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

General: Based on interview and review of documentation, a written performance evaluation for a staff member (DOH 09/12/22) 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 07/05/22) last completed pediatric abusive head trauma (PAHT) training on 08/09/19, which had passed its five (5) year renewal date as of 08/09/24. A review of ECE-TRIS confirmed this finding.

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: Observation of the Three year-old space revealed that backpacks, bags, and water bottles, belonging to the children in care, were stored on the classroom floor, indicating that the storage space provided for each child was not sufficient.

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 written professional development plan for a staff member (DOH 09/12/22) was 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 2. Child Care Services.

General: Based on observation, the surveyor observed one (1) child run out of the restroom and run back into the restroom while the surveyor was conducting the initial walk-through in the Threes Classroom. Staff-in-charge called out to the child, followed her into the restroom, and escorted her back to the Threes Classroom. Staff-in-charge informed the staff in the Threes Classroom that the child stated she needed to use the restroom. The staff stated the child informed her that she needed to go to the restroom; however, no one escorted the child to the restroom. The restroom was not within scope of vision or range of voice of the Threes Classroom; therefore, the child-care center failed to provide adequate supervision by not ensuring the child was within scope of vision and range of voice. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the Tuberculosis Radiograph Report for one (1) staff (DOH: 8/1/2022) was dated for 7/9/2018; therefore, the provider failed to show proof that the adult was free of active tuberculosis or provide a copy of a negative tuberculin result. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, the surveyor discovered that no date was entered in ECE-TRIS indicating that one (1) staff (DOH: 9/12/2022) had received the training on first aid and cardiopulmonary resuscitation (CPR). During review of the staff's personnel file, the surveyor did not find documentation indicating the staff had completed the training on first aid and cardiopulmonary resuscitation (CPR); therefore, the child-care center failed to ensure that every staff member had received training on first aid and cardiopulmonary resuscitation (CPR) as required. Staff-in-charge stated she was unsure if the staff had previously received training on first aid and cardiopulmonary resuscitation (CPR). 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 11/19/2020 AND AS OF 01/12/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. A review of documents and interview revealed the child care center did not have a policy/procedure that addresses the reporting of child abuse or neglect. 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 director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the staff person's interaction with children in care and classroom performance for four (4) employees with hire dates of 7/30/19, 7/30/19 and 8/20/18, 8/17/17. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for a staff member hired on 8/20/18. Interview with the staff in charge revealed the document was not there for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon review of documentation and interview with the director, the child care center director did not present verification that five (5) staff members with hire dates of 12/20/10 and 8/20/18 and 7/30/19, 7/30/19 and 8/17/17 had proof of a current certification of CPR/ First Aid. Upon further observation it was revealed that there was no staff with a current certification of CPR/ First Aid employed by the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that a staff member with hire date of 8/17/2017 had proof or documentation that showed Six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the three and four year old girls bathroom revealed a plastic container of Clorox wipes in the reach of children. The container was marked “keep out of the reach of children”.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Interview with the director and an observation of the toilet in the three and four’s girls bathroom revealed the toilet was not flushed and the floor was littered with hand towels. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance 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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview revealed that the refrigerator in the room between the stairway and room #201 did not have a thermometer in it.

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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview revealed that there was an outdated milk container in the refrigerator in the room between the stairway and room #201. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon review of ten (10) children's files and a request, the site director did not present an immunization certificate for two (2) children's files with the enrollment dates of 2/2/19 and 1/28/19. Interview with the staff in charge revealed the center had not received the documentation for the children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of ten (10) children's files revealed that files for two (2) children with the enrollment dates of 2/2/19 and 1/28/19 failed to have a preferred hospital contained in the files. Interview with the staff in charge revealed the documents were not there. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of the center’s documentation revealed there was no written annual plan for child-care staff professional development on file for review for four (4) employees with hire dates of 7/30/19, 7/30/19 and 8/20/18, 8/17/17. Interview with the staff in charge revealed the requested documentation was unavailable at the time of 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 interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon review of the posted documents and interview it was revealed that the child/Parent rights were not posted for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon review of the posted documents and interview it was revealed that there was no daily schedule of activities in the three’s room. Animals In Compliance 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for three (3) staff members hired 7/30/19, 8/20/18 and 7/30/19. Interview with the director revealed she acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed one (1) staff member hired 8/10/17 failed to have record of negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the director revealed this documentation was not on file at the time of survey. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. 1) Review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (3) staff members hired 12/20/10, 9/5/16 and 8/21/14. 2) Continued review of staff files and ECE-TRIS report revealed documentation of nine (9) hours of cabinet approved training required during the first year of hire was not presented for review at the time of survey for two (2) staff members hired 8/17/17 and 8/10/17. 3) Continued review of staff files revealed four (4) staff members hired 12/20/10, 9/5/16, 8/10/17 and 8/21/14 had not received Pediatric Abusive Head Trauma training PAHT. 4) Continued review of staff files revealed three (3) staff members with hire dates of 8/20/18, 9/5/16 and 8/21/14 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of survey. 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 Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files on 7/31/19 revealed immunization certificate for one (1) child with enrollment date 5/6/19 expired on 7/6/19. Continued review of children’s files revealed a child with enrollment date 5/14/18 failed to have an immunization certificate on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs presented at the time of survey on 7/31/19, revealed a fire drill was not documented for June 2019. Interview with the director revealed the drill was conducted; however, she could not locate this documentation at the time of survey. Posted Documentation In Compliance Animals Not Applicable

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, interview and observation, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that fingerprint background checks had been initiated for two staff members with a hire date of 08/20/18. The staff members were not observed working alone with children. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Threes Classroom revealed a child walked unnoticed into the bathroom, which was at the far end of the classroom and out of the scope of sight and sound of the staff members. The child was in the bathroom, unsupervised, for approximately three (3) minutes. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, the staff member in charge did not present verification that current commercial liability insurance had been obtained. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Threes Classroom revealed nine (9) uncovered oulets in the room. 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 maintain employee files in accordance with regulatory requirements. Upon request, the staff member in charge did not present a personnel file containing the name, address, date of birth, and date of employment; documentation of compliance with tuberculosis screening; proof of educational qualifications; and the results of background checks for a staff member with a hire date of 08/20/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 08/17/17, 08/21/17, and two staff members with a hire date of 08/20/18 contained a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 06/21/93, 08/25/16, 08/17/17, 08/21/17, and 08/20/18 contained a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. 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. Upon request, the staff member in charge did not present verification that staff members with hire dates of 06/21/93, 12/20/10, 8/25/16, 09/05/16, 08/10/17, 08/17/17, and 08/21/17 had completed one and one half (1 1/2) hours of pediatric abusive head trauma training within the last five (5) years. Further observation revealed that the files for staff members with hire dates of 09/05/16, 08/17/17 and 08/21/17 did not contain verification of the completion of six (6) hours of cabinet approved orientation training within the first three (3) months of employment. Continued review revealed the files for staff members with hire dates of 12/20/10, 08/25/16, 09/05/16, 08/10/17, 08/17/17 and 08/21/17 did not contain verification of the completion of fifteen (15) annual hours of cabinet approved early care and education training. 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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Threes, Fours I and Fours II Classrooms revealed staff members' cell phones were accessible to the children in care. Observation of the Fours I and Fours II Classrooms revealed staff members' purses were accessible to the children in care. Observation of the Fours I Classroom revealed a canister of Great Value Disinfecting Wipes labled "Keep out of reach of children" was accessible to the children in care. Observation of the Fours II Classroom revealed a canister of Clorox Disinfecting Wipes labled "Keep out of reach of children" was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Threes Classroom revealed a rectangular rug with a multi-colored square design was heavily soiled in two (2) areas.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Threes Classroom revealed numerous holes, many of which were large enough to insert a finger, on a wall near the library area. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Fours I Classroom revealed the children did not wash their hands after morning snack. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a hole in the protective surface near a red slide and also near the monkey bars, creating a tripping hazard for the children in care. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the hallway near the Fours I and Fours II classrooms revealed nap mats with sheets were stacked on top of each other, causing the sheets to touch. Observation of the storage room in the Threes Classroom revealed nap mats with sheets were stacked on top of each other, causing the sheets to touch; therefore, the center failed to store individual bedding in a sanitary manner. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the staff member in charge did not present a current third party transportation contract. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the snack menu revealed it was not posted in a conspicuous place. 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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation in the Threes Classroom revealed a child's allergy list was posted and availible for public view. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed the statement of deficiency and plan of correction for the current licensure year was not posted.

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 child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in the Threes, Fours I and Fours II Classrooms revealed that a schedule of daily activities, to include the date and times of activities to be conducted, was not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for three (3) staff members hired 8/10/17, 8/17/17 and 8/21/17. Interview with director revealed she could not locate these documents at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. The center failed to ensure staff person with the hire date of 9/16/16 had documentation of orientation on file. Further, this staff person did not have annual training hours of 9 hours. Interview with director revealed that staff person does not have orientaiton or required annual training. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center failed to maintain hygienic practices in accordance with regulations. Observation of the Four and Five-Year-Olds during lunch time revealed 27 (twenty-seven) children did not wash their hands with liquid soap and warm running water before or after lunch.

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 center failed to maintain hygienic practices in accordance with regulatory requirements. Observation of two (2) staff members with the Four and Five-Year-Old children at lunch time revealed, the two staff members failed to wash their hands with liquid soap and warm running water before and after lunch and after preparing children's food, brought from home, for consumption. 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of records for staff with a hire date of 08/01/90 revealed only seven of the fifteen hours of required annual training for review period 08/01/15 to 08/01/16. Exit interview with the child care center director revealed acknowledgement of deficient practice. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the director could not verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for the employee with the hire date of 08/12/2013.Interview with the director revealed she could not locate a current copy of the evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the child care center did not maintain safety procedures for transporting a child, loading and unloading a child; and providing adequate supervision of a child. Interview with the director revealed she could not locate the documents.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on review of documentation the child care center failed to maintain a written record for each child, that contained a written permission form for the field trip conducted on 11/9/2014 to Huber Farms, that was signed by the child’s parent. Interview with the director revealed she was unable to locate the documents.

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 and interview with the director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s records revealed the following child with the enrollment date of 08/02/2015 did not contain a listing for their family physician and the preferred hospital. Continued review revealed the child with the enrollment date of 01/07/2015 did not contain information of a name or a phone number of each person listed to be contacted in an emergency involving or impacting the child or authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Interview with the director revealed she was not aware the documentation was missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on review of documentation the child care center failed to maintain a written record for each child, that contained a written permission form for the field trip conducted on 11/9/2014 to Huber Farms, that was signed by the child’s parent. Interview with the director revealed she did not maintain the documents. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and policies provided by the childcare center revealed that the director could not verify there was a current annual plan for child- care staff professional development for the staff with the hire date of 08/12/2013.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation and Interview, the childcare center implemented transportation prior to notifying the cabinet of the change. Review of Documentation revealed that the childcare center presented transportation policies and procedures for review. Interview with the Director revealed that the center used third party transportation for two (2) field trips per year, one (1) in May and one (1) in October. Review of DRCC records revealed that the childcare center is not currently approved for transportation and has not been approved for transportation for at least three (3) years.

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, the childcare staff failed to maintain the health, safety and comfort of all children in care. Observation of the sink in the preschool classroom revealed a steak knife in a drying bin next to the sink. Continued observation revealed that the knife was within reach of all children that were in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center director failed to obtain a completed Criminal Record Check (CRC) within 90 days of hire. Review of staff files revealed that an employee with the hire date of 08/20/2010 did not have the charges page of the CRC making the CRC incomplete. Continued review of the presented CRC for the employee with the hire date of 08/20/2010 revealed that there was a conviction. Interview with the director revealed that the CRC had been run twice on the employee with the hire date of 08/20/2010 and the Director knew the charges of the conviction, however, the Director could not locate the charges page at the time of the survey.

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 ensure that a staff member was free from active Tuberculosis. Record review revealed that an employee with the hire date of 09/02/2014 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare staff failed to maintain premises requirements. Observation of the air vents in the ceiling revealed a dark substance on and surrounding the vents.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's immunization records. Review of a child's file with the enrollment date of 01/27/2014 revealed the lack of an immunization certificate.

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, the childcare center failed to maintain all required postings. Review of documentation revealed the lack of the Kentucky Consumer Product Safety Program flyer.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the provisions of KAR 2:120, Section 3(4)(b)2.; i.e., school age children did not wash their hands before or after eating their afternoon snack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the provisions of KAR 2:120, Section 3(5)(c)7.; i.e.; staff did not wash their hands prior to serving food to children of after feeding the children afternoon snack.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the provisions of KAR 2:120, Section 9(3)(c) i.e., children were served chocolate milk with their afternoon snack.

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 child care center failed to comply with the provisions of KAR 2:120, Section 9(18) i.e., the after school snack failed to include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d) 1. Fruit; 2. Vegetable; or 3. 100 percent juice. The snack consisted of chocolate milk and chocolate and vanilla pudding cups.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there had not been any evaluations completed for any of the staff during 2011 or 2012.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.