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

General: Based on review of documentation, one (1) child's file did not contain a parent's signature. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that one staff member (DOH: 08/31/23) completed Pediatric Head Trauma (PAHT) training or fifteen (15) annual training hours. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The carpet was tearing on the stair leading into the Pre-K room. 2) The paint was peeling on the corner of the wall thus exposing the drywall in the Toddler classroom. 3) There was a hole in the wall under the first aid kit in the Toddler classroom. 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: 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 changing pad in the infant classroom was torn, exposing the inside absorbent material. 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 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, two (2) staff members with the hire dates of 1/15/2014 and 3/31/2021, did not have record of a current annual written performance evaluation on file for 2022 at the time of review. 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, a staff member with the hire date of 1/3/2022, did not have fifteen (15) hours of cabinet approved early care and education training completed between July 1, 2022, and June 30, 2023, at the time of review. There is no record of staff member with hire date of 1/3/2022 completing 1 1/2 hours of cabinet-approved Pediatric Abusive Head Trauma training (PAHT) on file at the time of review. Review of the Early Childhood Education Training Report Information System dated 10/23/2023, confirmed the lack of training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, in the Preschool room the drywall and paint on the purple wall by the restroom, was chipping near the base and had several holes at the time of review. In the Preschool Room bathroom there were several holes in the drywall where a portion of the toilet paper holder had become detached from the wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, a smoke detector could be heard chirping for the duration of the inspection, indicating that the device was not properly functioning. During observation in the Preschool Room bathroom the the toilet paper holder was in disrepair. 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 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 files for children with the enrollment dates of 10/17/2023, 10/17/2023, 11/28/2022, and 1/5/2023 did not list a preferred hospital. The files for children with the enrollment dates of 7/19/2021, 6/20/2021, 1/15/2023, and 1/5/2023, did not have physician, preferred hospital, or contact information listed, at the time of review. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the Preschool Room's posted schedule of daily activities was dated 9/2023; therefore it was not current. In the Infant and Two-Year-Old Rooms, the posted schedule of daily activities was not dated. Animals 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 interview and review of documentation, no fire marshal report was presented for review; therefore, compliance could not be verified. Director Requirements 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 2. Child Care Services.

General: Based on observation, while five (5) preschool children slept on their cots, the sole supervising staff member exited the room to utilize the restroom. No staff member was within scope of vision or range of voice of the children while the staff member was in the restroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, no current insurance was presented for review; therefore, compliance could not be verified.

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 11/18/2022 AND AS OF 11/26/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet plunger was stored next to the toilet in the restroom located within the Twos classroom. The plunger was accessible to children. The carpet in the Twos classroom was not well-fitted and contained areas of gathered carpet material that created tripping hazards. Multiple outlets in the Preschool 1 classroom were not covered. Additionally, three (3) central air units were accessible to children in the outdoor play area, one of which was running with fan blades spinning.

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, current regulations were not presented for review. The only regulations presented for review was a 2013 version of 922 KAR 2:090; no copies of 922 KAR 2:120 or 922 KAR 2:280 were presented.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, no current evaluations were submitted for review for two (2) staff members whose dates of hire were 01/15/2014 and 03/31/2015. 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, no documentation was presented for review to verify the educational requirements for a staff member whose date of hire was 01/03/2022. The staff person is in a position which supervises children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the results of a negative Tuberculin (TB) Test or a statement from a health professional verifying that a staff member was free from active TB was not presented for review for a staff member whose date of hire was 01/03/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 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 interview and review of documentation, four (4) staff members failed to complete fifteen (15) hours of cabinet approved training during the last review period. Each of the four (4) staff members with the following hire dates completed one and one half (1.5) of the fifteen (15) required training hours: 01/12/2012; 01/01/2012; 01/15/2014; and 03/31/2021. 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 observation, the posted plan of daily activities in the Twos classroom was dated 5/24/21-6/21/2021; no current plan of activities was posted. The posted plan of daily activities in the Preschool 1 classroom was dated for August of 2022. There was no current plan of activities posted.

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, children were already on their cots and mats upon the DRCC surveyors' arrival at 10:53. They were still on their mats with quiet music playing and lights out at 1:50. Therefore, rest time exceeded two (2) hours. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an adult purse was in the chair near the staff desk in the Preschool 1 classroom. The purse was accessible to children in the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 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 observation, the large picture window in the front lobby contained broken glass in an area that appeared to have been struck by an object. Large cracks expanded over much of the window in varying directions from the contact point. Additionally, multiple window ledges throughout the center contained a heavy accumulation of dirt, dust and debris, as well as chipping 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 4. Premises Requirements.

General: Based on observation, a ladder was stored next to the wall, in front of the exit door in the Preschool 1 classroom. Therefore, the fire exit was not clear and unblocked.

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 half walls in the Preschool 1 classroom and Twos classroom that were surrounding the heating and air units contained areas of peeling paint and drywall, leaving the metal flashing exposed. There was a stain on the ceiling in the Preschool 1 classroom that was indicative of water damage. An electrical plate on a wall in the Preschool 1 classroom did not sufficiently cover the whole in the wall for the electrical box. The drywall and paint were chipping near the base of the wall in the Preschool 1 classroom. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the diaper changing station located in the bathroom within the Twos classroom consisted of a plastic changing table that was mounted to the wall. The surface was not padded. Interview with the staff member in the room verified that the referenced changing station was used when changing diapers. The pad on the changing table in the Infant classroom contained rips and tears; therefore, the pad was no longer non-absorbent. 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, a tube of Petroleum Jelly Skin Protectant was stored on top of the mounted changing station in the restroom within the Twos classroom. The label on the product contained a list of drug facts and contained a warning to keep the product out of reach of children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a sharp, metal object was protruding upward from a piece of wood that was anchored to the ground. Additionally, the sharp points of screws were also protruding upward from the same piece of wood.

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, nails were protruding from the wooden fence on the inside of the outdoor play area. 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 only small crib in the Infant classroom was missing one of the four (4) wheels, causing the crib to be unstable and slanted. Additionally, the paint was chipping from the top rail from the same crib. Verification of compliance with 16.C.F.R. 1219-1220 was not presented for review. No manufacture date was posted on the reference crib.

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 sleep mats in the Twos room were less than two inches thick and were worn, with cracks and holes in the mats. Therefore, the mats were no longer waterproof. Four (4) mats were in use at the time of observation. Other mats were stored in the classroom. General: Based on observation, four (4) children in the Two's room were all resting on mats that were less than two (2) inches thick. Additionally, the mats that the children were resting on contained rips and holes, exposing absorbent material within. Other mats were stored in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the Preschool 2 classroom, one (1) of the wheels on the caboose of a wooden toy train set was no longer attached to caboose. Also, the plexiglass covering the beaded maze on the activity center table was broken, leaving jagged edges. Observation of the outdoor play area revealed the seat on a small bike was torn, with much of the inner foam exposed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a smoke detector could be heard beeping throughout the duration of the inspection, indicative that the device was not properly functioning. A six-month-old infant was sitting in a bucket seat within a table. The straps within the seat had been removed and were not in use. Interview with the staff revealed she removed the straps so infants would not chew on them. Wooden play structures in the outdoor play area contained protruding screws, decaying wood, and splintered surfacing. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present transportation policies at the time of review.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, no transportation policies and procedures were presented for review; therefore no plan relating to an emergency plan for evacuating the vehicle was presented.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, no safety procedures specific to transportation were presented for review. Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, the center does not have a Food Service Permit as the center contracts with a catering company. However, no food service catering contract was presented for review. The document presented for review was merely a Food Service Permit for Daddy Vic's Soul Food. Additionally, interview with the staff in charge confirmed that the center changes the temperature of the foods provided by the food catering company; which requires the center to obtain and maintain a food service permit.

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, no thermometer was observed in the refrigerator in the kitchen. Also the surface of the refrigerator on the door and within the refrigerator where the door meets the frame contained a heavy build up of dirt and a black sticky substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the thermometer in the freezer in the kitchen measured ten (10) degrees Farhenheit.

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 kichen appliances were not clean and sanitary. The stove and refrigerator contained a build up of a dark substance on the appliances. 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

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, review of ten (10) children's files revealed the immunization certificates for two (2) children were expired.

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: Review of ten (10) children's files revealed no enrollment information was obtained and available for review for five (5) children. Of the five (5) files that failed to contain enrollment information, two (2) of the files contained an immunization certificate and a Child Care Assistance Program documentation, but no enrollment documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 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 5. Evacuation Plan.

General: Based on interview and review of documentation, no written evacuation plan was presented for review.

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 presented chain of commmand included individuals who are no longer affiliated with the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of the presented daily attendance records for the past month revealed children were regularly signed in with a time of arrival denoted; however, no times of departure were documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the posted staff schedule was not current. It included scheduled hours for three (3) staff members who are no longer employed with the center. The separation of employment for the three (3) individuals was verified by the staff in charge.

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 observation, no written professional development plan was presented for review for a staff member whose date of hire was 01/15/2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, no written record of quarterly earthquake, tornado or lockdown drills was presented for review for the third and fourth quarter of 2021 or the first or second quarters of 2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 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 3. General Requirements.

General: Based on review of documentation, no documentation of a fire drill conducted in August of 2022 was submitted for review. 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 posted plan of daily activities in the Two's classroom was dated, 05/24/2021-06/24/2021; therefore, it was not current at the time of review. The posted plan of daily activities in the Preschool 1 classroom was dated for August 2022. This plan was also not current at the time of review. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the staff in charge did not provide verification that the National Background Check had been completed for an employee with a hire date of 03/31/2021. Review of documentation revealed that the background check had not been initiated through the KARES system. The report indicated that the status of the employee was not currently listed. The staff was observed working alone with three (3) children. Interview with staff revealed the children were two years old.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the National Background Check had been initiated through the KARES system for an employee with a hire date of 03/31/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child are center had maintained the National Background Check Portal (NBCP) to reflect the current employees who were hired or separated from employment. 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 and interview, there were five (5) children in the preschool classroom sitting at the table with no adult supervision. Interview with staff revealed the children were three years of age. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 12/07/2021 AND AS OF 12/17/2021, 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 of the infant classroom, two (2) infants ate a snack while sitting in bucket seats. The infants were not buckled in the bucket seats; therefore, their safety was compromised. 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 records for the employees with hire dates of 10/04/2012 and 08/21/2013 contained a current copy of a statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, The staff member in charge was unable to provide verification that five (5) of the five (5) staff eligible had meet the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continued review the five (5) of the five (5) employees had not completed Pediatric Abuse Head Trauma Training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the purple walls in the preschool classroom had several areas were the paint had chipped and peeled away from the wall. The beige carpet in the two-year-old and preschool classroom did not fit flush to the floor. There were also several areas where the carpet was bubbled, creating a tripping hazard. There were several areas where the carpet had raveled, leaving the carpet netting exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet in the first restroom located off the preschool classroom was non-operational, as evidenced by not flushing. 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 6. Sleeping and Napping Requirements.

General: Based on observation, fourteen (14) of the fourteen (14) mats utilized for sleeping contained freyed edges, exposing the foam material inside. 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 interview and review of documentation, the staff in charge did not present verification that the child care center had a copy of a food service permit. Interview with the staff in charge revealed the child care center utilized catering services through a third party service, and the documentation was not availbile at the time of the inspection.

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 outside of the stove contained a heavy buildup of a greasy substance. The refrigerator door contained as evidenced numerous dark markings on the outer door. 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 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that children with enrollment dates of 02/11/2020, 08/21/2019 and 04/27/2018 had a current immunization certificate.

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 staff in charge did not present verification that children with enrollment dates of 06/11/2018, 04/27/2018, 08/21/2019 and 02/11/2020 contained information listing the name of a preferred hospital. Continued review revealed a child with an enrollment date of 09/27/2021 did not have an enrollment record to contain the date of enrollment, identifying information, contact information, preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that an evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been completed to include all of the required documentation to the local emergency management team within the last year.

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 staff in charge did not provide verification that the child care center had maintained a current staff schedule. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a staff member with a hire date of 8/21/13 worked alone with children without a completed background check. Review of the KARES database revealed that the background check process was initiated 9/26/18, but fingerprints were never submitted; therefore, the staff member did not have an 'eligible' employment status at the time of the investigation and prior to having sole supervisory responsibility over children. Per interviews, the aforementioned staff member works alone with children on a regular basis. The staff member was observed working alone with children on 1/13/2020.

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 observation and review of documentation, a staff member with a hire date of 8/21/13 worked alone with children without a completed background check. Review of the KARES database revealed that the background check process for the aforementioned staff member was initiated 9/26/18, but fingerprints were not submitted within ninety days of the application. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center has at times been noncompliant with ratio requirements. Observation of the One through Three Year Old Classroom on 1/13/2020 revealed one (1) staff member was the sole caregiver of seven (7) children, ages one (1) and two (2) years old. Interviews revealed that the center has exceeded minimum staff-to-child ratio requirements in the Infant and Preschool Classrooms at least once per week for an undetermined amount of time. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member with a hire date of 8/21/13 worked alone with children without a completed background check. Review of the KARES database revealed that the background check process was initiated 9/26/18, but fingerprints were never submitted; therefore, the staff member did not have an 'eligible' employment status at the time of the investigation and prior to having sole supervisory responsibility over children. Per interviews, the aforementioned staff member works alone with children on a regular basis. The staff member was observed working alone with children on 1/13/2020.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain background check in accordance with regulatory requirements. Upon request, the director did not present documented evidence that a background check had been completed or submitted through the KARES system for staff member hired 10/1/12. The staff member was not observed working alone. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/03/2019 AND AS OF 07/02/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 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 director did not present a current negative TB assessment or a statement from a physician verifying that a staff member with the hire date 10/1/12 is free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for all staff with the expection of a staff member hired 1/3/19. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation 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 2:090 · 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 staff members' files with hire dates 8/21/13 and two with the same hire date of 9/18/12 that did not contain a current statement from a health professional that they were free of active tuberculosis. Upon request, the director did not present a current statement for the 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 staff members' files with hire dates 8/21/13, 10/1/12, two with the same hire date of 9/24/12 and two with the same hire date of 9/18/12 that did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify that the staff members completed the fifteen (15) hours of training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children records revealed a child’s file with enrollment date 2/5/18 that did not contain a current immunization certificate. Upon request, the director did not present a current immunization certificate for the child at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 9. Food and Meal Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. The menu posted on 7/6/17 was no longer current as it was dated for February. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The pink, purple and white pillows located in the reading area in the Pre-K Room were dirty. Transportation In Compliance Food Service 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 the presented employee files revealed staff members with hire dates 10/1/12, 9/24/12 and two staff members with the same hire date 9/18/12 whose file did not contain documentation to verify the fifteen (15) hours of cabinet approved training had been completed. Review of the ECE-TRIS report verified that staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify that staff members had completed fifteen (15) hours of cabinet approved training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children files revealed a child’s record with enrollment date 12/12/15 whose file did not contain a current immunization certificate. Upon request, the director did not present a current immunization certificate at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the child care center failed to comply with supervision requirements assuring each school-age child is within scope of vision or range of voice. Observation revealed a school-aged child alone, for approximately thirty (30) seconds, in the kitchen, with the door closed, filling a container with water until the director entered the kitchen and informed the child to return to a classroom. Interview revealed the child was the director's child, who stayed at the center instead of attending his usual elementary school program and was in the kitchen because he was completing a task assigned by a staff member employed at the center.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the child care center failed to comply with regulatory staffing requirements regarding maintaining minimum staff-to- child ratios. On 5/25/16, at 1:45 p.m., observation revealed a group of fourteen (14) children being solely supervised by one (1) staff member. Interview with the supervising staff member revealed the age of the youngest child was three-years-old and a child was just dropped off at the center by bus at 1:00 p.m. Interview with the director/owner revealed instead of attending his usual elementary school program, one (1) of her school-age children stayed at the center for the day, which contributed to the ratio issue.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the child care center failed to comply with staffing requirements regarding related children included in staff-to-child ratio. Observation revealed a school-aged child alone, for approximately thirty (30) seconds, in the kitchen, with the door closed, filling a container with water until the director entered the kitchen and informed the child to return to a classroom. Interview revealed the child was the director's child, whom stayed at the center instead of attending his usual elementary school program and was in the kitchen because he was completing a task assigned by a staff member employed at the center. General Administration

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, it was determined that the child care center director failed to comply with regulatory requirements, specifically staff evaluations. Review of all staff files presented revealed the center failed to provide completed documentation, at time of survey, verifying the director assessed each staff person's interaction with children in care and classroom performance through an annual written performance evaluation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center director failed to comply with regulatory requirements regarding assuring the health, safety and comfort of each child. Observation revealed the following: 1. An unprotected socket was observed within a wall outlet located next to the cots in the Preschool Classroom. 2. An electrical outlet cover was missing on a wall containing two (2) sockets in the Toddler Classroom, which resulted in exposed electrical wiring.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented, revealed the center failed to provide documentation, at time of survey, verifying a completed child abuse or neglect check using the central registry in accordance with 922 KAR 1:470 for a staff member rehired 10/1/12. Additionally, the center failed to provide documentation, at time of survey, verifying a completed criminal records check required by KRS 199.896(19) for a staff member rehired 10/2/12.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically educational requirements. Review of all personnel files presented, revealed the center failed to provide documentation at time of survey verifying the completion of a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 for a staff member hired 5/1/15.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all personnel files presented, revealed the center failed to provide documentation at time of survey of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for four (4) staff members hired 9/24/12 (2), 10/1/12 and 5/1/15.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all personnel files presented revealed the center failed to provide documentation at time of survey verifying the following for each staff member: 1. The completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 2. The completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diaper changing surface. Observation revealed the diaper change surface located in the multi-purpose area, contained holes and tears exposing the absorbent material underneath the protective surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the child care center failed to comply with food service requirements regarding the kitchen not being used for an activity of a child. Observation revealed a school-aged child alone, for approximately thirty (30) seconds, in the kitchen, with the door closed, filling a container with water until the director entered the kitchen and informed the child to return to a classroom. Interview revealed the child was the director's child, who stayed at the center instead of attending his usual elementary school program and was in the kitchen because he was completing a task assigned by a staff member employed at the center.

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, it was determined the center failed to comply with regulatory requirements regarding food service, specifically bottles. Observation revealed two (2) unlabled bottles in the infant refrigerator, as well as, one (1) uncovered bottle containing liquid indicative of formula sitting on a counter in the Infant Classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for a child. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of the following information: 1. Identifying information about the child, which includes, at minimum, the child’s name, address, and date of birth for one (1) child. 2. Contact information to enable a person in charge to contact the child’s parent at the parent’s home or place of employment for one (1) child. 3. Contact information to enable a person to contact the child's family physician for one (1) child. 4. Contact information to enable a person to contact the child's preferred hospital for two (2) children. 4. The name of each person who is designated in writing to pick- up the child for six (6) children. 5. The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center for one (1) child. 6. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child for one (1) child. 7. Authorization by the parent for the child- care center to seek emergency medical care for the child in the parent’s absence for each child, including the director's children, who were in attendance the day of the survey. Additionally, a family with eight (8) children failed to have separate enrollment forms to include all of the required information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically professional development. Review of all staff files presented revealed the center failed to provide documentation, at time of survey, verifying a written annual plan for child care staff professional development.

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, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically daily activities. Review of the schedule of daily planned activities posted, at time of survey, in the Preschool Classroom revealed the posting failed to include a date.

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 Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically diapering. Review of documentation in the diaper changing areas in the multi-purpose area and the toddler bathroom revealed the center failed to post the proper methods of diapering and hand washing at each diaper changing area. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center director failed to assure compliance with regulatory requirements. Review of the documentation of the child care centers postings and policies it was revealed that the child-care child care center was unable to provide a current copy of the administrative regulation, 922 KAR 2:090, and 922 KAR 2:120.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation at 8:33 a.m. in the school-age classroom revealed there were three (3) children present ranging in age from two to three years-of age. It was observed that the staff member left the children unsupervised and entered into the staff office for less than a minute. The staff member was re-directed to return to the classroom by the staff in charge.

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 with the staff in charge, the child care center failed to comply with regulatory requirements. Review of the documentation provided revealed a liability insurance policy with an expiration date of 01/15/2015. Interview with the staff in charge revealed he did not have a copy of the current policy.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the staff in charge, the child care center failed to assure compliance with regulatory requirements. Based on review of documentation, the director did not document in writing staff meetings that were conducted. Interview with the staff in charge revealed he was unable to locate the document. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

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 the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed there was no verification that an annual staff evaluation was completed for assessing the staff person's interaction with children in care and classroom performance for the following staff members with the hire dates of 09/24/2012, 06/28/2012 and 09/24/2012.

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 the child care center director failed to assure compliance with regulatory requirements. Based on review the child care center failed to verify that the center had coordinated at least one (1) annual activity involving parental or family participation. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation review and interview with the staff in charge, the child care center director failed to maintain employee records with regulatory requirements. Based on observation in the school-age classroom, a staff member with the date of hire of 05/15/2015 was working alone with three (3) children ranging in age from two to three-years of age from 8:33 a.m. to 9:00 a.m. Review of documentation present in the personnel file for the staff member revealed that the requirement of a child abuse or neglect check (CAN) using the central registry in accordance with 922 KAR 1:470; was not met. Continued review revealed the criminal record check (CRC) had not been conducted. Interview with the staff in charge revealed the documents were not present.

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 employees records in accordance with regulatory requirements. Review of documentation of employees records it was revealed the employee’s with the hire dates of 05/15/2015 and 9/24/2012 did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250.

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. Review of documentation present in the personnel file revealed the following staff with the hire dates of 05/15/2015, 09/21/2012 and 09/08/2012, did not contain a copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the childcare center 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 staff members with the hire dates of 09/24/2012 and 09/08/2012 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to comply with regulatory programming requirements. Based on review of the documentation located in the school-age classroom and the three to four-year–old classroom it was revealed that the daily activity of programming was not posted in writing in a conspicuous location with each age group of activities that are individualized and developmentally appropriate for each child served.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the kitchen revealed there were three (3) overhead lights that were not working. Continued observation revealed no protective coverings over the light fixtures. Continued observation revealed the three to four-year-old classroom was missing an one (1) overhead light.

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 regulatory requirements. Based on observation the restroom located off the toddler classroom it was revealed that the sink had no hot or cold running water available for hand washing, in addition, the sink was not equipped with a hand-drying blower or a single use disposable hand drying material. Continued observation revealed the sink located in the infant classroom did not have available hot or cold running water.

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 with the staff in charge, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom located off the toddler classroom revealed there was no water running to toilet. The toilet was not available for use. The staff in charge was in the process of addressing. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the changing pad located in the infant room revealed the pad to have tears located on the bottom of the pad.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area revealed the playground area to have numerous weeds growing up from the mulch provided for the protective surface. Therefore the play area was not maintained in good condition.

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. Transportation.

General: Based on Review of Documentation and interview with the staff in charge, the child care center failed to comply with regulatory requirements regarding transportation. The child care center was unable to provide documentation of a current certification of inspection from the Transportation Cabinet. The staff in charge was unable to locate the document.

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 Review of Documentation and interview with the staff in charge,the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation on 06/02/2015, it was revealed the center had heated up the lunch menu in a micro-wave, serving beef ravioli, wheat bread, peaches and applesauce Continued review of documentation revealed the center did not maintain a food service permit as required. Interview with the staff in charge revealed he was in the process of addressing.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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. Observation revealed the menu was not dated.

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 children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following children with the enrollment dates of 06/01/2012,05/18/2015, and 01/06/2015 did not contain a current copy of an immunization certificate. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain children’s records in accordance with regulatory requirements. Based on record review it was revealed that the children with the enrollment date of 05/18/2015, 05/18/2015 and 01/06/2015 did not contain a written record for the children that was completed and signed by the child’s parent and retained on file on the first day the children attended the child-care center. Continued review revealed there was no identifying information about the children, which included the child’s name, address, and date of birth; contact information to enable the person in charge to contact the child’s parent at the parent’s home or place of employment; no family physician; and preferred hospital. In addition, there was no person who was designated in writing to pick-up the child, the child’s general health status and medical history including, if applicable: allergies, restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional. There was no 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the documentation provided the child care center did not have a updated written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895.The evacuation plan that was posted was dated for 2012.

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 the policies provided by the childcare center revealed, the center could not verify there was a current annual plan for child- care staff professional development for the staff.

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 the child care centers earthquake/tornado quarterly drills did not include the names of the children who participated. The last drill recorded was October of 2014.

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 staff in charge, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills conducted in the last seven (7) months , detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3. The last fire drill recorded was October of 2014. The staff in charge was unable to provide the documentation.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the policies provided the child care center did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care child care center staff member.

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, and interview with the staff in charge, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills conducted in the last seven (7) months. The last fire drill recorded was October of 2014 . The staff in charge was unable to provide the documentation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ 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 3. General Requirements.

General: Based on Review of Documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care centers earthquake/tornado drills revealed no drill have been conducted since October of 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Based on review of the postings within the center it was revealed the child care center did not have a posting of information on the Kentucky 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 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Observation, and interview the child care center failed to maintain milk requirements. Observation of the facility on 9/9/14 revealed individually wrapped cereal bowls, cups of applesauce, and cereal bars that was delivered by the catering company. Continued observation of the facility revealed that there was four (4) children present ages six-months-old to eight-years-old. Observation of the refrigerator revealed a half of a half-gallon of whole milk with an expiration date of 9/7/14 and it was the only milk present at the facility. Continued observation of the facility revealed the children ages twenty-one-months old to eight-years-old were not served milk with their breakfast. Interview with staff revealed the children ages twenty-one-months-old to eight-years-old was served the aforementioned whole milk yesterday (9/8/14) for breakfast. Continued interview with staff revealed that the aforementioned milk was not going to be served during surveyor’s visit because it was expired and that there was no other milk available at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview the director failed to maintain the health, safety, and comfort of children. Observation of the facility on 9/9/14 revealed four children present ages infant to school age. Observation of the refrigerator revealed a half of a half-gallon of whole milk with an expiration date of 9/7/14. Interview with staff revealed the aforementioned expired milk was served to the children ages twenty-one-months old to eight-years-old on 9/8/14 for breakfast. Continued interview with staff revealed the aforementioned milk was going to be served again during surveyor's visit for breakfast. Interview with the second staff member who arrived during surveyor's visit stated the milk was expired and that it was not going to be served during surveyor’s visit. Food Service

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 child care center failed to comply with staffing requirements. Observation of the facility on 7/10/14 revealed a staff member supervising three (3) children. Continued observation revealed the aforementioned staff member walk to the kitchen with the three (3) children. Further observation revealed the aforementioned staff member retrieved cereal, milk, spoons, and bowls from the kitchen, while the three (3) children stood at the doorway entrance to the kitchen. Continued observation of the facility revealed the aforementioned staff member escort the three (3) children back to their classroom along with the breakfast items in her possession.

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 comply with food service in accordance with regulatory requirements. Observation of the infant classroom on 6/30/14 revealed an infant lying in a bouncy seat with a propped bottle in the infant's mouth. Continued observation of the aforementioned infant, revealed the bottle was propped with a blanket.

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, review of documentation, and interview the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the facility on 6/30/14 revealed the children eating lunch delivered by the caterer. Observation of the facility on 7/10/14 revealed a staff member preparing breakfast, consisting of cereal and whole milk. Review of documentation revealed a food service permit on file for a catering company that delivers food to the facility. Interview with the director revealed that the center does not have a food service permit. Based on interviews it has been determined that staff members prepare breakfast at the facility, lunch is catered to the facility on Monday, Wednesday, and Friday, and that the children attend a local elementary school on Tuesday and Thursday for lunch.

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 regulatory requirements. Observation of the infant classroom on 6/30/14 revealed three (3) bottles in the refrigerator that were not individually labeled.

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 maintain food service in accordance with regulatory requirements. Observation of the facility on 7/10/14 revealed whole milk being served to two (2) children, ages three-years-old to six-years-old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Review of documentation on 6/30/14 revealed that there was no permission slips on file for children to walk to Semple Elementary for the summer lunch food program. Interview with the director revealed that the children walked to Semple Elementary on 6/24/14 and 6/26/14 and that she was not able to locate the permission slips.

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 insurance does not list this center location as a covered property.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have a current copy of the child care regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the school age children were not signed out of the center when they left to go to school.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have the previous year's statement of deficiency or plan of correction posted and did not have Kentucky Consumer Product Safety Information posted.

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, in the two and three year old classroom the carpet was ripped in a manner that caused a tripping hazard. Based on observation in the infant classroom, four ceiling tiles were waterstained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a staff member went to the infant room with a parent leaving five children ages infant thru school age in the center classroom unsupervised for one minute.

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, the last Fire Marshal inspection was 8-22-12.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, numerous smoke detectors throughout the center were chirping indicating that they were not working properly to detect smoke or fire. Based on observation in the toddler classroom there were six outlet covers missing and one outlet that did not have a cover plate. Based on observation in the two and three year old classroom bathroom there was a toilet scrub brush accessible to the children next to the toilet. Based on observation in the two and three year old classroom there were two outlets that did not have covers. Based on observation in the infant room, an outlet cover was missing. Based on observation on the playground the children had direct access to four large air conditioning fan units that they could throw rocks into or put their fingers into.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 9-18-12 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, a staff members hired on 9-24-12 and 6-28-12 did not have documentation of completion of orientation trainging. Staff members hired on 9-24-12 and 6-28-12 did not complete fifteen hours of cabinet approved training within the first year of their employment.

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, center drivers hired on 9-18-12, 9-18-12 and 9-24-12 did not have a completed driver's history check completed in the prevevious year available for review. Programming

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 school age classroom did not contain any items for dramatic play. Based on observation in the toddler classroom there was not any items available for dramatic play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, an infant was placed to sleep on the stomach and the infant does not have a note from a health care professional approving an alternate sleep position.

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 was asleep with three folded blankets in the crib.

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, in the toddler classroom a staff purse was on a low shelf within reach of the children in the classroom.

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, in the two and three year old classroom bathroom there was not any single use hand drying materials available, there was a towel hanging in the bathroom. Further observation revealed that there was not a waste receptacle available in the bathroom.

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, in the two and three year old classroom bathroom there was not any toilet paper available. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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 infant diaper changing surface was ripped.

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, in the school age classroom a container of Desitin diaper cream was in a cubby accessible to the children in the classroom, approximately three feet from the ground, and was not in a locked container. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the playground was not well maintained, the weeds were at least two and a half feet tall in the children's playing area. Based on observation on the playground, the playground was not well drained. There were two spinning toys for children to sit and spin in with six to seven inches of water sitting in the bottom of the toys. Based on observation on the playground, the weed barrier was exposed causing a tripping hazard near the spinning bikes. Based on observation on the playground there was a board approximately twelve feet long, a foot wide and an inch thick laying on the ground in the playground, accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, in the infant room, two crib sheets were dirty.

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, several sleeping mats were splitting at the seams exposing the inner foam.

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, two blankets were stored touching on the top of a stack of mats. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the toddler classroom there were two battery operated toys that were not working. Based on observation in the three year old classroom there was not any extended play toys available for two kitchen play sets or a tool play set. Based on observation in the infant room, the base of three riding turtle toys were dirty. Based on observation in the front entryway of the center, a large fish tank was observed to be green and dirty.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, on the playground, a ride-on-car had a broken wheel.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center vehicle did not contain complete first aid supplies, as it did not have a thermometer or a cold pack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center vehicle did not have vehicle inspection documentation from the past year.

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 microwave in the infant room used to heat infant food was dirty. Based on observation in the infant room, the top of the refrigerator used to store the infant bottles was dirty.

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, there were six bottles in the infant room that were not name labeled and two bottles that did not have lids.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, center was unable to provide a food service contract at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 4-8-14 did not have a current immunization record on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center's emergency preparedness plan was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center's disaster diagram did not include written instructions for fire, earthquake or tornado disasters. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the school age classroom, the list of daily activities was not dated. Based on review of posted documentation in the infant room, there was not a posted plan of daily activities.

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 Review of Documentation, in the infant room, hand washing proceedures were not posted at the sink used after diaper changes. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, and review of documentation the center has fish and does not have parent signed permission slips for the children to have contact with the fish.

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, multiple plugs were not covered throughout the center.

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 center failed to maintain a personnel file for each staff member by not having proof of education, a copy of negative tuberculin results or a health professional’s statement documenting that the adult is free of tuberculosis and Orientation Certificate on file for each active staff member.

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 center failed to have proof of education on file for a staff member with the hire date 9/18/12 on file 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, there was no document available for review verifying that two staff members with the hire date 9/18/12 and one staff member with the hire date 9/24/12 was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members with the hire dates 9/18/12 and 9/24/12 failed to complete the required six hours of cabinet approved orientation training during their first three months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the center failed to follow their Program of Activities. Based on the daily schedule children were scheduled to go outside at 10:30 a.m., but at that time the teacher began to read to the children in a group setting.

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, both restrooms in the center failed to have paper towels or a hand-drying blower.

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 interview with a staff member mouth toys are sanitized with bleach water and dried, therefore the center failed to follow the proper sanitation procedures. First Aid/Medication

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, the center failed to have a flashlight included in the First Aid Supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the center failed to have all first aid supplies as described in Section 7 of this administrative regulation, on the vehicle used to transport children. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section.

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 review of documentation and interview, the center failed to have a copy of Louisville Catering Co. food permit on file for review.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, a bottle was prepared by a staff member for a child whose parents provide the formula.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the center provided chicken noodle soup and crackers that failed to consist of whole or enriched grain.

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 center failed to post a current weekly menu.

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, children with the enrollment dates 3/8/13, 10/10/12 and 3/21/13 failed to have a current immunization documentation on file for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to maintain a written record completed and signed by the child’s parent, the name of each person who is designated in writing to pick-up the child, emergency contacts and emergency authorization for a child with the enrollment date 5/2/13.

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, a document titled Disaster Drill failed to indicate if the drill was a Tornado or Earthquake drill, therefore there failed to be a written record of quarterly practiced earthquake drills and tornado drills detailing the date, time, and children who participated.

Open Not marked corrected in the state record

Open / not marked corrected.