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

General: Based on interview and review of documentation, documentation of written, recurring staff meetings was not presented at the time of review. The staff member in charge stated that staff meetings were conducted, but documentation could not be located.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, annual written performance evaluations from 2023 for all staff members employed by the child care center for more than one year were not presented at the time of review. The staff member in charge stated that the evaluations were completed, but could not be located. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the file for two staff members (DOH: 03/15/22 and 08/27/18) did not contain a current negative tuberculosis test, stating the individual is free of active tuberculosis; or a copy of a negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH 03/15/22, 08/06/22 and 08/16/22) failed to complete fifteen (15) hours of cabinet- approved early care and education training during the training year 07/21/22 and 06/30/23. A review of ECE-TRIS verified this information. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two staff members with hire dates of 11/14/2022 and 8/22/2022 did not have the Employment Authorization form in their files. Staff member in charge stated she was unable to obtain documentation, therefore no background results presented at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming 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 review of documentation, the Daily Planned Program in the Tiny Two's classroom was dated December 2022, therefore, was not up to date at the time of review. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a staff member's green jacket hung on a hook and was approximately two (2) feet from the floor in the four-year-olds' and five-year- olds' classroom 204.

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 border of wallpaper was peeled back approximately four (4) feet from the wall throughout the four-year-old' and five-year-olds' restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, nine (9) children did not wash their hands with liquid soap and warm, running water after they ate lunch in the younger II's classroom. Four (4) children did not wash their hands with liquid soap and warm, running water after they ate lunch in the four-year-olds' classroom. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based review of documentation and interview, the center's medication documentation to record the time, date, amount administered, name of medication, name of child and name of person who administered the medication was not available for review. 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: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 12/03/21, did not have an immunization certificate on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the preschool refrigerator freezer located in the kitchen revealed the freezer had a build-up of dried food particles on the bottom shelf of the freezer. Food Service 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 8. General.

General: Observation of the art/bible room revealed there was an electrical outlet that was not cover. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the wooden half (1/2) door located in room 205 revealed there was paint chipping off of the door and the wood was exposed. Observation of the restroom door located within room 205 revealed the metal plate was not attached to the door and door knob, causing the plate to be loose and it contained sharp edges that was accessible to the children. Observation of the rubber baseboard located in the gym revealed it was broken in multiple places and it was partially attached to the wall. Observation of the wall located in the gym revealed there was an electrical outlet that was not attached to the wall was exposing metal and wires. The electrical outlet was hanging eighteen (18) inches above the floor and was accessible to the children. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the home center located within room 205 revealed there were multiple broken floor tiles and missing floor tiles. Observation of the gym floor revealed the tile floor was broken and pieces of the tile floor was missing in several areas of the gym.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the sinks located in the boys' restrooms and the girls' restrooms located off the hallway revealed the hot water temperature measured seventy-three (73) degrees Fahrenheit. Therefore, the aforementioned sinks were not equipped with hot water at a minimum of ninety (90) degrees Fahrenheit and a maximum of one hundred twenty (120) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girls' restrooms located off of the hallway revealed the air vents in each restroom were not working; therefore, there was not a working ventilation system connected to the outside air. 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 13. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the carpet entering into the gym revealed the carpet was not secured to the floor, causing the carpet to fray and buckle. Observation of the two-year-old playground revealed there was a red metal riding toy with three (3) steering wheels that was chipping paint and was rusted. Observation of the large playground revealed there was a metal yellow driving toy that was missing a cap, causing a piece of the play equipment to rust and contain very sharp edges. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen revealed there was not whole milk and low fat one (1) percent or skim milk available if the children did not bring their own. Interview with the staff in-charge revealed that she was not aware that the children had to be served milk with their meals and one hundred (100) percent juice could only be served one (1) time a day. Meal Planning/Center Provides Meals Not Applicable Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for employee records. Review of presented staff records and the KARES surveyor report revealed the file for a staff member with the hire date of 08/28/2017 did not contain a determination of clearance from the Kentucky National Background Check Program (NBCP) for fingerprinting. 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 on the day of survey.

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 regulations. Observation of the kitchen revealed what appeared to be numerous mouse droppings in the lower kitchen cabinet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, interview and observation, the child care center failed to assure compliance with background checks. Review of documentation on 9/11/18 revealed the child care center did not provide verification that two (2) staff members with the hire dates of 8/27/18 had completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. Observation in the Three’s classroom revealed the staff member hired 8/27/18 was the sole caregiver for eleven (11) children age three-years-old from 9:00am until 10:00am. Continued observation revealed in the Four’s classroom the second staff member with hire date 8/27/18 was the sole caregiver of eight (8) children ages four-years-old from 9:00am until 11:00am. Interview with the director revealed the above-mentioned staff members had 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 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 review of documentation, interview and observation, the child care center failed to assure compliance with director requirements. Review of documentation on 9/11/18 revealed the child care center did not provide verification that two (2) staff members with the hire dates of 8/27/18 had completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. Observation in the Three’s classroom revealed the staff member hired 8/27/18 was the sole caregiver for eleven (11) children age three-years-old from 9:00am until 10:00am. Continued observation revealed in the Four’s classroom the second staff member with hire date 8/27/18 was the sole caregiver of eight (8) children ages four-years-old from 9:00am until 11:00am. Interview with the director revealed the above-mentioned staff members had 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 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 four (4) staff members hired 8/27/18. Interview with director revealed she needed to obtain proof of education for these staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed four (4) staff members hired 8/27/18 failed to have records of negative tuberculin results or a statement from a health professional on file. Interview with director revealed this documentation was not on file 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation of current certification by a cabinet approved training agency in Infant and Child First Aid as required for a center licensed for infant, toddler, and preschool children was not presented for review at the time of survey. Review of DRCC records revealed the center’s hours of operation are Monday-Friday 8:00am to 5:00pm. Therefore, according to the staff schedule, the center failed to ensure that at least one (1) person was on duty with the children during the hours of operation certified in Infant and Child First Aid. Interview with the director acknowledged she needed staff trained in Infant and Child First Aid to cover the hours of operation.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report on 9/11/18 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 8/17/15, 8/17/15 and 12/15/16. Continued review of staff files revealed one (1) staff member hired 8/28/17 had not received Pediatric Abusive Head Trauma training (PAHT). Review of staff files revealed one (1) staff member with a hire date of 8/28/17 had not completed state approved orientation training. Interview with director revealed this documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of Room #203 revealed several plastic bags located in an unlocked cabinet under the changing table that were accessible to children in care. Continued observation revealed in Room #111 a bottle of Clorox wipes labeled keep 'out of reach of children' was located on a shelf that was accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of Room #204 revealed a section of baseboard was pulling away from the wall next to the window located in the back of the classroom. 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 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed what appeared to be numerous mouse droppings in the lower kitchen cabinet. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the evacuation plan presented for review at the time of survey revealed the plan was no longer current as it was dated August 2015. Interview with director revealed she needed to update and submit a current evacuation plan. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 and interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed a staff member hired 9/6/13 listed an Alabama address on her Child Abuse & Neglect Check (CAN) signed 9/9/13. An Alabama Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 9/6/13. The director revealed she is not certain if an Alabama CRC was conducted for the aforementioned staff member, but she acknowledged an Alabama CRC was not presented for review at the time of survey. The director revealed this staff member has 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 a staff member hired 9/6/13 listed an Alabama address on her Child Abuse & Neglect Check (CAN) signed 9/9/13. An Alabama Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 9/6/13. The director revealed she is not certain if an Alabama CRC was conducted for the aforementioned staff member, but she acknowledged an Alabama CRC was not presented for review at the time of survey. The director revealed this staff member has worked alone with children in care. 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 child care center failed to maintain employee records in accordance with regulations. 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 one (1) staff member hired 9/1/13. The director revealed she believes the training was completed by the staff member; however, this documentation was not available for review at the time of survey. Documentation of pediatric abusive head trauma training (PAHT) was not presented for review at the time of survey for one (1) staff member hired 8/22/16. The director revealed the PAHT was completed by the staff member; however, this documentation was not available for review 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 In Compliance Children's Records In Compliance Written Documentation 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 5. Evacuation Plan.

General: Based on Review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. The written evacuation plan presented for review at the time of survey did not include: (1) An evacuation route; (2) Procedures for notifying parents of the relocation and ensuring family reunification; (3) Procedures to address the needs of individual children including those with special needs; (4) Instructions relating to the training of staff or the reassignment of staff duties; (5) Coordination with local emergency management officials; and (6) A program to ensure that appropriate staff are familiar with the plan’s components. The director revealed the evacuation plan she presented was the only documentation available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Observation of Room 207 revealed eight (8) children were present on 11/6/17; however, attendance records revealed only five (5) children were signed in. Observation of Room 204 revealed seven (7) children were present on 11/6/17; however, attendance records revealed only five (5) children were signed in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. A current written annual plan for child care staff professional development was not presented for review at the time of survey for one (1) staff member hired 9/6/13. The director revealed a professional development plan was not completed for this staff member.

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. The names of the children who participated in the earthquake and tornado drills from the 1st and 2nd quarter 2017 were not presented for review at the time of survey. The director revealed she could not locate this documentation 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

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. The names of the children who participated in the fire drills from January 2017 - May 2017 were not presented for review at the time of survey. The director revealed she could not locate this documentation at the time of survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of room 208 revealed five (5) uncovered electrical outlets.

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, review of records and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of room 204 revealed a staff member with the hire date 8/22/16 was working as the sole caregiver with eight (8) children at 10:36 am. Review of presented staff files revealed written documentation on the CAN check that the staff with the hire date 8/22/16 had lived in Tennessee in the last five (5) years. Continued review of the staff file revealed the staff member did not have an out of state criminal record check for Tennessee on file. Observation of Jr K room revealed a second staff member with the hire date 8/22/16 was working as the sole caregiver with ten (10) children at 10:47 am. Review of presented staff files revealed written documentation on the CAN check that the staff with the hire date 8/22/16 had lived in New York in the last five (5) years. Continued review of the staff file revealed the staff member did not have an out of state criminal record check for New York on file. Interview with the director revealed she had completed the out of state background checks for the two (2) aforementioned employees, however; she did not present them 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

Open / not marked corrected.

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

Based on Observation, review of records and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of room 204 revealed a staff member with the hire date 8/22/16 was working as the sole caregiver with eight (8) children at 10:36 am. Review of presented staff files revealed written documentation on the CAN check that the staff with the hire date 8/22/16 had lived in Tennessee in the last five (5) years. Continued review of the staff file revealed the staff member did not have an out of state criminal record check for Tennessee on file. Observation of Jr K room revealed a second staff member with the hire date 8/22/16 was working as the sole caregiver with ten (10) children at 10:47 am. Review of presented staff files revealed written documentation on the CAN check that the staff with the hire date 8/22/16 had lived in New York in the last five (5) years. Continued review of the staff file revealed the staff member did not have an out of state criminal record check for New York on file. Interview with the director revealed she had completed the out of state background checks for the two (2) aforementioned employees, however; she did not present them at the time of the survey. Review of staff files revealed a criminal records check not submitted by the end of the first day of employment for a staff member with the hire date 8/22/16. Continued review of staff files revealed a child abuse and neglect check not submitted within five (5) working days after employment for a staff member with the hire date 8/22/16. Further review of staff files revealed written documentation on the CAN check that a third staff member hire date 8/22/16 had lived in Tennessee in the last five (5) years; however there was not an out of state criminal record check for Tennessee on file at the time of the survey. Interview with the director revealed the third staff member had not worked alone with children. The director also stated she had completed the out of state background check; however, she did not present it 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, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed three (3) staff members with the hire date 8/22/16 did not have verification that the six (6) hours of cabinet-approved orientation was completed within ninety (90) days of employment. Review of presented staff files revealed six (6) staff members did not complete fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the director revealed she was unable to verify the staff members had completed fifteen (15) hours of cabinet- approved early care and education training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the women’s bathroom revealed there was not working ventilation to outside air at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the tan freezer revealed there was not an indicating thermometer or appropriate temperature measuring device to determine that the temperature was maintained at zero degrees Fahrenheit or below. 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. Review of children’s files revealed a child with the enrollment date 9/2/16 did not have a current immunization certificate on file.

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 regulatory requirements. Review of ten (10) children’s files revealed the following: 1. Two (2) files did not contain information for the family physician. 2. One (1) file did not contain the parents preferred hospital. Interview with the director revealed she was unable to locate the missing information 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 2:110 · 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 regulatory requirements. Review of posted documentation in room 202 revealed two (2) children’s allergy information posted where other parents or guardians could view the information, therefore resulting in a breach of confidentiality. Review of the two (2) children’s files revealed there was no written permission from the children’s parents to post the information regarding their allergies. Interview with the director revealed there was not written permission from the parents to post their child’s allergies in the classroom. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 regulatory requirements. Review of attendance records in Room 205 failed to reveal an arrival time for the two (2) children in attendance. Continued review revealed a CP writing in the arrival space on the attendance documentation. Interview with staff revealed that CP stands for car pool and the children arrive from car pool at the same time so it was not realized that a specific time was required.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation, two children's information regarding allergies and diapering was not kept confidential. Information regarding the children was posted on a cabinet door in Room 205.

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 outdoor equipment in accordance with regulatory requirements. Based on observation, a small, multi- colored plastic cube with an orange sliding board, had approximately four (4) dime-sized areas in the plastic, where there were rough edges in the area where the children sit before sliding down.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation and interview with staff members, children's lunches are prepared at home and are then heated or re-heated in a microwave. Based on a review of documentation, the center does not have a food permit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation approximately thirteen (13) to fifteen (15) children in Room 103 and Room 204 did not have milk with lunch. Based on interview with staff members, children bring snacks and lunch from home. Based on a review of documentation, the center does not have a food service permit and does not supplement missing components.

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 the food service in accordance with regulatory requirements. Based on observation, a child in Room 103 was not served two fruits or two vegetables, or a fruit and a vegetable at lunch. Based on observation, the child had rice with meat and water for lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, hand sanitizer and diaper medication labeled, “keep out of reach of children” were accessible to children on the diaper changing table located in room #201. Further observation revealed that hand sanitizer and Clorox wipes, labeled “keep out of reach of children”, were accessible to children on the diaper changing table located in room #205.

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, a prescription for medication to be used during diapering was not stored in a locked area out of the reach of children in classroom # 201. This prescription was lying unsecured, on the changing table at the time of the survey. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center did not meet the requirements for a kitchen exemption at the time of the survey, as snack food was served to toddlers and preschool age children by employees using gloved hands to serve portions from a bulk container of cereal and goldfish crackers. Individually wrapped portions were not available to be served at the time of the survey. An interview with the acting director revealed that this regulation was not one that she was familiar with prior to the exit interview on the day of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.