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

General: Based on observation, during the walk-through of Classroom 121 from 10:41am-10:48am, the surveyor found three (3) staff members and eleven (11) children. During interview with staff, the children ranged in age from eight (8) weeks old to nine (9) months old. This exceeded the maximum group size of ten (10) infants by one (1) child. During interview, staff-in-charge stated she thought they could combine all the infants into one (1) classroom if there were three (3) staff members present and the if the classroom capacity was sufficient.

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, during the walk-through of Classroom 216, the surveyor found a stack of cots with draped blankets and sheets that were touching; thus, creating a possibility of cross-contamination. Therefore, the health safety and comfort of the children was compromised. During interview, staff-in-charge stated that she would remind staff to store the cots and bedding in a way that would prevent cross-contamination of children’s belongings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the personnel file for one (1) staff member (DOH: 08/20/25) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. During interview, staff-in-charge stated that the staff member had graduated high school; however, she could not locate a copy of the diploma for the surveyor to review during the inspection.

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, in the restroom adjacent to Classroom 124, the surveyor found areas of the wall were cracked and peeling near the baseboard behind a toilet; therefore, this wall was not smooth and in good repair. During interview, the staff-in-charge stated she would have the wall repaired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 16 of 33 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the restroom adjacent to Classroom 215, there was no liquid soap available in the dispenser on the wall or on the sink. 2. There was no liquid soap in the wall dispensers or on the sinks in the boys’ restroom and girls’ restroom located in the basement near the School Age Room. 3. In the restroom adjacent to Classroom 124, the paper towel dispenser on the wall was empty of paper towels. Therefore, the sinks in these restrooms were not equipped adequately with liquid soap or a method for the children to dry their hands. During interview, the staff-in-charge stated she would have staff restock the items for the restrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the restroom adjacent to Classroom 124, the surveyor found one (1) toilet with a dark ring inside of the toilet bowl; therefore, the toilet was not kept in a clean condition. During interview, the staff-in-charge stated she would have the toilet cleaned. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, during a walk-through of Classroom 115, the surveyor found no thermometer in the refrigerator used to store the infant's bottles; therefore, the surveyor was unable to verify if the refrigerator temperature was forty (40) degrees Fahrenheit or below as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of video footage from 06/03/25, the surveyor found that the childcare center failed to ensure the health, safety, and comfort of a three-year-old child when the child sustained burns to the bottoms of his feet while on the playground. Based on the video footage and interview with staff, the child removed his shoes while on the playground and walked across the rubber surface which burnt his feet.

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: 1. The protective surface (wood mulch) was depleted in the fall zones for the Toddler Play area. 2. The protective surface (rubber mulch) was depleted in the fall zones for the Two-Year-Old Playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of observation, the surveyor learned that the staff member in classroom 119 did not know the proper washing of mouth contact toys. Staff in the classroom stated: take, rinse with hot water, spray toy, soak, and towel/air dry. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: Classroom 115: 1. There were three (3) cots touching during naptime. 2. There were two (2) cots touching during naptime. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: Room 115 1. One (1) electrical outlet was missing a protective cover. Room 117 1. One (1) electrical outlet was missing a protective cover. 2. One (1) electrical outlet was missing protective cover. Room 123 1. One (1) electrical outlet was missing a protective cover. Therefore, the health, safety, and comfort of the children were compromised. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that no date was entered in ECE-TRIS Individual Training Record report indicating that one (1) staff member (DOH: 02/08/22) had received the training on first aid and cardiopulmonary resuscitation (CPR). During review of the staff's personnel file, the surveyor did not find documentation indicating that the staff had completed the training on first aid and cardiopulmonary resuscitation (CPR); therefore, the child-care center failed to ensure that every staff member has received training on first aid and cardiopulmonary resuscitation (CPR) as required. Staff-in-charge stated that she was unsure if staff had previously received training on first aid and cardiopulmonary resuscitation (CPR).

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 discovered the following upon review of the ECE-TRIS Individual Training Record and the ECE-TRIS Required Training Hours Report: 1. For the timeframe of 03/22/23 thru 6/30/23, that one (1) staff member (DOH: 04/05/22; first year hire date 03/22/22) failed to complete any of the fifteen (15) required hours of cabinet-approved early care and education training. 2. For the timeframe of 01/19/23 thru 6/30/23, that one (1) staff member (DOH: 12/31/22; first year hire date 01/19/22) had completed one (1) hour of the fifteen (15) required hours of cabinet-approved early care and education training. 3. For the timeframe of 02/24/23 thru 6/30/23, that one (1) staff member (DOH: 12/29/22; first year hire date 02/24/22) had completed two (2) hours of the fifteen (15) required hours of cabinet-approved early care and education training. 4. For the timeframe of 07/01/22 thru 6/30/23, that one (1) staff member (DOH: 05/28/93) had completed thirteen (13) hours of the fifteen (15) required hours of cabinet-approved early care and education training. 5. That one (1) staff member (DOH: 01/15/18) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 07/25/23; therefore, the staff member failed to complete the PAHT training every five years as required. Therefore, the provider failed to ensure that staff had completed training as required. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, The surveyor discovered the following: Room 215 1. Two (2) tote bags located in an unlocked cabinet. Staff confirmed that the tote bags belonged to staff in the classroom. Therefore, the personal item was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered that there was no hand-drying blower or single use disposable hand drying materials available for use by the children in the restroom located in Room 219.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the restroom located in Room 124, the surveyor observed the following: 1. A dark ring inside the toilet bowl of two (2) toilets. 2. The toilet located on the left side did not flush. Thus, the toilets were not kept in clean condition and 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered debris underneath the diaper changing pad located on the diaper changing table in Room 125; therefore, the diaper changing surface was not clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor discovered the following items in the kitchen refrigerator: 1. One (1) container of Yoplait yogurt with a “Best if used by date of 7/31/23” printed on the container. 2. Two (2) large containers of salsa with a “Best if used by date of 8/23/23” printed on the container. 3. One (1) gallon jug of ranch dressing with a “Best if used by date of 8/03/23” printed on the container. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the Emergency Preparedness Plan was not dated or signed; therefore, the surveyor was unable to verify that the plan had been reviewed or revised within the past year. Staff-in-charge could not confirm that the Emergency Preparedness Plan had been reviewed or submitted to the local emergency management as required.

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 discovered that the records provided for review revealed that the quarterly lockdown drills were conducted in February, March, April and September of 2022, and February, March, and April of 2023; therefore, the child-care center failed to conduct and document that lockdown drills were completed during hours of operation at least quarterly. The checklist provided by the provider incorrectly indicated lockdown drills should be conducted four (4) times per year, instead of notating that the drills should be conducted quarterly. Staff-in-charge stated that they must have misunderstood when the drills should be conducted and documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation during a walk-through of the child care center, the surveyor found the following: At 1:40 pm, there was one (1) staff person caring for eight (8) children in Room 115. During interview, the staff stated that the youngest child in the classroom was one (1) year old; therefore, the classroom was over the staff-to-child ratio by two (2) children. The staff person further stated that an additional staff person was in the classroom; however, the additional staff person was gone on her lunch break. During interview, staff-in-charge stated that staff members are allowed a thirty (30) minute lunch break; however, she would talk with staff about asking for coverage prior to leaving on lunch break. At 1:51 pm, there was one (1) staff person caring for eighteen (18) children in Room 215. During interview, the staff stated that the youngest child in the classroom was year (3) years old; therefore, the classroom was over the staff-to-child ratio by six (6) children. The staff person further stated that an additional staff person was in the classroom; however, the additional staff person had stepped out of the classroom to use the restroom and had been gone for few minutes. During interview, staff-in-charge stated that she would talk with staff about asking for coverage prior to leaving for restroom breaks. General Administration In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a child’s (DOE: 10/26/2016) file did not contain the name of each person who is designated in writing to pick-up the child. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 05/03/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The staff’s file contained a Child Abuse/Neglect Background Check dated 05/02/21, but did not contain a Criminal Records Background Check. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 09/03/21. Staff-in-charge stated that the staff person was hired on 05/03/21. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 2. A staff’s (DOH: 06/28/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The staff’s file did not contain a Child Abuse/Neglect Background Check, but had a completed Criminal Records Background Check dated 07/06/21. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 09/02/21. Staff-in-charge stated that the staff person was hired on 06/28/21. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 3. A staff’s (DOH: 09/20/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 09/23/21. Staff-in-charge stated that the staff person was hired on 09/20/21. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 4. A staff’s (DOH: 02/25/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 03/03/22. Staff-in-charge stated that the staff person was hired on 02/25/22. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 5. A staff’s (DOH: 03/03/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 03/15/22. Staff-in-charge stated that the staff person was hired on 03/03/22. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 6. A staff’s (DOH: 03/25/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 04/05/22. Staff-in-charge stated that the staff person was hired on 03/25/22. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 7. A staff’s (DOH: 04/02/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 04/14/22. Staff-in-charge stated that the staff person was hired on 04/02/22. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. 8. A staff’s (DOH: 05/18/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to employment. During interview, staff-in-charge confirmed that a background check was not submitted through the Kentucky National Background Check Service prior to employment. The surveyor checked Kentucky National Background Check Service and found the eligibility date for the staff person as 05/24/22. Staff-in-charge stated that the staff person was hired on 05/18/22. Staff-in-charge stated that the staff person had not worked alone and the surveyor did not observe the staff person to work alone. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. On the covered patio leading to the playground, there was one (1) car jack, one (1) water hose, and one (1) broom. 2. There were loose cords hanging from the ceiling down to the floor and a pile of loose cords in the floor in the School Age classroom. 3. There was one (1) botte of Nuvel Hand Soap that stated, "Keep Out of The Reach of Children," on the back label and was located on the sink in the restroom located between Room 215 and Room 216. 4. There was one (1) bottle of Bath & Beauty Liquid Hand Soap that stated, "Keep Out of The Reach of Children," on the back label and was located on the sink in the restroom located between Room 215 and Room 216. 5. There was one (1) bottle of Klar & Danver hand soap that stated, "Keep Out of The Reach of Children," on the back label and was located on the sink in the restroom located in Room 125. 6. There was one (1) vacuum in the restroom located in Room 125. All of these items were observed to be within reach of children. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) bottle of Clorox Bleach that stated “Keep Out of the Reach of Children” under the sink in an unlocked cabinet in Room 123. The item mentioned were observed to be accessible and within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A toilet that contained toilet paper still attached to the dispenser and draped into the toilet bowl was located in the rest room located in Room 123; therefore, the toilet was not kept in clean condition. 2. A toilet located in the rest room in Room 125 had green residue on the base of toilet and black residue in the toilet bowl; therefore, the toilet was not kept in clean condition. 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

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 the following: 1. A dead bug was located on the diaper changing table underneath the diaper changing pad in the Room 126; therefore, the diaper changing surface was not kept clean. 2. Debris was on the diaper changing table underneath the diaper changing pad in the Room 123; therefore, the diaper changing surface was not kept clean. 3. Debris was on the diaper changing table underneath the diaper changing pad in the Room 125; therefore, the diaper changing surface was not kept clean. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) bag of trash hanging on the fence on the small playground. 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 4. Premises Requirements.

General: Based on observation, the surveyor found the following: 1. One (1) brown square sand table was located on the covered patio beside the playground that was not covered. 2. One (1) red crab sand table was located on the covered patio beside the playground that was not covered. 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 4 of 5 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 8. General.

General: Based on review of documentation, the surveyor found the following: 1. Staff’s (DOH: 7/20/20) file did not contain a Criminal Records Check (CRC). The surveyor did not observe the staff person working alone with children in the center. Staff reported there is two (2) staff in the classroom at all times. The surveyor reviewed the staff’s Child Abuse/Neglect Check dated for 7/28/2020. During interview, staff did not know that staff hired in 2020 needed a Criminal Records Check (CRC). Staff stated that staff hired in 2020 only had a Child Abuse/Neglect Check (CAN) completed. Staff stated a KARES report would be completed on the staff. 2. Staff’s (DOH: 5/10/21) file did not contain a Criminal Records Check (CRC). The surveyor did not observe the staff person working alone with children in the center. Staff reported there is two (2) staff in the classroom at all times. The surveyor reviewed the staff’s Child Abuse/Neglect Check dated for 5/11/2021. Staff stated a KARES report would be completed on the staff. 3. Staff’s (DOH: 5/5/21) file did not contain a Criminal Records Check (CRC). The surveyor did not observe the staff person working alone with children in the center. The staff reported there is two (2) staff in the classroom at all times. The surveyor reviewed the staff’s Child Abuse/Neglect Check dated for 5/4/2021. Staff stated a KARES report would be completed on the staff. 4. Staff’s (DOH: 1/19/21) file did not contain a Criminal Records Check (CRC). The surveyor did not observe the staff person working alone with children in the center. The staff reported there is two (2) staff in the classroom at all times. The surveyor reviewed the staff’s Child Abuse/Neglect Check (CAN) dated for 2/1/2021. Staff stated a KARES report would be completed on the staff. 5. Based on observation, the surveyor found four (4) pacifiers had been placed on the floor by the cribs located in Room 119. During interview, staff stated that the children had not been utilizing Room 119; however, the staff stated she would have the pacifiers picked-up. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that there was urine in the toilet in the restroom located in Room 126; therefore, the toilet was not kept in clean condition. During interview, staff stated that she would talk with staff about making sure toilets are flushed. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found there were rips in the changing pad located in Room 123. During interview, staff reported that she would replace the changing pad. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the vinyl stairs, located in Room 115, had torn edges. During interview, staff reported that she would have the vinyl stairs repaired. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor found the following: 1. There were eleven (11) children present in Room 123; however, only one (1) child was signed in on the daily attendance. 2. There were six (6) children present in Room 125; however, only three (3) children were signed in on the daily attendance. 3. There were fifteen (15) children present in Room 219; however, only three (3) children was signed in on the daily attendance. 4. There were eight (8) children present in Room 216; however, only six (6) children was signed in on the daily attendance. 5. There were six (6) children present in Room 126; however, only three (3) children was signed in on the daily attendance. During interview, staff reported that the center tries to get parents to sign the children in and out but some parents forget. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, DRCC was provided with two (2) staff TB skin tests that had been altered and/or falsified. Based on interview with staff at Pikeville Medical Center, it was confirmed that the two (2) TB skin tests had not been obtained at the Pikeville Medical Center on the dates indicated on the TB skin tests documentation. Therefore, the TB skin test had been altered and/or falsified. 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, DRCC was provided with two (2) staff (DOH: 12/19/16 and 06/03/19) TB skin tests that had been altered and/or falsified. Based on interview with staff at Pikeville Medical Center, it was confirmed that the two (2) TB skin tests had not been obtained at the Pikeville Medical Center on the dates indicated on the TB skin tests documentation.

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.) Staff’s (DOH: 2/14/94) file contained an annual written performance evaluation that was completed on 1/29/19; therefore, the evaluation is not current. (2.) Staff’s (DOH: 8/1/96) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (3.) Staff’s (DOH: 3/1/04) file contained an annual written performance evaluation that was completed on 1/31/19; therefore, the evaluation is not current. (4.) Staff’s (DOH: 8/15/73) file contained an annual written performance evaluation that was completed on 1/29/19; therefore, the evaluation is not current. (5.) Staff’s (DOH: 5/28/93) file contained an annual written performance evaluation that was completed on 1/29/19; therefore, the evaluation is not current. (6.) Staff’s (DOH: 3/21/86) file contained an annual written performance evaluation that was completed on 1/29/19; therefore, the evaluation is not current. (7.) Staff’s (DOH: 2/1/15) file contained an annual written performance evaluation that was completed on 2/1/19; therefore, the evaluation is not current. (8.) Staff’s (DOH: 1/29/01) file contained an annual written performance evaluation that was completed on 1/29/19; therefore, the evaluation is not current. (9.) Staff’s (DOH: 8/19/17) file contained an annual written performance evaluation that was completed on 1/23/19; therefore, the evaluation is not current. (10.) Staff’s (DOH: 4/1/13) file contained an annual written performance evaluation that was completed on 1/23/19; therefore, the evaluation is not current. (11.) Staff’s (DOH: 8/2/12) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (12.) Staff’s (DOH: 5/7/16) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (13.) Staff’s (DOH: 11/28/16) file contained an annual written performance evaluation that was completed on 1/31/19; therefore, the evaluation is not current. (14.) Staff’s (DOH: 5/24/16) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (15.) Staff’s (DOH: 12/19/16) file contained an annual written performance evaluation that was completed on 1/28/19; therefore, the evaluation is not current. (16.) Staff’s (DOH: 1/15/18) file contained an annual written performance evaluation that was completed on 1/31/19; therefore, the evaluation is not current. (17.) Staff’s (DOH: 6/3/19) did not contain an annual written performance evaluation (18.) Staff’s (DOH: 1/5/18) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (19.) Staff’s (DOH: 6/16/18) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (20.) Staff’s (DOH: 6/18/18) file contained an annual written performance evaluation that was completed on 1/22/19; therefore, the evaluation is not current. (21.) Staff’s (DOH: 3/6/19) file did not contain an annual written performance evaluation. (22.) Staff’s (DOH: 6/29/14) file contained an annual written performance evaluation that was completed on 2/1/19; therefore, the evaluation is not current. (23.) Staff’s (DOH: 9/10/98) file contained an annual written performance evaluation that was completed on 2/1/19; therefore, the evaluation is not current. 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 the following: (1.) Staff’s (DOH: 12/19/16) file contained a copy of a negative tuberculin result that was completed on 3/7/18; therefore, the negative tuberculin result is no longer current. (2.) Staff’s (DOH: 6/3/19) file contained a copy of a negative tuberculin result that was completed on 8/7/17; therefore, the negative tuberculin result is no longer current. (3.) Staff’s (DOH: 6/16/18) file contained a copy of a negative tuberculin result that was completed on 5/2/18; therefore, the negative tuberculin result is no longer current. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: (1.) Staff’s (DOH: 2/14/94) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (2.) Staff’s (DOH: 8/1/96) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (3.) Staff’s (DOH: 3/1/04) file contained a written annual plan for professional development that was completed on 1/23/19; therefore, the professional development plan is not current. (4.) Staff’s (DOH: 8/15/73) file contained a written annual plan for professional development that was completed on 1/31/19; therefore, the professional development plan is not current. (5.) Staff’s (DOH: 5/28/93) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (6.) Staff’s (DOH: 3/21/86) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (7.) Staff’s (DOH: 2/1/15) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (8.) Staff’s (DOH: 1/29/01) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (9.) Staff’s (DOH: 8/19/07) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (10.) Staff’s (DOH: 1/15/90) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (11.) Staff’s (DOH: 4/1/13) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (12.) Staff’s (DOH: 8/2/12) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (13.) Staff’s (DOH: 5/7/16) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (14.) Staff’s (DOH: 11/28/16) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (15.) Staff’s (DOH: 5/24/16) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (16.) Staff’s (DOH: 12/19/16) file contained a written annual plan for professional development that was completed on 2/1/19; therefore, the professional development plan is not current. (17.) Staff’s (DOH: 1/15/18) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (18.) Staff’s (DOH: 6/3/19) did not contain a written annual plan for professional development. (19.) Staff’s (DOH: 1/5/18) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (20.) Staff’s (DOH: 6/16/18) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. (21.) Staff’s (DOH: 6/18/18) file contained a written annual plan for professional development that was completed on 1/22/19; therefore, the professional development plan is not current. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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

Based on review of documentation and the National Background Check program, the surveyor found the following: 1. The surveyor found that a staff’s (DOH: 06/03/19) fingerprints were submitted to the National Background Check program on 06/12/19; therefore, the staff person was not cleared prior to being hired. 2. The surveyor found that a staff’s (DOH: 07/01/19) fingerprints were not submitted to the National Background Check program prior to being hired. 3. The surveyor found that a staff’s (DOH: 05/01/19) fingerprints were submitted to the National Background Check program on 06/28/19; therefore, the staff person was not cleared prior to being hired. 4. The surveyor found that a staff’s (DOH: 01/18/19) fingerprints were submitted to the National Background Check program on 01/23/19; therefore, the staff person was not cleared prior to being hired. 5. The surveyor found that a staff’s (DOH: 02/04/19) fingerprints were submitted to the National Background Check program on 02/12/19; therefore, the staff person was not cleared prior to being hired. 6. The surveyor found that a staff’s (DOH: 05/20/19) fingerprints were submitted to the National Background Check program on 05/24/19; therefore, the staff person was not cleared prior to being hired. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the two-year-old room, the surveyor found an uncovered electrical outlet which was accessible to the children. During interview, staff stated they would make sure all outlets were correctly covered. Based on observation during a tour the three-year-old room, the surveyor found a broom and soiled dust pan were accessible to the children. During interview, staff stated that they had been cleaning earlier in the day. 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 review of documentation, a file presented to the surveyor for review contained no verification of education for one (1) staff (DOH: 05/01/19). Interview with staff confirmed that verification of education was not available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the surveyor found the following: 1. The file for staff (DOH: 08/01/96) contained copies of tuberculin skin test results that were no longer current as of 02/02/17. 2. The file for staff (DOH: 08/02/12) contained copies of tuberculin skin test results that were no longer current as of 04/29/16. 3. The file for staff (DOH: 05/29/19) contained copies of tuberculin skin test results that were no longer current as of 08/26/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation in personnel files provided for review and ECE-TRIS, the surveyor found the following: 1. Staff (DOH: 02/14/94) had obtained only thirteen (13) hours of cabinet-approved early care and education annual training. 2. Staff (DOH: 09/22/15) had obtained only four (4) hours of cabinet-approved early care and education annual training. 3. Staff (DOH: 09/02/16) had obtained zero (0) hours of cabinet-approved early care and education annual training. 4. Staff (DOH: 08/19/17) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 03/10/14. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. 5. Staff (DOH: 04/01/13) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 01/06/14. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. 6. Staff (DOH: 09/22/15) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 01/06/14. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour the two-year old room, the surveyor found a tear in the vinyl covering of a chair exposing the stuffing of the chair. During interview, staff stated the chair would be taken out of the classroom. 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 interview and review of documentation, the file presented for surveyor review for one (1) child (DOE: 04/29/16) did not contain the preferred hospital and preferred hospital telephone number. During interview, staff stated they would have parent provide the information and include it in the file. 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 11. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. Verification of only thirteen and one-half (13 ½) hours of cabinet approved early care and education annual training were found for a staff (DOH: 08/01/96) for the review period of 08/01/16 – 07/31/17. 2. Verification of only fourteen and one-half (14 ½) hours of cabinet approved early care and education annual training were found for a staff (DOH: 05/28/93) for the review period of 05/28/16 – 05/27/17. 3. Verification of only thirteen and one-half (13 ½) hours of cabinet approved early care and education annual training were found for a staff (DOH: 08/02/12) for the review period of 08/02/16 – 08/01/17. 4. Verification of only twelve and one-half (12 ½) hours of cabinet approved early care and education annual training were found for a staff (DOH: 05/07/16) for the review period of 05/07/16 – 05/06/17.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff's file (DOH: 03/21/86) did not contain an annual check of the Kentucky driver history records. The staff-in- charge stated that she unaware of the requirement for an annual check of the Kentucky driver's history records. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of Room # 126, the surveyor found that empty plastic bags were stored in another plastic bag. The bag was on the floor in the cubby/coat area and were accessible to the childrnen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) bottles of bug repellent were observed in a clear plastic bag that was hanging on the door knob located in the cubby area of Room #216.

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 Room #216, the surveyor found the following: 1. A thick coating of dust was observed on the television and brown wooden cabinet. 2. A thick coating of dust was observed on two (2) window sills. 3. A large blue rug was heavily soiled.

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 during a tour of Room #123, the surveyor found that the light was not working in the cubby area.

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 the following: 1. The restroom located in Room #126 had a strong odor of urine. 2. Two (2) plastic tubs were on the sink located in the restroom of Room #126. The tubs contained wet washcloths. The cloths were not stored in a sanitary manner. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a tear in the vinyl covering of the diaper changing pad located in Room #125. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the staff took the children on a field trip on 10/04/17. Transportation record review found that the time was not recorded when the children boarded the bus on the return trip to the center. Also, the time was not recorded when that the children exited the bus upon their return to the center. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the surveyor found that multiple containers of baby food were stored on the floor the room adjacent to the nursery. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that twenty-six (26) staff files contained professional plans for staff development dated 02/2017. Therefore, the annual plans for staff's professional development were not current. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that twenty-five (25) staff files presented for review did not contain updated annual performance evaluations. The most recent annual performance evaluation on file for each staff member was dated 2/2017. Through interview with the staff-in-charge, the surveyor learned that annual performance evaluations for 2018 were not completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A toilet brush and holder were observed in an unlocked tan cabinet located in the cubby/coat area of Room #126. The toilet brush and holder were within reach of the children. 2. Five (5) coats were hanging on hooks in the cubby/coat area of Room #126. The coats were touching. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff's file (DOH: 1/15/16) contained a copy of a negative tuberculin result dated 1/13/16. Therefore, the result was no longer current as of 01/13/18.

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, of staff files, the child abuse and neglect (CA/N) background check was not submitted timely for one (1) staff member (DOH: 5-7-16), i.e., the CA/N check was submitted on 5-17-16 which was not within the required timeframes.

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, of staff files, it was found that a staff’s (DOH: 4-1-13) file contained a copy of a negative tuberculin results dated 2-25-15; therefore, the result was no longer current on the date the survey was completed. 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 3. General Requirements.

General: Based on observation and interview, the following were found: 1. There was toilet brush located by the toilet in the bathroom off of Room 126. The toilet brush was accessible to the children. 2. There was broom located next to the sink in the bathroom off of Room 125. The broom was accessible to the children. 3. There was a basket of dirty laundry located on the sink vanity in Room 125. The dirty laundry was accessible to the children. 4. There was a bucket containing a roll of plastic trash bags located on the shelf under the diaper changing area in Room 123. The trash bags were accessible to the children.

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 following were found: 1. There was toilet paper on the floor of the restroom located off of Room 125. 2. There was one (1) toilet containing urine and toilet paper that had not been flushed in the restroom located between Room 215 and Room 216. Staff reported that the restrooms are usually checked after each use to ensure cleanliness. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found a hole of approximately twelve (12) inch diameter in the wood lattice blocking an area underneath a balcony. The lattice would be accessible to children utilizing the playground and presented a risk of entrapment. Upon interview, staff were not aware of the damaged lattice. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that an infant was sleeping in a crib on a soiled sheet. There was a yellowish orange dried substance under the child's foot. Staff reported that sheets are generally changed once a week on Fridays or when they are dirty. Staff observed the soiled sheet and agreed it should have been changed prior to placing the child in the crib. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child's (DOE: 10/2/16) file contained an immunization certificate that belonged to the child's sibling. There was no immunization certificate in the file for the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the surveyor found that there were fourteen (14) children present in Room 126; however, only eleven (11) children were signed in. Staff reported it is a constant battle to get parents to sign children in and out.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that there was not a fire drill documented for April of 2016. Staff in charge could not recall if a drill was completed and did not locate the documentation at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that there was not a fire drill documented for April of 2016. Staff in charge could not recall if a drill was completed and did not locate the documentation at the time of the survey. 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 4. Director Requirements and Responsibilities.

General: Based on observation of the classrooms and bathrooms at the child care center, the following health and safety concerns were found: 1) Room 215 had two (2) window blinds, one (1) broom, and one (1) dustpan that were sitting in the corner of the classroom by the sink that the children use and there was one (1) unlocked cabinet that had glass cleaner in it, all of which were accessible and within reach of the children. 2) In the basement/school-age room, there was one (1) unlocked cabinet that contained one (1) bottle of Clorox cleaner accessible and within reach of the children. 3) Room 219 had one (1) broom, one (1) dustpan, and one (1) vacuum cleaner propped up against the wall in the classroom and all were accessible and within reach of the children. 4) The bathroom shared by rooms 215 and 216 had two (2) brooms and two (2) dustpans that were accessible and within reach of the children. 5) The restroom located in room 123 had a plunger in the corner of the room on the floor and it was accessible and within reach of the children. 6) The restroom in room 126 had a toilet brush in the corner of the room on floor and was accessible and within reach of 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 and interview, the criminal records check for one (1) staff member (DOH: 4/6/15) was submitted on 4/7/16, which was not within the time frame required by KRS 199.896. Upon interview, staff acknowledged that the criminal records check was not submitted within the required time frame.

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 Training website, and interview, the surveyor found one (1) staff file presented for review (DOH: 8/2/12) did not contain documentation of at least fifteen (15) hours of cabinet-approved training for the 2014 to 2015 training year, the staff had only completed fourteen (14) hours of training. Upon interview, staff confirmed the employee had only completed fourteen (14) hours of training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview with staff, the mouth contact toys are not being sanitized properly, i.e., one (1) staff stated they soak the toys in bleach water for two (2)minutes and then let them air dry and another staff stated they put the toys in soapy, bleach water and then regular water and then let them air dry. First Aid/Medication

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 during a tour of the playground: 1. An approximate two (2) inch wooden post was protruding out of the ground in front of a slab of concrete by a playhouse. The wooden post posed a risk for falls. 2. Numerous nails were sticking out of the wooden panels of a storage shed located on the playground. The shed was accessible to the children. 3. A wheelbarrow had been stored behind a storage shed located on the playground. The wheelbarrow was accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, staff state that the parents of infants provide the child care center with cans of formula and staff prepare all bottles, including measuring the formula.

Open Not marked corrected in the state record

Category: ratio. 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 had been up-dated within the past year; however, there were no written directions to the off-site location. Based on interview with a staff, the surveyor learned that the directions had not been completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found that on 09/23/15, a staff person was observed and received a verbal reprimand for using a loud and inappropriate tone of voice when informing a three-year-old child to "get your hands out of your hair and mouth and eat your breakfast". Review of the Rules for Staff found that the policy was not followed that specifies “Never scream or shout at the children". Programming

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, the surveyor found that a staff person received a verbal disciplinary warning after she had raised her voice when informing a three-year-old child to get her fingers out of her mouth and hair and to eat her breakfast. Through interviews, the surveyor learned that the staff’s tone of voice was loud and inappropriate and had scared the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation the following safety issues were found: (1) During a tour of room 123, the surveyor found one(1)electrical outlet that was not covered. (2) During a tour of room 215, the surveyor found one (1) window blind cord that was accessible to the children. (3) During a tour of room 216, the surveyor found one (1) window blind cord that was accessible 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 following was found: (1) The criminal records check for one (1) staff member (DOH: 3/9/15) was submitted on 3/10/15, which was not within the time frame required by KRS 199.896. (2) The criminal records check for one (1) staff member (DOH: 2/1/15) was submitted on 2/5/15, which was not within the time frame required by KRS 199.896.

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 child care center failed to provide documentation of a high school diploma, GED or qualifying document from a comparable education entity, or Commonwealth Child Care Credential as described in 922 KAR 2:250 for one (1) staff (DOH:8/1/12).

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 room 216, the surveyor found one (1) box of Brillo Pads with Oxi Clean located in an unlocked cabinet accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the toddler playground and the preschool and school age playgound, the surveyor found that the landscape fabric installed under the mulch was exposed in many areas and created a safety hazard to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center's thermometer located in the freezer indicated that the temperature was fifty (50) degrees Fahrenheit, therefore, the frozen food was not kept at a temperature of zero (0) degrees or below on the date of the surveyor's visit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during a tour of the child care center, the surveyor observed the following: 1. A plunger was found to be beside a commode in Room #126 and was accessible to the children. 2. A plastic whistle with an attached string, approximately twenty (20) inches in length, was found on the floor in Room #126. The whistle and string were accessible to the two- and three-year-old children. 3. The plug attached to an electric cord was observed to have pulled loose, exposing the internal wires. The cord was plugged into an electrical outlet located by an exit door on the exterior of the building.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation and interview, the surveyor found that the file for a staff (DOH: 11/13/13) contained an out-of-state FBI background check that had been submitted on 11/20/13; however, it was returned to the child care center due to being unacceptable. The background check is now pending after having been resubmitted on 03/18/14. Through interview, the surveyor learned that even though the center has not received the results of the out-of-state background check, this staff member has worked alone with children after the center received results of the Kentucky criminal records check and child abuse or neglect check.

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 the file for a staff (DOH: 11/13/13) contained an out-of-state FBI background check that had been submitted on 11/20/13; however, it was returned to the child care center due to being unacceptable. The background check is now pending after having been resubmitted on 03/18/14. Through interview, the surveyor learned that this staff member has worked alone with children after the center received results of the Kentucky criminal records check and child abuse or neglect check. The staff member has also been employed for longer than ninety (90) calendar days.

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: 03/18/14) 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 file for a staff (DOH: 11/11/13) contained a copy of a negative tuberculin result that was no longer current as of 08/19/13.

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 in the staff file and ECE-TRIS, the surveyor found that a staff (DOH: 05/18/93) had obtained only twelve (12) hours of annual cabinet- approved early care and education training.

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 during a tour of the child care center, the surveyor found the following: 1. Two (2) bottles of Wite Out had been placed on a desk located in Room #215. The Wite Out was accessible to the children. 2. A door stop with a sharp-pointed screw attachment had been removed from the wall and placed on a desk in Room #215. The door stop and screw attachment were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that a thick coating of dust was on the ceiling plaster and vents of the heating units located in the School-age Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, the surveyor found a frayed separation of the carpeting located near the entry door in the School-age Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the child care center, the surveyor found the following; 1. The toilet seat was not securely attached to the toilet bowl in the restroom used by the children in Room #123. 2. The white sealant on a toilet seat had eroded, exposing the underlying surface located in the restroom used by the children in Room #215. Additionally, the toilet seat was not securely attached to the toilet bowl. 3. Both restrooms used by the school-age children had toilet seats that were loose and not securely attached to the toilet bowls. 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 with a staff, the surveyor learned that the mouth contact toys are “washed in warm soapy water, rinsed, sprayed with Clorox water and air dried”. The proper procedure to sanitize mouth contact toys is to wash in warm soapy water using a brush to reach into crevices, rinse in clean water, and submerge in a sanitizing solution for at least two (2) minutes and air dry. First Aid/Medication

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 review of documentation, the surveyor found that a staff had administered eye drops to a child; however, they had not documented the medication administration.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. A bottle of nasal decongestant spray had been left in a diaper bag located in the Infant Room. The nasal spray had not been stored in a separate and locked place. 2. A bottle of Ibuprofen was found in an unlocked cabinet in Room #123. The Ibuprofen had not been stored in a separate and locked place. 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 11. Toys and Furnishings.

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. The fish tank located in Room #216 contained green, murky-colored water. 2. The vinyl covering was peeling on the foam-filled building blocks located in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the plastic had cracked on the steps of a red-colored climbing structure located in the small play ground.

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 of the child care center during lunch time, the surveyor found that pasteurized low-fat one (1) percent milk was served to the one-year-old children. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

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 of the ten (10) children's files reviewed, none had information to enable a person in charge to contact their preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the arrival times of (2) children in Room #219, two (2) children in Room #121 and four (4) children in Room #126 had not been documented.

Open Not marked corrected in the state record

Category: recordkeeping. 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 written parental consent had not been obtained for fish to be in the presence of the preschool-age children.

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 child care center, the surveyor found that staff had placed an infant child on her tummy when lying her down to sleep in her crib. Additionally, the surveyor observed an infant child to be sleeping in a swing. Review of documentation contained in the infant’s enrollment files revealed that neither child had a health professional’s waiver that indicated the need for an alternate sleep position. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

Room #125: Based on observation, a child who was wearing his shoes stood on another child's mat during nap time. The other child was not lying on the mat at that time. The child also sat on the mat while the other child was trying to nap on the mat. Room #119: Based on observation, two (2) infants were in high chairs with the safety straps not secured. Room #121: Based on observation, an infant wore a bib around its neck while playing on the floor. Staff stated during interview that the infant drools and the bib prevents the infant's clothes from becoming soaked with saliva. However, the bib around the infant's neck presents a safety hazard. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 41 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 7) Stairs In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 41 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 3) Stoves Not Applicable 4) Heaters Not Applicable 5) Furnaces Not Applicable 6) Pipes Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1.) An infant was observed sleeping in a crib with a pillow and a large folded blanket in Infant Room #119. 2.) An infant was observed sleeping in a crib on top of a thick blanket and next to a loose blanket in Infant Room #121. 3.) There was a strong odor of feces present in Toddler Room #125 due to a full waste receptacle containing soiled diapers. The cover on the waste receptacle was not properly secured exposing waste.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Preschool: Based on observation, an unsecured television was on a four feet (4') tall shelf and accessible to the children. Younger 3's Room: Based on observation, an unprotected electric outlet was located on the wall at the side of the sink in the children's restroom. School Age Room: Based on observation, unprotected electric outlets were located on the walls at the sides of the sinks in both children's restrooms. 2 Year Room: Based on observation, an unprotected electrical outlet was located on the wall at the side of the sink in the children's restroom. 7 - 12 Month Nursery: Based on observation, a child was sitting in a high chair and the safety straps were not secured. Nursery: Based on observation, a child was sitting in a high chair and the safety straps were not secured. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 43 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 5) Clean Light Fixtures Not In Compliance Findings: Younger 3's Room: Based on observation, a plastic light cover was lying on a sink in the children's restroom. 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 3) Stoves Not Applicable 4) Heaters Not Applicable 5) Furnaces Not Applicable 6) Pipes Not Applicable 7) Stairs Not Applicable

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 files for two (2) staff members (dates of hire - 01/31/2011 and 2/16/12) did not include copies of high school diplomas, GEDs or Commonwealth Child Care Credentials.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

Nursery: Based on observation, two (2) cribs were spaced approximately two inches (2") apart. Staff stated during interview that these cribs are used daily.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

1 - 2 Year Room: Based on observation, six (6) children were in the classroom. Staff stated during interview that one (1) child was one (1) year old and that five (5) children were two (2) years old. Staff stated that the one-year-old is in the classroom with the older children daily for the entire day. 282 - Toilet Training Not Applicable 922 KAR 2:120 - Section 10 (5) Toilet training shall be coordinated with the child's parent. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 43 Web site: http://chfs.ky.gov/ Inspection Report Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, landscape fabric was exposed in several areas on the toddler playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Nursery: Based on observation, two (2) cribs were spaced only two inches (2") apart. Staff stated during interview that both cribs are used daily.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found that on 12/28/11, Staff #5 discussed a stabbing incident with other staff members in front of children in the center's dining area. Staff #5 also discussed the stabbing incident with Staff #4 in the classroom in front of children. Employee Records 17 - Submission of background checks timely/Left alone 922 KAR 2:090 - Section 5 (2) A director, employee, volunteer, or any person with supervisory or disciplinary control over or having direct contact with a child shall submit to a background check; and (a) May be employed or work with a child on a probationary basis for up to ninety (90) calendar days, pending completion of a: 1. Child abuse or neglect check described in 922 KAR 1:470; and 2. Criminal records check required by KRS 199.896(19); and (b) Shall not be left alone in the presence of a child if each required background check has not been completed. 1) 90 day period In Compliance 2) Child Abuse and Neglect In Compliance 3) CRC In Compliance 4) Left alone In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report 2) Child Abuse/Neglect Check In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not In Compliance Findings: General: Based on review of documentation, the surveyor found that a staff member (DOH: 7/14/11) has resided in California and a staff member (DOH: 10/27/11) has resided in Virginia within the previous five (5) years. The center has not completed out-of-state background checks for either staff member. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 4) Current State other than KY Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.