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

General: Based on observation, the stairs used to access the lower level classrooms were equipped with runners, some of which were raised and rolled along the edges, creating a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, verification of employment eligibility for a staff member (DOH 01/04/23) was not presented for review upon request. Review of the KARES database could also not confirm an eligibility determination for the staff member. The staff member was not present at the center 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: Based on interview and review of documentation, education credentials for a staff member (DOH 05/05/25) were not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an infant in the Older infant classroom slept in a crib with a pacifier, which was connected to a clip. The staff reported that the infant was ten (10) months old.

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 large toddler/two year-old restroom revealed that a portion of the wall beneath the soap dispenser contained damaged/deteriorated drywall.

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, the staff in the Younger One's classroom failed to ensure that a toddler washed their hands after being diapered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the changing pad within the large toddler/two year-old restroom was streaked with brown marks, indicating that the surface was not clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 18 of 32 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the Older One's classroom and the Two's restroom revealed multiple containers of diaper cream were stored on low shelves, where they were accessible to the children. Outdoor Play Area 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 13. Toys and Furnishings.

General: Based on observation, the wall-mounted fan in the Two's room contained a substantial accumulation of dust.

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 small refrigerator in the Older One's classroom was equipped with an indicating thermometer which read forty-five (45) degrees Fahrenheit, exceeding the maximum allowable temperature of forty (40) degrees Fahrenheit.

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, a plan of activities, to include the dates and times of the activities to be conducted with the children was not posted in the Three's Room.

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: Review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that a staff member (DOH 08/28/19) last completed a background check on 08/30/19, which was therefore, expired as of 08/30/24. The staff member was observed acting as caregiver to children at the center on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the child care center's KARES employment roster revealed that several staff members, whom the staff in charge identified as being no longer employed at the center, were documented as "employed" on the roster. The staff in charge confirmed that the aforementioned staff members had ended their employment more than ten (10) days prior to the inspection. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/27/2024 AND AS OF 01/24/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, the following was found: 1) A power strip within the Two and Three year-old room contained an outlet that was not covered. The power strip was stored at a height where it was accessible to the children in care. 2) A toilet brush was stored on the floor of the Two and Three year-old restroom, near the first commode, where it was accessible to the children in care. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, education credentials for a staff member (DOH 10/14/24) were not presented for review upon request.

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: Documentation verifying that two (2) staff members (DOH 07/05/22 and DOH 08/28/19) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH 04/13/22) last completed Pediatric Abusive Head Trauma (PAHT) training on 09/12/19, which had passed its five (5) year renewal date as of 09/12/24. 2) A staff member (DOH 05/23/23) last completed PAHT training on 09/25/19, which had passed its five (5) year renewal date as of 09/25/24. 3) A staff member (DOH 08/28/19) completed zero (0) hours of annual training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 interview and review of documentation, a staff member within the Two and Three year-old room acted as caregiver to children ranging in age from two (2) to three (3) years. The children were combined in the classroom for more than one (1) hour. The staff in charge reported that the toddlers did not have signed transition plans on file at the time of the observation. 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 following was found: Indoor gross motor room: 1) Multiple ceiling tiles were stained with large, brown spots, indicative of water damage. One year-old room: 1) One (1) ceiling tile was stained with a large, brown spot, indicative of water damage. Two and Three year-old restroom: 1) The wall beneath the soap dispenser contained an area of damaged drywall and peeling paint.

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 middle commode within the Two and Three year-old restroom would not flush when the handle was engaged, indicating that it was not in good repair. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) tube of Desitin and one tube of A&D diaper cream within the Older Infant classroom were not individually labeled. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, two (2) infant cribs within the Younger Infant classroom were nearly touching, indicating that the cribs were not placed twelve (12) inches apart. An infant was observed sleeping in one of the aforementioned cribs. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the thermometer installed within the Older Infant room refrigerator read "Eighty (80)" degrees Fahrenheit, indicating that the thermometer was not functioning properly, as the interior of the refrigerator felt cool. However, because of this, an accurate measurement of the internal temperature of the refrigerator could not be determined.

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 lower portion of the upright GE freezer contained an accumulation of dried food particles and other debris. 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

Category: nutrition. Open / not marked corrected.

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

General: Documentation verifying that a fire drill was conducted during the month of September, 2024, was not presented for review upon request. The staff in charge stated that the drill had been conducted, but not documented. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the schedules of daily activities posted in the Older Two's and Two and Three year-old classrooms were dated "10/07-10/11" and were therefore, not current at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper method for diapering was not posted near the changing area within the Two and Three year-old restroom. Animals 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 15. Animals.

General: Based on observation and review of documentation, a pair of guinea pigs were present at the center. Review of presented documentation revealed that, while animal consent forms had been signed by the parents, guinea pigs were not included on the list of animals presented on the form.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 04/23/2024 AND AS OF 05/22/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two staff members (DOH:1/20/23 and 2/23/22) did not have high school diploma, GED or qualifying documentation from a comparable educational entity, or commonwealth childcare credentials on file file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 1/19/24) did not have documentation of tuberculosis screening, therefore there was no statement from a health professional that the individual is free of active tuberculosis, or a copy of a negative tuberculin results on file at the time of review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the licensee did not ensure that every staff member received training or certification for first aid and cardiopulmonary resuscitation (CPR) at the time of review. 1. Two staff members (DOH: 8/21/23 and 10/24/23) did not complete within the first three (3) months of employment in a childcare program. 2. Two staff members (DOH: 8/28/19 and 7/5/22) did not have training or certification on file. Review of the Early Childhood Education Training Report Information System dated 02/29/24 and 03/01/24, confirmed the lack of training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Eleven (11) staff members did not complete fifteen (15) hours of cabinet- approved early care and education training between July 1, 2022 and June 30, 2023. 2) Three staff members (DOH: 10/24/23, 9/27/23, and 8/2/23) did not complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Review of the Early Childhood Education Training Report Information System confirmed the lack of training. 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 Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's 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 9. Records.

General: Based on review of documentation, several children had missing or incorrect information in their enrollment packets. 1. Two children's files (DOE: 7/8/22 and 1/10/24) listed a preferred hospital that is no longer in service. 2. A child (DOE: 6/11/24) did not have a preferred hospital listed on file. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, The following classrooms did not have current dated daily activities posted at the time of review. 1. Older One's 2. Younger One's Animals In Compliance

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, this regulatory requirement was not met. A staff member hired on 5/31/2022, did not have evidence of submission or results of an out-of- state background check from Tennessee or New York. The KARES background check indicated that the staff previously lived in Tennessee in 2019, and lived in New York from 2013 -2019; therefore, the staff would need a Child Abuse and Neglect check (CAN) and a sexual offender registry check from both of these states. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Six staff eligible for evaluations did not have evaluations on file or the evaluations were not current. These staff were hired on 5/28/2013, 6/19/2018, 8/28/2019, 8/16/2000, 8/24/2020, and 5/05/2021. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Eight staff did not have proof of education on file. These staff were hired on 8/28/2019, 5/17/2021, 8/30/2021, two staff hired on 5/31/2022, 2/23/2022, 9/06/2022, and 9/12/2022.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. One staff hired on 11/22/2021, had TB documentation on file that was not legible; therefore, the date could not be determined.

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, this regulatory requirement was not met. Two staff did not complete the fifteen hours of cabinet approved early care and education training. A staff hired on 8/24/2020, only completed 9 hours of training. A staff hired on 6/19/2018, only completed twelve hours of training. The ECE-TRIS system was reviewed and confirmed 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 3. General Requirements.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Young 2’s Room contained a bottle of Spic and Span Disinfecting All-Purpose Spray and Glass Cleaner on a low shelf in the room that was within reach of a child. 2. The girl’s bathroom outside of the 2’s Room contained several unlocked cleaners under the sink. These cleaners were located within reach of a child.

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 indoor gross motor room contained a hole in the drywall above the baseboard next to a metal electrical box on the lower section of the wall/floor. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Older One's Room contained a bottle of Kroger Children's Pain and Fever Acetaminophen and it was not labeled with a child's name. This medication was stored in a locked box. 2. The girl's bathroom, located in the hall, contained a drawer on the diaper changing table with a clear container with several diaper ointments inside it. The drawer was not locked and it was within reach of a child. Diaper ointments shall be stored in an area that is inaccessible to the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The Younger One's Room did not contain a thermometer inside the refrigerator; therefore, the temperature inside the refrigerator could not be determined. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A child's file contained an immunization certificate that the year was not legible; therefore, it could not be determined if the immunization certificate was current. The child had been enrolled in excess of thirty days. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. One child's enrollment paperwork did not contain a preferred hospital. This area was left blank. 2. One child's enrollment paperwork did not contain a physician's phone number. This area was left blank. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The statement of deficiency and plan of correction from the renewal survey conducted on 8/03/2021, was not posted for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 10/09/2021 AND AS OF 11/02/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, upon request documenation for fourteen staff members (hire dates: 8/9/00, 10/6/00, 10/15/14, 11/18/15, 6/6/16, 9/11/17, 11/6/17, 2/16/18, 2/19/18, 12/5/19, 5/22/18, 10/3/18, 9/25//19, 10/14/20, ) was not presented to verify that an assement of their respective interaction with children in care and classroom performance through an annual written performance evaluation had been completed. 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 review of documentation, three (3) staff members (hire dates: 3/11/2020, 5/1/2021 and 5/21/2021) had no proof of the following with regard to education: 1. High school diploma; 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250 contained in the personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, eight (8) staff members (hire dates: 10/6/2000, 1/1/2001, 10/15/14, 11/18/15, 9/25/19, 3/11/20, 10/14/20, 5/1/21) did not complete fifteen (15) hours of cabinet-approved early care and education training during the time period of 7/1/20 through 6/30/21). ECE-TRIS report did verify the training. 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 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: recordkeeping. 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 08/26/2020 AND AS OF 09/17/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the staff member with the hire date 09/11/2017 had completed new employee orientation training from an approved source. Review of the ECE-TRIS training system indicated the above-mentioned employee had not met the requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present for review verification that the daily activity of programming that was posted in writing had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child in the school-age and four-year-old classrooms. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the male restroom located off the two-year-old classroom revealed that the toilet had dried feces in the toilet bowl. Continued observation revealed a roll of toilet paper lying on the floor, along with discarded paper towels. Interview with the staff revealed the restroom had not been used for several days. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, in the school-age classrooms, it was revealed that the rooms did not contain a variety of developmentally appropriate toys. Interview with the staff revealed there were no materials available for art, music, science or nature, dramatic play, tactile or sensory activity, or multi-cultural exposure. Interview with the staff revealed the materials were not available

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 of the chair located in the one-two-year-old classroom, the rocking chair was covered in cloth material that was soiled and stained. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service/Food Program 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 observation, the sack lunches that were served did not contain all the required componments. Interview revealed the staff did not offer the required componments to supplement the meal. 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 observation of the lunch meal served, the one-year-olds were not provided with sufficient utensils for eating. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a copy of a child’s medical information, listing their allergies, was posted on the bulletin board in the one-year old classroom, failing to be maintained in a confidential manner. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation 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. Based on written documentation, a child found a needle/pen under the gymnasium bleachers, took the lid from the pen and pricked his finger. Staff contacted Poison Control for direction in the event the pen contained medicine, such as insulin. Observation of the gymnasium revealed a multitude of items underneath and behind the bleachers, including items such as candy wrappers, trash, balls, and an excessive amount of dust and dirt. Interviews with staff revealed the child went to retrieve a ball from under/behind the bleachers and found a "pen". When the child tried to replace the lid on the pen, the child's finger was accidentally pricked. Further interview revealed the gym is used for multiple parish activities including a gross motor area for all child care classes, school sports programs, adult sport activities such as men's basketball leagues, receptions and banquets. 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 behind and under the bleachers in the gymnasium revealed a variety of trash including candy wrappers, food, paper, balls, (tennis and basket), and a large accumulation of dust and dirt.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. There was a tube of butt paste located on the changing table in the Infant Room. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date of 2/28/19 whose file did not contain documentation to verify initiation of obtaining background checks. Review of the KARES system verified that the child care center had not initiated the process of obtaining a background check on the staff member. Upon request, the director did not present documentation to verify that the child care center had initiated the process of obtaining a background check on the aforementioned staff member. The director stated that the staff member had not worked alone. 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

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 comply with background checks in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 5/24/18 whose file did not contain documentation to verify submission of the staff member's fingerprints at an authorized collection site. Review of the KARES system verified that the staff member had not submitted her fingerprints at an authorized collection site. Upon request, the director did not present documentation to verify that the staff member had submitted her fingerprints at an authorized site. The director stated that the staff member had not worked alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the KARES system revealed six (6) individuals with eligibility dates for employment on 5/8/18, 6/1/18, 7/12/18, 10/2/18 and two (2) with the same eligibility date of 5/23/18, who were listed as current employees. Interview with the director revealed that the individuals with the aforementioned eligibility dates were not currently employed with the child care center at the time of the 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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed five (5) staff members with hire dates 2/10/16, 11/6/17, 2/9/18, 6/14/17 and 2/19/18 whose file did not contain a current annual evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members at the time of the survey. 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed five (5) staff members with hire dates 5/10/18, 1/16/19, 5/15/18, 10/3/18 and 5/24/18 whose file did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present educational documentation for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed nine (9) staff members with hire dates 8/9/00, 10/15/14, 10/2/18, 5/10/18, 1/16/19, 8/10/18, 5/15/18, 10/3/18 and 5/24/18 whose file did not contain a current statement from a health professional that they are free from active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed four (4) staff members with hire dates 5/10/18, 5/15/18, 5/24/18 and 9/11/17 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation training. Review of the presented employee records revealed two (2) staff members with hire dates 2/22/18 and 2/14/18 whose file did not contain documentation to verify completion of the one and one-half (1 ½) hours of cabinet approved pediatric abusive head trauma training. Review of the presented employee records revealed six (6) staff members with hire dates 9/10/00, 8/9/00, 10/6/00, 11/8/15, 2/10/16, 6/6/16 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Continued review of the presented employee records revealed five (5) staff members with hire dates 11/6/17, 2/9/18, 2/22/18, 9/15/17 and 2/19/18 whose file did not contain documentation to verify completion of the nine (9) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members had not completed the required training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a water stain in the ceiling tile located above the television in the Four-Year-Old Room. There was a large water stain in the ceiling tile located above the names wall in the One-Year-Old Room. The ceiling tile located above the birthday wall was not secured to the ceiling frame. There were water stains in nine (9) ceiling tiles located in the Boy’s Bathroom. The ceiling tile located above the urinal in the Boy’s Bathroom was hanging from the frame. There was a water stain in the ceiling tile located above the last stall in the Women’s Bathroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The gray recliner located in the Infant Room was stained. The white long pillow located in the reading area in the Two-Year-Old Room was stained. The gray recliner located in the One-Year-Old Room was stained. The black mini- fridge located in the One-Year-Old Room was soiled with food debris. Both of the highchairs with the blue vinyl seat covers located in the One-Year-Old Room were soiled with food debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a deflated green ball located in the outdoor play area at the time of the survey. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in the One-Year-Old Room had an indicating thermometer reading of fifty (50) degrees Fahrenheit. 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 and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 2/14/18 whose file did not contain a current annual professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff member at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to post documentation in accordance with regulatory requirements. The statement of deficiency and civil penalty notice issued by the cabinet during the current licensure year and the plan of correction submitted by the child care center to the cabinet during the current licensure year was not posted in a conspicuous place and made available for public inspection at the time of the survey. The staff member in charge acknowledged that the statement of deficiency and plan of correction was not posted at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities posted in the One- Year-Old Room on 3/25/19 was no longer current as it was dated 3/4/19-3/8/19. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, the center failed to maintain a daily planned program in accordance with regulations. Specifically, the Infant room had a posted plan of activities which was undated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulations regarding first aid and/or medication. Observation of the center’s first aid supplies revealed the absence of medical tape. In addition, the Staff-In-Charge revealed there was no medical tape available. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:280 · 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 regulations. Review of staff files revealed a staff member with the hire date 2/22/18 listed an Arizona address on her Child Abuse & Neglect Check (CAN). The Arizona Criminal Records Check (CRC) was not presented for review at the time of survey. In addition, the Staff-In-Charge revealed the aforementioned staff member has not worked alone with children. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Review of the liability insurance presented for review at the time of survey revealed the document failed to list the name of the child care center and the physical address of the child care center; therefore, the document failed to provide verification that the child care center was insured. In addition, the Staff-In-Charge acknowledged this information was not listed on the documentation which was presented for review at the time of survey. 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Current documentation from the local authority showing the center was in compliance with local zoning requirements was not presented for review at the time of survey. In addition, the Staff-In-Charge revealed they could not locate this documentation at the time of survey. 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: Based on review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. An annual written performance evaluation was presented for review at the time of survey for one (1) staff member with the hire date of 2/10/2016; however, the evaluation was not current. In addition, the Staff-In-Charge acknowledged that the annual written performance was not current.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. In the Female bathroom, there was a plunger next to one of the toilets, which was accessible to children. In addition, in the Two-Year-Old room, there was a an electrical outlet strip just below the television that was uncovered. Furthermore, chidren were observed climbling on chairs, which made the uncovered electrical strip accessible to them. 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. Verification of 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 whose hire date is 2/9/2018. In addition, the Staff-In-Charge acknowledged that the document to verify the education of the aforementioned staff member was not in the file.

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 the ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet-approved training was not presented for review at the time of survey for five (5) staff members with the following hire dates, 9/10/2000, 10/6/2000, 4/17/2013, 2/10/2016 and 3/10/2017. A review of an ECE-TRIS report did not reveal the completion of six (6) hours of cabinet-approved orientation for a staff member with the hiring date of 9/11/17. In addition, the documentation of the completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment was not presented at the time of survey for four (4) staff members hired 5/30/17, 9/15/17, 10/17/17 and 11/06/17, Furthermore, the Staff-In-Charge revealed that not all individual record files included verification of completed training. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. In the center’s Two-Year-Old room, three (3) year old children were interacting in all of the daily activities with toddlers who were two (2) years of age. A transition plan signed by the child’s parent was not presented for review at the time of survey. In addition, the Staff-In-Charge disclosed that there were no transition plans signed by any parents of toddlers who were thirty-two (32)-month-olds or older. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Specifically, one of the toilets located in the Female bathroom continued to run after flushing. In addition, in the last stall of the Male bathroom, the wall had brown substance smears. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant Room revealed that the diaper changing pad had several tears. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations with regard to ensuring that a crib have a firm crib mattress in good repair. Observation of the Infant Room revealed that nine (9) cribs had two (2) mattresses. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 regulations. Observation of the Infant room revealed that one (1) infant , who was lying on a cot, was not being held by any staff member during the bottle feeding.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain food service in accordance with regulations. A food service permit was not presented for review at the time of survey. In addition, the Staff-In-Charge revealed that she could not locate the food service permit at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant room revealed two (2) bottles in the mini-refrigerator that were not labeled. Also, in the One-Year-Old room, there were bottles located inside the mini-refrigerator which were not labeled as well as a bottle that was not covered. 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to post documentation in accordance with regulatory requirements. The proper methods of diapering was not posted by the diaper changing area in the One’s Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. A ceiling tile located in the Infant Room above the beds was not secure. A portion of the baseboard was missing in the Infant Room by the cribs.

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. There was not a sink immediately adjacent to the changing area located in the One’s Room. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. The mini-fridge located in the Infant Room and the One’s Room did not have an indicating thermometer or other appropriate temperature measuring device. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a staff member with the hire date 9/11/00 did not have written documentation from a health care professional to verify that the individual was free from active TB. Interview with the director revealed she was unable to locate the document. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center failed to comply with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 04/14/11 failed to have a completed CRC contained in the personnel file for residency outside of the state of Kentucky. Based on observation, the staff member was not working alone. Based on a continued review, a staff member with a hire date of 08/30/11 failed to have a completed CRC in the personnel file for the state of Kentucky and was not observed working 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with the hire dates of: 04/14/11 and 02/17/15 failed to have documentation contained in their personnel file showing a high school diploma, GED or other qualifying entity, or a 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 records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of: 04/17/13, and 08/30/11 failed to have documentation revealing 15 hours of cabinet approved training contained in their personnel file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation, a written record for each child enrolled was not available for review. Children with siblings also enrolled in the program had combined enrollment information including designated pick-up people, allergies, and medical histories, making each child's information undeterminable.

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 Fire Marshal has not conducted an inspection since 2009 per presented paperwork.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 4-17-13 did not have her child abuse and neglect check requested timely in accordance with 922 KAR 1:470 as the date the check was signed by the staff member was 5-15-13. Staff member hired on 4-17-13 did not have a criminal records check requested timely in accordance with KRS 199.896(19) as the check was not completed until 6-10-13. A staff member rehired on 1-28-14 did not have a criminal records check requested timely in accordance with KRS 199.896(19) as the check was not completed until 2-12-14. A staff member hired on 8-27-13 did not have a criminal records check requested timely in accordance with KRS 199.896 (19) as the check was not completed until 10-8-13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a staff member hired on 8-27-13 did not have a high school diploma, GED or Commonwealth Child Care Credential 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, staff members hired on 4-17-13, 2-18-14 and 3-24-14 did not have a statement from a health professional that the individual was free from active TB 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, staff members hired 8-15-07, 6-3-08 and 8-26-10 did not completed the 15 required annual hours of training. Staff members hired on 8 -27-13, 9-20-13 and 4-17-13 have not completed orientation trainging, per presented trainng certificates.

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, a child enrolled on 8-28-13 did not have a date the next immunization was due on the child's immunization record. A child enrolled on 8-28-13 did not have an immunization record on file available for review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, center did not have posted information on the Kenucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

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 center did not have a posted daily schedule of activities including dates,to be conducted with the children in each classroom. 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 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/

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, employees with the hire dates of 10/01/2000 05/07/2001, 03/01/2008, 05/28/2008, 08/10/2010, 04/19/2012, 01/07/2013, 01/18/2013 and 01/31/2013 did not have documentation proving a negative tuberculosis test available for review. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on observation, an employee with the hire date of 04/09/2012, who has been employed longer than three (3) months, did not have a completed orientation certificate available for review. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, employees with the hire dates of 03/01/2008 (9 of 15 hours), 06/03/2009 (12 of 15 hours) and 08/10/2010 (3 of 15 hours) did not have the required 15 hours of cabinet approved training. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year 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

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

General: Based on review of documentation, employees with the hire dates of 04/19/2012, 08/27/2012 and 08/29/2012 did not have proof of education requirements on file available for review.

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

General: Based on review of documentation, there were no documents available for review verifying that five (5) employees were free of active tuberculosis. The hire dates of the referenced employees were 2-20-12, 3-12-12, 12-1-11, 8-1-00, and 4-2012. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on observation, one (1) employee with the hire date of 12-1-11 failed to complete six (6) hours of cabinet approved orientation training within his first three (3) months of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, two (2) employees with the hire dates of 10-1-10 and 8-24-10 failed to complete nine (9) hours of cabinet approved training during their first full year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, three(3) employees with the hire dates of 8-1-09, 3-1-08 and 1-1-07 failed to complete fifteen (15) hours of cabinet approved training during their last full year of employment. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements Not Applicable 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 Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable 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

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

General: Based on review of documentation, there was no proof of education on file for six (6) employees with the hire dates of 2-20-12, 3-12-12, 8-24-10, 8-1-11, 12-1-11, and 4- 2012.

Open Not marked corrected in the state record

Open / not marked corrected.