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

General: Based on observation and interview, a seven (7) year old child was left alone on the outdoor playground for approximately three (3) minutes on 05/20/24. 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 8. General.

General: Based on observation and interview, the responsible staff member left a seven (7) year old child alone on the outdoor playground for approximately three (3) minutes at 4:45 pm on 05/20/24. The responsible staff member did not know the child was left in the outdoor play area. Another staff member discovered the child and took the child to the office before returning the child to the classroom.

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, review of documentation and video observation, a four-year-old child left the pre-k room at 9:09am on 10/16/23. The responsible caregiver did not know the child had left the room. The child ran down the hallway and opened the door to the outside at 9:10am on 10/16/23. The child was outside alone for approximately one and a half (1 ½) minutes on 10/16/23. A parent, who was leaving the center, discovered the child outside and walked the back inside the center. The child was left unsupervised for approximately two and a half (2 ½) minutes on 10/16/23. 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 8. General.

General: Based on video observation, interview and review of documentation, the center failed to protect the health and safety of a child, when a four-year-old child left the pre-k room at 9:09am on 10/16/23. The responsible caregiver did not know the child had left the room. The child was outside alone for approximately one and a half (1 ½) minutes on 10/16/23, before being returned inside. 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

Open / not marked corrected.

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

General: Based on video observation, interview and review of documentation, the director failed to ensure staff implemented the policies/procedures pertaining to supervision when a four-year-old child was alone and unsupervised for approximately two and a half (2 ½) minutes while at the center on 10/16/23. The center’s supervision policy stated all children should be within scope of vison and employees must always account for all children. Therefore, the center’s supervision policy was not followed when a four-year-old child left the pre-k room at 9:09am on 10/16/23. The responsible caregiver did not know the child had left the room. The child ran down the hallway, opened the exit door to the outside and went outside at 9:10am on 10/16/23. The child was outside alone for approximately one and a half (1 ½) minutes on 10/16/23. A parent, who was leaving the center, discovered the child outside and walked her back inside the center. The child was left unsupervised for approximately two and a half (2 ½) minutes on 10/16/23.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member (DOH: 09/01/92) did not have a completed background check and showed in process on the center’s Kentucky Applicant Registry Employment System (KARES) report. The staff member’s fingerprints were taken on 04/18/23. Interview determined the staff member's fingerprints were attempted three (3) times but were not processed. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the center's video footage, interview and review of documentation, a child was left alone and unsupervised for approximately four (4) minutes during a tornado drill at 11:20 am on 03/03/23 in the pre-k 1 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 8. General.

General: Based on interview, review of documentation and observation of the center's video footage, a staff member left a child alone and unsupervised for approximately four (4) minutes during a tornado drill on 03/03/23 in the PreK 1 classroom. 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

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's supervision policy indicated that staff should be aware of children’s whereabouts at all times. The policy further indicated staff should count children before and after transitions and verify the number according to the roll sheet. The policy was not followed when a staff member did not count children before leaving the PreK 1 classroom for a tornado drill, which resulted in a five-year-old child being left alone in the classroom for approximately four (4) minutes on 03/03/23. Staff were not aware of the child's whereabouts for four (4) minutes. Employee Records In Compliance Children's Records In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, a five-year-old child was left alone and unsupervised for fifteen (15) minutes upstairs in the school-age room after the school-age children transitioned from upstairs to downstairs on 1/23/23. 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 04/05/2023 AND AS OF 04/11/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interviews, a caregiver left a five-year-old child alone and unsupervised for fifteen (15) minutes upstairs in the school-age room after the school-age children transitioned from upstairs to downstairs on 1/23/23. 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

Open / not marked corrected.

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

General: Based on review of documentation and interviews, the center’s supervision policy indicated staff must account for all children at all times. The policy further indicated staff would use of a roll sheet to account for children during transition and staff should be aware of children’s whereabouts at all times. Staff did not follow the center’s supervision policy when the school-age children transitioned from upstairs to downstairs, and a child was left alone and unsupervised upstairs in the school age room for fifteen (15) minutes on 1/23/23. Staff was not aware of the child whereabouts for fifteen (15) minutes.

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.

Based on interview and record review, the facility reported that on 1/13/22, a child was given medication belonging to another child. A staff person administered two (2) doses of ear drops to a three-year-old child that had been prescribed and signed in for another child in the center. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interviews, a caregiver left a five-year-old child unsupervised for three and a half minutes (3 ½) in the preschool classroom on 1/19/22. 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 interview and review of documentation, staff did not read the label on a bottle of prescription medication and administered the medication to a child at 3:55 p.m. on 08/23/21. The medication was not prescribed to the child, and instead was prescribed to the child’s parent. Staff was unaware of the incident until the parent notified them at approximately 4:45 pm on 8/23/21. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center’s medication administration procedure indicated prescription drugs will be given only to the child whose name appears on the medication's label. Staff did not follow this procedure when a staff member did not look at the label on a bottle of prescription medication to verify who's name was on the label and administered the medication to a child. The medication did not belong to the child and was prescribed to the child’s parent. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child was administered prescription medication that did not belong to him at 3:55 pm on 08/23/21. Therefore, the medication was not administered according to the medication's label.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, four (4) electrical outlets did not contain safety plugs in the pre-K classroom. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a white plastic bag full of loose plastic bags hung on a purple milk crate in the three-year-olds' restroom. A white plastic bag full of loose bags were stored in the unlocked red cabinet in the four-year-olds' classroom. Five (5) rolls of plastic black garbage bag and a roll of plastic green garbage bags were stored in the bottom two (2) drawers of the cabinet in the school-age 1 classroom. All of these items were accessible to children and were not part of the planned program of instruction. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, an accumulation of dust and dead bugs were in the light fixture in the pre-K boys' restroom. In addition, a thick accumulation of dust was in the light fixture in the preschool 2 girls' 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water temperature registered eighty (80) degrees Fahrenheit at the sink in the Toddler 1 classroom. In addition, the hot water temperature registered eighty (80) degrees Fahrenheit at the sink in the Toddler 1 restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the exhaust vent was not in working condition in the Toddler 2 restroom. 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 caregiver did not wash her hands before and after diapering a child in the in the Two II classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication 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 7. First Aid and Medicine.

General: Based on review of documentation and interview, the medication log did not have the name of the person who administered Bramphen on 10/28/20 and the person who administered Zarbees Cough and Mucus Syrup on 3/15/21. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the needle on the fire extinguisher gauge was in the red zone, which indicated the extinguisher needed to be charged, on the 2011 Ford E350. Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 6/10/19, file included a Criminal Records Check from Illinois, but the file did not include an Illinois Child Abuse Neglect Check and sex offender check. Documentation determined the caregiver resided in Illinois until 2017. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a driver, hired on 8/5/19, was not certified in Child/Adult CPR/First Aid. Review of documentation and interview determined the driver was alone and transported children from Hendron-Lone Oak School and Lone Oak Elementary School on 10/4/19.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 6/8/17, completed four (4) hours of training; a caregiver hired on 1/7/89, completed thirteen (13) hours of training; a caregiver hired on 1/8/07, completed thirteen and one-half (13 1/2) hours of training; a caregiver hired on 5/29/13, completed five (5) hours of training, and a caregiver hired on 4/18/16, completed fourteen (14) hours of training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the light was not working in the pre-kindergarten restroom. 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, a twelve (12) inch by twelve (12) inch concrete block was raised above the mulch approximately one and a half (1 1/2) inches high, underneath the bench on the east playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, dirt was underneath the tire swing located on the east playground. In addition, there was sparse ground covering throughout the east and west playgrounds, both contained equipment used for children to climb and to slide. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, on the east playground, a pole on the blue metal "A" frame tire swing had chipped paint. Chipped paint was also observed on a yellow rocking chair on the toddlers' playground. A freezer, in the infants' I room, had a build up of ice. 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, the center did not have return routes to the center from First Baptist Church, Clark Elementary School, McNabb Elementary School, Morgan Elementary School, Lone Oak Elementary School, Hendron-Lone Oak, and St. Mary Elementary School. Food Service/Food Program In Compliance 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 9. Food and Meal Requirements.

General: Based on observation, the children's lunch plates were placed on a cart, uncovered for three (3) minutes, in the hallway between two (2), three-years-old classrooms. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 8/20/18, had a professional development plan on file dated 8/20/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a two-year-old child laid horizontally, approximately eleven (11) inches from a caregiver who sat Indian style on the floor in the toddler II room on 2/28/19. The caregiver reached for the child's left wrist, held the child’s left wrist as she sat him up to get him off of the other children during circle time. Interview determined when the child sat upright he made a facial expression and began to cry. As a result, the child's elbow came out of socket which required medical treatment. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) cots were approximately three (3) to four (4) inches apart during naptime in the one and two-year-olds' room.

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 08/14/14, had a TB skin test documentation dated 08/29/16 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 and interview, a caregiver hired 04/23/2000, completed fourteen (14) of the fifteen (15) hours of annual training required for the subsequent year of employment. One (1) caregiver hired 03/06/15, completed pediatric abusive head trauma on 08/04/12; therefore, did not complete the training again every five (5) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, eight (8) drivers hired on 02/17/14, 04/18/87, 01/07/89, 04/05/93, 06/03/13, 09/10/07, 01/07/13 and 09/28/92, had an annual driver's history dated 08/15/17. 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

Open / not marked corrected.

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

General: Based on Observation and interview, a device to cut the restraints was not available on van #1, van #2, van #3 and van #4.

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 Observation and interview, a Cosco Juvenile booster seat had a discarded expiration date of 2016. The booster seat was located on the middle seat of van #2. Interview determined the children used the booster seat on a daily basis. Food Service/Food Program In Compliance Food Service In Compliance 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on Observation and interview, the statement of deficiency issued by the cabinet during the most current licensure year and the plan of correction submitted by the child-care center to the cabinet during licensure year, were not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 and interview, a caregiver hired 6/3/02, lacked seven (7) hours of cabinet approved training. Also, a caregiver hired 8/8/16, completed one and one-half (1 1/2) hours of pediatric abusive head training on 5/10/12, but did not have proof she completed the training every five (5) years. In addition, caregiver hired 8/8/16, had no proof she completed six (6) hours of orientation training within the first three (3) months of her 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, there was a nine (9) inch long crack in the wall and exposed drywall located below a window between two (2) bookshelves in school age room 3. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a caregiver used a white towel to wipe two (2) children's hands after lunch in toddler room #1. Interview determined she used a towel to wipe with six (6) children's hands after lunch. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant was placed in a crib that was five (5) inches from one crib and two (2) inches from a another crib in infants' room #2.

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 faucet was loose from the sink located outside of the girls' restroom in the Pre-K Room. 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, a trip taken to Super Bowl Bowling Alley did not include the time the children got on and off van #2 on 4/7/17; a trip taken to Noble Park did not include the time children got off van #3, the time the children got on and off van #1, and the time the children got on and off van #2 on 4/5/17; a trip was taken to Center did not include the time the children got on and off van #2 on 5/31/17; a trip was taken to Noble Park Pool did not include the time on and off van #2 on 6/2/17; a trip taken to McCracken County Library did not include the time the children got on and off van #2 on 7/12/17; a trip taken to Cinemark did not include the time the children got on and off van #2 on 7/13/17; a trip taken to McCracken County Library did not include the time off van #2 on 7/19/17; a trip taken to Downtown Murals and Carson Center did not include the time the children got on and off van #2 on 6/30/17; a trip taken to Noble Park Pool did not include the children time off a van on 6/27/17; a trip taken to Noble Park Pool did not include the time the children got on and off van #3 on 8/3/17; a trip taken to Rim Rock Recreational Trail did not include the time the children got on and off van #1 on 6/12/17; a trip taken to Keiler Park did not include the time the children got off van #1 on 5/15/17, and a trip taken to Wurthis Farm did not include the time the children got off van #1 during October 2016. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. 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 6/5/16, immunization certificate was dated 9/30/17. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, one (1) caregiver supervised fifteen (15) children for two (2) to three (3) minutes. The age of the youngest child was four years old for General Administration In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, two (2) children were lying on nap mats that were placed directly in front of both main entry/exit doors. The mats blocked the main fire exit routes in both three-year-olds' preschool rooms. Outdoor Play Area In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, an eleven-month-old infant, enrolled 7/17/16, was bottle fed two (2) ounces of another child's breast milk om 4/14/17.

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 8/14/16, 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, a caregiver hired on 1/11/16, cared for five (5) children, aged three (3) to four (4) years old, alone in room #107 from 10:15 a.m. to 11:25 a.m. This caregiver had a child abuse/neglect check on file without the results of the findings and no process date.

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, a child abuse and neglect check did not have a process date and the results of the finding for a caregiver hired on 1/11/16. This caregiver supervised five (5) children alone in room #107 from 10:15 a.m. to 11:25 a.m. Two (2) caregivers hired on 3/28/16 and 9/28/92, had no out of state criminal records checks from Illinois 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, a caregiver hired on 6/10/16, had no documentation of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 1/11/16, had a positive TB skin test dated 7/20/16. Also, a caregiver hired on 8/14/14, had TB documentation on file dated 7/25/14.

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 on 5/23/16, did not complete six (6) hours of orientation. A caregiver hired on 3/28/16, completed the orientation training on 8/12/16; therefore, the caregiver did not complete the training within the first three (3) months of employment. Two (2) caregivers hired on 4/18/87 and 9/10/07, each lacked two (2) hours of training; one (1) caregiver hired on 12/17/07, lacked one (1) hour of training; a caregiver hired on 3/6/15, lacked nine (9) hours of training; a caregiver hired on 6/3/02, lacked four (4) hours of training, and a caregiver hired on 9/28/92, lacked six (6) hours of training. Also, three (3) caregivers hired on 1/25/10, 3/2/15, and 6/3/13, each lacked nine (9) hours of training and had college course work that had not been approved by the Division of Child Care.

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, a caregiver hired on 9/28/92, had a third party driving history report on file dated 8/1/13. The driving history record was not issued through Illinois state transportation agency. Programming

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, four (4) gallons of flooring and T Read adhesive were on the floor in school age B classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the ventilation system was inoperable in the three year olds' restroom and in a restroom adjacent to the multi-purpose room. Hygienic Practices

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, the center did not have cribs for ten (10) infants who were present on 9/7/16. The center only had seven (7) cribs 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, a red nap mat was torn in the PreK 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 legs were torn on a red child-size vinyl chair and vinyl sofa in the PreK 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 Interview, there was no written plan that detailed transportation routes for an estimated twelve (12) field trips taken between 9/14/15 and 9/7/16.

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 Interview, there was no pre-trip inspection documented for an estimated twelve (12) field trips taken between 9/14/15 and 9/7/16.

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, there was no record of the first and last names of the children transported and the time each child got on and the time each child got off the vehicle for an estimated twelve (12) field trips taken between 9/14/15 and 9/7/16.

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, the refrigerator did not have an indicating thermometer or other temperature measuring device in the older 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, three (3) children, each enrolled 2/5/12, 6/24/12 and 1/9/14, did not list the name of the child's preferred hospital on the enrollment form.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center had only posted the cover sheet for the renewal inspection dated 9/14/15 and allegation inspections dated 9/14/15 and 1/11/16. The the center did not post the plan of correction and statement of deficiencies for each inspection. Also, there was no posted information for the Kentucky Consumer Product Safety Program.

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.

Based on interviews, a three year old child received an injury to his right pointer finger in the two year olds’ room at approximately 4:50 pm on 12/18/15. One caregiver was in the adjacent room, which was divided by a half wall, and observed a two year old child opening and closing the half door between the two (2) rooms but was unaware the three year old child’s finger was in the hinge side of the half door. A second caregiver was in the same room with the three year old child but was not in close proximity to prevent the injury from occurring. Once the three year old child screamed, this alerted the caregiver who was in the same room with the three year old child. This caregiver walked toward the three year old child and observed the three year old child’s finger inside the hinge side of the door as the two year old child opened and closed the half door. The two year old child opened and closed the door two (2) to three (3) times before the caregiver reached the children to intervene. Both caregivers immediately responded but the three year old child sustained an approximate inch wide, deep cut in the first crease of his right pointer finger. Medical treatment at the local emergency room was sought and 11 stiches were required to close the cut. An interview revealed physical therapy may be required in order for the three year old child to bend his finger again. These two (2) children were within scope of vision and range of voice.

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, four (4) electrical outlets in the pre-K room, and two (2) electrical outlets in the school age room did not contain safety plugs.

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 02/09/15, completed orientation training on 06/30/15; therefore, she did not complete orientation training within the first three (3) months of employment. A caregiver hired 05/04/15, did not complete orientation training 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, two (2) adults from a third party health professional and a preschool child were observed walking in and out of the infant 1 room. Interview determined the health professional meet with children on a weekly basis in a meeting room which could only be accessed through the infant 1 room. A preschool child was observed running through the infant 1 room where three (3) infants were on the floor. The preschool child almost stepped on an infant when he ran through. Interview determined the preschool child runs through the infants' room often.

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 infant caregiver wore gloves but failed to wash her hands before she diapered a child.

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 and interview, the 2002 Dodge Ram fifteen (15) passenger van utilized to transport children did not have a current certificate of inspection. The inspections on file were dated 06/04/12, 05/24/11, 04/09/10, and 05/28/09. Interview with the van driver determined the 2002 Dodge Ram van did not have a current van inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) bottles were not labeled in the refrigerator in the infant 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 observation and interview, thirteen (13), two (2) year old children were served whole milk for lunch. Interview determined these children were twenty-five (25) months and older.

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 08/03/14, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 07/19/15; a child enrolled 01/05/14; a child enrolled 09/15/13; a child enrolled 01/06/13; a child enrolled 03/07/12; a child enrolled 02/05/12, and a child enrolled 12/12/10, did not have their preferred hospital information on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the written evacuation plan did not include an evacuation route in accordance to KRS 199.895.

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 caregiver hired 09/10/07; a caregiver hired 06/03/02, and a caregiver hired 10/10/96, each had a written professional development dated 08/14/14. A caregiver hired 02/17/14; a caregiver hired 01/28/14; a caregiver hired 06/03/13; a caregiver hired 01/07/13; a caregiver hired 09/17/12; a caregiver hired 04/23/12; a caregiver hired 04/01/12; a caregiver hired 08/22/11; a caregiver hired 03/13/11; a caregiver hired 01/25/10; a caregiver hired 12/17/07; a caregiver hired 01/08/07; a caregiver hired 04/23/05; a caregiver hired 04/23/00; a caregiver hired 09/08/97; a caregiver hired 04/05/93; a caregiver hired03/08/93; two (2) caregivers each hired 09/08/92; a caregiver hired 01/07/89, and a caregiver hired 10/01/80, each had a written professional development dated 08/13/14. A caregiver hired 12/08/09, had a written professional development plan dated 08/12/14. A caregiver hired 03/10/13, had a written professional development dated 08/11/14. A caregiver hired 09/01/92, had a written professional development dated 07/20/14. A caregiver hired 06//01/99, did not have a written annual professional development on file.

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, the center did not conduct a fire drill for the month of July 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, the center failed to ensure for the health and safety of an infant child (date of birth: 06/14/15) who was fed approximately three (3) ounces of another child's breast milk on 09/08/15. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the director failed to provide for the health and safety of three (3) children, ages one (1) and two (2) years old in the toddlers' classroom. These three (3) children were observed interacting with the children in the classroom and had Amber Beads around their necks. Interview confirmed these three (3) children slept while wearing beads. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ 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 record review, a caregiver hired 1/28/14, did not have education verification available for review.

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, ten (10) children, enrollment dates 11/1/09, 11/14/10, 1/9/11, 2/2/11, 2/5/12, 3/17/12, 6/4/12, 3/3/13, 6/9/13, and 9/5/13, did not have the name of the preferred hospital.

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 2/21/11, did not include the child's preferred hospital in the enrollment information. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on interviews, a child crawled under a sand table, unscrewed a plug underneath the sand table and sand went into the child’s face and eyes in the three and four year olds' room on 01/31/14. The supervising caregiver had her back turned toward the classroom and talked on the classroom phone for approximately one (1) to two (2) minutes at the time of the incident. 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 review of documentation and interview, the center's supervision policy was not followed by staff when a child crawled under a sand table, unscrewed a plug on the underside of the sand table and sand went into the child’s face and eyes in the three and four year olds' room at approximately 8:45 a.m. on 01/31/14. The supervising caregiver had her back turned toward the classroom and talked on the classroom phone for approximately one (1) to two (2) minutes during the time of the incident. The center's supervision policy states, “all children should be within scope of vision and range of voice. Employees much account for all children at all times.”

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, an unsupervised child crawled under a sand table, unscrewed a plug on the underside of the sand table and sand went into the child’s face and eyes in the three and four year olds' room at approximately 8:45 a.m. on 01/31/14. As a result, the child received medical treatment to have her eyes flushed. The supervising caregiver was talking on the classroom phone and did not see the child crawl underneath the sand table. Employee 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 05/02/10) had an immunization certificate that was valid until 02/15/14.

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 review of documentation, a child (enrolled on 05/02/10) did not have preferred hosptial information on file. This child got sand in her eyes during an incident on 1/31/14.

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) caregivers left a child unsupervised, for approximately thirty (30) minutes, in the school-age classroom on 01/03/14. The two caregivers took 18 children to the dining area for the lunch meal. One caregiver returned approximately 30 minutes later and discovered the child in the classroom. 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) caregivers left a child unsupervised, for approximately thirty (30) minutes, in the school-age classroom on 01/03/14. 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, caregiver hired 9/17/12, did not have education verification 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, a window sill had spiderwebs next to three (3) cribs in infants room #1.

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 diaper changing pad had a one (1) inch tear in the infants room #3.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a bottle of Humphreys Teething Pellets and Hyland's Baby Teething Tablets were not labeled to indicate whom the bottles belonged to in the infants' room #1. These bottles were in a medication box on the counter. Also, a bottle of Equate Infants Gas Relief and a bottle of Infants Pain and Fever Acetaminophen were not labeled to indicate whom the bottles belonged to in the infants' room #2. These bottles were in a medication box. 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 8. Kitchen Requirements.

General: Based on observation, there was no measuring device to indicate the food in the freezer was at zero (0) degrees Fahrenheit. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, fourteen (14) children were served a ham and cheese sandwich, Goldfish crackers, peaches, and milk in toddlers' rooms A and B. Forty-two (42) children were served ham and cheese sandwiches, potato chips, peaches, and milk. Children's 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 observation, there was no diaper changing procedure posted in toddlers' room B. 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 Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interviews, a driver, employed 6/1/01, left a child alone on the center's van that was parked in the center's parking lot. The child was alone on the van from 3:15 p.m. to 4:00 p.m. Staffing Requirements 40 - Ratios and Group Size Not Applicable 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 922 KAR 2:120. Section 2. Child Care Services. (2) Minimum staff-to-child ratios and group size for an operating child-care center shall be maintained as follows: Age of Children Ratio Maximum Group Size* Infant 1 staff for 5 children 10 Toddler 1 staff for 6 children 12 Preschool-age 2 to 3 years 1 staff for 10 children 20 Preschool-age 3 to 4 years 1 staff for 12 children 24 Preschool-age 4 to 5 years 1 staff for 14 children 28 School-age 5 to 7 years 1 staff for 15 children 30 School-age 7 and older 1 staff for 25 children (for before and after school) 30 1 staff for 20 children (full day of care) 30 *Maximum Group Size shall be applicable only to Type I child-care centers.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the director failed to supervise staff to ensure implementation of policies/procedures. A driver, employed 6/1/01, left a child, unattended on the center's van for approximately forty-five (45) minutes on 4/29/13. The center's policy states: "According to Kentucky state regulations all children shoud be within scope of vision and range of voice. Employees must account for all children at all times, failure to account for children that they may be responsible for may result in disciplinary action."

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, a driver, employed 6/1/01, left a child, unattended on the center's van for approximately forty-five (45) minutes on 4/29/13. The driver arrived to the center at 3:15 p.m., but fail to assure each child exited the van. The child was removed from the van, by child-care staff at 4:00 p.m. Transportation

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 interviews, a child was left unattended on the center's van for approximately forty-five (45) minutes. The driver unloaded the children from the van and walked inside the center at 3:15 p.m. A child was later discovered sitting on the van in the center's parking lot at 4:00 p.m. on 4/29/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a seventeen (17) month old child was strapped in a wooden chair for time out. This child also received fourteen (14) injuries from August 19,2012 until November 6, 2012 in the Toddler II room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child's food allergy was posted on the board in the three (3) year old's classroom.

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) caregivers (DOH: 4/1/12 and 6/4/12) did not have their 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 3

General: Based on a review of documentation, a child (enrollment date: 8/21/11) had an immunization certificate on file that was valid until 5/1/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.