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

General: Based on interview and review of documentation, verification of the most recent fire marshal inspection presented was dated 10/09/19.

Open Not marked corrected in the state record

Category: physical safety. 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 06/12/2025 AND AS OF 06/20/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on the documentation review, a 2024 staff evaluation was not presented for one (1) staff member. (DOH: 08/14/23)

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 the review of documentation, one (1) staff member (DOH: 05/21/18) did not complete the required fifteen (15) hours of training between 07/01/23 and 06/30/24. The Early Care and Education-Training Records Information System (ECE-TRIS) verified the following information.

Open Not marked corrected in the state record

Category: recordkeeping. 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 08/02/2024 AND AS OF 08/26/2024, 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 6. License Issuance.

General: Based on interview and review of documentation, the individual approved as director has not been employed by the center since October 2022. Interview with the staff in charge revealed that the center had not designated an individual to act as director.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Review of DRCC records and interview with the staff in charge revealed that the individual listed as the center's acting director was no longer employed at the center. Further interview with the staff in charge revealed that resignation of the director took place in October 2022 and it not reported to the cabinet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

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, current performance evaluations for three (3) staff (DOH 05/21/18, DOH 08/02/17, and DOH 12/08/15) were not presented for review upon request. The documentation presented for all three (3) staff members was dated for 2022; therefore, it was not current at the time of the inspection. 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: Review of presented staff personnel information revealed the following: 1) The results of a negative tuberculin (TB) test presented for a staff member (DOH 09/03/15) contained a read date of 10/06/21; therefore, the TB test was not current. 2) The results of a negative TB test presented for a staff member (DOH 12/08/15) contained a read date of 09/02/21; therefore, the TB test was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of presented personnel information and presented staff schedule revealed that no staff at the center held a current certification in first aid and cardiopulmonary resuscitation (CPR.) While the staff in charge contended that they held a current certification in first aid and CPR, it was determined that this course had not been completed through a DRCC-approved source.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Documentation verifying that a staff member (DOH 08/14/23) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, one (1) staff member acted as caregiver to seven (7) children in the Sprouts classroom. The staff member stated that the children in the room ranged in age from two (2) to three (3) years and would remain in combined care for the entirety of the day; in excess of one (1) hour. The staff in charge reported that the toddlers did not have signed transition plans on file at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, multiple ceiling tiles in the Nursery and Saplings classrooms were stained with sizeable brown marks, indicative of water damage.

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 water temperature of the handwashing sinks in the Women's restroom measured one-hundred thirty (130) degrees Fahrenheit. The water temperature of the handwashing sinks with the Men's restroom measured one-hundred twenty-four (124) degrees Fahrenheit. Therefore, the water temperature of the aforementioned sinks exceeded the maximum allowable temperature of one-hundred twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezers in the Sprouts and Seedlings classrooms did not contain temperature-measuring devices, therefore, verification that the freezers maintained a temperature of zero (0) degrees Fahrenheit or below could not be determined. The aforementioned freezers were used to store children's food items. 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 review of documentation, the immunization certificate presented for a child (DOE 08/07/23) expired 05/08/24. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the written professional development plans presented for three (3) staff (DOH 05/21/18, DOH 08/02/17, and DOH 12/08/15) were not current, as they were dated for 2022. Additionally, the written professional development plan presented for a staff member (DOH 09/03/15) was dated for 2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation and interview, the child care center failed to maintain regulatory staffing requirements. Observation upon entering into the center revealed 11 children. Interview with the staff in charge revealed the youngest child was one (1) year old. The center failed to maintain maximum group size requirements specific to the age of the youngest child in the group, exceeding the requirement by one (1) child. Continued observation revealed 3 staff members with the 11 children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the records for the employees with the following hire dates contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result: 05/21/2018, 08/02/2017, and 12/16/2022.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the employees with the hire dates of 05/30/2017, 08/02/2017, and 12/08/2015, updated their Pediatric Abuse and Head Trauma training after five (5) years. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the immunization certificates for the children enrolled on 03/20/2023 and 03/20/2022, were not valid. Presented immunization certifications were expired on 01/28/2023 and 01/28/2023. Two children enrolled on 11/02/2022 and 10/12/2022, did not have immunization certifications in their files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation the following was found: the child’s file, who was enrolled on 10/27/2022, did not contain a preferred hospital; the children's files, who were enrolled on 11/02/2022 and 10/12/2022, did not contain a physician's or the preferred hospital's information. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the statement of deficiency and corresponding plan of correction posted for public inspection was dated for the 2020 year. The 2021 inspection and corresponding plan of correction were not available for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that an annual plan for staff development had been completed for eight (8) of eight (8) employees who were eligible. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, and review of documentation, the staff in charge did not present verification of the evaluations assessing the staff persons' interaction with children in care and classroom performance for eight (8) of the eight (8) employees eligible. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the records of the children with the enrollment dates of 10/17/2019, 08/26/2020 and 03/04/2020 had a current immunization certificate. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the 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 submitted to the local emergency management team within the last year. The plan presented was dated for 2018.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of presented staff files, it was revealed that the record for a staff member with the hire date 04/12/2019 did not contain an out of state criminal record check, child abuse neglect check or sex offender registry check from the states of Indiana or Virginia. The staff in charge acknowledged that the out of state background checks from the states of Virginia and Indiana had not been requested for review for the following: criminal record check, child abuse neglect check or sex offender registry. Therefore the requested documentation was unavaiable at the time of survey. Interview revealed the staff member has worked alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of presented staff files it was revealed that the record for staff member with the hire 04/12/2019 did not contain an out of state criminal record check, child abuse neglect check or sex offender registry check from the states of Indiana or Virginia. Interview with the director revealed the requested documentation was unavailable at the time of survey. Further interview with the director revealed the aforementioned staff member has worked alone with children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the two (2) staff members with the hire dates of 01/02/2017 an d 08/02/2017, failed to have record of current tuberculin results or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the staff in charge revealed this information was unavailable at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Records for the children with the enrollment dates of 07/02/2019 and 01/02/2018/ records did not contain a current copy of an immunization certificate. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. The record for a child with the enrollment date of 08/22/2019 records did not contain a preferred hospital. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of children. Interviews with staff revealed that all infants in the Infant room are swaddled or sacked until one (1) year old when they move from the room. Further interviews revealed that not all of the babies were soothed by the swaddling. A review of written documentation and interview revealed that parents repeatedly requested that a 10 month old child not be swaddled, citing child development recommendations and safety hazards, to stop swaddling at approximately 3-4 months of age. Interviews also revealed the possible safety hazards of a child rolling onto his back and not being able to roll back onto his stomach. The child continued to be swaddled despite the parent's plea to end the swaddling practice. Interviews also revealed that swaddlers were not used according manufacturer's intent. The some swaddlers contained holes for the child's arms; however, the child's arms were not placed in the holes.

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 comply with the regulatory requirements. Daily sign in sheets were accompanied by specific children's medication and administration procedures, failing to maintain the confidentiality of the children's medical information. Director Requirements In Compliance Employee Records 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, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of all staff files revealed staff members with hire dates of: 5/30/17, 1/2/17, 8/2/17, and 6/20/17 failed to have documentation of receiving orientation training within the first 3 months of employment. Staff members with hire dates of: 10/26/15, 3/21/16, 4/11/16, 12/08/15 and 6/13/16 failed to have documentation of pediatric head trauma training within the first year of employment. Staff members with hire dates of 10/26/15 and 12/8/15 failed to have documentation revealing 15 hours of cabinet approved training in each subsequent year of employment. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance to regulatory requirements. Based on observation, the staff members in the Seedlings Room applied gloves, then assisted the children with opening their lunch items. The staff members then placed a tablecloth (which had previously been used to cover the floor) under the table to catch the food droppings while continuing to wear the gloves. The staff members then assisted with the children's food items again. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. The refrigerator located in the Toddler Room revealed a thermometer which was not in good repair and failed to display a reading of the temperature in the refrigerator. The refrigerator in the Sprouts room failed to contain a thermometer to determine the temperature in the refrigerator. Both refrigerators contained the lunches children brought from home, and a gallon of milk. Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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. A review of postings failed to reveal the most current statement of deficiencies and civil penalty notice issued by the cabinet during the licensure year, and the plan of correction submitted by the child care center to the cabinet during the current licensure year. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care director failed to assure compliance with regulatory requirements regarding the health, safety, and comfort of a child. Review of video documentation revealed that on June 14, 2017, an employee approach a child who was laying horizontal on the cot, then grasp the child roughly near her armpits causing the entire body to be lifted, up to the staff’s knee level, off the cot with the child’s lower extremities flinging upwards and then landing back on the cot in a forceful manner causing the child to cry.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain supervision in accordance with regulatory requirements. Observation revealed that at 1:27pm - during nap time - the Sprouts classroom was extremely dark resulting in the surveyor not being able to observe any of the children in the room. Staff member had to open the door letting in hallway light so the surveyor could see eight (8 )children ages two and three years old. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed there was no written documentation of staff meetings. Interview with director revealed staff meetings were not conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for two (2) staff members hired 10/26/15 and 12/8/15. Interview with director revealed an evaluation had not been completed for these staff members. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center director failed to assure the compliance with regulatory requirements. Observation of the men’s bathroom revealed a plunger in the third stall which was accessible to children. Interview with director revealed that he was aware of the issue and would address it.

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, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed the staff member hired 8/15/16 listed a West Virginia address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed a West Virginia Criminal Records Check (CRC) was not presented for review at the time of survey. Review of staff files revealed the staff member hired 5/9/16 listed an Illinois and Indiana address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed an Illinois and Indiana Criminal Records Check (CRC) was not presented for review at the time of survey. Review of staff files revealed the staff member hired 8/17/16 listed a Michigan address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed a Michigan Criminal Records Check (CRC) was not presented for review at the time of survey. Interview with director revealed the center failed to complete an out of state CRC for the staff members hired 8/15/16, 5/9/16, 8/17/16. Interview with director revealed the staff members hired 8/15/16, 5/9/16, 8/17/16 had worked alone with children in care. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the staff member hired 8/15/16 listed a West Virginia address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed a West Virginia Criminal Records Check (CRC) was not presented for review at the time of survey. Review of staff files revealed the staff member hired 5/9/16 listed an Illinois and Indiana address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed an Illinois and Indiana Criminal Records Check (CRC) was not presented for review at the time of survey. Review of staff files revealed the staff member hired 8/17/16 listed a Michigan address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed a Michigan Criminal Records Check (CRC) was not presented for review at the time of survey. Interview with director revealed the center failed to complete an out of state CRC for the staff members hired 8/15/16, 5/9/16 and 8/17/16. Interview with director revealed the staff members hired 8/15/16, 5/9/16 and 8/17/16 had worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 1/2/17. Interview with director revealed he was in the process of addressing the issue.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for two (2) staff members hired 9/3/16 and 1/2/17. Interview with director revealed he did not locate this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation of six (6) hours of cabinet-approved orientation was not presented for review at the time of survey for four (4) staff member hired 8/15/16, 8/17/16, 5/9/16 and 6/13/16. Interview with director revealed the aforementioned staff members had not completed orientation. Continued review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for three (3) staff members hired 10/26/15, 9/3/16 and 12/8/15. Interview with director revealed this documentation was not available for review at the time of survey. Further review of staff files revealed the documentation of pediatric abusive head trauma training (PAHT) was not presented for review for three (3) staff hired 10/26/15, 9/3/16 and 12/8/15. Interview with director revealed this documentation was not available for review at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the men’s bathroom, used by children, revealed the ceiling tile above the second stall was cracked around the vent and had the appearance of water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable Food Service 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 2:110 · 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 regulations. Review of children’s files revealed an immunization certificate presented for review at the time of survey for one (1) child did not contain an expiration date. Interview with director revealed this was the only documentation on file at time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 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 regulations. Review of ten (10) children’s files revealed the written records for one (1) child failed to contain preferred hospital information. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for two (2) staff members hired 10/26/15 and 12/8/15. Interview with director revealed a staff professional development plan had not been completed for these staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs presented for review at the time of survey revealed a fire drill was not documented for December 2016. Interview with director revealed the drill was conducted; however, he did not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the earthquake and tornado drill logs revealed an earthquake and tornado drills were not documented for all four (4) quarters of 2016. Interview with director revealed the center failed to conduct earthquake and tornado drills in 2016. Posted Documentation In Compliance Animals Not Applicable

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, observation and interview, the child care center director failed to assure compliance with regulatory requirements. Based on observation, a staff member with a hire date of 12/08/15 was obseved as the sole staff person in the infant room which contained one child in care. Based on a review of documentation, an acceptable result from a CAN check was not processed from this center but from a previous employer. Based on interview with staff in charge, he was unaware of the regulation.

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, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of a CAN check, a staff member with a hire date of 12/08/15 failed to have completed a new CAN check when employment at this facility began. The CAN contained in the file had been processed while the staff member was employed elsewhere. Based on observation, the staff member was working alone in the infant room at the time of the inspection, while caring for one (1)infant. Based on interview with the staff in charge, he was unaware that the CAN was unacceptable when processed through a different provider.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, there were several water spots on a ceiling tile contained in the infant room. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation, a staff member in the infant room failed to wash her hands after wiping a child's nose. Based on further observation, the staff member used hand sanitizer in place of soap and water. Based on interview with staff in charge, the deficiency was acknowledged.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, there were no shelving units in the infant room to house the toys. The toys were contained in a toy box in the adjoining toddler room. Based on interview, the staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, there was no whole milk on the premises for children one to two years old. Based on interview with staff in charge, he was unaware of the requirement.

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 the food service in accordance with regulatory requirements. Based on observation, all of the children bring lunches from home. Based on an inspection of all the lunches brought to the center this day, none of the lunches inspected contained milk. Based on further observation, the milk observed in the center's refrigerator, was 1% and did not meet the requirements of the children under two requiring whole milk, if the milk was supplemented to the lunch meal. Based on interview with staff, he was unaware of the milk requirements needed to meet the lunch requirements. 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 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. Based on a review of documentation, a child with an enrollment date of 10/26/15 failed to have a current immunization certificate contained in the file. Based on interview with staff in charge, the deficiency was acknowledged.

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, and interview, the child care center failed to maintain the children's records in accordance with regulatory requirements. Based on a review of ten children's files, a child with an enrollment date of 12/01/15 failed to contain enrollment information including identified persons allowed to pick up the child, medical history, and a physician's name and number. Children with enrollment dates of 12/01/15 and 10/26/15 failed to have listed in the file a preferred hopital designated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of documentation revealed the center failed to have written proof of liability insurance coverage for the child care center at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to have a Child Abuse & Neglect Check (CAN) on file at the time of survey for the director. Interview with director revealed the CAN was submitted and he received the results; however, he accidentally mailed the original copy of his CAN in with the initial application and did not retain a copy of the CAN on file at the center. Review of staff files revealed the center failed to have a Kentucky Criminal Records Check on file at the time of survey for a staff member hired 9/3/15. 305 - Background checks/discharged Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:090. Section 6. License Issuance. (6) Upon completion of background checks described in subsection (4)(b) of this section, a licensee shall discharge immediately: (a) An individual whose name is listed on the central registry established by 922 KAR 1:470; (b) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, a crime in accordance with KRS 17.165; (c) An individual who is confirmed by an address check of the Sex Offender Registry and supporting documentation as a registered sex offender; (d) An individual who has been convicted of, or entered an Alford plea or plea of guilty to, a drug-related felony, and five (5) years has not elapsed since the person was fully discharged from imprisonment, probation, or parole; (e) A director who has been convicted of, or entered an Alford plea or a plea of guilty to, a felony offense involving fraud, embezzlement, theft, or forgery; and (f) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, an offense under a criminal statute of the United States or of another state similar to an offense specified in this subsection. (7) An individual who has been convicted of, or entered an Alford plea or a plea of guilty to, a nonviolent felony or misdemeanor not specified in this section shall be handled on a case-by-case basis by the licensee with consideration given to the: (a) Nature of the offense; (b) Length of time that has elapsed since the event; and (c) Individual’s life experiences after conviction, Alford plea, or guilty plea.

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 regulations. Review of staff files revealed the center failed to have a high school diploma, GED, or Commonwealth Child Care Credential on file for two (2) staff members hired 9/3/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the child care center revealed the center failed to equip the premises with a working land-line telephone accessible to each room used by a child. Interview with director revealed the center uses cellular phones which remain on the premises instead of a land-line telephone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with the regulations regarding first aid and/or medication. Observation of the center’s first aid supplies revealed the absence of a CPR mouthpiece protector. Interview with director revealed he purchased this item on-line but it has not arrived yet. 660 - Medication Administration Discussed 922 KAR 2:120. Section 7. First Aid and Medicine. (4) Prescription and nonprescription medication shall be administered to a child in care: (a) With a daily written request of the child’s parent. (b) According to the directions or instructions on the medication’s label. 665 - Administration Record Discussed 922 KAR 2:120. Section 7. First Aid and Medicine. (5) The child-care center shall keep a written record of the administration of medication, including: (a) Time of each dosage; (b) Date; (c) Amount; (d) Name of staff person giving the medication; (e) Name of the child; and (f) Name of the medication. 670 - Medication Discussed 922 KAR 2:120. Section 7. First Aid and Medicine. (6) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. (7) Medication shall not be given to a child if the expiration date on the bottle has passed. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.