was no staff member present and on duty caring for children with an active First Aid or CPR certification. At 3:50pm another staff member with the hire date of 06/02/2010 arrived at the child care center. 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/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The staff in charge was unable to present for review a current evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care that had been submitted to the local emergency management team. Interview with the staff in charge revealed she was unable to determine the last time the plan was submitted. 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 9. Records.

General: Based on observation, interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire, earthquake, and tornado drills for the month of August did not reveal the dates and times the drills were conducted. Interview with 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 fire drills for the month of August did not reveal the dates and times the drills were conducted. Interview with staff in charge revealed this documentation was not available for review at the time of survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on 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 Correction submitted by the center during the current licensure year were not posted and readily available. 2) The child care license was not posted or readily available for review at the time of survey. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for background checks. Upon review of presented staff files and the KARES surveyor report, there was no evidence of the completion of the required background checks, to include the submission of the individual's fingerprints, for a staff with the hire date of 10/16/2018. Review of presented staff files revealed the file for the aforementioned staff member did not contain a verification that the fingerprints had been submitted. Interview with the staff in charge revealed the aforementioned staff member is currently employed and working at the child care center, but has not yet completed the fingerprint submission of the National Background Check Program (NBCP). Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation, the child care center failed to comply with regulations regarding staffing requirements. Upon survey at 4:00 p.m., observation in the cafeteria revealed fifty-three (53) children in the age range of five-years-old to nine-years-old in the care of the staff in charge and a qualified staff member with the hire dates of 09/11/2017 and another staff member with the hire date of 10/16/2018. The minimum staff to child ratio was exceeded by eight (8) children. The maximum group size was exceeded by twenty-eight (28) children. At 4:10 p.m. observation in the cafeteria revealed thirty-two (32) children in the age range of five-years-old to nine-years-old in the care of a qualified staff member with the hire date of 09/11/2017 and a staff member with the hire date of 10/16/2018. The minimum staff to child ratio was exceeded by two (2) children and the maximum group size was exceeded by two (2) children. From the time of 4:10 p.m. to 4:11 p.m., the staff member walked out of the cafeteria into the gym out of scope of vision and range of voice. Leaving thirty-two (32) children in the age range of five-years-old to nine-years-old in the sole care of the qualified staff member. At that time, the minimum staff to child ratio was exceeded by seventeen (17) children. At 4:34 p.m. the qualified staff member terminated her employment at the child care center and walked off of the premises, leaving now fifty-three (53) children in the age range of five-years-old to nine-years-old in the care of the staff in charge and a staff member, until 5:12pm when another qualified staff member arrived at the child care center. The minimum staff to child ratio was exceeded by twenty-three (23) children until the third staff member arrived; at which time the minimum staff to child ratio was exceeded by eight (8) children. The maximum group size was exceeded by twenty-three (23) children. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain director requirements in accordance with regulations. The director failed to present documentation of staff meetings. Interview with the staff in charge revealed this documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding director requirements. Observation of the gym and cafeteria revealed there were electrical wall outlets that did not have a protective covering. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to comply with regulations for employee records. Upon review of staff files, there was no personnel file for the staff member with the hire date 08/25/2017. Interview with the staff in charge revealed the personnel file for the aforementioned staff member was not available 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 comply with the regulations regarding employee records. Review of staff files, revealed no employee at the child care facility has current CPR/First Aid certification. Upon arrival at the child care center, at 4:00pm, to 5:12pm there was no employee at the child care center with CPR/First Aid certification. Interview with the staff in charge revealed this documentation was unavailable at the time of survey. Programming In Compliance Premises 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation in the hallway boy’s bathroom revealed there was a yellow substance and a brown substance in the toilet bowl, indicative of urine and feces. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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. The presented RLI transportation insurance was effective from 10/17/2017 to 10/17/2018. Therefore, no active coverage was presented for review. Interview with the staff in charge revealed this documentation was unavailable at the time of survey. Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Category: transportation. 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. Observation revealed seven (7) children intermittently entering into the cafeteria unsupervised to retrieve items. Each child remained in the cafeteria no longer than three (3) minutes. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and a review of documentation, the child care center failed to maintain staffing requirements. Observation revealed a staff member with a hire date of 9/6/17 being the sole caregiver for 24 children ranging in age from 5 years to 6 years. A review of documentation revealed the staff member to be under 18 years of age. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Observation revealed a staff member supervising 24 school age children. Interview with the supervising staff revealed the children ranged in age from five (5) to six (6) years of age. 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 6. License Issuance.

General: Based on review of documentation, the child care center failed to comply with the regulatory requirements. A review of documentation failed to reveal written proof of liability coverage of at least $1,000,00 per occurrence. Director Requirements 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, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal written documentation showing staff meetings had been conducted and managed by the director.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. An observation conducted on 11/17/17 revealed approximately 70 children ranging in age from five (5) years to ten (10) years of age in care in the cafeteria. Interview with a staff member revealed the staff member was unsure how many children she was escorting out of the cafeteria to the restroom. The staff member stated she would count the children upon arriving back into the cafeteria. When the staff member was asked how she would know if she was bringing back all of the children she had taken out of the cafeteria, she replied "Cause I know what children I have".

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Observation revealed staff members with hire dates of 8/25/17,and 9/6/17 were the sole caregivers of school age children between approximately 4:00 P.M., when the children were separated into groups, until approximately 5:30 P.M., when the surveyor exited the building. A review of documentation revealed the aforementioned staff members failed to have completed child abuse and neglect results contained in the files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 6. License Issuance.

General: Based on observation and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation revealed staff members with hire dates of 8/25/17 and 9/6/17 were the sole caregivers of school age children from approximately 4:00 P.M. to 5:30 P.M. A review of staff records revealed that the aforementioned staff members failed to have results of a child and abuse neglect check contained in their file. Further review revealed files for staff members with hire dates of 02/09/09 and an unknown hire date failed to have documentation revealing results of a CRC and child and abuse neglect checks.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files revealed staff members with hire dates of 2/9/09, 8/25/17, and 9/6/17 failed to have documentation contained in the file showing a high school diploma, GED or other qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files revealed that negative results of a tuberculin test or a written statement from a health care professional that the individual is free of tuberculosis failed to be contained in the file for staff members with hire dates of, 2/9/09, 05/30/17, and an unknown hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal a current first aid/CPR certification on any staff members who were supervising or present at the time of the survey, from approximately 4:00 P.M. to 6:00 P.M.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal 15 hours of cabinet approved training for staff members with a hire date of 2/9/09. A staff member with a hire date of 5/30/17 failed to have documentation showing six (6) hours of cabinet approved training within the first 90 days of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not 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 12. Transportation.

General: Based on review of documentation, the child care center failed to comply wth regulatory requirements regarding transportation. A review of documentation failed to reveal documentation revealing a third party contract with JCPS. Food Service In Compliance Children's Records Not 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 3. Records.

General: Based on 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 that children enrolled on 08/16/17, 08/09/17, 08/17/17, 07/21/17, 07/25/17, 07/25/17, and 07/13/17 failed to have current immunization certificates contained in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of children's files revealed that children enrolled on 07/25/17, 08/12/17 and 07/13/17 failed to have a written record for each child, completed and signed by the parent. Further review revealed that the file for a child enrolled on 08/12/17 failed to have contact information to enable a person in charge to contact the child's physician. A file for a child with an enrollment date of 08/16/17 failed to have the name of each person designated in writing to pick up the child, and also failed to have the name and number of each person to be contacted in case of emergency impacting the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Documentation revealing times, dates and names of the children participating, were not available at the time of the survey. Interview with the staff in charge revealed the documents were not accessible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Documentation of fire drills was not available at the time of the survey. Interview with the staff in charge revealed the documentation was inaccessible at the time of the 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 2. Child Care Services.

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation failed to reveal a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child care member staff. 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 2. Child Care Services.

General: Based on Observation, and interview the minimum staff to child ratios and group size for an operating a child care center was not maintained. Observation of the cafeteria area at exactly 8:12 a.m. revealed two child care staff and forty (46) children. The site director responded during interview that the age of the youngest child was five and, she was aware that minimal staff to child ratios and group size was not being maintained. General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming In Compliance Premises 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: Based on Observation, and interview the center failed to maintain the floors, walls and ceiling to be smooth, in good repair and constructed to be easliy cleaned. Observation the divider wall between the gym and cafeteria revealed each side contained fourteen panels. Observation of the panels located on the gym side revealed several areas of peeling and flaking white paint. The site director commented that she did not realize that the panels on the divider wall were in disrepair.

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 the premises in accordance with regulatory requirements. Examination of the sinks and faucets located in the girls' restroom revealed the cold water faucet handle was not working on the sink located second from the left of the restroom stalls. The site director commented during the exit interview that she was not aware that one of the faucet handles in the girls' restroom was not in working order. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 9. Food and Meal Requirements.

General: Based on Review of Documentation, and interview the center failed to maintain food service in accordance with regulatory requirements. Review of the center's posted menu revealed it was for the previous month of November, 2016. The site director commented during interview that she was aware that the posted menu was not current, but she had forgotten to correct the issue. 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 5. Evacuation Plan.

General: Based on Review of Documentation, and interview determined that the center failed to maintain a current written evacuation plan in the event of fire, natural disaster or other threatening situations. Review of the center's documentation revealed that the evacuation plan was no longer current as it was dated 12/10/15. The director stated during interview that she was unaware that the evacuation plan was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the center's documentation revealed there was not a written staff schedule. The site director acknowledged during interview that there was not a current written staff schedule. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain regulatory programming requirements. Based on observation, two (2) school aged, special needs children arrived from another location at approximately 3:00 P.M. and waited until approximately 3:40 P.M. when the school aged children were dismissed from school and arrived into the program, before any activities began. Based on an 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 2. Child Care Services.

General: Based on Observation, and interview, the child care center failed to comply with regulatory programming requirements. Based on observation, a staff member was observed using a loud, threatening voice to the school aged children as they were in line to receive snack items. Based on interview with stafff in charge, she acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, a child's flashlight, a black and red drill, two (2) blowdryers, a SoundX keyboard and two (2) cash registers failed to have working batteries, leaving the toys inoperable. Based on continued observation, a clear plastic tub of artificial food and kitchen accessories contained a broken corner of the tub, exposing sharp, jagged hard plastic. Based on an interview with the staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children's records in accordance with regulatory programming. Based on a review of documentation, a child enrolled on 08/12/15 failed to have a designated hospital contained in the file. Based on further review, a child with an enrollment date of 08/09/15 failed to have a physician's contact telephone number contained in the enrollment information. Based on interview with the staff in charge, she acknowledged the deficiency.

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, it was determined the center failed to comply with regulatory requirements regarding premises, specifically inaccessible items. Observation revealed the personal belongings of staff were accessible to the children; a staff purse was observed on a low shelf located near the sign-in area in the multi-purpose area.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. The center failed to provide documentation for review at time of survey verifying a current immunization certificate within thirty (30) days of the child’s enrollment for a child enrolled 8/18/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a child exited the cafeteria unsupervised, ran a short distance down the school hallway unsupervised and entered the gym through a different doorway, child was unsupervised for approximately 30 seconds. Based on observation there were numerous instances of three seventeen year old staff members being left alone with the children, without a qualified staff person being present to provide adequate supervision.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the center did not ensure that there was a sufficient minimum number of qualified adult workers to ensure that minimum staff-to-child ratios were met in accordance with 922 KAR 2:120 as three staff members under eighteen years of age were not under the direct supervision of a qualified staff person, were alone for numerous occasions providing direct care to children and could not be counted as staff for the staff-to child ratio.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member hired on 10-8-13 was observed to be working without a qualified staff person providing direct care to children and did not have the results of a child abuse and neglect 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 5. Staff Requirements.

General: Based on review of documentation, a staff member hired on 5-31-13 did not complete orientation within the first ninety days of employment as orientation training was completed on 9-12-13. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the playground area had insufficient protective surface under all of the climbing equipment and around all of the slides.

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, provider was unable to locate a current staff schedule.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, center did not have documentation of completion of fire drills for the months of January, February or March 2013.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, center did not have previous year's statement of deficiency/plan of correction posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, center daily activities posted was from September 23, 2013 to September 27, 2013. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section.

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, staff hired 4/3003 had a tb skin test on file which was no longer current after 9/11/11. The site director reviewed the same staff file and was extended an additional opportunity to locate and present a current tb test for said staff person, but was unable to do so at the time of survey. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 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 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, an immunization certificate on file for a child enrolled on August, 17, 2011 did not have an expiration date listed. The site director was given opportunity to present an immunization record with an expiration date listed. He viewed the files and acknowledged the lack of expiration date on the document.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.