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

General: Based on review of documentation, a staff member (DOH: 08/01/11) had an evaluation on file dated 11/13/19. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a staff member had first aid and CPR certification from an unapproved source, and no other staff member had certification. Therefore, no staff member certified in first aid and CPR skills was present. 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: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 08/01/11) last completed the Pediatric Abusive Head Trauma Training on 09/11/18. 2) A staff member (DOH: 08/11/21) had nine (9) training hours during the subsequent year of employment. 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 Not Applicable Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 08/08/23, did not include a preferred hospital, physician’s name and phone number in the enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) The fire drills did not include a time of which the drill was conducted in August, September, October, and November 2023. 2) The earthquake and tornado drills did not include a time of which the drills were conducted in the third quarter of 2023. 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 observation, information on the Kentucky Consumer Product Safety Program and the program's Web site were not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, caregivers hired on 8/1/11, 8/11/21 and 6/1/12, did not have a written performance evaluation on file. 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 and interview, a caregiver hired on 10/1/09, completed fourteen (14) hours of early care and education training between July 1 and June 30. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 hot water at a sink in the boy's restroom did not dispense from the faucet. Interview determined the sink faucet needed to be repaired. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not Applicable Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child, enrolled on 8/10/22, had an immunization certificate on file that was valid until 9/16/22. A second child, enrolled on 8/10/22, had an immunization certificate on file that was valid until 9/6/21. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, caregivers hired on 10/1/09, 8/1/11, 8/11/21, 6/1/12 and 5/13/21, did not have a written plan for professional development on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 10/16/2021 AND AS OF 10/20/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 11/04/2021 AND AS OF 11/18/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired on 08/01/11, had an annual written performance evaluation on file that was dated 11/13/18. A staff member hired on 06/01/12, had an annual written performance evaluation on file that was dated 03/16/17. In addition, a staff member hired on 11/16/17, did not have an annual written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 and interview, a staff hired on 08/11/2021, did not have education verification on file. 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 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. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Based on observation, interview and review of documentation, eighteen (18) children were not offered a serving of milk during lunch in preschool room #1. In addition, ten (10) children were not offered a serving of milk during lunch in preschool room #3. No dietary restrictions were on file. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, three (3) children enrolled on 06/29/2020, 07/05/20 and 11/30/19 each did not have allergy information listed in the general health section of the enrollment form. In addition, two (2) children, each enrolled on 5/14/19, did not have information on file for staff to contact the child's preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, staff members hired on 08/01/11, 11/16/17, 06/01/12 and 03/16/17, each did not have a written professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center only had one (1) qualified substitute staff person. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, a caregiver hired on 6/1/12, completed Pediatric Abusive Head Trauma Training on 1/3/15 and did not complete the training again within five (5) years. 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, dead bugs were in two (2) light fixtures in the boys’ restroom.

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, brown circles were on two (2) ceiling tiles in preschool room #1. 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 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/31/2020 AND AS OF 01/19/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a forty-two (42) inch tall climbing dome was not anchored to the ground in the outdoor play area. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, interview and review of documentation, the center failed to assure: 1) All child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:405E Section 9 (1). Two (2) caregivers hired on 6/6/07 and 6/1/12, did not complete the mandatory training. 2) A child care provider shall not hold center-wide family events, in accordance with 922 KAR 2:405E Section 4 (9)(b). The center held a center-wide Trunk or Treat event. 3) The maximum group size shall be fifteen (15) children per group for children age twenty-four (24) months and older, in accordance with 922 KAR 2:405E Section 4 (1)(b). Twenty (20), two to five-year-old children were present in preschool room #1.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 10/1/09 TB skin test was dated 6/23/17 and staff hired 6/1/12 TB skin test was dated 10/25/17. Staff hired 10/21/19, did not have a TB documentation on file.

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 hired 10/21/19, did not have education documentation 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 interview and review of documentation, the general liability insurance policy expired on 10/1/19. Interview determined the center had current insurance but could not provide the document.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 12/09/2019 AND AS OF 12/16/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 8/1/11, had an annual written performance evaluation on file dated 9/10/13; staff hired 6/1/12, had a written performance evaluation on file dated 3/16/17, staff hired 6/6/17, had a written performance evaluation on file dated 3/16/17. Staff hired 11/16/17 and 11/19/14, did not have written performance evaluations on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, staff hired 10/1/09, completed pediatric abusive head trauma (phat) on 9/27/14, but failed to complete the training again every five (5) years. Staff hired 10/1/09, had not completed any training; staff hired 8/1/11, completed four and a half (4.50) hours of training; staff hired 7/29/18, completed one and a half (1.50) hours of training; staff hired 6/6/17, completed fourteen and a half (14.50) hours of training and staff hired 6/1/12, completed two (2) hours of 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 4. Premises Requirements.

General: Based on observation and interview, four (4) ceiling lights were not operational in the preschool I classroom. Also, dead bugs were in two (2) light fixtures in the boys' restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area 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 metal frame on a two (2) seated teeter-totter, shaped like a helicopter, was broken on the outdoor play area. 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, a white substance was in the bottom of the refrigerator in preschool I classroom. Also, the ceiling vent in the girls' restroom was dusty. Transportation Not Applicable 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 interview, the center catered food from Little Caesar’s Pizza on Friday but did not have a copy of the restaurant's food service permit. 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, three (3) children each enrolled on 8/16/19, a child enrolled on 7/18/19, a child enrolled on 8/2/19, and two (2) children each enrolled on 9/10/19, had enrollment information which did not liste the name of the child's preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired 10/1/19 did not have an annual written professional development plan on file. Staff hired 8/1/11, professional development plan was dated 8/1/11; staff hired 11/19/14, 6/1/12, 7/29/18 and 11/16/17, did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 07/07/18, did not have education verification on file. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation, a staff, hired on 08/0/11, had an annual written performance evaluation on file that was dated 03/15/17. A staff, hired on 08/06/12, and a staff, hired on 08/15/07, each had an annual written performance evaluation on file that was dated 03/16/17. A staff, hired on 03/01/17, had an annual written performance evaluation on file that was dated 04/19/17. A staff, hired on 05/03/17, had an annual written performance evaluation on file that was dated 04/20/17. A staff, hired on 11/19/14, and a staff, hired on 08/29/17, did not have an annual written performance evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 08/06/12, and a staff, hired on 08/15/07, each completed thirteen (13) hours of cabinet approved annual training hours during the subsequent year of employment. A staff, hired on 03/01/17, completed four and a half (4 ½) hours of cabinet approved annual training during the first year of employment. A staff, hired on 05/03/17, completed six (6) hours of cabinet approved orientation hours on 09/11/17, which was not within the first three (3) months of employment. A staff, hired on 08/29/17, completed six (6) hours of cabinet approved orientation training on 09/10/18, which was not within the first three (3) months of employment. Also, the staff member completed one and a half (1 ½) hours of cabinet approved pediatric abusive head trauma training on 09/13/18, which was not within the first year of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, ten (10), two-year-old toddlers were combined with a preschool-age child for approximately three (3) hours and were not in a transition program on the right side of the two-year-olds' room. In addition, six (6), two-year-old toddlers were combined with a preschool-age child for three (3) hours and were not in a transition program on the left side of the two-year-olds' room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a caregiver’s jacket hung on the wall and was approximately two (2) feet from the floor on the left side of the two-year-olds’ room. This jacket was accessible to children.

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, two (2) opened boxes of top seal plastic bags were stored in an unlocked drawer at the sink in preschool room #2. An opened box of tall kitchen plastic bags was stored on a top shelf of a table used to store a microwave in preschool room #1. A large container of disinfecting wipes was stored on the floor beside the small table used to store a microwave in the preschool room #1. Several empty plastic bags were stored in an unlocked cabinet at the sink in the preschool room #1. These items were accessible to children and were not a part of the planned program of instruction. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a crack, approximately an inch wide and two (2) feet long, was in a shelf in the one-year-olds’ room.

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, a brown stain was on two (2) ceiling tiles in the hallway restroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a two ounce bottle of Tylenol was stored unlocked, in a shelf, located on the right side of the two-year-olds’ room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, grass was underneath two (2) climbing apparatus on the outdoor playground. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, nine (9) children, first date of attendance on 08/08/18, did not have information on file to enable the person in charge to contact the child’s preferred hospital. Also, ten (10) children, first date of attendance on 08/08/18, did not have the name of each person who was designated in writing to pick-up each child. 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, a staff, hired on 08/01/11, had an annual written professional development plan on file that was dated 08/01/11. A staff, hired on 10/01/09, had an annual written professional development plan on file that was dated 08/10/11. A staff, hired on 08/15/07, had an annual written professional development plan on file that was not dated. A staff hired on 08/06/12, a staff hired on 11/19/14, a staff hired on 03/01/17, a staff hired on 05/03/17, and a staff hired on 08/29/17, did not have an annual written professional development plan on file. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center's statement of deficiency and plan of correction during the current year were not posted.

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 proper methods of handwashing was not posted at the diapering station in the restroom of building #2. 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 5. Staff Requirements.

General: Based on Review of Documentation, caregivers hired 8/21/17 and 10/23/17, did not have verification of their education 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, caregivers hired 8/21/17, 10/20/17 and 10/23/17, did not have TB documentation on file. 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 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, a caregiver hired 11/19/14, did not have a performance evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, caregiver hired 10/1/09, completed had eleven (11) hours of training; caregiver hired 8/1/11, had not completed any training hours, and caregiver hired 8/6/12, completed thirteen (13) hours of annual training. Caregiver hired 3/6/17, had not completed orientation training. Caregivers hired 2/16/17, 3/1/17 and 5/3/17, completed orientation training on 9/12/17, which was not within the first three (3) months of their employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, an infant was asleep in a bouncy seat for approximately thirty (30) minutes in the nursery. Premises In Compliance Hygienic Practices In Compliance 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 on Observation, the first aid supplies did not include a flashlight. 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 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the freezer, in the back room of building #2, did not have an indicating thermometer to ensure the temperature was kept a zero degrees Fahrenheit or below. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, caregivers hired 6/6/07, 8/1/11, 8/6/12, 8/19/14, 3/1/17, 3/6/17, 2/16/17, and 5/3/17, did not have a written annual professional plan.

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 Interview, a fire drill for September 11, 2017, was conducted but not documented. Posted Documentation In Compliance Animals 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 6. Sleeping and Napping Requirements.

General: Based on Observation, several mats were not placed twelve (12) inches apart during naptime in the two-year-olds' class.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 18 Nov 16 AND AS OF 21 Nov 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements 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 interview, a caregiver hired 08/12/15, did not have a written annual performance evaluation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 11/19/14, did not complete any hours of training during her first year of employment. A caregiver hired 08/01/11, did not complete one and half (1 1/2) hours of pediatric abusive head trauma training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a preschool child did not wash her hands when she arrived. A preschool child did not wash her hands after she painted. 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, a metal rod was not connected to the top fence bar located on the gate section of the fence. This area was used by the children to exit and enter the outdoor play playground. 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, eight (8) mats had exposed foam and stored in the preschool room. There was chipping and flaking paint on the blue outdoor monkey bars. Transportation Not Applicable 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 9. Food and Meal Requirements.

General: Based on observation and interview, two (2%) percent milk was served during the lunch meal to twenty (20) preschool children on 10/03/16, twenty-one (21) preschool children on 10/04/16, and twenty-two (22) preschool children on 10/05/16.

Open Not marked corrected in the state record

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

General: Based on review of documentation, the weekly menu was not prepared. Interview and review of documentation, the menu was written down on a daily basis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

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

General: Based on review of documentation, two (2) children each enrolled 08/10/16; two (2) children each enrolled 08/01/16; a child enrolled 08/11/16; a child enrolled 08/04/16; a child enrolled 07/28/16; a child enrolled 07/08/16; a child enrolled 07/06/16, and a child enrolled 06/24/13, did not have a preferred hospital documentation. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

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922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09 Nov 15 AND AS OF 12 Nov 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, a caregiver hired 8/12/15, did not have an out of state background check from her previous state of residence.

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, two (2) caregivers hired 11/19/14 and 8/12/15, did not have verification of their education on file.

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, a caregiver hired 6/6/07, had a TB skin test on file dated 5/1/13, and a caregiver hired 8/6/13, had a TB skin test on file dated 10/31/12. Also, a caregiver hired 11/19/14, did not have a TB skin test on file.

Open Not marked corrected in the state record

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

General: Based on Observation and interview, the information on the Kentucky Consumer Product Safety Program and the program's website were not posted.

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

General: Based on Review of Documentation, a caregiver hired 10/1/09, completed seven and a half (7.50) hours of training, and a caregiver hired 6/6/07, completed one and half (1.50) hours of training. A caregiver hired 11/19/14, completed orientation training on 3/10/15, which was not within the first three months of her employment. 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 4. Premises Requirements.

General: Based on observation, candy wrapper, cracker wrapper, facial tissue and a potatoe chip bag were on the outoor playground. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, black fabric weed block was raised above the mulch throughout the playground and was a tripping hazard.

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, there was no protective surface material underneath the Geo dome-shaped climbing equipment.

Open Not marked corrected in the state record

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

General: Based on Observation and interview, five (5) mats were torn and had exposed foam in classroom #2.

Open Not marked corrected in the state record

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

General: Based on Review of Documentation, a child enrolled 8/12/15, immunization certificate was valid until 1/1/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, ten (10) children, enrolled 8/12/15, had enrollment information that did not list the name of the child's preferred hospital.

Open Not marked corrected in the state record

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

General: Based on interview, a caregiver hired 11/19/14, did not have a professional development plan on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

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

General: Based on review of documentation, a caregiver hired 08/07/12, and a caregiver hired 08/06/12, each completed fourteen (14) hours of annual training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, there were no daily planned programs posted in preschool #1, preschool #2 and preschool #3.

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

General: Based on observation and review of documentation, a twelve (12) ounce bottle of Germ-x was located on a two (2) foot tall table with a pitcher of water and cups for the children in preschool room #3.

Open Not marked corrected in the state record

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

General: Based on observation, two (2) boys failed to wash their hands after toileting. One (1) boy failed to wash his hands after he painted.

Open Not marked corrected in the state record

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

General: Based on observation and review of documentation, ten (10) children were served veggie straws for morning snack in classroom 2. The first ingredient was "potato flour".

Open Not marked corrected in the state record

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

General: Based on review of documentation, the written evacuation plan dated January 2012, was not updated in accordance with KRS 199.895.

Open Not marked corrected in the state record

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

General: Based on review of documentation, the date, time and the children who participated was not documented for the December 2013 fire drill. The children who participated in the fire drills for October 2013 and November 2013 were not documented.

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 interview, the December 2013 fire drill was not documented.

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 interview, the earthquake and tornado drills were not conducted for the 4th quarter of 2013, and the 1st and 2nd quarters of 2014. Posted Documentation

Open Not marked corrected in the state record

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

General: Based on observation and interview, the information on the Kentucky Consumer Product Safety Program and the program's website were not posted. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

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

General: Based on review of documentation, and interview each child enrolled did not have written parental consent for the fish at the child care center.

Open Not marked corrected in the state record

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922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 16 Oct 14 AND AS OF 20 Oct 14, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

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

General: Based on review of documentation, the fire marshal report dated 10/28/13, indicated the center was not in compliance and noted a deficiency. The deficiency revealed "E03, exits must be kept visible, unobstructed and available for immediate use at all times during occupancy hours (14.4.1, 2006 NFPA1,ufc)."

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 08/07/12, TB skin test was dated 11/14/11.

Open Not marked corrected in the state record

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

General: Based on review of documentation, two (2) staff (hired 06/06/07 and 08/01/11) had an annual written performance evaluation on file dated 09/19/2011. In addition, two (2) staff (DOH: 08/06/12 and 08/07/13) did not have an annual written performance evaluation on file.

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, a staff (DOH: 08/07/12) did not maintain a criminal records check on file.

Open Not marked corrected in the state record

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

General: Based on observation, three (3) slides and three (3) climbing apparatuses had sparse mulch underneath.

Open Not marked corrected in the state record

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

General: Based on review of documentation, a staff (DOH: 06/06/07) had an undated professional development plan on file. Two (2) staff (DOH: 08/06/12 and 08/07/12) did not have a professional development plan on file. In addition, two (2) staff (DOH: 10/01/09 and 08/01/11) had a professional development plan on file dated 08/01/11.

Open Not marked corrected in the state record

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

General: Based on review of documentation and interview, there was no documentation detailing the names of children who participated in fire drills from October 2012 through May 2013.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, there was no written record of three (3) quarterly practiced earthquake drills during October 2012 through May 2013. In addition, there was no written record of any quarterly practiced tornado drills being conducted during August 2012 through May 2013. Posted Documentation

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

General: Based on observation, the schedule of daily activities was not posted in preschool classroom 1. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report 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

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

General: Based on review of documentation, two (2) caregivers (DOH: 8/6/12 and 8/7/12) had no TB documentation on file. Also, a staff member (DOH: 10/1/09) had TB documentation dated 9/13/10. 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 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. 2) First Aid Not In Compliance Findings: General: Based on review of documentation, no staff member was currently certified in First Aid during the hours of operation. 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 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 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 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. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, a caregiver (DOH: 8/1/11) lacked four (4) hours of training. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, a staff member (DOH: 10/1/09) lacked six (6) hours of training. 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 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

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

Preschool #1: Based on observation, an electrical outlet was uncovered next to a table by the window. 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 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 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 5) Clean Light Fixtures Not In Compliance Findings: Preschool #1: Based on observation, six (6) light fixtures had dead bugs. 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 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs 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. 4) Heaters Not Applicable

Open Not marked corrected in the state record

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

General: Based on observation, an unscreened door was left open at 10:30 a.m. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 206 - Water Supply Requirements 922 KAR 2:120 - Section 4 (9) The water supply shall be: (a) Potable; (b) Protected from contamination; (c) Adequate in quality and volume; (d) Under sufficient pressure to permit unrestricted use; and (e) Obtained from an approved public water supply or a source approved by the local health department. 1) Potable In Compliance 2) Protected In Compliance 3) Adequate Quality/Volume In Compliance 4) Under pressure In Compliance 5) Obtained from Approved water source In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 42 Web site: http://chfs.ky.gov/ Inspection Report 207 - Ground Water Supplies 922 KAR 2:120 - Section 4 (10) Groundwater supplies for a center caring for: (a) More than twenty-five (25) children shall meet the specifications of the Cabinet for Environmental and Public Protection Division of Water, established in KRS Chapter 151; or (b) Twenty-five (25) children or less shall secure approval from the: 1. Cabinet for Environmental and Public Protection; or 2. Local health department. 1) More than 25 children In Compliance 207 - Ground Water Supplies 922 KAR 2:120 - Section 4 (10) Groundwater supplies for a center caring for: (a) More than twenty-five (25) children shall meet the specifications of the Cabinet for Environmental and Public Protection Division of Water, established in KRS Chapter 151; or (b) Twenty-five (25) children or less shall secure approval from the: 1. Cabinet for Environmental and Public Protection; or 2. Local health department. 2) 25 children or less Not Applicable

Open Not marked corrected in the state record

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

General: Based on review of documentation, two (2) children (DOE: 5/3/11 and 6/19/08) had immunization certificates valid until 8/19/12 and 7/3/12. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 38 of 42 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Surveyor observed, and interview with the director determined two (2) electrical outlet did not have safety covers. 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 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 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 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.

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

Surveyor observed four (4) children were with a photographer and high school student in a grassy area across the street. Interview with the director determined she did not have written permission for each child to be off the premises with the photographer and high school student. Surveyor observed no caregiver was present with these children. Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.