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

General: Review of the child care center's KARES employment roster revealed that multiple employees, whom the staff in charge reported were no longer employed at the center, remained listed as "employed" on the roster. Supervision In Compliance

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, debris of unknown origin was found on the diaper changing table under the diaper changing pad; therefore, the diaper changing table was not kept in a clean condition.

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 an interview and a review of documentation, two (2) children's (DOE: 01/26/2024 and 01/21/2024) immunization certifications expired on 03/18/2025 and 09/16/2024.

Open Not marked corrected in the state record

Category: health medication. 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, review of the child care center's KARES employment roster revealed that multiple employees, whom the staff in charge reported were no longer employed at the center, remained listed as "employed" within the roster. 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, during a walkthrough of the center at 9:51am, two (2) children were observed exiting Room 10 and walking to a section of coat hooks on the opposite side of the staircase adjacent to the classroom, where the children were not within the scope of vision or range of voice of a staff member. The staff members, who remained inside Room 10 during this thirty (30) second observation, reported that the two (2) children were three (3) years old. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General:Documentation verifying that a staff member (DOH 08/01/23) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the stairs leading to the handwashing sink in Cottage B contained a substantial accumulation of dirt and other debris. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the facility reported that on 6/8/2023, a child's fingers were injured when a staff member unknowingly closed a door with the child's fingers nearby. Director Requirements In Compliance Employee Records 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, a staff member with hire date of 8/1/21 had a negative tuberculosis test on 11/2/2020, therefore it was no longer current at the time of review. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the wooden fence had a broken board that was not in good condition, therefore, needed to be repaired. 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

Open / not marked corrected.

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

General: Based on observation, two sleeping mats were busting on the sides in Room 2, therefore, were not in good repair at the time of the review. 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 refrigerator's temperature in Room 2 was 55 degrees and the temperature of the refrigerator in Cottage A was 42 degrees Fahrenheit. Therefore, the temperature was not 40 degrees Fahrenheit or below at the time of review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezers' temperature in Room 2, Room 1, and Cottage A read 20 degrees Fahrenheit. Therefore, the freezers were not zero degrees Fahrenheit or lower at the time of review. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

General: Based on observation and interview, there were chickens and bunny rabbits in a coop outside on the playground that the kids feed with supervision. Interview with staff member in charge revealed that the written parental consents were on the system which she was unable to access or present at the time of review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, a staff person stated there were twenty-nine (29) children on the playground at the time of the incident. The children were all 4-years-old. The maximum group size was exceeded by one (1) child. General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. 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 provide verification that the child care center maintained a policy for ensuring staff duties during transportation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the center had a current copy of the administrative regulations. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the blue wall in Room two (2) has a section where the paint has peeled away and the concrete wall that was flaking was exposed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 tables in the two-year-old (Cottage A) and Room ten (10) classrooms had discarded crumbs, strands of hair, and unknown debris under the changing pad. Therefore, the changing pads were not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 provide verification that a policy had been maintained for emergency procedures during transportation.

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, the staff in charge did not provide verification that a policy had been maintained for safety procedures identifying loading and unloading of a child. 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 refrigator located in Room one (1) interior had a build up of a sticky substance on the shelves. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Does Not Provide Meals Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Based on observation, of the lunch meal that was served in the two-year-old classroom (room 10) did not meet all of the required components. The children who had sack lunches were not offered a fruit, vegetable, protein or a bread/grain as needed to supplement the sack lunch. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the attendance records for 04/25/2022 and 04/26/2022 did not reflect the times that the children arrived and departed the center.

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 provide verification that the fire and disaster drills had been conducted within the last twelve (12) months. The document presented did not identify the times of the drills or clearly identify the Preschool children by classroom. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the following information was posted and available for public inspection: 1) Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897; 2) Each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year, readily accessible for public inspection; and 3) A description of services provided or current rates for review. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal a completed orientation training within the first three months of employment for a staff member with the hire date of 8/13/20. Staff members with hire dates of 8/8/18, 9/5/19 and 8/14/96, failed to have verification of required PAHT training contained in the personnel file or in an ECE-TRIS report. 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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed an open window in the ladies restroom failed to be covered with a screen to prevent the entrance of vermin.

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 ladies restroom revealed peeling paint in two (2) areas of the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to comply with regulatory requirements regarding the outdoor play area. Based on observation in the monkey bar area, a black plastic area divider was broken, leaving the equipment in disrepair, with a sharp, rough edge.

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 comply with regulatory regulations regarding the outdoor play area. Based on observation, the area under the yellow slide failed to have sufficient ground covering which allowed for the ground to be exposed. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation in Room 1, a red and blue cot was found to be in disrepair with exposed inner foam padding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation in Cottage B, cots covered with bedding, leaning against the refrigerator failed to be stored in a sanitary manner by allowing the blankets to touch against another blanket while being stored. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in Cottage B, Cottage A, and Room 6 revealed unclean refrigerators containing food debris and dried liquids on shelving units. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Observation of the Cottage A Two’s revealed a staff member with hire date 12/27/16 working with two (2) other staff members caring for nine (9) children ranging in age from two- years-old through three-years-old. Review of the presented employee records revealed a staff member with hire date 12/27/16 whose file did not contain documentation to verify that she had initiated the background checks. Review of the KARES report verified that the staff member had not initiated the background checks. Upon request, the director did not present documentation to verify that the aforementioned staff member had initiated the background checks at the time of the survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 12/27/16 whose file did not contain a current annual evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

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 that a complete personnel file was not presented for a staff member with hire date 12/27/16. Upon request, the director did not present a complete personnel file 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 a staff member with hire date 12/27/16 whose file did not contain a high school diploma, GED or other documentation from a comparable educational entity. Upon request, the director did not present the documentation for the aforementioned staff member 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 a staff member with hire date 12/27/16 whose file did not contain a current statement from a health professional that she was free from active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff member 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 two (2) staff members with hire dates 8/5/16 and 12/27/16 whose file did not contain documentation to verify recent completion of the one and one-half (1 ½) hours of pediatric abusive head trauma training. Review of the presented employee records revealed a staff member with hire date 12/27/16 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Review of the presented employee records revealed a staff member with hire date 12/27/16 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. 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 child care center failed to maintain the premises in accordance with regulatory requirements. There was a water stain in the ceiling tile located above the microwave in Room 6 Fours at the time of the survey. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The two (2) white pillows located in Room 2 Fours were stained at the time of the survey. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The white refrigerator located in Room 6 Fours was not in working order at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The white microwave located in Room 1 Fours and in Room 2 Fours was soiled with food debris at the time of the survey. 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 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’s records revealed a child with enrollment date 10/15/18 whose file did not contain the name of the family’s physician. Upon request, the director did not present the documentation for the aforementioned child at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 12/27/16 whose file did not contain a current annual professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff member at the time of the survey. Posted Documentation 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Documentation of the completion of pediatric abusive head trauma (PAHT) training is required for staff members within the first year of employment as well as once every five (5) years thereafter. At the time of survey, the child care center was not able to present current PAHT training for the following: 1) A staff member with a hire date of 8/14/05 had not completed any PAHT training since 1/18/13; 2) A staff member with a hire date of 8/15/12 had not completed any PAHT training since 1/18/13; 3) A staff member with a hire date of 8/15/12 had not completed any PAHT training since 1/18/13; 4) A staff member with a hire date of 8/21/12 had not completed any PAHT training since 1/18/13; and 5) A staff member with a hire date of 10/31/16 had never completed any PAHT training. In addition, the director acknowledged that the child care center was aware that several staff members needed to have their PAHT training updated. 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 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 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 6. Reports.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Interviews and review of documentation revealed: (1) A three-year-old child sustained a fractured femur when he fell off the swing while at the child care center on 10/9/17; and (2) The child received medical treatment for the injury on 10/9/17. Interviews revealed the center had received notification by 10/10/17 that the child had received medical treatment on 10/9/17. An interview and review of DRCC records revealed the center did not report the incident to the cabinet. Director Requirements 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 observation, the child care center failed to comply with regulations regarding director requirements. Observation of the boy’s bathroom in the fun room revealed there was a plunger in the bathroom next to the toilet. Observation of the upstairs hallway revealed one (1) outlet was missing a cover. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed staff members with the hire dates of 09/06/17, 09/12/17, 08/28/17, 09/12/17 and 06/19/17 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

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 childcare center failed to comply with regulations for employee records. Review of presented staff files and review of the ECE-TRIS report revealed the fifteen (15) hours of cabinet approved training were not completed for the staff members with the hire dates 08/01/13, 08/26/08, and 08/05/16. Interview with the director revealed she was not able to verify the training hours were completed at the time of survey. A staff member with a hire date 06/19/17 had not completed state approved orientation training. Interview with the director revealed this information was not available 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 comply with regulations regarding premises. In the following rooms there were several areas of paint chipping from the wall: room 1, room 2, room 8, room 9, and room 10. In the fun room above the air vent there was observed to be a hole in the wall exposing drywall. The carpet in the upstairs hallway was torn and frayed, exposing fabric at the seams causing a tripping hazard. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation in room 8 revealed a green desk with several areas of paint chipping on top of it. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding food service. The freezer in room cottage B revealed that the freezer thermometer registered two (2) degrees Fahrenheit. The freezer in room 8 revealed that the freezer thermometer registered ten (10) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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. The children’s records for a child with the enrollment date of 08/17/2016 did not contain information for an emergency contact. 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. Room 8 had no daily activities posted. Interview with the teacher with the hire date 08/05/16 indicated that the daily activity is placed inside of a binder sitting on the counter top. Animals 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 the child care center failed to maintain employee’s records in accordance with regulatory requirements. The childcare center director was unable to present for that the criminal records check (CRC) had not been submitted/conducted within the required timeframes as required by 922 KRS1:470, for the employee’s with the hire dates of 08/01/2016 and 08/22/2016. The staff members were not observed working alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center director was unable to present for review at the time of the survey that the employee’s with the hire dates of 08/01/2016, 08/05/2016, 08/05/2016, and 08/22/2016 records 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 results. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. The childcare director was unable to present for review that the following staff members with the hire dates of 08/26/2008, 08/01/2013 and 08/01/2015 had met the requirement of Fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement. 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 in the rooms identified as room seven (7) and room eight (8) revealed the baseboards were scuffed and contained chipped paint, in need of repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. The childcare center director was unable to present for review a plan for ensuring staff perform duties relating to transportation properly.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. The childcare director was unable to present for review documentation that the childcare center maintained policies and procedures relating to an emergency plan for evacuating the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to comply with regulatory requirements regarding transportation. The childcare director was unable to present for review documentation that the center had maintained a policy for the safety procedures regarding the transportation of a child, to include loading and unloading a child; and providing adequate supervision of a child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service 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 Observation the child care center failed to maintain food service requirements in accordance with regulatory requirements. Observation the refrigerator unit located in Room 1, revealed the temperature gauge read forty-two (42) degrees. Continued observation in Room 8 revealed the temperature gauge read forty-two (42) degrees. Therefore, the refrigerator’s was not maintained at the required temperature reading of forty (40) degrees Fahrenheit or below.

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 Room 1 and Room 2 revealed that at approximately 11:30 a.m. lunch was being conducted. Further observation revealed the children were not offered or served milk. Therefore the childcare center did not serve or offer all the required components for the lunch meal. Children's 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 3. Records.

General: Based on Review of Documentation the child care center failed to maintain children’s records in accordance with regulatory requirements. The childcare center director was unable to present for review at the time of the survey that ten (10) of the ten (10) records reviewed listed a name of a preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. The child care center director was unable to present for review, 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 updated and submitted to the local emergency management team within the last year. The document presented was dated for September of 2015. 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

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. The childcare center director was unable to present for review that daily attendance record had been completed. Review of the documentation presented revealed that the time of arrival and departure had not been recorded. The information presented only indicated a check mark located beside the child’s name. Posted Documentation In Compliance Animals 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 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 employee files and the staff schedule revealed that the director failed to assure that persons acting as a caregiver of a child in care shall not be left alone with a child if the licensee has not received the results of the background checks. Interview with the staff person in charge revealed that individuals working in the following rooms were left alone with children. Review of employee records revealed the same individuals did not have valid completed Child Abuse/ Neglect check available for review at the time of the inspection: Room 7: Three (3) day Three’s (3’s) - staff with the hire dates of 8/1/13 and 8/1/14 (also did not have a criminal records check for New York). Room 9: Three (3) day and Five (5) day Three’s (3’s) - staff with the hire dates of 8/1/15 and 1/4/16 Morning CHUMS (Before School Care): Staff with hire dates of 8/1/14 and 8/1/13. Room 4: Five (5) day Four’s (4’s) - Two (2) staff members with the same hire date of 8/1/15,one (one of the individuals also failed to have a completed criminal records check for Kentucky as well as for Indiana, where the individual documented a current address of residence).

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 child care center director failed to assure compliance with regulatory requirements. Review of employee files revealed eight Child Abuse/ Neglect (CA/N) checks that appeared to be altered. Interview with DCC representatives confirmed that CA/N checks for employees with the hire dates of 8/1/14, 8/1/15 and two (2) employees with the hire date of 8/1/13 had been altered with the wrong initials and/ or date, falsifying the document. Continued interview with DCC representatives confirmed that an employee with a hire date of 8/1/14 and three (3) employees hired on 8/1/15, failed to have record of a CA/N check being completed through DCC; however, review of employee files revealed completed CA/N checks had been presented for the mentioned employees at the time of the inspection. A written statement was obtained to verify that four (4) of the CA/N documents presented for the staff members mentioned had been altered and four (4) of the CA/N documents did not have record of being run through the DCC office at the time of the inspection. Employee Records

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that three (3) employees with the same hire date of 8/1/15 and an employee with the hire date of 1/4/16 failed to have a CA/N check presented for review at the time of the inspection. Interview with the staff person in charge revealed that the documentation was not available to present at the time of the inspection. Interview with the staff person in charge revealed that individuals working in the following rooms were left alone with children: Room 7: Three (3) day Three’s (3’s) - staff with the hire dates of 8/1/13 and 8/1/14 (also missing a criminal records check for New York); Room 9: Three (3) day and Five (5) day Three’s (3’s) staff with the hire dates of 8/1/15 and 1/4/16; Morning CHUMS (Before School Care): Staff with hire dates of 8/1/14 and 8/1/13; Room 4: Five (5) day Four’s (4’s): Two (2) staff members with the same hire date of 8/1/15 (one (1) of the individuals also failed to have a completed criminal records check for Kentucky as well as for Indiana, where the individual documented a current address of residence). Interview with a DCC representative revealed that CA/N checks presented for review revealed the following for employees with the hire dates as listed below: 8/1/13 – was completed by DCC; however the date on the document presented for review had been tampered with. 8/1/13 – CA/N presented for review is not valid. 8/1/14 – was completed by DCC; however the date on the document presented for review had been tampered with. 8/1/15 – no record of the CA/N check being completed in the DCC office. 8/1/15 – no record of the CA/N check being completed in the DCC office. 8/1/15 – document presented for review has an incorrect completion date and worker initials. 8/1/15 – no record of the CA/N check being completed in the DCC office. 8/1/15 – no record of the CA/N check being completed in the DCC office. Continued review of records revealed that the individuals identified as working in the rooms listed above, without additional supervision, failed to have valid CA/N checks presented to verify that the individuals submitted to background checks in a timely manner and prior to being left alone in the presence of a child until copies of the completed CA/N and or criminal records checks had been received. Ongoing review of employee records revealed that employees not observed alone with children, failed to have out of state background checks presented for review. Employees with the hire dates listed were missing background checks for the following states: 8/1/15 – Kentucky and Indiana; 8/1/15 – Kentucky and California; 8/1/15 – Kentucky, Indiana and Alabama; 8/1/15 – Kentucky and Indiana. Interview with the staff person in charge revealed that the documentation was not available for review at the time of the inspection. 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

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 employee records revealed that employees with the hire dates of 8/1/13, 1/4/16 and three (3) employees with the same hire date of 8/1/15 failed to have current documentation from a health care professional to state that they were free from active TB at the time of the inspection.

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 Review of Documentation, the childcare center failed to maintain adequate supervision at all times by a qualified staff person. Observation of the childcare center on 10/01/2015 revealed two (2) staff members were caring for eighteen (18) four-year-old children in Room 4. Review of documentation revealed the two (2) staff members with the hire date of 08/01/2015 that were present in Room 4 and caring for children were not qualified staff as the results of the Child Abuse and Neglect (CAN) check and Criminal Record Check (CRC) were not available for presentation at the time of the survey due to the personnel files being off site and unavailable for review.

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, Observation and Interview, the childcare center Director failed to assure the results of the required background checks were received prior to allowing staff to have supervisory control over children without a qualified staff member present. Review of documentation revealed the lack of a completed Criminal Record Check (CRC) for five (5) staff members with the same hire date of 08/01/2015. Continued review of documentation revealed the lack of a completed Child Abuse and Neglect (CAN) check for a staff member with the hire date of 08/01/2014 and five (5) staff members with the hire date of 08/01/2015. Observation of the childcare center on 10/01/2015 revealed two (2) of the six (6) aforementioned staff members without the completed CRC and CAN had supervisory and/or disciplinary control over eighteen (18) children in Room 4 without a qualified staff member present. Interview with staff in charge revealed the four (4) other staff members without the CRC and/or CAN check results have not worked alone in classrooms without a qualified staff member present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Observation, the childcare center failed to maintain all background check requirements. Review of documentation revealed the lack of a completed Criminal Record Check (CRC) for five (5) staff members with the hire date of 08/01/2015. Continued review of documentation revealed the lack of a completed Child Abuse and Neglect (CAN) check for a staff member with the hire date of 08/01/2014 and five (5) staff members with the hire date of 08/01/2015. Observation of the childcare center on 10/01/2015 revealed two (2) of the six (6) aforementioned staff members without the completed CRC and/or CAN had supervisory and/or disciplinary control over eighteen (18) children in Room 4 without a qualified staff member present.

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 Interview, the childcare center failed to maintain a personnel file for all staff members. Interview with the staff in charge revealed three (3) staff members with the hire date of 08/01/2015 did not have a personnel file 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, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that four (4) staff members hired on 08/01/2015 did not have a high school diploma, GED or Commonwealth Care Credential on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to ensure that a staff member was free from active Tuberculosis. Record review revealed that a staff member with the hire date of 08/01/2013 and four (4) staff members with the hire date of 08/01/2015 did not have documentation from a health professional to verify that the individuals were free from 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, the childcare center failed to maintain all requirements regarding training. Review of documentation revealed three (3) staff members with the hire date of 08/01/2013 failed to complete fifteen (15) hours of mandatory annual training. Continued review of documentation revealed a staff member with the hire date of 08/01/2014 failed to provide for review a completed Orientation certificate and proof of completion of Pediatric Abusive Head Trauma. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all toilet requirements. Observation of the bathroom near Room 6 revealed a toilet was not in a clean condition as the bowl contained a yellow substance indicative of urine. Hygienic Practices

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 childcare center failed to maintain all medication requirements. Observation of Room 8 revealed diaper rash cream was not kept in a locked container out of reach of children. Outdoor Play Area

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 childcare center failed to maintain all daily attendance records requirements. Review of documentation revealed the daily attendance records did not document the arrival and departure time of each child, the daily attendance records only signified the presence of the child using a checkmark.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain all tornado and earthquake drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the earthquake and tornado drills.

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 all fire drill requirements. Review of documentation revealed that the child care center failed to document the names of the children that participated in the fire drill on the fire drill log.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all records for five (5) years. Review of staff files revealed a Child Abuse and Neglect (CAN) check for a staff member with the hire date of 08/01/2014 and a Tuberculosis (TB) Test and/or Screening for a staff member with the hire date of 08/01/2013 were not presented for review. Review of DRCC records revealed the aforementioned CAN check and TB Test and/or Screening was cited as a deficiency during the survey conducted on 10/16/2014 and proof of the documents were presented with the Plan of Correction, however, the documents could not be located during the survey conducted on 10/01/2015.

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 Review of Documentation, the childcare center failed to maintain all fire drill requirements. Review of documentation revealed the lack of a documented monthly fire drill for February, April, May and September of 2015.

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 childcare center failed to maintain all posting requirements. Review of documentation revealed the lack of a posting regarding 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Interview, the childcare center Director failed to maintain all requirements regarding posted daily activities. Interview with staff in Room 9 and Room 10 revealed the lesson plans for the current week were at the residences of the staff members instead of at the childcare center.

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, the childcare center failed to maintain all diapering postings. Review of documentation revealed the proper methods of diapering was not posted at the diaper changing area in Room 7. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements. Record review revealed that the center liability insurance expired on 9/1/14. Therefore the center failed to have proof of current liability insurance coverage of at least $100,000 per occurrence at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, Observation and Record Review the child care center failed to maintain employee records in accordance with regulatory requirements. Interview with a staff member at 9:31 a.m. in Room Four revealed that the other teacher was taking a child to the restroom. Observation revealed that the teacher returned to the classroom with the child at 9:33 a.m. Record review of employee files revealed that the staff member that took the child to the restroom failed to have a completed Child Abuse and Neglect Check and Criminal Record Check on file at the time of the survey. Continued review revealed that the staff member’s date of hire was 8/1/14. Based on Review of Documentation the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that three (3) staff members with the hire date 8/1/13 failed to have a completed Child Abuse and Neglect Check on file for review at the time of the survey. Continued review revealed that there was no evidence that six (6) staff members with the hire date 8/1/14 Child Abuse and Neglect Check was to request within five working days of their hire date. Further record review revealed no evidence that the six (6) staff members with the hire date 8/1/14 Criminal Record Checks were requested no later than their first day of employment.

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, Observation and Record Review the child care center failed to maintain employee records in accordance with regulatory requirements. Interview with a staff member at 9:31 a.m. in Room Four revealed that the other teacher was taking a child to the restroom. Observation revealed that the teacher returned to the classroom with the child at 9:33 a.m. Record review of employee files revealed that the staff member that took the child to the restroom failed to have a completed Child Abuse and Neglect Check and Criminal Record Check on file at the time of the survey. Continued review revealed that the staff member’s date of hire was 8/1/14. Based on Review of Documentation the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that three (3) staff members with the hire date 8/1/13 failed to have a completed Child Abuse and Neglect Check on file for review at the time of the survey. Continued review revealed that there was no evidence that six (6) staff members with the hire date 8/1/14 Child Abuse and Neglect Check was to request within five working days of their hire date. Further record review revealed no evidence that the six (6) staff members with the hire date 8/1/14 Criminal Record Checks were requested no later than their first day of employment.

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 maintain employee records in accordance with regulatory requirements. Review of employee records revealed that five (5) staff member with the hire date 8/1/14 and a staff member with the hire date 8/1/13 failed to have a high school diploma, GED certificate or other qualifying documents 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, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that two (2) staff members with the hire date 8/1/13 and a staff member with the hire date 8/1/14 failed to have documentation on file stating that they were free of active tuberculosis at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee’s records in accordance with regulatory requirements. Review of employee’s records revealed that (5) staff members with the hire date 8/1/13 failed to complete nine (9) hours of cabinet approved training during their first year of employment. Further review revealed that three (3) staff members with the hire date 8/1/13 failed to have documentation of completing the required six (6) hours of cabinet approved orientation training on file at the time of the survey. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in Room Nine revealed two (2) bags belonging to a teacher sitting on the floor next to the door accessible to the children.

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 Observation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the center failed to post information on the Kentucky Consumer Product Safety Program and the program's website.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in Room Seven revealed that the center failed to post the proper methods of diapering near the diaper changing area. 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 2. Child Care Services.

General: Based on Observation, at 9:30 am surveyor entered a three year old classroom. One staff member was present caring for thirteen children. Observation revealed that the staff member was not compliant with the 1:12 ratio requirement for three year old children. The staff member stated that she had an assistant but that the assistant was taking a child to the restroom at the time. At approximately 9:32am the assistant returned to the classroom with two children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, six staff with the hire date of August 2013 were observed to be working in the preschool classrooms without having documentation of Criminal Record or CAN check on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, four staff with the same hire date of 8-1-13 were observed to be working alone with children and did not have a current CAN check on file at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, nine staff with the same hire date 8/1/13 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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 with the hire date 9/4/96,8/6/93,8/6/05,8/7/11 and eight staff with the same hire date of 8/1/13 failed to have documentation on file from a health professional to verify that each individual was free from active TB.

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 milk being served to the children twenty five months to five years was 2% and did not meet the requirement for this age group. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.

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 Review of Documentation, a current written record that a fire drill had been conducted monthly during the child care center's hours of operation was not available for review at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation, a red climbing structure failed to be anchored. The structure was easily lifted off the ground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation two (2) children had immunization certificates on file that were no longer current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, staff person with a hire date of 8/1990, had a TB test certificate on file that was current through 2/3/11. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room 6: Based on Observation, pushpins, holding children's pictures on a board, were accessible to children. Further observation revealed a screw protruding from a chalk board, approximately half (1/2) an inch, that was accessible to children. Room 9: Based on Observation, pushpins, on a bulletin board, were accessible to children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 41 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 41 Web site: http://chfs.ky.gov/ Inspection Report 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.