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

General: Based on interview and review of documentation, two (2) staff members (DOH: 09/12/25 and 10/16/25) were not first aid/CPR trained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1) Two (2) staff members (DOH: 09/12/25 and 10/16/25) had not completed six (6) hours of cabinet approved orientation training within the first three (3) months of employment. 2) A staff member (DOH: 09/28/15) completed pediatric abusive head trauma training on 01/12/21 and did not complete the training again every five (5) years.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1) A black plastic bag covered the second toilet in the women's restroom outside the gym. 2) Urine was inside the first toilet in the men's restroom outside the gym. Hygienic Practices 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 and interview, an empty blue plastic bag, a candy wrapper, a gray glove, a gray make-up kit, wadded up paper, and a clear plastic wrapper were on the floor of van #3.

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, a child, enrolled on 11/03/25, had an immunization certificate valid until 01/18/26.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the following was found: 1. Two (2) staff members (DOH: 10/15/21 and 12/02/24) were present at the center. A review of the center's Kentucky Applicant Registry Employment System (KARES) report determined the staff members were not listed on the center's KARES report. Therefore, the staff members did not complete required background checks and be found to have no disqualifying offense prior to becoming a childcare staff member. 2. A staff member (DOH: 05/23/24) was not listed on the center’s KARES report. Therefore, the staff member did not complete required background checks and be found to have no disqualifying offense prior to becoming a childcare staff member. 3. A staff member (DOH: 07/18/19) determination status was eligible-expired, and the determination date was dated 07/23/19. Therefore, the childcare provider did not request a background check each five (5) year period of employment for the current childcare staff member. 4. A staff member (DOH: 11/11/19) determination status was eligible-expired, and the determination date was dated 11/14/19. Therefore, the childcare provider did not request a background check each five (5) year period of employment for the current childcare staff member. 5. A staff member (DOH: 12/03/24) was not listed on the center’s KARES report. Therefore, the staff member did not complete required background checks and be found to have no disqualifying offense prior to becoming a childcare staff member. The center's KARES report was reviewed on 02/03/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 02/22/16) was a current employee listed under separated employees on the center's KARES report. The staff member had an eligible determination status. Therefore, the staff member's employment status was not maintained. The center's KARES report was reviewed on 02/03/25. Supervision 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 observation and interview, the following was found: 1. Two (2) electrical outlets located between two (2) windows were uncovered in room B. 2. An electrical outlet located between two (2) sinks was uncovered in the boys’ restroom near the gym. 3. Two (2) electrical outlets located below a welcome sign and next to a desk were uncovered in the library. 4. An electrical outlet located below a mounted mirror on the wall was uncovered in the fine arts room. 5. Two (2) electrical outlets located between a desk and file cabinet were uncovered room A.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A staff member (DOH: 07/30/20) did not have an annual written performance evaluation on file. 2. A staff member (DOH: 12/14/20) had an annual written performance evaluation on file that was dated 10/27/23. 3. A staff member (DOH: 09/12/22) had an annual written performance evaluation on file that was dated 10/10/23. 4. A staff member (DOH: 08/25/23) had an annual written performance evaluation on file that was dated 11/03/23.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 11/12/24) did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 10 of 33 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A staff member (DOH: 02/22/16) had TB documentation dated 11/01/22. 2. A staff member (DOH: 03/14/16) had TB documentation dated 10/28/22. 3. A staff member (DOH: 12/14/20) had TB documentation dated 12/6/22. 4. A staff member (DOH: 11/04/21) had TB documentation dated 08/06/21. 5. A staff member (DOH: 10/16/22) had TB documentation dated 10/13/22. 6. A staff member (DOH: 05/30/24) 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 interview and review of documentation, a staff member (DOH: 09/05/11), first aid and CPR certification had expired on 09/15/23. A review of the center’s transportation log indicated the staff member was a driver of the center's van and drove van #5 on 01/28/25 and 01/29/25. Interview with the staff member indicated she was lone driver on 01/28/25 and 01/29/25. Therefore, there was not at least one (1) person with current first aid and CPR certification on duty and present with children on van #5 on 01/28/25 and 01/29/25.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, six (6) staff members (DOH: 09/10/18, 07/18/19, 07/23/20, 08/23/21, 11/14/21, and 10/14/21) were not CPR/First Aid trained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A staff member (DOH: 02/22/16) completed fourteen and a half (14 ½) hours of training in the subsequent year of employment. 2. A staff member (DOH: 09/12/22) completed five and a half (5 ½) hours of training in the subsequent year of employment. 3. A staff member (DOH: 05/30/24) completed the six (6) hours of cabinet approved orientation training on 11/11/24, which was not completed in the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. Three (3) drivers (DOH: 08/21/23, 11/15/08, and 01/10/22) each had a driver’s history record on file dated 10/19/23. 2. A driver (DOH: 09/05/11) did not have a driver’s history record on file. Programming 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 and interview, an empty Cirkul Bottle was on the floor next to the door located in the fine arts room. Interview determined staff members did not know the Cirkul Bottle was in the room and who it belonged to.

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 and interview, the following was found: 1. Dark stains and dried rust marks were on the tile floor located in room B. 2. Dark stains, dried gum, and small particles were on the tile floor located in the library. 3. Dark stains were on the tile floor located in room A. 4. Small fine particles were on a solar printed area rug located in the library. In addition, one end of the solar printed area rug was curled up.

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 and interview, the following was found: 1. A waste receptacle overflowed with a paper towel on the floor in the girls’ restroom near the gym. 2. An unknown white substance was on the wall below a fire sensor located in the boys’ restroom near the gym. Interview determined it was unknown how the substance formed on the wall.

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 and interview, a one (1) inch long tear was in a red and blue diaper changing pad located on a diaper changing station in the two-year-olds' room.

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 and interview, black plastic weed block was raised above the protective surface and presented a tripping hazard in the small and large outdoor play areas.

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 and interview, the following was found: 1. Food particles were under a crib mattress in the infants’ room. 2. Food particles were on a purple colored fitted sheet on a crib mattress in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, small tears that exposed the foam were in two (2) blue mats in room B.

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 and interview, the following was found: 1. Smears were across two (2) crib’s plexiglasses located in the infants’ room. 2. A quarter size pink stain was on an oversized bean bag in the library.

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 and interview, the following was found: 1. A seat belt buckle was missing from the first seat of the second row located on van #4. Interview determined the seat belt buckle was broken and a replacement had been ordered. 2. Fine particles and small pieces of paper were scattered on the floor of van #3, van #4, and van #5.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, emergency procedures were not practiced in July 2024 through December 2024, by staff members who transported children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the following was found: 1. There was no thermometer included in the first aid supplies located in van #3. 2. A flashlight was inoperable in the first aid supplies located in van #4. 3. There was no flashlight included in the first aid supplies located in van #5.

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, a child enrolled on 10/14/24, had an immunization certificate valid until 10/31/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A staff member (DOH: 11/15/08) had an annual professional development plan dated 10/01/23. 2. A staff member (DOH: 07/23/20) did not have an annual professional development plan on file. 3. A staff member (DOH: 12/14/20) had an annual professional development plan dated 10/02/23. 4. A staff member (DOH: 09/12/22) had an annual professional development plan dated 10/10/23.

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 and review of documentation, the following was found: 1. Quarterly practiced earthquake, tornado, and lockdown drills were not conducted in the third quarter of 2024. 2. A quarterly practiced tornado drill was not conducted in the fourth quarter of 2024. Posted Documentation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on video footage dated 09/27/24 and interviews, three (3) staff members took eight (8), two-year-old children to the indoor gym at 8:30 am on 09/27/24. At approximately 8:45 am, the staff members counted the children and discovered a child was missing. The responsible staff members immediately searched indoors and outdoors. While outdoors, an individual from across the street, informed the staff members they had discovered two (2) children alone outside. The two (2) children left the child care premises, crossed a high-traffic street and the individuals retrieved the children as they attempted to walk up the steps of a home residence. The individuals took the two (2) children to their facility. Review of video footage determined the two (2) children left the gym at approximately 8:45 am. Walked along the fenced outdoor play area, into the parking lot and crossed a high- traffic street. Individuals retrieved the children and took them inside a facility. The responsible staff members went to the facility at 8:48 am to retrieve the children. The children return to the center at 9:00 am on 09/27/24. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of video footage dated 09/27/24 and interviews, two (2) children's health, safety and comfort were not met as evidenced by the following: Three (3) staff members took eight (8) children to the gym at 8:30 am on 09/27/24. At approximately 8:45 am, the staff members counted the children and realized a child was missing and immediately began to look indoors and outdoors for the child. At this time, the responsible staff members were not aware two (2) children were missing. After the search began, staff members realized two (2) children were missing. Interviews determined individuals from a local business saw the children outside alone and took the children inside their facility. The individuals saw the licensed child care staff members outside and informed the responsible staff members they had two (2) children who were outside alone. The responsible staff members went to the facility at 8:48 am, retrieved the two (2) children and returned to the center at approximately 9:00 am. Interviews also revealed one (1) child had on socks but no shoes. The two (2) children were wet because it was rainy and windy outside on 09/27/24. Interviews further revealed the gym door, the two (2) children used to exit the center, did not properly latch and was left open on 09/27/24. 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 interviews and video footage dated 09/27/24, the gym's exit door was opened approximately a half (1/2) inch at 8:45 am on 09/27/24. Interviews determined the door the alarm on the door had been broken for over a year and the door would have to be pulled to properly close.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center had one documented staff meeting dated 01/05/24. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the following was found: 1) A staff member (DOH: 01/03/24) was listed under the separated employees in the Kentucky Applicant Registry and Employment Screening (KARES) report. The staff member was present at the center in the infants’ room. Interview determined the staff member had left the center and returned after a year. 2) A staff member (DOH: 07/23/20) had not submitted her fingerprints and was present in the kitchen. The applicant history report indicated the file was closed on 08/28/21. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a crib with a purple fitted sheet had a three (3) inch thick mattress and a one (1) inch thick mattress located in the infants’ room. The crib’s label indicated “Use ONLY the mattress provided by the manufacturer (which must be at least 37-3/4 inches (96cm) long by 23-3/4 inches (60.4 cm) wide and not more than 3 inches (7.6 cm) thick.” Therefore, both mattresses together exceeded three (3) inches. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 11. Staff Requirements.

General: Based on review of documentation, a staff member (DOH: 09/27/21) had TB documentation on file dated 01/21/21.

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, the following was found: 1) A staff member (DOH: 08/30/21) had no training hours during the subsequent year of employment. 2) A staff member (DOH: 2/22/16) had one (1) hour of training during the subsequent 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 6. Sleeping and Napping Requirements.

General: Based on observation, a three-month-old infant was asleep in a crib and swaddled with a thick gray blanket located in the infants’ room. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, black fabric weed block was above the rubber mulch in several areas located on the older children’s outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) Seats were stained with dark spots on van #4 and van #5. 2) Fine particles were on the vans floor in van #3, van #4, and van #5. 3) Van #2’s rear view mirror was detached from the front window and located in a box between the van’s driver and front passenger seats. 4) Van #2’s exterior had peeling white paint and large areas of rust. 5) A screw protruded from the frame on the right-side foot pedal of a tricycle located in the outdoor basketball court. 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 Not Applicable 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, a child enrolled on 02/27/23, had an immunization certificate on file valid until 10/02/23. 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 3. General Requirements.

General: Based on interview, a staff member placed a cellphone, keys, and an electronic cigarette on a desk in a classroom on 07/28/23. Interview determined the staff member’s personal items were accessible to children in care. Children's Records In Compliance Written Documentation 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 child enrolled on 09/01/23, had an immunization certificate on file valid until 10/02/23 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 04/03/19, did not include a phone number for the individuals listed as emergency contacts in the enrollment information. 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 member (DOH: 12/14/20) had a professional development plan on file dated 10/27/22.

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, two (2) caregivers hired on 4/29/19 and 4/3/17, completed thirteen (13) training hours, a caregiver hired on 4/16/18, completed twelve (12) training hours, a caregiver hired on 2/22/16, completed six and a half (6 1/2) training hours and a caregiver hired 11/11/19, completed twelve (12) training hours. Each caregiver completed the training hours during the subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 8/8/12, was a driver and had an annual driver history record check on file that was dated 4/13/21. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, black fabric weed block was raised above the mulch and created a tripping hazard in the small outdoor play area and large outdoor play area. Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a thermometer was not in the refrigerator located in the infants' room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, two (2) caregivers each hired on 10/15/21, were under the age of eighteen-years-old and did not have a name based criminal records check on file. A caregiver hired on 12/14/20, had named based criminal records check and child abuse and neglect check on file, but was not listed in KARES. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

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 2/22/16, had TB documentation on file that was dated 8/21/19. 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 2/22/16, completed ten (10) hours of training during a subsequent year of employment. A caregiver hired on 11/15/08, completed fourteen (14) hours of training during a subsequent year of employment. A caregiver hired on 8/21/17, completed twelve (12) hours of training during a subsequent year of employment. 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, brown circular stains were on three (3) ceiling tiles in the cafeteria. A brown circular stain was on a ceiling tile in the hallway near room C. Chipped paint was on a wall above the lockers in the women’s restroom near the gym. Also, chipped paint was on a wall on the left hand side in the men’s restroom near the gym. A six (6) foot long area was missing a baseboard at the entrance of the men’s restroom near the gym. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, black fabric weed block was raised above rubber mulch in several areas in the older children’s 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 13. Toys and Furnishings.

General: Based on observation, a three (3) inch long tear was on a child size, white vinyl couch in the infants’ room. A two (2) inch long tear was on a child size, white vinyl ottoman in the infants’ room. The tear on the couch and ottoman exposed foam. Smears were on the plexiglass of four (4) crib in the infants’ room. Smudges and fingerprints were on a mirror in room B. A mounted wall mirror had a forty-eight inch long crack and a second mirror had a twenty-one (21) inch long crack in the Fine Arts Room. A black, circular pad was missing off the swing around play equipment in the older children’s outdoor play area. A four (4) inch long crack was on the seat of a red tricycle and a three (3) inch long crack was on the seat of a second red tricycle on the basketball court. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, first aid supplies was not in the center's van #2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the inspection report for the center's 2015 Ford Transit Van (van #4) was dated 12/15/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) Harmony Juvenile Products Car Seats were in van #3, twelve (12) Harmony Juvenile Products Car Seats were in van #4, and four (4) Harmony Juvenile Products Car Seats were in van #2. The car seats each had a label which indicated, “Do not use this car seat after 2021.” Also, two (2) Little Tikes Car Seats were in van #4 and had a manufactured date of 4/10/15, which indicated they were more than six (6) years old. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper methods of diapering was not posted at the diaper changing station in room C restroom. Animals Not Applicable

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, a Bounce N Learn trampoline was in use by several children in the gym. An interview with a representative from the trampoline's manufacturer determined the trampoline was for home and residential use only. 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, three (3) caregivers hired on 8/8/12, 9/5/11, and 12/10/13, did not have an evaluation on file. Also, a caregiver hired on 11/11/19, had an evaluation on file that was dated 10/30/19. 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, a caregiver hired on 9/14/20, completed six (6) hours of cabinet approved orientation training on 12/15/20, which was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two (2) drivers hired on 7/21/16 and 8/8/12, had an annual driver history record check on file that was dated 1/21/20. 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 observation, pop music from a television played in the infants’ 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 bottle of Wipe Out Wipes and a sixty-four (64) ounce bottle of Hand Sanitizer were on a table and was accessible to children in the gym. The labels on the wipes and hand sanitizer indicated to “Keep Out of Reach of Children.”

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, chipped paint was on a wall on the left hand side in the men’s restroom near the gym. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, fabric weed block was raised above the protective surface in the older children’s outdoor play area. Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a pre-trip inspection was not conducted for van #4 prior to use on 3/1/21. Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 3/18/19, and a child enrolled on 9/7/20, did not have the phone number of each person to be contacted in an emergency situation involving or impacting the child. A child enrolled on 1/31/20, did not information on file for staff to contact the child’s physician. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation and review of documentation, the center failed to asssure : 1.) Machine washable toys shall not be used, in accordance with 922 KAR 2:410E Section 6. Five (5) stuffed toys were in the one-year-olds’ room, three (3) stuffed dolls were in the one-year-olds’ room, a stuffed doll was in classroom A, and three (3) stuffed toys were in classroom B. 2.) New staff shall undergo name-based background and shall not be left alone with children until name-based background checks have been approved and returned, in accordance with 922 KAR 2:410E Section 11. Three (3) caregivers hired on 12/14/20, 12/4/20, and 9/14/20, did not have a processed name-based criminal records check on file. 3.) 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 2:410E Section 9. Two (2) caregivers hired on 12/4/20 and 9/14/20, did not complete the mandatory training.

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 documents, staff hired 5/15/14, personnel file did not include proof of education qualification.

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 10/4/10, completed fourteen and a half (14.50) hours of cabinet-approved early child care education training. Staff hired 2/1/16, completed seven and three-fourths (7.75) hours of cabinet-approved early child care education training during their subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 exposed throughout on the large outdoor play area and on the toddlers' 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, the chains of five (5) swings were rusty in the large outdoor play area. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child, start date 10/1/19, enrollment information did not include the name of the child's physician. 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, eight (8) children were present but only seven (7) had documented arrival times in the one-year-olds' room. In addition, twenty five (25) parents had signed the DCC-94 attendance record on 1/23/20 for the week ending on 1/24/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, six (6) children's allergy information was posted, in plain view, on the wall in the two-year-olds' room. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, sixteen (16), three-year-olds' were not adequately supervised when the lights were turned off and the room was pitch black during naptime on 10/10/19 in the three-year-olds' room. Also, twelve (12) children were not adequately supervised when the lights were turned off and the room was pitch black during naptime on 10/10/19 in the one-year-olds' room. Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's pick-up policy stated, "If a person other than the parent picks up the child, picture identification is required. If the person is not on the pre-approved pick up list and will be picking up the child, the director must be notified in advance of the pick-up person, in person. The person’s full name is required. Phone notifications are not valid. The center's pick-up policy was not followed by staff when a person, who was not on the pre-approved pick up list was allowed to pick up a child from the center on 10/03/19 without the director being notified in advance of the person's full name. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: supervision. 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 person, who was not designated by the guardian to pick-up the child, was allowed to pick up child from the center on at 11:16 am 10/03/19. Employee Records In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a person, who was not designated in writing, was allowed to remove a child from the center at approximately 11:16 am on 10/03/19.

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 09/05/11, had an annual performance evaluation on file that was dated 06/06/18. Employee Records 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, no one present with the children during a field trip on 05/17/19, was certified in First aid and CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the video dated 04/23/19, revealed a two-year-old child stood by the door, which exited to the hallway. A caregiver walked over to the two-year-old child, took the two-year-old by one (1) arm, The two-year-old fell to the floor as he resisted. The caregiver took the two-year-old by each of his arms, attempted to stand the two-year-old up but the two-year-old child refused and dropped to his knees. The caregiver grabbed the two-year-old underneath his shoulder, while she attempted a second time to stand the two-year-old up. The two-year-old fell onto his side. The caregiver took each of her hands, lifted and swung the two-year-old child around. The caregiver raised the two- year-old’s arms above his head, while she walked and assisted the two-year-old to the playground door. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 8. General.

General: Based on interview and review of documentation, the center did not have a written discipline policy. Interviews determined the center had a verbal policy for redirection and time-out was used for the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a staff supervised eleven (11), two and three-year-old children for approximately two (2) minutes on 03/21/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, a staff member took a three-year-old child into the women's restroom, pulled down her own pants and underwear and urinated in the toilet while the child laid on the restroom floor in the same stall as the staff member on 03/21/19. Employee Records In Compliance 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, two and three-year-olds' were combined daily for more than an hour and were not in a transition program in the two and three-year- olds' room. Children's Records 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, interview and review of documentation, a caregiver pulled a child's hair to force the child to lie down on a cot at nap time. This incident happened in the three and four-year-olds' room at approximately 12:00 pm on 04/08/19. The child immediately grabbed her hair where the caregiver had pulled and screamed. The caregiver then placed the child's blanket over the child's head. 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, a staff, hired on 02/27/19, did not have education verification on file. Children's Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a substitute hired on 8/21/17, had not completed the background checks in accordance with the administrative regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a cook hired on 7/11/18, was an ineligible staff and present at the center. There was no documentation of a requested informal/rehabilitative review. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a substitute hired on 8/21/17, did not have an 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, two (2) cooks hired on 7/11/18 and 9/10/18, did not have a TB skin test 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, a director hired on 7/21/16, last completed the Pediatric Abusive Head Trauma Training on 12/31/13; a staff member hired on 8/8/12, last completed the Pediatric Abusive Head Trauma Training on 12/5/13; two (2) caregivers hired on 9/5/11 and 10/4/10, last completed the Pediatric Abusive Head Trauma Training on 12/6/13; a caregiver hired on 12/10/12, last completed the Pediatric Abusive Head Trauma Training on 10/14/13, and a caregiver hired on 2/1/16, last completed the Pediatric Abusive Head Trauma Training on 7/12/12. A staff member hired on 8/8/12, lacked three and one quarter (3 1/4) hours of training; a caregiver hired on 2/1/16, lacked ten (10) hours of training, and a caregiver hired on 12/18/17, lacked seven and a half (7 1/2) hours of training. 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 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 12. Transportation.

General: Based on Review of Documentation, there was no transportation route to and from Owensboro Middle School.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, each driver completed the children's transportation records after each trip. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the children were served chicken salad, macaroni salad, peaches, and crackers for lunch. Therefore, the children were not served a second fruit or a vegetable. Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, five (5) children were present, but only two (2) children had a documented arrival time in the one-year-olds' room.

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 substitute hired on 8/21/17, did not have a professional development plan on file. Also, a director hired on 7/21/16, had a professional development plan on file dated 1/10/18. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, a 25-month-old child turned off the lights in the two-year-olds' room at 5:09 p.m. on 8/20/18. Interview determined that after the child turned off the lights, the caregiver, hired on 5/1/18, took the child to a restroom in the two-year-olds' room, turned off the lights, and closed the restroom door. Approximately 34 seconds later, the child’s mother arrived, found the child crying in the restroom, removed the child and left the center. The caregiver did not implement the center's Neglect, Mistreatment, and Abuse of Children's Policy which indicated the executive director would not condone or accept any abuse or neglect of any child under any circumstances by an employee or visitor. Neglect, mistreatment and abuse included the following, “Failure to provide for basic care of physical or emotional needs of a child” and “Punitive or inappropriate restrictive measures against a child.” Therefore, the director did not ensure the caregiver implemented the center's policies.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and interview, a caregiver placed a 25-month-old child in the two-year-olds' restroom at 5:09 p.m. on 8/20/18. The screaming child was in the dark restroom with the door closed for approximately 34 seconds. The child was unable to open the restroom door. The child's mother arrived and removed the child from the restroom and left the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, an assistant director hired on 8/14/12, lacked 3.25 hours of training. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, a 25-month-old child turned off the lights in the two-year-olds' room at 5:09 p.m. on 8/20/18. As a form of discipline, a caregiver (hired on 5/1/18) placed the child in the two-year-olds' restroom, turned off the lights and closed the door. The screaming child was in the restroom for 34 seconds. The screaming child's mother arrived and immediately removed the child from the dark restroom. Therefore, the child's discipline was associated with toileting.

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 caregiver hired on 6/30/15, pulled a three-year-old child's left ear twice while in the three-year-olds’ classroom. Also, the same caregiver pulled a second three-year-old child by the hood of his jacket, and walked him to the back of a line of children in the three-year-olds’ classroom. This same caregiver then placed her hand on the child's head to make him sit down while they were in the gym. Each of these incidents occurred on 2/12/18. The center's Neglect, Mistreatment, and Abuse of Children Policy stated, "Neglect, mistreatment and abuse includes, but is not limited to: Any type of inappropriate physical force applied to a child, which could cause physical or emotional damage.” Therefore, the caregiver did not follow the center's policy when she pulled a child's left ear and pulled a child by the hood of his jacket and forced a child to sit by placing her hand on the child's head.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interviews and Review of Documentation, a caregiver hired on 6/30/15, pulled a three-year-old child's left ear, twice, while in the three-year-olds’ classroom. Also, the same caregiver pulled a second three-year-old child by the hood of his jacket, and walked him to the back of a line of children in the three-year-olds’ classroom. This same caregiver then placed her hand on the child's head to force him sit down while in the gym. Each of these incidents occurred on 2/12/18. Programming In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff, hired on 04/13/15, and a staff, hired on 12/10/12, had an annual written performance evaluation on file that was dated 01/03/17. A staff, hired on 05/15/14, and a staff, hired on 09/05/11, had an annual written performance evaluation on file that was dated 01/05/17. A staff hired on 10/04/10; a staff hired on 01/25/12; a staff hired on 09/28/15, and a staff hired on 20/01/16, each had an annual written performance evaluation on file that was dated 01/27/17.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an electrical outlet was uncovered in the four-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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.

General: Based on review of documentation and interview, a staff, hired on 04/03/17, did not submit a criminal records check and a child abuse/neglect check. This staff had a criminal records check and child abuse/neglect check on file from another center.

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, a staff, hired on 12/18/17, did not have education verification 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 and interview, a staff, hired on 02/01/16, did not complete any training hours during the first year of employment. A staff, hired on 03/14/16, completed four and a half (4 ½) hours of cabinet approved training during the first year of employment. A staff hired on 09/30/13 and a staff hired on 04/13/15, each completed six (6) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 05/15/14, did not complete any hours of cabinet approved training during a subsequent year of employment. A staff hired on 09/05/11 and a staff hired on 01/25/12, each completed twelve (12) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 08/08/12, completed two (2) hours of cabinet approved training during a subsequent year of employment. 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, two (2) wadded up plastic bags were stored under the kitchen sink. A pair of sharp, adult scissors and two (2) rolls of plastic bags were stored in a drawer, and two (2) bottles of glass cleaner, labeled “Keep out of reach of children", were stored in a cabinet under the sink in the one-year-olds’ room. A bottle of concentrated car wash soap, labeled “Keep out of reach of children", was stored in a bucket on the floor in school-age room B. A pair of adult scissors and a caregiver’s keys were on a table in the four-year-olds’ room. A caregiver’s purse and jacket were stored in a cabinet in the two-year-olds’ room. All of these items were accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 light shield was broken in the cafeteria.

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 stains were on nine (9) ceiling tiles in the cafeteria. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a hole was in the diapering surface in the one-year-olds’ room. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, empty fruit snack, cookie wrappers and small chip bags were on the two-year-olds’ playground.

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, small puddles of water were underneath the playhouse and at the entrance of the playhouse on the older children’s playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 6. Sleeping and Napping Requirements.

General: Based on observation, a crib mattress was torn in the infants’ room.

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, two (2) adult chair cushions were torn and exposed foam in the cafeteria. Also, the seat of an adult chair had collapsed on the outdoor basketball court.

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, a metal piece protruded approximately two (2) inches on a bowed wooden piece underneath the first bleacher in the gym. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the driver of van #1 and the driver of van #3 each completed the transportation records during the week of 01/22/18. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, a child, first date of attendance on 12/15/16, did not have information on file to allow the person in charge to contact the child’s preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center’s written plan for evacuation was last updated on 12/01/15. This was not in accordance KRS 199.895, which states the plan should be updated by December 31st of each year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Genera: Based on review of documentation and interview, a staff, hired on 08/08/12, had an annual written professional development plan on file that was dated 01/27/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a quarterly, practiced earthquake drill and a quarterly, practiced tornado drill were not conducted in the third and fourth quarters of 2017. Posted Documentation In Compliance Animals Not Applicable

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 Interview, thirty-nine (39) children, aged three to school-age, were combined with four (4) staff on the outside playground at 8:30 am on 08/02/17. By 8:56 am, the number of combined three to school-age children present on the outside playground with four (4) staff increased to forty-two (42). Group size was not maintained.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a four (4) year old child walked out of the four-year-olds' classroom and went down the hallway to the restroom without adult supervision. The child was unsupervised for two (2) minutes before returning to the classroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 08/14/2017 AND AS OF 08/16/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interviews, the school-aged children watched the movie "Kidnap" on 7-6-17. This movie is rated "R".

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 05/15/14, did not maintain education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation and interview, a child had an accident, which resulted in an injury, to occur at 10:22 am on 6/22/17 in the two-year-olds' room. A parent promptly notified staff that medical care was received, but the center did report the accident to the cabinet until 2:24 pm on 06/23/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 01/19/15, had TB documentation on file that was dated 01/16/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 05/15/14, did not complete any cabinet approved training hours during a subsequent year of employment. Children's Records In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, a caregiver supervised eighteen (18) children, aged four and five-years-old, for approximately a minute, in the four-year-olds’ room. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 02/10/14, had TB documentation on file that was dated 03/24/15. A staff, hired on 10/04/10, had TB documentation on file that was dated 06/24/14. A staff, hired on 09/30/13, had TB documentation on file that was dated 06/05/15. 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, nineteen (19) children were present in the four-year-olds’ room, which measured five hundred three (503) square feet. This measurement allowed for fourteen (14) children to have thirty-five (35) square feet of space. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a child, first date of attendance on 01/23/17, had an immunization certificate on file that was valid until 06/21/17.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and interview, two (2) infants were asleep in a bouncy in the infants' room for twenty (20) minutes. Hygienic Practices 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 child had a facial tissue, wiped her nose and then used the same facial tissue to wipe another child's nose. This child failed to wash her hands after wiping her nose and another child's nose. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 14 Mar 17 AND AS OF 21 Mar 17, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a yellow substance was on the toilet seat in the two-year-olds’ restroom. Surveyor used toilet paper to wipe the seat and identified the yellow tacky substance as possible urine on the toilet paper. Surveyor showed the paper to director who confirmed the substance was urine on the toilet seat. Hygienic Practices In Compliance Food Service In Compliance

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 14 Mar 17 AND AS OF 21 Mar 17, 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 a review of documentation, center policy stated staff members were to take reasonable precautions to avoid conditions which could lead to physical or emotional injury of a child. Further review determined the center did not tolerate any type of inappropriate physical force applied to a child, which could cause physical or emotional damage. Based on observation of a surveillance video of the toddler room, date/time stamped 12-22-16/3:15 pm, a staff member, hired 4-29-14, left a spray bottle of bleach-water solution on the children’s table in the toddlers’ room. At 3:20 pm on 12-22-16, the same staff member dragged a child by the right wrist and picked the child up by the wrist and threw the child to the side by one arm onto the floor. At 3:24 pm on 12-22-16, the same child picked up the spray bottle and sprayed himself in the head and neck area with the bleach-water solution. At 3:26 pm on 12-22-16, a staff member, hired 8-3-15, snatched the bottle from the child’s hands and used her left open hand to hit the same child on the upper right thigh area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the director failed to provide for the health, safety, and comfort of a toddler on 12/22/16. Based on observation of surveillance video of the toddler room, date/time stamped 12-22-16/3:15 pm, a staff member, hired 4-29-14, left a spray bottle of bleach/water solution on the children’s table in the toddlers’ room. At 3:20 pm on 12- 22-16, the same staff member dragged a child by the right wrist, picked the child up by the wrist and threw the child, by one arm, onto the floor. At 3:24 pm on 12-22-16, the same child picked up the spray bottle and sprayed himself in the head and neck area with the bleach/water solution. At 3:26 pm on 12-22-16, a staff member, hired 8-3-15, snatched the bottle from the child’s hands and used her left open hand to hit the same child on the upper right thigh area. The child had no signs or symptoms of being injured; however, interview determined the child's shirt changed color because of the bleach. Programming Not Applicable 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 of surveillance video of the toddler room, date/time stamped 12-22-16/3:15 pm, a staff member, hired 4-29-14, left a spray bottle of bleach/water solution on the children’s table in the toddlers’ room. At 3:24 pm on 12-22-16 a child picked up the spray bottle and sprayed himself in the head and neck area with the bleach/water solution. another staff member, hired 8-3-15, snatched the bottle from the child’s hands.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, two (2) crib mattresses were torn and had exposed foam.

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, a caregiver hired 10/04/10; a caregiver hired 08/08/12; a caregiver hired 12/10/12; a caregiver hired 09/30/13; a caregiver hired 04/29/14; a caregiver hired 05/15/14; a caregiver hired 01/19/15; a caregiver hired 04/13/15; a caregiver hried 06/03/15; a caregiver hired 04/13/15, and a caregiver hired 07/02/15, 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and interview, a caregiver hired 08/08/12, and a caregiver 06/30/15, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 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, a caregiver hired 11/15/08, had a TB skin test dated 07/24/14, and a caregiver hired 05/15/14, had a TB skin test dated 05/18/14. A caregiver hired 10/04/10, and a caregiver hired 08/08/12, did not have a TB skin test or a health professional statement 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, interview and observation, a caregiver hired 08/08/12, had infant/child CPR and first aid which expired on 02/18/15. Observation and interview determined she transported, alone, one (1) child from school to the center on 12/05/16.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 02/10/14, did not complete one-half (1 1/2) hours of pediatric abusive head trauma training. A caregiver hired 06/30/15, did not complete required one-half (1 1/2) hours pediatric abusive head trauma training within her first year of employment. A caregiver hired 07/02/15, did not complete early care and education training within her first year of employment. A caregiver hired 06/30/15, completed one-half (1 1/2) hours of early care and education training within the first year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, a caregiver hired 11/15/08; a caregiver hired 08/08/12; a caregiver hired 09/30/13, and a caregiver hired 04/29/14, did not have a current driving history record through the state transportation agency that issued their driver's license. A caregiver hired 08/08/12, transported one (1) child on 12/05/16. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an oversized plastic bag hung down the side of the garbage can. This bag was accessible to the children in the three-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 and interview, a strong odor of soiled diapers was in the infants' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the water temperature registered 125 degrees Fahrenheit at the two-year-olds' handwashing sink and the toddlers' handwashing sink. Hygienic Practices 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 toddler child did not wash his hands when he arrived. Surveyor observed a crying infant on the floor. The child had a yellowish/brown substance coming from his nose, on his cheek and down to the child's mouth from 9:17 a.m. until 9:31 a.m. The infants' caregiver looked and observed the substance on the child's face but continued to feed another child a bottle; therefore, the infant was not helped with personnel care needs. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

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, the toddlers' caregiver and a two-year-olds' caregiver each did not wash their hands after wiping a child's nose.

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 and interview, a dirty diaper was stored in an uncovered waste receptacle in the three-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the top of the diapering mat was torn in three (3) different places in the infant room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a blue chair, a blue stool and a black chair were torn and had exposed foam and wood in the three-year-olds' room. A child's cot was bent and bowed inward in the preschool room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ABC rug and a car rug were dirty with brown spots and crumbs in the four-year-olds' room. A burgundy padding, which covered the concrete post in the gym, was torn approximately twelve (12) inches and had exposed foam. The over-head lining hung down in the center's 2002 Dodge van. There were crumbs, candy wrappers, and straw paper throughout the 2015 Ford van. There was crumbs and paper throughout the second Ford van. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, there were no transportation routes for June 2016, July 2016 and August 2016.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, there was no first aid kit on the 2015 Ford van and no CPR mouth piece on the second Ford van. These vehicles were used to transport children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the first and last names of children transported and the times each child got on and off the vehicles were not documented for field trips conducted in June 2016 and July 2016. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, seven (7) baby bottles with water were not covered. These bottles were on a shelf in the infants' room. Three (3) baby bottles of milk were not covered in the refrigerator in the room adjacent to the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the posted menus were no dated in the infants' room, the two year olds' room and the four year olds' room. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, five (5) children did not have a documented departure time on 12/02/16.

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, a caregiver hired 11/15/08; a caregiver hired 10/04/10; a caregiver hired 01/25/12; a caregiver hired 08/08/12; a caregiver hired 09/30/13; a caregiver hired 02/10/14; a caregiver hired 04/29/14; a caregiver hired 01/19/15; a caregiver hired 04/13/15, and a caregiver hired 07/02/15, did not have a written annual staff professional development on file. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, there was no daily schedule posted in the two-year-old room. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired 12/11/15, had not completed orientation training within the first three (3) months of her employment. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interviews, the director failed to follow the center's policy and procedures pertaining to volunteers. The Center's policy stated: A police records check and state licensing requirements will be performed on all adult volunteers who work at the center. A TB skin test assess as well as a drug test may also be required. Two (2) volunteers, start date of 4/14/15 and 8/7/15, did not have processed background checks and a TB skin test on file. Therefore, the director failed to follow the center's volunteer policy. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Employee Records

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, two (2) volunteers, with a start date of 4/14/15 and 8/17/15, did not have a process child abuse/neglect check and a criminal records check 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 and interview, two (2) volunteers with a start date of 4/14/15 and 8/17/15, did not have a TB skin test on file. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 08/06/15, obtained six (6) hours of cabinet approved orientation on 11/10/15, which was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, two (2) large plastic trash bags were on the top of the half door and was accessible to children in the two year olds’ room. Two (2) adult size staplers were in the top basket of a two (2) foot high wooden shelf and were accessible to children in the three 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, an accumulation of dust was on the vent in the three year olds’ restroom

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, dead bugs were in a light shield 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 climbing/sliding apparatus did not have a protective surface 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, a brown ring was inside the toilet in the one year olds’ restroom. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a four (4) ounce bottle of Children’s Motrin was stored in an unlocked cabinet above the sink in the infants’ room. 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, an unraveled water hose and a metal garden stand were on the older children’s outdoor playground.

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 smeared substance covered a three (3) foot tall mirror in the four year olds’ room. A camouflage bean bag sofa chair was misshaped and deflated in the four year olds’ room. Dried food stains were on the cloth covering of a highchair in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the ceiling inner lining hung downwards and three (3) air vents were missing on van #2 (2002 Dodge Ram). A two (2) inch tear was in the vinyl covering and exposed foam on the seat of an adult chair in the one year olds’ room. Also, the vinyl covering was torn and exposed foam on the seat of an adult folding chair on the outdoor basketball court and in the dining room. An accumulation of ice was in the freezer in the kitchen adjacent to the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, transportation records were completed by the driver from 08/31/15 to 09/24/04/15, 10/05/15 to12/16/15, and the week of 01/04/16.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, five (5) bottles were not labeled in the infants’ room. In addition, a bottle was not covered in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the posted menu was dated November – December 2015 in the infants’ room, two year olds’ room, three year olds’ room, and four year olds’ room. Interviews with staff, determined the posted menus were not current. Also, a menu was not posted in the one year olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child, first date of attendance on 11/16/15, did not have phone numbers of each person to be contacted in an emergency situation involving or impacting the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child did not have a documented arrival time in the infants’ room. Also, the daily attendance records for the week of 09/28/15 to 10/02/15, did not include initials from an authorized person and a parent signature to verify accuracy of the weekly attendance, in accordance with Child Care Assistance Program.

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 child enrolled on 5/21/12, had an immunization certificate valid until 7/10/15.

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. Director Requirements and Responsibilities.

General: Based on interview, and review of documenation and recorded video, a caregiver hired 05/15/15, used her hand to harshly lift a toddler child by one arm and then roughly place the child on a cot in the toddlers' room on 10/08/15. This caregiver also used her hand to lift another child by one arm in the toddlers' room on 10/08/15. Each incident was captured on a surveillance video. Employee Records

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, children were allowed to do cartwheels and somersaults directly on the gym floor. A child allegedly received a micro fracture to his left arm due to a fall he received while doing cartweels and somersaults on the gym floor on 09/09/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the director failed to provide for the comfort of three (3) to six (6) children when the children's soiled or wet diapers were not changed as needed by the supervising staff, hired on 10/14/13, in the three year olds' room. Interviews with staff determined the children’s diapers were soiled or wet to the extent they sagged and hung towards the floor. Employee Records

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 interview, three (3) to six (6) children did not have their diapers changed when soiled or wet on approximately 04/08/15 (exact date unknown) in the three year olds' room. Interviews determined the children’s diapers were extremely wet/soiled and sagged towards the floor. Written Documentation

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, a child was sitting in a chair with her face, body and chair turned towards a corner in the three year olds' room. This child was screaming and crying when the surveyor entered the room. Interview determined the child was in time out. Review of the discipline policy determined it did not specify a child should be placed in a corner for time out.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, two staff members employed 05/20/15 and 06/3/15 did not have a proof child abuse/neglect checks were submitted timely. One staff member employed 06/03/15 did not have proof a criminal records check and child abuse/neglect check were submitted timely. Also, one staff member employed 05/12/15 had a criminal records check dated 05/21/14 and a child abuse/neglect check signed 05/21/14. Interview determined new background checks had not been submitted upon rehire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member employed 06/03/15 did not have education documentation 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, two (2) staff members employed 05/12/15 and 06/03/15, did not have TB documentation on file.

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, two (2) staff and twenty (20), five to six year old children left the cafeteria with the intent of going to the gym. When they arrived to the gym it was already occupied. The two (2) staff conversed about where they could take the children and decided to take them outside. Interview determined there were two (2) empty classrooms available but because one staff did not have all background checks on file, the children could not be divided and there was not an available space within the building to accommodate all twenty (20) children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interviews, a child enrolled May 2015, did not have any enrollment information available for review on June 16, 2015.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on record review, a child enrolled on 8/20/13, did not include a preferred hospital in his enrollment information.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 11. Basis for Denial, Suspension or Revocation.

General: Based on review of documentation and interview a child was lethargic and non-responsive at approximately 3:30 p.m. on 02/27/15. An ambulance was called to the center and the child was transported to the hospital on 02/27/15. The center did not notified the cabinet until 03/02/15 which was not within 24 hours. Employee Records

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, two caregivers, hire dates 11/15/08 and 12/29/14, were not certified in infant and child first aid, but administered first aid to a child with a sprained left ankle on 01/08/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the toddlers' room was not well lit during rest time. When the door was opened, the room was very dark and the two (2) staff and twelve (12) children who were on their mats, were not visible until the light from the hallway shined into the room. Hygienic Practices

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: Review of documentation, the center's transportation policy indicated, "A copy of the child's emergency medical information will be kept on the van at all times the child is a passenger." Observation and interview determined a copy of each child’s emergency medical information was not on van #1, van #2, and van #3; therefore, the staff were not implementing the center’s transportation policy.

Open Not marked corrected in the state record

Category: supervision. 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 on 9/18/14, completed her six (6) hours of orientation on 1/12/15. Also, a caregiver hired on 9/18/14, did not complete six (6) hours of orientation during her first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the hot water registered seventy (70) degrees Fahrenheit at a sink in the men's restroom across from the study hall room. Also, the hot water registered at eighty (80) degrees Fahrenheit at a sink in the restroom located in the one (1) year olds' room.

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, two (2) tubes of Boudreaux's Butt Paste were on a shelf next to diapers in the infants' room. Also, a tube of Boudreaux's Butt Paste was in an unlocked cabinet in the one (1) year olds' room. 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 6. Sleeping and Napping Requirements.

General: Based on observation, an evacuation crib, located in the infants' room, did not have documentation to prove it met the Consumer Product Safety Commission in accordance with 16 C.F.R. 1221. Also, a crib mattress had an one (1) inch tear in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the drivers of van #1 hired on 9/30/13 and 8/20/12, did not have documentation of emergency procedures practiced for September through December 2014.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, there was no documentation of a daily inspection completed for van #1 from 10/29/14 to 10/31/14 and on 1/16/15. Also, there was no documentation of a daily inspection completed for van #2 on 1/13/15. Both vans were used daily to transport school age children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no written record for six (6) children's time on and off van #1 on 1/16/15. Interview determined each driver completed the childen's transportation records for van #1, van #2, and van #3.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, seven (7) bottles were placed above cubbies and were not labeled with a child's name in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 5/28/14, had an immunization certificate valid until 12/25/14.

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 observation and review of documentation, thirteen (13) children were present in the two (2) year olds room, but only eight (8) children had a documented time of arrival. Twenty-one (21) children were present in the preschool room, but only thirteen (13) children had a documented time of arrival. Also, the children's daily attendance record, dated 10/13/14 to 10/17/14, was missing a parent's signature and five (5) parents' initials. The children's daily attendance record, dated 10/20/14 to 10/24/14, was missing twenty-three (23) parents' weekly signatures and four (4) parents' initials. The daily attendance records dated 10/27/14 to 10/31/14 was missing two (2) parents' weekly signatures. These children's attendance sheets did not meet the requirements for children who participated in Child Care Assistance Program.

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 caregiver hired on 12/10/12, did not have a written annual plan for child care staff professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, fire drills were not conducted during the months of November and December 2014. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, earthquake and tornado drills were not conducted during the third and fourth quarters of 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the daily attendance records dated 12/29/14 to 01/02/15, indicated two (2) sibling children had an arrival and departure time on 12/29/14 but a capital "A" was added between the arrival and departure time. Interviews determined one (1) sibling child was not present but the parent was told to indicate that the child was present so the parent would not lose her Child Care Assistance. However, it was brought to the director's attention that it was fraud so the director added an "A" to the attendance record for the child. The director confirmed she added "A" to the two (2) sibling children's attendance record for 12/29/14. A review of the food program documentation determined these same two (2) sibling children were marked present with an "X" on 12/29/14. Interview with the director determined the food program documentation was not correct due to both children were not present on 12/29/14. Written Documentation

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, eleven (11) children did not have a documented departure time and two (2) children did not have a documented arrival time during the week of 12/22/14. Nine (9) children did not have a documented departure time the week of 12/29/14. Also, the attendance records dated 12/22/14 to 01/02/15, were not signed at the end of each week and an initial was not documented each day for each child who received child care assistance.

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 interviews and review of documentation, a caregiver left a four (4) year old child alone for about five minutes on 09/10/14. The director stated the child was asleep and the caregiver left the child inside the classroom while she took the other children outside to play. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews, one (1) caregiver supervised seven (7) to eight (8) toddler children two (2) times a week during the morning time and rest time (exact dates unknown). General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on interviews, a child was diagnosed with Shigella on 12/26/14 and the parent notified the center on 12/26/14. Review of documentation determined the center notified the cabinet on 12/30/14. Director Requirements

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 interviews, two sibling children had diarrhea and a fever of 101 degrees Fahrenheit prior to the 2014 Christmas break (exact date was unknown). The director stated the children were sent home on the same day but were allowed to return to the center the next day which was within twenty-four (24) hours. The center's policy stated if a child had nausea/vomiting/diarrhea then the child could return after symptoms have stopped for 24 hours. If a child had chills/fever of 101 degrees or above, then the child had to be absent for at least 24 hours. Also, any child picked up from the center past 12 noon would not be allowed to return the next day.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 09/05/11, a caregiver hired 04/18/12, and a caregiver hired 09/30/13, did not have a driving history through the state transportation agency that issued their driver's license.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 5/15/14, did not have educational verification available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/

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 documentation, and interview, a caregiver in the one (1) year olds’ room, a caregiver in the three (3) year olds’ room, and a caregiver the four (4) year olds’ room utilized their personal cell phone during the children’s naptime. The center’s personnel policies and procedures stated, “The use of cell phones during regular work hours for both employees and volunteers is prohibited. Cell phones may be used during the employee’s or volunteer’s breaks and/or lunch hour.” Interview determined the director gave the caregivers verbal permission to use their personal cell phones during the children’s naptime.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, a two (2) year old child had a pacifier in her mouth and her head covered during naptime in the two (2) year olds’ room on 09/19/14. Hygienic Practices

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), one (1) year olds did not wash their hands prior to eating a muffin at snack time in the one (1) year olds’ room. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, four (4) children were asleep on area rugs and two (2) children were asleep on stained white pillows during naptime in the four (4) year olds’ room. Also, nine (9) children were asleep on their cot without bedding in the four (4) year olds’ room.

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, two (2) soiled white pillows were used by two (2) children while they were asleep at naptime in the four (4) year olds’ room.

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 child swung his hand at a staff member approximately two (2) times then hit and kicked the staff member at approximately 3:15 pm on 08/20/14 in the cafeteria. The staff member grabbed a child's elbow and pressed the child's elbows into the child's body. The center's discipline policy stated physical punishment will not be used.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, a staff, hired on 08/13/14, did not have TB verification on file.

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 interviews, two (2) school-age boys were unsupervised in the restroom beginning at approximately 12:45 pm on 06/16/14. The length of time the boys were not supervised was undeteremined. Staff interviews revealed the two boys admitted they went to the restroom together and while in the restroom, they watched one another urinate, and one boy pulled down the other boy's pants and underwear while the boy washed his hands. Interview with the supervising caregiver determined she had not given the two (2) boys permission to go to the restroom and she was unaware the two (2) boys had left the cafeteria and went to the restroom. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews, two (2) school-age boys went to the restroom together at approximately 12:45 p.m. on 06/16/14. While in the restroom, each school-aged boy "peeped" at each other while they urinated. Then one boy pulled down the other boy's pants and underwear and told the boy not to tell anyone. The supervising caregiver was unaware these two (2) boys had left the cafeteria area and went to the restroom without adult supervision. Employee Records

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, thirteen (13) school-age children did not wash their hands with liquid soap and warm running water before eating the lunch meal on 06/16/14. These children used hand sanitizer. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 04/27/12, did not have information, on file, to enable the person in charge to contact the child’s physician. Also, a child enrolled on 01/07/13, did have documented authorization by the parent for the child-care center to seek emergency medical care for the child in the parent's absence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, the four year olds' caregiver allowed a four year old girl to go to the girls' restroom alone on 04/15/14. While the four year old girl was in the girls' restroom, a three year old boy went into the restroom, pulled down his pants and underwear, and urinated on the girl's pant leg. Interviews determined these two children were supervised by the same caregiver in the four year olds' classroom. The supervising caregiver was aware that the girl left the room to go approximately forty (40) feet to the girls' restroom, but was not aware the three year old boy had left the classroom until the four year old girl returned to the classroom and told what had happened. Both children were unsupervised for at least five (5) minutes or more. Interviews determined two (2), three (3) year old boys had their pants and underwear down in a locked stall of the boys' restroom during the end of March or early April 2014. One (1) of the boys’ kissed the other boy’s penis. These (2) boys were alone in the restroom for approximately three (3) to four (4) minutes, and were discovered by a janitor. Interviews determined two (2), three (3) year old boys pulled down their pants and showed their penis to nine (9), three (3) year olds in the four (4) year olds’ classroom on 4/14/14. The supervising caregiver indicated she was picking up a paper from the floor and when she turned around the boys were showing their penis. Interviews determined a three (3) year old boy kissed another three (3) year old boy on his mouth in the four (4) year olds’ classroom at 8:45 a.m. on 4/16/14. The supervising caregiver stated she was at her desk completing the attendance record when the children at the table eating breakfast alerted her that the incident occurred. Interviews determined that during April 2014, a caregiver stated she was picking up a child’s shoe when she was alerted that two (2), three (3) year old boys exposed themselves in the three (3) year olds’ classroom. Interviews determined a three (3) year old boy showed his penis to twelve (12), three (3) year old children on 4/14/14 while the caregiver was getting crayons and paper from a cabinet and had her back to the children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews, staff did not document incidents where a three year old child frequently (more than ten (10) times during March and April 2014) exposed his penis to other children in the classroom, and when this same three year old boy and another three year old child were in a locked toilet stall of the boys' restroom in March or early April 2014. Interviews determined that the center's verbal procedure was that caregivers completed the behavior/incident report and submitted the report to the childcare director or assistant childcare director for signature. The childcare director or assistant childcare director signed the report, returned the report back to the caregiver, and the caregiver had the parent to sign the incident report. The caregiver made a copy of the report if the parent requested and then the caregiver submitted the report back to the director to be filed in the child’s file. The executive director signed the report only when a child was ready to be dismissed from the center. This policy/procedure was not in writing.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews, the center had a verbal procedure for writing and handling Behavior/Incident Reports. The verbal procedure was that caregivers wrote the behavior/incident report and submitted the report for a signature to the childcare director or assistant child care director. The childcare director or assistant child care director signed the report, returned the report back to the caregiver, and the caregiver had the parent to sign the incident report. The caregiver made a copy of the report if the parent requested and then the caregiver submitted the report back to the director to be placed in the child’s file. The executive director signed the report only when a child was ready to be dismissed from the center. This policy/procedure was not in writing.

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 interviews, a three (3) year old boy pulled down his pants and urinated on another child at 9:45 a.m. on 7/25/13, while the children were at the basketball court on the outside playground. This same three (3) year old boy went to the girls’ restroom, pulled down his pants and underwear and urinated on a four (4) year old girl while both children were in the restroom without adequate supervision on 4/15/14. This same three (3) year old boy and another three year old boy pulled down their pants and showed their penis to nine (9), three (3) year olds in the four (4) year olds’ classroom on 4/14/14. The supervising caregiver was picking up paper from the floor and when she turned around the boys were showing their penis. This same three (3) year old boy showed his penis to twelve (12), three (3) year old children on 4/14/14 while the caregiver was getting crayons and paper from a cabinet and had her back to the children. Also, during the month of April 2014 (exact date unknown) two (2), three year old boys showed their penis while standing behind the shelf in the three year olds' classroom. The supervising caregiver had her back to the children as she picked up a child's shoe. This same three (3) year old boy and another three (3) year old boy were standing with their pants and underwear down in a locked stall of the boys’ restroom during March or early April 2014. Interviews determined one boy kissed the other boy’s penis. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation

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 interviews, a nine year old child put his hand in a staff member's face at 2:30 pm on 04/04/14. The staff member aggressively grabbed the child by the arm and led the child from the gym to the hallway near the front office, while yet holding onto the child's arm. Interviews determined the child kicked and attempted to pull away from the staff member’s grab. The child sustained red marks on his arm. The center's verbal discipline policy was for staff members to use the time-out method for children three years old and older.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews and observation of the center's surveillance video dated 04/04/14, a staff member aggressively grabbed a nine year old's upper right arm and led the child from the gym to the hallway near the front office, while holding onto the child's arm. Interviews determined the child kicked and attempted to pull away from the staff member’s grab. Red marks were left on the child's upper right arm. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, an infant slept in an infant swing for approximately fifty (50) minutes in the nursery on 04/09/14. This infant did not have a signed waiver from the infant's health professional stating the infant required an alternate sleep position. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, four (4) children slept on cots that touched in the two year olds' room. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, the center's discipline policy was not in writing. The center's verbal discipline policy was for staff members to use the time-out method for children three years old and older.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, at 10:40 a.m. on 2/5/14, a four (4) year old child walked out of the gym into the hallway to drink water from the water fountain. Interview with staff member hired 1/23/14, determined he did not realize the child had left the gym. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, a four (4) year old child dranked directly from the water fountain. Interview with staff member confirmed the water fountain was not sanitized after each use.

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, a staff member hired on 5/17/13, did not have a criminal records check from Indiana, her previous state of residence.

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 plastic bag was on the floor, accessible to children, in the two (2) year olds' 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 and interview, there were two (2) non-working light bulbs in the gym.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the commode in the two (2) year olds' room was not operable. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, staff that transported childern did not practice monthly emergency procedures.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation and interview, liquid soap was not available in the first aid supplies on three (3) vans.

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, a child enrolled 11/4/13, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on a review of documentation and interview, a caregiver supervised eleven children, ages two and three years old, from approximately 9:00 am until 12:15 pm on 10/24/13. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on a review of documentation and interviews, a child did not attend the center on 10/25/13 but the child care daily attendance sheet for 10/25/13 showed an arrival time of 10:00 am and a departure time of 12:25 pm. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Reports.

General: Based on interviews, at approximately 2:55 p.m. on 09/28/12, a child ran into the street and hit the front left side of the center's van as the van was coming to a stop. The child's mother indicated the child was not injured and left the scene with the child. At approximately 4:00 p.m. on 09/28/12, a police officer came to the center and reported the child was taken to the local emergency room due to brusing on his foot. The center attempted to fax the report to the cabinet at 4:51 p.m. on 09/28/12 and did not discover until 06/12/13, that the fax did not go through. Employee Records

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, a caregiver, date of hire 04/28/12, drove the center's van to pick up children on 09/28/12, and was not certified in CPR and first aid. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090 - Section 10

General: Based on a review of documentation and interview, the licensee failed to report to the cabinet a substantiated finding of child neglect for an employee, date of hire 02/28/13. The licensee received the processed child abuse/neglect check the week of 03/11/13, but the employee was not terminated until 03/28/13. 127 - Staff Conviction/Substantiation 922 KAR 2:110 - Section 5 (2) A child-care center shall not employ a person: (a) Convicted of a crime pursuant to KRS 17.165(5); or (b) Found by the cabinet to have abused or neglected a child, pursuant to 922 KAR 1:470. 2) CAN Not In Compliance Findings: General: Based on a review of documentation and interview, the licensee failed to immediately discharge an employee, date of hire 02/28/13, that had substantiated child neglect. The licensee received the processed child abuse/neglect check the week of 03/11/13, but the employee was not terminated until 03/28/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three year olds room: Based on interviews, two children shut a door while another child's fingers were between the door and the door frame at 5:00 p.m. on 09/12/12. The child received a crushed right ring finger, an open fractured right pinky finger, the top of the right pinky had to be reattached, and both fingernails were removed from the ring finger and pinky.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, a caregiver, hire date 06/04/12, did not have a professional development plan on available for review on 09/18/12. 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 Not In Compliance Findings: General: Based on a review of documentation and interview, a caregiver, hire date 06/04/12, had not completed orientation training. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a staff person employed 4/9/12 and two (2) staff persons employed 4/18/12, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff hired 1/25/12, did not have TB documenation on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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 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 Not In Compliance Findings: General: Based on review of documentation, the employees hired 6/26/11, 9/20/11, and 9/29/11, did not have proof they had completed the required six (6) hours of orientation training. 2) 9 hours-first year Not In Compliance Findings: General: Based on record review, a staff person hired 10/4/10, lacked one (1) hour of child development training. 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. 3) 15 hours annually In Compliance 317 - Driver requirements 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 In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two year olds: Based on observation, an electrical outlet was not covered. Computer/Libray: Based on observation, sixteen (16) electrical outlets were not covered. Computer/Conference: Based on observation, three (3) electrical outlets were not covered. Four year olds: Based on observation, an electrical outlet was not covered. In addition, a broom and dust pan were stored in the classroom, accessible to children. Gym: Based on observation, an electrical outlet was not covered. Game: Based on observation, two (2) electrical outlets were not covered. Infants: Based on observation, four (4) cribs were positioned beside electrical outlets. In addition, two (2) mattresses had two (2) tears each and exposed foam. 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 Not In Compliance Findings: Art: Based on observation, a bottle of germicide cleaner was located on a shelf accessible to children. Infants: Based on observation, a bottle of bathroom cleaner was located on the back of the commode. 7) Personal belongings of staff Not In Compliance Findings: Two year olds: Based on observation, a purse was on the top of the storage cubbies that was approximately thirty-six (36) inches tall. The purse was accessible to children. 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. 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 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 6) Bar soap 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 4) Land-line phone accessible 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. 2) Clean Not In Compliance Findings: Three year olds: Based on observation, a ceiling vent had an accumiliation of grey dust. Two year olds: Based on observation, a celing vent had an accumilation of grey dust. Game: Based on observation, A ceiling vent had an accumiliation of grey dust. 3) Good repair Not In Compliance Findings: Based on observation and interview, the 1/2 door would not latch and was secured with a rope in the toddlers' room. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 41 Web site: http://chfs.ky.gov/ Inspection Report

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

Three year olds: Based on observation, medical information for a child's allergies were posted on the wall.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff hired 6/1/09, did not have education documents on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, a four (4) foot long section of weed block was exposed above the mulch on the toddlers' playground.

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

Three year olds: Based on observation, two (2) cots had unraveled edges. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 28 of 41 Web site: http://chfs.ky.gov/ Inspection Report 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.