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

General: Based on interview review of documentation and ECE-TRIS, the surveyor found one (1) staff's (DOH: 07/08/24) file had no documentation to indicate that the staff had obtained the required six (6) hours of cabinet-approved orientation; therefore, the surveyor could not verify if this staff had completed the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Staff-in-charge stated she believed this staff had completed the required orientation and was not sure why completion of the training was not showing in ECE-TRIS. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found debris in multiple areas of the indoor gross motor room; therefore, the floor of the indoor gross motor room was not kept clean. Staff-in-charge stated she would have the floor cleaned prior to the children using the room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, the surveyor discovered that parents are only allowed inside the foyer/lobby area during drop off and pick up times of their children. Parents are required to wait until after hours if they request a tour of the child-care center or if they want to visit their child's classroom; therefore, parents are denied access to the child-care center during the hours of operation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 4. Premises Requirements.

General: Based on observation, the surveyor discovered the following: Nursery: 1. A black substance on the tile floors in multiple areas; therefore, the floor was not kept clean. 2. There was dirt debris on the rug. Preschool: 1. There was dirt debris on the floor in multiple areas. Two-Year-Old Classroom: 1. There was dirt debris on the floor in multiple areas. Overflow Classroom: 1. There was dirt debris on the rug. Staff-in-charge reported that she would have the areas cleaned.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found what appeared to be a cockroach run up the wall whenever a staff member moved a piece of paper that was hanging on the wall. Staff-in-charge reported she had the facility sprayed the day prior to the surveyor's visit. Staff member stated that the school age children bring cockroaches into the child-care center. Hygienic Practices In Compliance Equipment 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, the surveyor discovered the following: 1. A child's (DOE: 01/01/1900) file contained an immunization certificate with an expiration date of 08/21/2023; therefore, the immunization certificate was no longer valid. 2. A child's (DOE: 07/26/2020) file contained an immunization certificate with an expiration date of 11/21/2023; therefore, the immunization certificate was no longer valid. Staff-in-charge reported that she would obtain up-to-date immunization certificates.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat located in the School Age restroom contained a yellow substance that appeared to be dried urine; therefore, the toilet was not kept clean. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Three's & Four's Classroom: 1. There was a small black children's chair that contained a hole; therefore, the furniture was not kept in good repair. School Age Classroom: 1. There was a small blue couch that was peeling material on the arms of the couch; therefore, the furniture was not in good repair. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor found the following: 1. There was a gallon of whole white milk in the kitchen refrigerator that had been open with a best by date of 11/04/23. During interview with staff-in-charge, she stated that the milk had been used the Friday prior and that staff had not thrown the milk in the garbage. 2. There was a gallon of whole white milk in the kitchen refrigerator that had not been opened that had a best by date of 11/03/23. During interview with staff-in-charge, she stated she would dispose of the unused milk. Therefore, the child-care center failed to keep the milk free from spoilage. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 09/04/23 ) file did not contain the contact telephone numbers for the child’s preferred family physician. 2. A child’s (DOE: 07/16/21 ) file did not contain the contact telephone numbers for the child’s preferred family physician. While reviewing at the child's enrollment information, the surveyor observed that the page that was needed for the physician's information was missing from the child's folder. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on observation, the surveyor arrived to the child-center on 10/30/23 at 12:38 pm. The surveyor knocked on the door at arrival and observed there to be no answer. The surveyor called the child-care center 12:45 pm and did not get an answer. The surveyor called the alternate telephone number at 12:46 pm and left a voicemail. At 12:50 pm, the surveyor received a phone call from the alternate phone number. The surveyor spoke with the staff-in-charge who stated that the child-care center had to close unexpectedly at 11:00 am due to a medical emergency; therefore the child-care center failed to report the closure of the child-care center to DRCC. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found several dead flies in a windowsill located in the Indoor Gross Motor Room; therefore the premises was not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Two's Classroom:: 1. There was a piece of ceiling tiles that was falling from the ceiling; therefore, the ceiling was not kept in good repair. Indoor Gross Motor: 1. There was two (2) ceiling tiles over a window that were falling from the ceiling; therefore, the ceiling was not kept in good repair. After School Classroom: 1. There was a hole in the wall beside the toilet paper dispenser located in the restroom; therefore, the wall was not kept in good repair. 2. There were three (3) ceiling tiles with discoloration above the toilet and sink in the restroom; therefore the ceiling was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 02/01/13) file contained a professional development plan dated 02/24/21; therefore, the plan was not completed annually. 2. A staff’s (DOH: 11/18/11) file contained a professional development plan dated 02/24/21; therefore, the plan was not completed annually. 3. A staff’s (DOH: 04/20/12) file contained a professional development plan dated 02/24/21; therefore, the plan was not completed annually. 4. A staff’s (DOH: 09/27/19) file contained a professional development plan dated 02/24/21; therefore, the plan was not completed annually. 5. A staff’s (DOH: 07/06/20) file contained a professional development plan dated 02/24/21; therefore, the plan was not completed annually. Through interview with staff-in-charge, the surveyor learned that the most current professional development plans for the staff mentioned were not available for review. 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, the surveyor found the following: 1. Two (2) staff persons were providing care for twenty-one (21) children in the Preschool Classroom. Staff stated that the children were between the ages of two-years-old to four- years-old; therefore, the classroom exceeded the staff-to-child ratio and maximum group size by one (1) child. 2. One (1) staff person was providing care for seventeen (17) children in the Afterschool Classroom. Staff stated that the children were between the ages of four to eleven years old; therefore, the classroom exceeded the staff-to-child ratio by three (3) children. General Administration 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 8. General.

General: Based on observation, the surveyor found a gray unsecured cord coming down the side of a countertop in the Overflow Classroom and plugged into an outlet. The cord appeared to belong to a microwave placed on the countertop. 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 surveyor found the following: 1. A staff’s (DOH: 11/18/11) file contained an annual written performance evaluation dated for 02/24/21; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 04/20/12) file contained an annual written performance evaluation dated for 02/24/21; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 09/27/19) file contained an annual written performance evaluation dated for 02/24/21; therefore, the evaluation was not completed annually. 4. A staff’s (DOH: 07/06/20) file contained an annual written performance evaluation dated for 02/24/21; therefore, the evaluation was not completed annually. Through interview with staff-in-charge, the surveyor learned that the most recent written performance evaluations were not available for review for the staff mentioned. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found a container of "Kleen Freak" disinfecting wipes placed on the sink in the second restroom in the Afterschool Classroom that stated "Keep Out of the Reach of Children" on the label.

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 surveyor found a blue alphabet rug in the Infant/Toddler Classroom that contained white debris; therefore, the rug was not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet in the second restroom located in the Afterschool Classroom; therefore, the toilet was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A red shelf that divided the Preschool and Two Year Old Classrooms contained peeling paint; therefore, the shelf was not free of peeling, flaking, or chalking paint. 2. A red shelf in the Afterschool Classroom contained peeling paint on the edge of the shelf; therefore, the shelf was not free of peeling, flaking, or chalking paint. During interview, staff-n-charge stated that she had applied for a grant and was hoping to replace the shelves. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 01/24/22) file did not contain a contact telephone number for the child’s preferred family physician. 2. A child’s (DOE: 07/27/20) file did not contain the name of the child’s preferred family physician or contact telephone number. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the daily attendance record for 08/09/22 had thirty (30) children’s arrival times documented; however, forty-four (44) children were observed to be present at the child-care center.

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 provided and review of ECE-TRIS, the surveyor found: 1. A staff member (DOH: 04/20/2012) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 07/11/2015. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training was not completed every five (5) years. 2. A staff member’s (DOH: 09/27/2019) record did not contain documentation of the completion of the one and one half (1 ½) hours of pediatric abusive head trauma training. A review of the staff member’s file and a review of ECE-TRIS found no verification that the PAHT training was completed. 3. A staff member's (DOH: 07/06/2020) record did not contain documentation of the completion of the one and one half (1 ½) hours of pediatric abusive head trauma training. A review of the staff member’s file and a review of ECE-TRIS found no verification that the PAHT training was completed. During interview, staff stated they were not aware that the staff had not completed the training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found a round rug located in the Infant Room contained dirt/debris as well as a snag, approximately ½ inch long, in the upper right area of the rug. During interview, staff stated they would have the rug cleaned and repaired. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the Preschool Room, the surveyor found a blue children’s couch with a tear in the seat that was approximately 2 inches long. During interview, staff stated they were not aware of the tear on the couch. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 9/7/21) file contained an immunization certificate that was no longer current after 10/4/21. 2. A child’s (DOE: 11/8/20) file contained an immunization certificate that was no longer current after 3/10/21. During interview, staff stated they would request a current immunization certificate from the children’s parents. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the toilet located in the restroom by the Twos Classroom contained urine and had not been flushed; therefore, the toilet was not clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

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 03/30/2021 AND AS OF 04/02/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff’s (DOH: 11/18/11) file did not contain a completed annual written performance evaluation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff’s (DOH: 7/6/2020) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Staff reported the staff is enrolled in high school; however, the staff did not have documentation to verify that the staff is enrolled in school. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: (1.) An overhead light cover was broken in the Indoor Gross Motor Room; therefore, the light cover was not in good repair. Staff was not aware of the issue. (2.) A large, square rug located in the Indoor Gross Motor Room contained dirt and debris; therefore, the rug was not clean. (3.) A square rug located in the Nursery contained dirt and debris; therefore, the rug was not clean. (4.) Two (2) square rugs located in the Twos Classroom contained dirt and debris; therefore, the rugs were not clean. (5.) A round rug inside the Threes / Fours Classroom contained dirt and stains; therefore, the rug was not clean. (6.) The floor in the After School Classroom contained food and dirt; therefore, the floor is not clean. (7.) The rug inside the After School Classroom contained dirt and debris; therefore, the rug was not clean. (8.) A ceiling vent located in the restroom inside the After School Classroom was broken; therefore, the ceiling vent was not in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: (1.) A small hole was located in the wall above a handrail in the restroom; therefore, the wall was not in good repair. The restroom is located in the After School Classroom. (2.) A ceiling tile located in the After School Classroom contained water damage; therefore, the ceiling was not in good repair.

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 surveyor found toilet paper in the floor of the restroom located by the Twos Classroom; therefore, the restroom was not clean.

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.

Based on observation, the surveyor found a green pea underneath the diaper changing pad; therefore, the diaper changing area was not clean. First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the freezer located in the kitchen had a temperature reading of nineteen (19) degrees Fahrenheit instead of the recommended temperature reading of zero (0) degrees Fahrenheit or below. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: (1.) A child’s (DOE: 9/14/19) file contained an immunization certificate that was no longer current as of 2/15/2021. (2.) A child’s (DOE: 11/8/2020) file contained an immunization certificate that was no longer current as of 11/16/2020. (3.) A child’s (DOE: 12/28/2020) file did not contain an immunization certificate. (4.) A child’s (DOE: 10/21/2020) file did not contain an immunization certificate. (5.) A child’s (DOE: 7/28/2020) file contained an immunization certificate that was no longer current as of 9/8/2020. Staff expressed frustration stating she has a difficult time getting parents to bring a copy of their child’s immunization certificates to the child-care center An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: (1.) Staff’s (DOH: 2/1/13) file did not contain a completed written annual plan for professional development. (2.) Staff’s (DOH: 11/18/11) file contained a written annual plan for professional development that was dated 6/11/19; therefore, the professional development plan needs to be updated. (3.) Staff’s (DOH: 4/20/12) file contained a written annual plan for professional development that was dated 4/18/19; therefore, the professional development plan needs to be updated. (4.) Staff’s (DOH: 7/27/18) file contained a written annual plan for professional development that was dated 6/10/19; therefore the professional development plan needs to be updated. (5.) Staff’s (DOH: 9/17/19) file contained a written annual plan for professional development that was dated 7/1/19; therefore, the professional development plan needs to be updated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a fire drill was not documented for December 2020. Staff confirmed through interview that the fire drill was not conducted. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, the surveyor found one (1) six-year-old child was not wearing a mask in the After School Classroom. During interview, staff confirmed that the child does not have a written statement from a medical professional stating she does not have a wear a mask.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the childcare center received deficiencies for non-compliance in maintaining the staff-to-child ratio on 9/24/18, 11/19/18, 1/3/19 and 10/14/19. On 10/23/19, the surveyor found the following: 1. Two (2) staff were providing care for thirteen (13) infant and one-year-old children. The youngest child was four-months-old: thus, three (3) children exceeded the staff-to-child ratio. 2. Two (2) staff were providing care for thirteen (13) infant and one-year-old children. The youngest child was four-months-old: thus, three (3) children exceeded the group size. General Administration 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 01/16/2020 AND AS OF 01/21/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements 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, during a tour of the childcare center, the surveyor found that one (1) staff person was providing care for three (3) two-year-old children and seven (7) three-year-old children. Through interview, staff informed the surveyor that the two-year-old children began transitioning to the classroom for the three-year-old children within the past week. Through review of documentation, the surveyor found that the two-year-old children did not have completed transition plans.

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, the surveyor found that a toddler-age child was sleeping while sucking on a pacifier. The pacifier had a strap attachment that was clipped to the child's clothing. 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 12. Reports.

General: Based on observation, the surveyor found that staff used shelving to create a classroom within the Preschool Room. Through interview, the surveyor learned that staff use the area for the two-year-old children. Staff have used the area to provide care for children prior to cabinet approval. 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 surveyor could not verify that a staff’s (DOH: 4/20/12) annual performance evaluation was within regulatory compliance as it was not signed or dated.

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 during a tour of the infant and toddler area, the surveyor found that two (2) staff were providing care for eleven (11) children with the youngest being four-months-old. One (1) child exceeded the staff-to-child ratio and group size. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 2/1/13) negative tuberculin result was no longer current as of 7/11/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 observation, the surveyor found that the two and three year-old children ran around the classroom and continually cried throughout the renewal survey. The staff conducted no programming activities with the children from 12:00 p.m. until 2:20 p.m.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the children’s nap is typically from 12:00 p.m. until 2:00 p.m. The surveyor observed that on 10/23/19, staff placed the children down for nap after 2:00 p.m.

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, the surveyor found that two (2) staff were providing care for eleven (11) two-year-old children and three (3) three-year-old children. Through review of documentation, the surveyor found no transition plans. Through interview, the surveyor learned that staff had not completed written transition plans for the two-year-old children to be in the combined age group. 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 during a tour of the School-age Room, the surveyor found that a bottle of bleach water was stored in an unlocked cabinet located under the sink in the restroom used by the children. The bleach water was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 during a tour of the Overflow Room, the surveyor observed that a purple rug was heavily soiled and had dark stains.

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 surveyor found that areas of paint had worn exposing the underlying surface of the toilet seat located in the restroom used by the children. The worn areas allow the underlying surface to become absorbent. Therefore, the toilet was not in good repair. 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 11. Toys and Furnishings.

General: Based on interview, the surveyor learned that staff spray the mouth contact toys with a bleach solution and then wipe them with a paper towel. The proper steps is to scrub the mouth contact toys with a warm soapy water using a brush to reach into crevices, rinse in clean water, submerge is a sanitizing solution for at least two (2) minutes and air dry. First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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 5. Infant and Toddler Play Requirements.

General: Based on observation, the surveyor found that an infant child was sleeping in a playpen located in the Infant Room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. An infant child was in a crib while drinking a bottle. 2. An infant child was in a playpen while drinking a bottle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the refrigerator located in the Overflow Room, did not contain a thermometer. The interior temperature of the refrigerator could not be determined. 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 observation, the surveyor found that twenty-five (25) children were in attendance at the childcare center. Review of the Daily Attendance Record found that the arrival times of only twenty (20) children were documented.

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, the surveyor found that only one (1) time of day was recorded for the quarterly practiced tornado and earthquake drills during the first, second and third quarters of 2019. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the nursery classroom was over ratio by one (1) child upon the surveyor's arrival at the center at 1:30 p.m. There were six (6) children present in the nursery between three (3) months old and one year old with one (1) staff member supervising. An additional staff member was present, but stated she had stepped out of the room to open the center's entrance door for the surveyor and to assist parents coming to pick up children. This deficiency was previously cited for failing to maintain ratio on 09/24/18, 11/19/18, and 01/03/19. 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 observation during a tour of the childcare center, the surveyor found the following in the Infant Room: 1. An infant child was sleeping with the aid of a Boppy Pillow in a crib. Staff stated the child did not have a physician's statement requesting an alternate sleeping position. 2. An infant child was sleeping in a swing. Staff stated the child did not have a physician's statement requesting an alternate sleeping position. 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 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the Infant Room, the surveyor found an infant sleeping with a toy in the crib.

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, the following were found: 1. The nursery classroom was over ratio by two (2) children upon the surveyor's arrival at the center at 12:00 p.m. There were seven (7) children present in the nursery between nine months old and one year old with only one (1) staff member supervising. An additional staff member was present but stated she had stepped out of the nursery to open the center's entrance door for the surveyor. The additional staff member had been feeding a toddler age child who was sitting in a high chair outside the nursery classroom door and proceeded to remove the child from the high chair and place them back in the toddler classroom prior to entering the nursery. 2. The school age classroom was over ratio by one (1) child. There were sixteen (16) children between five years old and eleven years old present in the school age classroom with only one (1) staff member supervising. The staff reported she did have seventeen (17) children but had sent one (1) child into the gross motor classroom where the pre-school children were playing. Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the surveyor observed that there was not twelve (12) inches of space between two (2) cribs located in the corner of the nursery. The cribs were pushed together so that their sides were touching. One (1) crib was in use and contained a sleeping child. Staff-in-charge stated that the cribs had just been moved together and they had not originally been placed in such a manner.

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 on 11/19/18 during a follow-up visit to the childcare center, the surveyor found that three (3) staff were providing care for a twenty-three-month-old child along with sixteen (16) other children whose ages ranged from two to five-years-old. Through interview, staff estimated that the twenty-three-month-old child was in the mixed- age group for fifteen (15) minutes. Five (5) children exceeded the group size for an estimated fifteen (15) minutes. This deficiency was previously cited for failing to maintain group size on 09/24/18, Inspection #246879. Director Requirements In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the following were found: 1. The surveryor found that a staff (DOH: 8/13/18 ) was working alone with eighteen (18) children between eighteen-months-old and four-years-old in the preschool classroom. Review of the staff file and KARES report, revealed that the staff member had not submitted fingerprints for their background checks. 2. The surveryor found that a staff (DOH: 7/27/18) was working alone with eighteen (18) children between eighteen-months-old and four-years-old in the preschool classroom. Review of the staff file and KARES report, revealed that the staff member had not submitted fingerprints for their background checks. 3. The surveryor found that a staff (DOH; 8/20/18) had not submitted fingerprints for their background checks. The Director and staff confirmed that the staff member has been working at the center as a floater but does not work alone with the children. The Director confirmed in interview that the three (3) staff members had not yet been scheduled for their fingerprints. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, the surveyor found that ratios and group size are not being maintained as follows: On 9/24/18 the surveyor observed eighteen (18) children being supervised by two (2) staff members in the pre-school classroom. Staff reported that the youngest children were two- years-old. Upon review of the children's files and parent interview, the two (2) youngest children (DOE: 9/18/18 & 4/11/18) were found to be eighteen-months-old. The staff-to-child ratio and group size was exceeded by six (6) children. 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 review of documentation and observation, the surveryor found that two (2) staff (DOH: 8/13/18 & 7/27/18) were working alone with eighteen (18) children between eighteen-months-old and four-years-old in the preschool classroom. Review of the staff files and KARES report, revealed that niether staff member had submitted fingerprints for their background checks. The Director confirmed in interview that the two (2) staff members had not yet been scheduled for their fingerprints. 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 and interview, the following were found: 1. A staff file (DOH: 11/18/11) did not contain results of a negative tuberculin skin test that had been interpreted within the past two (2) years. The most recent tuberculin skin test on file was interpreted on 7/11/16. 2. A staff file (DOH: 4/20/12) did not contain results of a negative tuberculin skin test that had been interpreted within the past two (2) years. The most recent tuberculin skin test on file was interpreted on 7/11/16. The Director stated that she thought a more recent tuberculin skin test had been completed for both staff. Programming 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that a child's file (DOE: 4/11/18) did not contain an immunization certificate. Upon interview, the Director stated she was aware that an immunization certificate is missing from the 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 observation and interview, the surveyor found that staff-to-child ratios are not being maintained. The surveyor observed eighteen (18) children between eighteen- months-old and four-years-old in the preschool classroom with two (2) staff members. The surveryor witnessed each staff member leaving the classroom at various times during the inspection to retrieve items from the hallway and kitchen thus leaving only one (1) staff member supervising the eighteen (18) children for approximately one (1) minute or less. Five (5) staff members confirmed in interview that they do leave the classroom to retrieve items from the kitchen or other areas of the center if the float staff has not yet arrived to work. Each staff member confirmed that when they leave the classroom to retrieve items that there is only one (1) other staff in the classroom to supervise the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration 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 12. Reports.

General: Based on interview, the surveyor found that the center failed to report an incident involving a child (DOE: 4/11/18) that required the child receive medical attention. The parent found that the child could not walk when picked up from the center. The child's doctor determined the child had pulled their groin muscles most likely by falling. Upon interview, the Staff-in-Charge recalled the incident that occurred in August of 2018 and confirmed that it had not been reported because she did not realize she was supposed to report it. 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, it was determined that the health, safety, and comfort of the children was not being maintained. Per interview with three (3) parents it was found that children are being picked up from the center with bodies and clothing soiled with food, milk, and mucous. Parents reported they have picked their children up from the center to find they have dried food or milk on them and their clothing. One (1) parent reported that their child has allergies and often has mucous drainage dried on their shirt when picked up from the center. Staff reported that the children are cleaned off if they are soiled and any soiled clothing is changed. Hygienic Practices 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 and interview, the surveyor found that a staff schedule that lists staff's working time is not being maintained. Staff-in-charge explained that she documents on her desk calendar when staff are scheduled to work. Upon review of the desk calendar, the surveyor found that there were days that no-one was documented as being scheduled for work and there were days that only one (1) or two (2) staff names were documented with not clear working time documented. Staff-in-charge explained that staff write down their hours worked and submit it to her at the end of each week at which time she sends the documentation to her tax preparer. Staff-in-charge did not present the surveyor with any documentation showing what hours each staff member worked for September of 2018.

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, the surveyor found that there was six (6) children in the Nursery classroom and one (1) staff with the youngest being one month old. General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a toilet in the School-Age Classroom had a brown ring around bowl. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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, the surveyor found that two (2) children's files (DOE: 05/30/18 and 06/06/17)contained immunization certificates that were no longer current.

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, the surveyor found eight (8) of the children's files did not contain a preferred hospital for the child to be taken to in case of emergency. 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 observation, the surveyor found that there were thirty-three (33) children at the childcare center and only twenty-three (23) children were signed in. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, the surveyor found that a fire drill in May of 2018 was not documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there were eleven (11) children in the Toddler Classroom being supervised by one (1) staff person. There were two (2) children in the Baby Classroom being supervised by one (1) staff person. During an interview with the staff, it was learned that the children in the Toddler Classroom ranged from two to four (2-4) years of age and that the eleven (11) children had been grouped together in the classroom throughout the morning with one (1) staff person. Also, during interview with staff, it was learned that the children in the Baby Classroom were one-year-old children. Therefore, the child care center did not have an adequate number of qualified staff on the day of the visit. This regulatory violation was cited during a renewal visit on 07/11/17. The owner and director signed the Plan of Correction for this deficiency which stated, “Director/owner will assured extra qualified staff is present to ensure staff to child ratio is met at center and direct supervision in all classrooms for diaper changing and staff breaks. School is now in session no school kids are present threw day which leaves extra staff member for supervision while diapering and staff breaks. Director/owner has assured." The ongoing compliance to this deficiency stated, “Director/owner will assure extra staff member is present to maintain staff to child ratio and direct supervision for diaper changing." This regulatory violation was also cited during a follow-up visit on 08/18/17. The owner and director signed the Plan of Correction for this deficiency which stated, “Director/owner will ensure minimum staff to child ratio is met at center, a sub will be present and a student at center to do kitchen help, lunch, etc. Center will assure adequate staff at center to meet child to staff ratio." The ongoing compliance to this deficiency stated, “Director/owner will assure staff to child ratio is met and extra staff present." Before the surveyor's exit conference with the owner, another staff person arrived at the child care center and began assisting with supervising the eleven (11) children in the Toddler Classroom. 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 2. Child Care Services.

General: Based on observation, there were eleven (11) children in the Toddler Classroom being supervised by one (1) staff person. During an interview with the staff, it was learned that the children ranged from two to four (2-4) years of age and that the eleven (11) children had been grouped together in the classroom throughout the morning with one (1) staff person. Therefore, the staff-to-child ratio was exceeded by one (1) child. This regulatory violation was cited during a renewal visit on 07/11/17. The owner and director signed the Plan of Correction for this deficiency which stated, “Director/owner assured extra qualified staff is present to ensure child to staff ratio and direct supervision for breaks, diaper changing etc. School in back in session. No school kids are present threw day which leaves extra staff present.” The ongoing compliance to this deficiency stated, “Director/owner will assure child care center will maintain staff to child ratios and direct supervision at all times including extra staff member for diaper changing, bathroom breaks etc. Director will assure ongoing compliance at center.” This regulatory violation was also cited during a follow-up visit on 08/18/17. The owner and director signed the Plan of Correction for this deficiency which stated, “Director/owner will assure staff to child ratio is met. A sub will be present and student volunteer to do kitchen help, etc. at center. Extra staff at center will assure ratio is maintained at center and ongoing compliance." The ongoing compliance to this deficiency stated, “Director/owner will assure ongoing compliance with extra staff at center to do kitchen etc. and will continue to assure staff to child ratio is met.”

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 observation and interview, the surveyor observed one (1) staff member (DOH: 2/1/13) providing supervision to fifteen (15) children between the ages of two (2) and four (4) years old in the Toddler Classroom. Staff-in-charge (DOH: 11/18/11) was observed to enter the classroom from the School Age Classroom within less than one (1) minute of the surveyor's arrival. Staff-in-charge reported that she had taken a bowl to the kitchen sink which is located on the other side of the School Age Classroom. The minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising fifteen (15) children, with the youngest child being two (2) years of age. Staff reported that there normally only three (3) staff present at the center each day. Therefore, the child care center did not have the adequate number of adults/qualified staff present at the center to meet the minumum staff-to-child ratios on the day of the survey. 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 2. Child Care Services.

General: Based on observation and interview, the surveyor observed one (1) staff member (DOH: 2/1/13) providing supervision to fifteen (15) children between the ages of two (2) and four (4) years old in the Toddler Classroom. Staff-in-charge (DOH: 11/18/11) was observed to enter the classroom from the School Age Classroom within less than one (1) minute of the surveyor's arrival. Staff-in-charge reported that she had taken a bowl to the kitchen sink which is located on the other side of the School Age Classroom. The minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising fifteen (15) children, with the youngest child being two (2) years of age. Employee Records In Compliance Programming 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, it was found that a staff member (DOH: 9/29/16) identified as a substitute did not meet the qualifications due to not having a completed criminal records check (CRC) in their file. The staff member was previously a volunteer; however, upon turning eighteen (18) years of age, they were made a staff member. Therefore, the childcare center did not have the adequate number of qualified substitutes for a Type I 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 observation, there were a total of three (3) staff present inside the child care center on 7/11/17. The following was observed during this visit: 1) One (1) staff member (DOH: 11/18/11) provided supervision to the Toddler and the School-Age Classrooms from 10:58am-10:59am while another staff member (DOH: 2/1/13) used the restroom. During this time, staff member with DOH: 11/18/11 stood inside of the School-Age Classroom and was supervising the Toddler Classroom by looking over the shelf wall that separates the rooms. The minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising nineteen (19) children, with the youngest child being three (3) years of age. 2) One (1) staff member (DOH: 2/1/13) provided supervision to the Toddler and the Baby Classrooms from 11:42am-11:49am while another staff member (DOH: 4/20/12) changed children's diapers inside of the bathroom located off of the School-Age Classroom. During this time, staff member with DOH: 2/1/13 stood inside of the Toddler Classroom and was supervising the Baby Classroom by looking over the shelf wall that separates the rooms. The minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising nine (9) children, with the youngest child being a year old. Based on interview, staff stated this is a normal practice as there are only three (3) staff at the center each day. Therefore, the child care center did not have the adequate number of adults/qualified staff present at the center to meet the minimum staff-to-child ratios on the day of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 2. Child Care Services.

General: Based on observation, the following things were found during the surveyors visit on 7/11/17: 1) One (1) staff member (DOH: 11/18/11) provided supervision to the Toddler and the School-Age Classroom from 10:58am-10:59am while another staff member (DOH: 2/1/13) used the restroom. During this time, staff member with DOH: 11/18/11 stood inside of the School-Age Classroom and was supervising the Toddler Classroom by looking over the shelf wall that separates the rooms. Therefore, the minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising nineteen (19) children, with the youngest child being three (3) years of age. The minimum staff-to-child ratio for the child care center was exceeded by seven (7) children during this time. 2) One (1) staff member (DOH: 2/1/13) provided supervision to the Toddler and the Baby Classrooms from 11:42am-11:49am while another staff member (DOH: 4/20/12) changed children's diapers inside of the bathroom located off of the School-Age Classroom. During this time, staff member with DOH: 2/1/13 stood inside of the Toddler Classroom and was supervising the Baby Classroom by looking over the shelf wall that separates the rooms. Therefore, the minimum staff-to-child ratio was not met during this time, i.e., one (1) staff was responsible for supervising nine (9) children, with the youngest being a one-year-old child. The minimum staff-to-child ratio for the child care center was exceeded by three (3) children during this time. Based on interview, staff stated this is a normal practice as there are only three (3) staff at the center each day. General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation of staff files, the following things were found: 1) A staff's (DOH: 9/29/16) file did not contain a completed criminal records check (CRC). 2) A staff's (DOH: 9/29/16) file did not contain written documentation that the CRC was submitted timely. Based on interview, the staff member was previously a volunteer; however, upon turning eighteen (18) years of age, they were made a staff member. Also based on interview, it was found that the staff member has never been alone with 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, it was found that a staff’s (DOH: 10/7/11) file contained a copy of a negative tuberculin results dated 7/22/14; therefore, the result was no longer complaint with regulatory requirements.

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, it was found that a staff member (DOH: 9/29/16) identified as a substitute did not meet the qualifications due to not having a completed criminal records check (CRC) in their file. The staff member was previously a volunteer; however, upon turning eighteen (18) years of age, they were made a staff member. Therefore, this staff member is not a qualified substitute. 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, a one-year-old child (DOE: 7/5/17) was present in the Baby Classroom with two (2) two-year-old children. Based on interview, staff stated that the children are combined all day on a regular basis. Therefore, the child care center had a toddler child combined with older children for more than one (1) hour. Based on review of documentation of the child's file, the child is only twelve (12) months old.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the children in the Toddler Classroom were served lunch while watching television. The television remained on throughout the entire mealtime. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the following things were found: 1) The children in the Toddler Classroom did not wash their hands prior to eating lunch; instead, they used hand sanitizer. 2) The children in the Baby and the School-Age Classrooms did not wash their hands after eating lunch. Based on interview, staff in the Baby Classroom stated the children's hands and faces were cleaned with a wet wipe. 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 of the playground, the protective surface of sand under the Little Tikes climber was washed away. Therefore, grass and weeds had grown over a large portion of where the protective surface should have been placed. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Baby Classroom, there was one (1) bottle that was not in use and was not covered. The bottle contained a small amount of formula. 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 of children's files, one (1) child's (DOE: 3/5/14) file had an immunization certificate that did not include a date; therefore, it could not be confirmed that the child was current on their immunizations. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 of children's files, the following things were found: 1) One (1) child's (DOE: 3/5/14) file did not contain the name or phone number of the preferred hospital. 2) One (1) child's (DOE: 2/26/17) file did not contain the name or phone number of the preferred doctor. 3) One (1) child's (DOE: 3/6/17) file did not contain the phone number of the preferred doctor. 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 of staff files, the following things were found: 1) One (1) staff member's (DOH: 2/1/13) file did not contain a completed professional development plan for review. 2) One (1) staff member's (DOH: 10/7/11) file did not contain an updated professional development plan, i.e., the file contained a professional development plan that was last updated on 7/5/16. Posted Documentation In Compliance 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, review of ECE-Tris, and interview, the following was found: (1) One (1) staff file presented for review (DOH: 5/4/15) did not contain documentation of having completed Pediatric Abusive Head Trauma training within the first year or employeement. Review of ECE-Tris did not show the staff member had completed Pediatric Abusive Head Trauma. Staff in charge stated the staff member had not completed Pediatric Abusive Head Trauma training. (2) One (1) staff file presented for review (DOH: 10/7/11) contained documentation of orientation being completed on 1/17/12. Orientation was not completed within three (3) months of the hire date as required. Staff in charge reported the the staff member was actually the owner but was available to substitute if needed. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the following: (1) The lesson plan posted in the infant classroom was blank. The staff in charge reported the classroom was used last the previous week but was not currently in use as no infants or toddlers were present. (2) The lesson plan posted in the pre-k classroom was dated for May and had not been updated. The staff in charge stated the lesson plan did have May on it had been updated.

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 surveyor found the following: (1) Soiled toilet paper was in the floor of the restroom off of the school age classroom. (2) Soiled toilet paper was on the floor of the restroom located off of the Pre-K classroom. The staff in charge reported that the restrooms are checked through out the day by staff after each use.

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 surveyor found that the diaper changing mat had a small tear in the center thus preventing it from being properly sanitized after each use. The staff in charge reported that they have a new daiper changing mat but she had not yet put it out.

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 surveyor found that the protective surface of sand under the little tykes climbers and slides had washed away and grass had grown over a large portion of it. The black cloth barrier under the sand was exposed. The staff in charge reported the sand had recently been replaced but grass does grow through it.

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, the surveyor found that children were being served 2% percent milk. Surveyor observed two (2) gallons of 2% percent milk in the kitchen in addition to two (2) half gallons of 1% percent milk. Upon interview, the staff in charge reported that children are served 1% and 2% percent milk. Staff in charge stated the children will not usually drink the 1% milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that two (2) children's files presented for review (DOE: 11/23/11, 11/23/11) did not contain the preferred hospital telephone number. Staff stated they were not aware the information was missing. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found the following: (1) One staff file presented for review (DOH: 2/1/13) did not contain a professional development plan that had been updated within the past year. The last professional development plan on file was dated for 2014. (2) One staff file presented for review (DOH: 11/18/11) did not contain a professional development plan that had been updated within the past year. The last professional development plan on file was dated for June 2015. (3) One staff file presented for review (DOH: 4/20/12) did not contain a professional development plan that had been updated within the past year. The last professional development plan on file was dated for July of 2014. (4) One staff file presented for review (DOH: 5/4/15) did not contain an updated annual professional development plan. The last professional development plan on file was dated for 7/9/15. Through interview, the staff in charge confirmed that the updates had not been made.

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 surveyor found that a ceiling tile had a dark brown stain located in both the girls' and boys' restrooms.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the child care center classrooms are divided by half-walls. The surveyor found that a staff person supervises the children in both the School-age Room and Infant and Toddler Room by standing beside the half-wall when the Infant and Toddler teacher leaves the room to change a child’s diaper.

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 surveyor found that a staff's (DOH: 06/11/13) file did not contain an annual written performance evaluation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, the surveyor found that an unsecured television had been place on a black shelf that was approximately two and a half feet high; thus, creating a safety risk to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1.A seventeen-year-old volunteer (DOH: 07/07/14) was observed to be assisting to meet the staff-to-child ratio in the Preschool Room. Through review of documentation and interview, the surveyor found that the volunteer did not have a personnel file, criminal or Child Abuse and Neglect background checks, TB skin test or a copy of a High School Diploma. Through interview, the surveyor learned that the volunteer had not been left alone with the children. 2. The surveyor was unable to verify that the child care center had obtained a staff’s (DOH: 05/04/15) Child Abuse and Neglect background check. Through interview, the surveyor learned that the staff person had not been left alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a seventeen-year-old volunteer (DOH: 07/07/14) was observed to be assisting to meet the staff-to-child ratio in the Preschool Room. Through review of documentation and interview, the surveyor found that the volunteer did not have a personnel file, criminal or Child Abuse and Neglect background checks, TB skin test or a copy of a High School Diploma. Through interview, the surveyor learned that the volunteer had not been left alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 06/11/13) did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the two (2) individuals identified as substitutes at the Type 1 child care center do not meet the staff requirements to be considered qualified based on lack of education verification, annual training, evaluation, professional develop plan and a Child Abuse and Neglect background check. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 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 review of documentation, the surveyor found that the two (2) individuals identified as substitutes at the Type 1 child care center do not meet the staff requirements to be considered qualified based on lack of education verification, annual training, evaluation, professional develop plan and a Child Abuse and Neglect background check.

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 ECE-TRIS, the surveyor found the following: 1. The surveyor found verification that a staff (DOH: 04/20/12) had obtained only twelve (12) hours of cabinet-approved early care and education annual training. 2. The surveyor found verification that a staff (DOH: 02/01/13) had obtained only four (4) hours of cabinet-approved early care and education annual training. 3. The surveyor found verification that a staff (DOH: 06/11/13) had obtained only eight (8) hours of cabinet-approved early care and education annual training and had not obtained one and one-half (1.5) hours of pediatric abuse head trauma training within the first year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the daily planned program of activities had not been created.

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 review of documentation during a tour of the Toddler Room, the surveyor found that a one-year-old child was being provided care along with two (2) two-year-old children. Through interview with staff, the suveyor found that the children had been in a mixed age group for longer than one (1) hour.

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 surveyor found that the toilet seats were easily moved and were not tightly secured to the toilet bowls located in both the girls' and boys’ restrooms. Hygienic Practices

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 interview, the surveyor learned that the mouth contact toys are not scrubbed with a brush or submerged in a sanitizing solution for at least two (2) minutes. First Aid/Medication

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 during a tour of the Preschool Room at nap time, the surveyor found that five (5) of the children's mats were approximately one (1) inch thick and two (2) had tears in the vinyl covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 07/24/14) enrollment file did not contain an immunization certificate. 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, the surveyor found that a child’s (DOE: 03/05/14) enrollment file did not contain the name and phone number for each person to be contacted in an emergency situation involving or impacting the child. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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 surveyor found that the Emergency Preparedness plan did not contain the following information: 1. A designated relocation site and evacuation route. 2. Procedures for notifying parents of the relocation and ensuring family reunification. 3. Procedures to address the needs of individual children including children with special needs. 4. Instruction relating to the training of staff or the reassignment of staff duties. 5. Coordination with local emergency management officials. 6. A program to ensure the appropriate staff is familiar with the plan’s components. 7. A plan that had been updated by December 31, 2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff's (DOH: 06/11/13) file did not contain an annual written plan for child care professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the children's files did not contain written parental consent to be in the presence of a frog.

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, the surveyor found that sixteen (16) children were being supervised by one staff member. The age of the youngest child in the group was four (4) years old. This group size exceeded the permitted limit of fourteen (14) children, due to the age of the youngest child. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found that five (5) children were present in the classroom for infants and toddlers. A child that was present in this area during the time of the visit was two (2) years old. Based upon interview, it was discovered that the two-year-old child had been present in this classroom since arriving at the center. Equipment

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 surveyor found that there was no documentation of staff meetings for any time period.

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, the surveyor found that none of the six (6) current employees had a staff evaluation available for review.

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, the surveyor found that the minimum staff to child ratio was not being maintained. Opon the surveyors' arrival, one (1) staff person was present with fifteen (15) children ages four (4) to twelve (12).

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, the surveyor found that based upon the age of the youngest child, minimum staff to child ratio was not maintained within the room for school age children. The age of the youngest child in the group was four (4), but the staff to child ratio was one (1) staff for fifteen (15) children.

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 interview, the surveyor discovered that the staff person on duty, working in the room for school age children, was caring for her twelve-year-old daughter. The daughter was not included in the staff to child ratio. General Administration

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that there was no current documentation of liability insurance coverage. The most recent documented liability insurance policy verification expired November 2013.

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, the surveyor found that preschool age children were occupying the same area with school age children. Although the center has a separate area for preschool children, this area was not being used for care on this date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that two (2) staff persons, both with dates of hire 11/18/11, did not have current documentation of negative tuberculin results or health professional's statement. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 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 review of documentation, the surveyor found that there was no staff person on site with current CPR and First Aid certification.

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, the surveyor found that five (5) staff members did not have adequate training hours. The dates of hire are as follows: 11/18/11, 11/18/11, 4/20/12, 2/1/13, and 6/11/13.

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, the surveyor found that two (2) children ages fourteen (14) months were permitted to remain in the infant/ toddler area with two (2) other children, both of whom are two (2) years old, for the entirety of the survey. Based upon interview, the surveyor discovered that these children generally occupy the same area daily.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that preschool children that were present in the area of school age children were not provided rest time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a child was asleep in a playpen with a pacifier clip and teether attached to his clothing. The surveyor found that a second child was asleep in another playpen with a liquid filled, sippy cup inside. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 27 Web site: http://chfs.ky.gov/ Inspection Report

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, the infant/toddler area was being used to care for toddlers and preschool age children concurrently.

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 surveyor found that there was not a supply of toilet paper accessible to children using the restroom near the preschool area. The sink area was covered with a dried, tacky substance, and the mirror was covered with spatters. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that diaper rash cream was located in the bathroom underneath a diaper changing table, and was accessible to any child entering the restroom. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the playground area was overgrown. The grass was tall and had not been maintained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the playground did not have a protective surface as required. The sand that was once used was thin, and grass had covered the majority of the ground cover.

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, the surveyor found that the infant/toddler area contained two (2) playpens. Each playpen was used for sleeping.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that there were two (2) children ages fourteen (14) months that were not provided with an individual bed, mat, or cot for napping.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the area where the food is placed on serving plates was soiled. The sink area was soiled as well, with the third sink compartment being filled with dirty plates, cups, and utensils.

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 interview, the surveyor found that all children over the age of twelve (12) months are being served two-percent (2%) milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that eight (8) of the ten (10) children's records reviewed contained either expired immunization records, or did not contain an immunization record. The dates of enrollment for those children are as follows: 3/5/14, 11/7/13, 11/7/13, 3/5/14, 3/5/14, 3/7/12, 5/27/14, and 3/5/14.

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, the following was found: 1) Zero (0) of the ten (10) children's files presented for review contained contact information to allow the person in charge to contact the child's preferred hospital. 2) Five (5) of the ten (10) children's files presented for review did not have names and phone numbers for the individuals to be contacted in case of an emergency impacting the child. 3) Two (2) of the ten (10) children's files presented for review did not contain a list of the people designated in writing allowed to pick-up the children. 4) The file presented for review for a child (date of enrollment: 11/7/2013) did not contain authorization from the parent for the child-care center to seek medical care for a child in the parent's absence. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that nineteen (19) children were present. However, only eight (8) children were signed in on the sign-in sheet. Based upon interview, the surveyor was informed that staff have asked the parents repeatedly to complete the sign-in/out forms, but they continue failing to complete those as required.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that none of the six (6) employees had a professional development plan 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, the surveyor found that there was no documentation of earthquake or tornado drills performed for the period of April 2014 through June 2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that there was no documentation of fire drills performed from March 2014 through June 2014.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that there was no documentation of fire drills performed from March 2014 through June 2014.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that there was no documentation of earthquake or tornado drills performed for the period of April 2014 through June 2014. Posted Documentation

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 surveyor found that incorrect staff to child ratio was posted on the wall in the preschool area. The posting stated that staff to child ratio was 1:15. The surveyor also found that information on the Kentucky Consumer Product Safety Program was not posted within the center.

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, a two-year-old child was in a high chair with the safety straps not secured.

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, written performance evaluations were not conducted annually for four (4) staff members. Three (3) of these staff members were hired on 11/18/11 and the other staff member was hired on 4/20/12.

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 at 10:40 a.m. on 8/27/2013, only one (1) staff member was present at the center and she was working with eight (8) preschool age children in the School Age Classroom. It was found during staff interview and review of documentation that the staff member does not have a high school diploma, GED or Commonwealth Child Care Credential. Therefore, the children were not provided adequate supervision by a qualified staff member.

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 observation, a staff member (date of hire - 11/18/11) was working alone in the School Age Classroom with eight (8) preschool age children. It was found through interview and review of documentation that this staff member does not have a high school diploma, GED or Commonwealth Child Care Credential. It was also found that this staff member has worked as a direct child care provider and had supervisory power over children since the center opened in November, 2011. Therefore, the director did not assure compliance with 922 KAR 2:110 as required.

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 observation, a staff member (date of hire - 11/18/11) was working alone in the School Age Room with eight (8) preschool age children. It was found through record review and interview that this staff member does not have a high school diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the tuberculin results presented for review for a staff member (date of hire - 11/18/11) was no longer current after 10/16/2012.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Documentation of only eight (8) hours of cabinet-approved early care and education training obtained from 11/18/11 to 11/18/12 was presented for review for a staff member (date of hire - 11/18/11). 2) No documentation of cabinet-approved early care and education training obtained from 11/18/11 to 11/18/12 was presented for review for a staff member (date of hire - 11/18/11). 3) No documentation of cabinet-approved early care and education training obtained from 4/20/12 to 4/20/13 was presented for review for a staff member (date of hire - 4/20/12). 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete 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; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) Foods/liquids had spilled and frozen in the bottom of the freezer. 2) Food debris was in the bottom of the refrigerator. 3) The bottom and sides of the microwave oven were soiled.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) The immunization certificate presented for review for a child (date of enrollment - 12/12/12) was not valid after 3/17/13. 2) The immunization certificate presented for review for a child (date of enrollment - 10/2/12) was not valid after 1/4/13. 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 written record was not presented for review for a child (date of enrollment - 5/4/13). 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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, written professional development plans were not developed annually for four (4) staff members. Three (3) of these staff members were hired on 11/18/11 and the other staff member was hired on 4/20/12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Written records of tornado drills presented for review for the first and second quarters in 2013 did not include the children who participated. 2) Written records of earthquake drills presented for review for the fourth quarter in 2012 and the second quarter of 2013 did not include the children who participated. 3) No written record of an earthquake drill was presented for review for the first quarter in 2013.

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, written records of practiced fire drills were not presented for November and December of 2012 and February, March, May, June and July of 2013.

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, preschool age children were in the School Age Classroom and a daily plan of activities was not posted in the room for either the preschool age or school age children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation upon arrival to the center, a staff member (DOH: 11/18/11) was standing outside the child care center. The staff member went inside the center before the surveyor exited her car and entered the center. Interview found that a different staff member (DOH: 11/18/11) supervised thirteen (13) children in the After School classroom while the other staff member was taking a break. The age of the youngest child was two years old. Therefore, the minimum staff-to-child ratio was exceeded by three (3) children during this time. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff 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 observation, a staff member (DOH: 11/18/11) was working alone in the After School classroom with nine (9) children. Record review and interview found that this staff member does not have a high school diploma, GED, or Commonwealth Childcare Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 9 Food Requirements.

Toddlers: Based on review of documentation, the posted daily schedule indicates that morning snack is served from 10:00 a.m. until 10:15 a.m. and lunch is served from 11:00 a.m. until 12:00 p.m. Therefore, there is only a forty-five minute lapse between morning snack and lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the files for two (2) children (DOE: 3/7/12 and 12/27/11) did not contain immunization certificates. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Not In Compliance Findings: General: Based on observation, a total of thirteen (13) children were present. However, review of the daily attendance record found that arrival times for only ten (10) children were documented. 2) Departure Not In Compliance Findings: General: Based on review of documentation, the departure time for one (1) child was not documented on 7/9/12.

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

General: Based on review of documentation and interview, a current staff work schedule has not been written. 104 - Earthquake/Tornado Drills 922 KAR 2:110 - Section 3 (9) A written record of quarterly, practiced earthquake and tornado drills detailing the date, time, and children who participated; 1) Earthquake - conducted quarterly In Compliance 2) Earthquake - includes date In Compliance 5) Tornado - conducted quarterly In Compliance 6) Tornado - includes date In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 41 of 44 Web site: http://chfs.ky.gov/ Inspection Report 104 - Earthquake/Tornado Drills 922 KAR 2:110 - Section 3 (9) A written record of quarterly, practiced earthquake and tornado drills detailing the date, time, and children who participated; 3) Earthquake - includes time Not In Compliance Findings: General: Based on review of documentation, the times of the earthquake drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, and 5/2/12 were not documented. 4) Earthquake - includes children who participated Not In Compliance Findings: General: Based on review of documentation, the names of the children who participated in the earthquake drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, and 5/2/12 were not documented. 7) Tornado - includes time Not In Compliance Findings: General: Based on review of documentation, the times of the tornado drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, and 5/2/12 were not documented. 8) Tornado - includes children who participated Not In Compliance Findings: General: Based on review of documentation, the names of the children who participated in the tornado drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, and 5/2/12 were not documented. 105 - Fire Drills 922 KAR 2:110 - Section 3 (10) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated; 1) Date In Compliance 4) Conducted monthly In Compliance 105 - Fire Drills 922 KAR 2:110 - Section 3 (10) A written record of practiced fire drills conducted monthly detailing the date, time, and children who participated; 2) Time Not In Compliance Findings: General: Based on review of documenation, the times of the fire drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, 5/2/12, and 6/7/12 were not documented. 3) Children Not In Compliance Findings: General: Based on review of documentation, the names of the children who participated in the fire drills practiced on 1/27/12, 2/8/12, 2/27/12, 3/2/12, 4/30/12, and 5/2/12 were not documented. 108 - Report Documentation Maintenance Not Applicable 922 KAR 2:110 - Section 3 (13) A written record of reports to the cabinet required in Section 6(1) of this administrative regulation. 143 - Notification of Changes Not Applicable 922 KAR 2:110 - Section 6 (4) Written notification of the following shall be made to the cabinet to allow for approval before implementation: (a) Change of ownership; (b) Change of location; (c) Increase in capacity; (d) Change in hours of operation; (e) Change of services in the following categories: 1. Infant; 2. Toddler; 3. Two (2) years to school-age; 4. School-age; 5. Nontraditional hours; or 6. Transportation; or (f) Addition to the square footage a child-care center's premises. 1) CHOW Not Applicable 2) CHOL Not Applicable 3) Capacity Not Applicable 4) Hours Not Applicable 5) Services-Infant Not Applicable 6) Services-Toddlers Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 42 of 44 Web site: http://chfs.ky.gov/ Inspection Report 7) Services-2-SA Not Applicable 8) Services-SA Not Applicable 9) Nontraditional hours Not Applicable 10) Transportation Not Applicable 11) Additional Space Not Applicable 168 - Orientation procedures 922 KAR 2:120 - Section 2 (b) The program shall include: 1. A procedure to inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030; and 2. Written policy that specifies that the procedures that were taught a 2) Written Orientation Policy In Compliance Posted Documentation

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Toddlers: Based on observation, the diapering procedure was not posted. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.