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

General: Based on observation, review of documentation and interview, the center did not have a staff member present with the children who had current CPR/first aid certification from 12:30 pm to 2:30 pm on 09/24/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member (DOH: 2/22/24) had not completed CPR/first aid training. Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on interview, five (5) children, present for the lunch meal, were served carrots, salad, and milk on 9/24/24. The children were not served a meat and/or a fruit component. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center's discipline policy 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.

General: Based on review of documentation and interview, a staff member (DOH: 09/24/24) did not have TB documentation on file. 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

Open / not marked corrected.

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

General: Based on observation, a four-year-old female child was not supervised when she walked from the preschool room down the hallway to use the restroom on 09/24/24. This child was alone approximately two (2) minutes. Staffing Requirements In Compliance General Administration In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 09/24/24), did not have documentation of her education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, seven (7) children were left alone and unsupervised for approximately two (2) minutes beginning at 11:20 am in the preschool room while the responsible staff member spoke to a parent in the school-age room. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff meetings were conducted but were not documented. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 02/22/24) was not first aid/CPR trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 01/20/05) last completed pediatric abusive head trauma (PAHT) training on 07/23/19 and did not complete the training again within five (5) years. 2) A staff member (DOH: 12/01/12) last completed pediatric abusive head trauma (PAHT) training on 07/29/19 and did not complete the training again within five (5) years. 3) A staff member (DOH: 02/22/24) had not completed orientation training. 4) A staff member (DOH: 01/20/05) only had seven (7) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 and 06/30/24 during the subsequent year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered eighty-four (84) degrees Fahrenheit at the sink in the nursery. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A child, enrolled 05/24/21, had an immunization certificate valid until 5/02/24. 2) A child, enrolled 03/28/23, had an immunization certificate valid until 08/17/24. 3) A child, enrolled 03/28/23, had an immunization certificate valid until 08/17/24. 4) A child, enrolled 03/26/24, had an immunization certificate valid until 05/10/24. 5) A child, enrolled 03/26/24, had an immunization certificate valid until 05/09/24. 6) A child, enrolled 04/18/24, did not have an immunization certificate on file. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff members (DOH: 01/20/05 and 12/01/12) did not have a written annual plan for child-care staff professional development on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, quarterly lockdown drills were not conducted. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed 01/18/24 and determined ten (10) staff members (DOH: 07/22/19, 02/28/20, 04/19/22, 07/13/22, 01/10/23, 01/19/23, 02/27/23, 05/05/23, 05/31/23, and 11/16/23) were eligible and listed as current staff. Interview with director revealed these staff members were no longer employed by the center but were not changed to separated on the center’s report. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records 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 staff member (DOH: 01/20/05) completed eleven (11) hours of training and staff member (DOH: 12//1/22) completed five and a half (5.50) hours of training between July 1 and the following June 30 of each subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered one hundred thirty-five (135) degrees Fahrenheit at the sink located in the three (3) year olds' 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 Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child (start date: 10/10/23) enrollment information did not list the name of the child's physician and preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, three (3) staff members (DOH: 1/20/05, 5/8/23, and 12/1/12) did not have a written plan for professional development. 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, a fire drill was practiced in September 2023 but was not documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a caregiver hired 08/12/22, employee status was provisional and the determination status was in process in the national background check program. This same caregiver supervised children alone on 08/12/22, 08/15/22, and 08/16/22 in the infants' room and school age room. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 01/03/2023 AND AS OF 01/17/2023, 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 interview and review of documentation, a caregiver hired on 7/23/19, had an evaluation on file that was dated 1/20/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 08/12/22, was left alone to supervise children from 2:30 pm to 4:45 pm on 08/12/22, from 8 am to 3:30 pm on 08/15/22, and from 11:00 am to 3:30 pm on 08/16/22. The staff member’s employment status was provisional on the center’s KARES 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 interview and review of documentation, a staff member hired 01/20/05, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 04/19/22, did not have first aid/CPR training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 04/19/22, did not complete six (6) hours of orientation training within the first three (3) months of employment. A staff hired 12/01/12, completed fourteen (14) hours of annual training from 07/2021 to 06/2022, and a staff hired 07/23/19, completed one (1) hour of annual training from 07/2021 to 06/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) van drivers hired 01/20/05, and 12/01/12, each had a driving history record on file that was dated 07/18/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 5. Infant and Toddler Play Requirements.

General: Based on observation, interview and review of documentation, four (4) two-year-old toddlers were grouped with three (3), three-year-old children on 08/17/22. Interview determined the two-year-old children were combined with the older children daily but did not have a transition form completed to be moved to three-year to five-year-old's classroom. Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a staff member did not wash her hands with liquid soap and warm, running water prior to putting on gloves and diapering a child in the infants' room. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a tube of Desitin diaper rash ointment was stored in the locked medication box but was not labeled to indicate to whom it belonged. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the wooden gate was separated from a section of the wooden fence which left sharp nails exposed on the outdoor playground. Equipment In Compliance Transportation In Compliance Kitchen 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 8. Kitchen Requirements.

General: Based on observation and interview, there was no temperature measuring device to verify the temperature was maintained at zero degrees Fahrenheit or below in the freezer compartment of a frigidaria refrigerator/freezer located in the kitchen.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, a nine (9) ounce, unlabeled and uncovered infant bottle was placed on top of a chest of drawers in the infants room. 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 and interview, several biscuits were stored uncovered in the kitchen freezer. 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 6 Inspection Report 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 interview and review of documentation, a child enrolled 08/01/22, had an immunization certificate on file that was valid until 04/30/22. In addition, a child enrolled 05/24/21, had an immunization record on file that did not have an expiration date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) children, enrolled on 07/29/22, and 12/06/20, each did not information on file for staff to contact the child’s preferred hospital. In addition, a child enrolled 02/09/21, did not have health information pertaining to allergies on file. A child enrolled 04/02/24, had enrollment information that did not include a parent’s signature. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) staff members hired on 07/23/19 and 01/20/05, did not have a professional development plan on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a fire drill was practiced in May 2022, but the date, time and names of children participants were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a shelter-in-place or lockdown drill was not conducted during the fourth quarter 2021, first quarter 2022, and second quarter 2022. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

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 interviews, parents were not permitted unannounced access to the child care center during the hours of operation. Interview with the staff in charge confirmed that parents were not permitted to enter the building. Upon arrival to the center, parents were required to call the center on the phone, then a staff member would meet them at the door to retrieve the child or to return the child to his/her parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 05/04/2022 AND AS OF 06/07/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, a yellow rock climbing stone was loose on a wooden rock climbing wall in the outdoor play area. 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

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, a pitcher of a liquid substance was uncovered in a white refrigerator in the kitchen. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 5/24/21, had an immunization certificate on file that did not have a validity date. 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the center’s written evacuation plan was not updated each year in accordance with KRS 199.895. The evacuation plan was last updated on 8/1/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/23/19, had a professional development plan on file dated 1/20/20. A caregiver hired on 1/20/05, did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a caregiver hired on 7/17/21, did not submit background checks through the National Background Check Program (NBCP) portal. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a crib mattress had an one (1) inch long tear in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the center failed to assure compliance with 922 KAR 2:415E. A staff member hired on 9/9/20, did not have a processed named-based child abuse/neglect check on file and intermittently supervised children alone in the school age room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member hired on 9/9/20, did not have a processed named-based child abuse/neglect check on file and intermittently supervised children alone in the school age room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff hired on 9/9/20, did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 1/20/05, had TB documentation on file dated that was 5/24/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 12/1/12, lacked four (4) hours of training. A caregiver hired on 7/23/19, lacked nine and one quarter (9.25) hours of training. A caregiver hired on 1/20/05, lacked fifteen (15) hours of training. A caregiver hired on 7/23/19, did not complete six (6) hours of orientation training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an approximately eighteen (18) inch long area of peeled plaster was on the ceiling in the three to five-year-olds' room. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a tube of Calmoseptine Ointment, a tube of Desitin Diaper Cream, and a tube of Baby Orajel each were not labeled to indicate to whom they each belonged to in a purple medication box in the infants’ room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a five (5) feet long area of asphalt was under a swing in the outdoor play area. A thin layer of pea gravel was underneath a yellow/red slide and a blue Little Tikes Slide in the outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. A fire marshal report was not available upon request from the staff member in charge. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. A large, occillating fan was sitting in the hallway at the opening of a classroom door where six (6) children were observed sitting. Interview with the staff member revealed the children ranged in age from two (2) years to six (6) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal an annual check of the Kentucky driver history records in accordance with KRS 186.018 or driver history records through the state transportation agency that issued a driver's license for staff members designated as drivers with hire dates of: 12/01/12 and 01/20/05. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed ot maintain the outdoor play area in accordance with regulatory requirements. Observation revealed trash, including a plastic cup, lid, and paper. The playground also contained standing water containing leaves, preventing the use of the equipment. Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory transportation requirements. A review of records failed to reveal a daily inspection of the vehicle. Interview with staff in charge revealed the documentation was not available at the time of the survey. Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the staff in charge revealed that written permission documentation from the parent of children being transported from school was not available . 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation verifying that an emergency plan to be implemented in case of a fire, natural disaster, or any threatening situation that pose a health or safety hazard for a child in care was submitted to authorities on an annual basis.

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 child care center failed to maintain documentation in accordance with regulatory requirements. A review of documentation failed to reveal a current staff schedule. Interview with staff in charge revealed a staff schedule was not available at the time of the survey. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding transportation. 1) Observation of the Windstar van revealed the first aid supplies did not include liquid soap, and a CPR mouthpiece. 2) Observation of the Odyssey van revealed the first aid supplies did not include liquid soap, and a working flashlight.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request a current copy of regulations was not presented for review. Review of the presented regulations revealed they were dated for 2008.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request documentation of staff meetings was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of the insurance documentation presented for the 2001 Windstar and 2006 Odyssey revealed neither vehicle was listed as having full coverage insurance. Continued review of the insurance documents for both aforementioned vehicles revealed it was for personal insurance and not commercial insurance.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. 1) Review of presented staff files revealed a staff member with the hire date 1/20/05 did not complete fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report did not verify that the training hours had been completed. Interview with the director revealed she was not able to verify the training hours were completed. 2) Upon request documentation was not presented to verify that two (2) staff members with the hire dates 1/20/05 and 12/1/12 had completed pediatric abusive head trauma training within the last five (5) years. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom on the left in the hallway revealed a six (6) inch crack in the wall behind the toilet.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom on the left in the hallway revealed there was not ventilation to outside air. 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, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) Observation of the large outdoor playground revealed a Step 2 climbing apparatus that had small foam mats under it; therefore, it did not have protective surfacing. 2) Observation of the small outdoor playground revealed a yellow slide and green slide that were on turf grass. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the four-and-five-year-old room revealed the mats were not spaced twelve (12) inches apart with sleeping children on them at rest time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the infant room revealed a soiled rectangular rug.

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 child care center failed to maintain equipment in accordance with regulatory requirements. 1) Observation of the Windstar van revealed the back seat on the driver side was torn, exposing the inside material. 2) Observation of the large outdoor playground revealed a wooden climbing apparatus with wood that is splintered and sharp in areas. 3) Continued observation of the wooden climbing apparatus revealed screws that are protruding up out of the wood. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the Windstar van revealed a booster seat with the expiration date of 10/15/16. Interview with the director revealed children have been transported in the van. Continued interview revealed she was not aware that booster seats have an expiration date. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the infant room revealed the thermometer read forty-eight (48) degrees Fahrenheit.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation of the two-and-three-year-old room and the four-and-five-year-old room revealed the tables used at lunch time were not sanitized before lunch was served to the children.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed a bag of rice and beans located on a board on the floor; therefore, the food was not stored a minimum of six (6) inches off the floor. 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 interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed one (1) file did not contain the information for the parents' preferred hospital and the contact information for the family physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented staff policies and procedures revealed they were for a different child care center.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation in the two-and-three-year-old room revealed a child’s allergy information was posted where other parents or guardians may view the child’s information, therefore resulting in a breach of confidentiality. Interview with the director revealed there was not written permission for the child care center to post children’s allergies in the classrooms. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews and review of documentation revealed children’s arms were forcibly pulled and held above their heads by staff and staff placed their hands over children’s mouths to restrict their ability to speak. Therefore, the center director failed to assure the health, safety and comfort of children in care.

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 child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a section of green astro turf that was torn creating a tripping hazard for children in care. During interview, the owner/director acknowledged the tripping hazard. 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 review of documentation and interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation revealed a food service permit was not presented for review at the time of survey. Interview with owner/director revealed she was in the process of obtaining a permit at the time of survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain outdoor play in accordance with regulations. Observation of the playground revealed the green artificial turf throughout the playground was torn and frayed causing a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for background checks. Review of presented staff files revealed a staff member with the hire date of 05/11/2018 did not complete the required background check through the NBCP web-based system. Interview with the director revealed the requested background check documentation was unavailable at the time of survey, as it had not yet been requested for submission through the NBCP web-based system. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for director requirements. Review of staff files revealed an annual written performance evaluation was not presented for a staff member with hire date of 03/24/2017. Interview with the director revealed the requested documentation was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a staff member with the hire date of 01/20/2005, failed to have records of tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for employee records. Review of presented staff files revealed a staff member with the hire date of 03/24/2017 did not complete the fifteen (15) hours of cabinet approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Further review of staff files revealed the aforementioned staff member had not completed state approved orientation training. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for employee records. Review of staff files revealed the file for a staff member with the hire date of 12/01/2012 failed to contain proof of a current Kentucky driver history record; the last written record was from 05/07/2016. Interview with the director revealed the requested documentation was unavailable at the time of survey. Further interview with the director and review of documentation of the child care centers transportation logs revealed the last time the aforementioned staff member had transported children from the child care center in the vehicle was 05/09/2018. 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 child care center failed to comply with regulations regarding premises. In the following rooms there were several areas of paint chipping from the walls: preschool I, school age, and preschool II room. In the school age room, the carpet was torn and frayed causing a tripping hazard. There were holes in the walls throughout the preschool I room. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. In the toddler II room there were no reading materials available. Interview with the director revealed the reading materials were not available in the toddler II room at the time of survey.

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 child care center failed to comply with regulations regarding equipment. Observation in the preschool I room revealed a black “U” shaped table with several areas of paint chipping away from it. In the school age room, the red, white, and blue kitchen set had several areas of paint chipping away from it. In the infant room the small swing was stained on the upholstery. In the after school room, the area rug of the fifty (50) states was torn and frayed causing a tripping hazard. In the toddler room, the blue and white train table had several areas of paint chipping away from it.

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 child care center failed to maintain equipment in accordance with regulatory requirements. Various battery-operated toys in the infant room and toddler II room revealed they that were not maintained and were not used according to the manufacturer's specifications; the batteries were nonoperational. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. The kitchen stove had food debris and grease buildup along the inside walls and on the inside of the doors. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The file for a child with the enrollment date of 02/28/2017 did not contain a written record of a current copy of an immunization certificate. Interview with the director revealed the requested documentation was unavailable at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a professional development plan was not presented for review at the time of survey for a staff member with the hire date of 03/24/2017. Interview with the director revealed the requested documentation was unavailable at the time of survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulations regarding posted documentation. Review of posted documentation revealed the Statement of Deficiencies issued by the cabinet and the Plan of Correction submitted by the center during the current licensure year were not posted in a conspicuous place. Additionally, in the following rooms there was no daily activities posted; infant, toddler I, and toddler II rooms.

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 child care center failed to post documentation in accordance with regulations. The toddler I room had no daily schedule posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/27/2018 AND AS OF 08/16/2018, 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 and interview, the child care center failed to comply with the regulations regarding director requirements. Interview with the director revealed there was knowledge of possible bullying going on at the child care center with two (2) school age children. A previous fight among the two (2) children had taken place at the child care center, with one of the children being pushed, hit, and kicked to the ground. Requested documentation from the director of the incident reports in regards to the incident of the two (2) children revealed there were no incident reports written, as the children were just “horse playing”.

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 child care center failed to comply with regulatory programming requirements. Staff members with hire dates of 8/31/17, 4/30/17 and 12/1/2012 failed to provide an alternate activity in the Toddler and Preschool rooms, during a regular naptime, and continued to require that the children sleep.

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 and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Toddler room from 11:17 am to 11:19 am revealed that a staff member with the hire date of 8/31/17 was seen picking a child up off of the floor by his wrist, grasping his arm, and swinging him about 2 feet to his cot in the far right corner. Interview with the director revealed that this staff member has not had training yet. 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 and interview, the child care center failed to coply with regulatory programming requirements. In the Toddler room from 11:10 am to 11:13 am, observation revealed that loud, threatening and harsh language and tone was being used during rest time. Staff member with the hire date of 12/1/2012 was heard saying: “If you don’t get to sleep you’re in big trouble” “get to sleep NOW” “Don’t let me catch you moving at all”. Additionally, observation of the Preschool room from 11:17 am to 11:19 am revealed staff member with the hire date of 8/31/17 was heard saying to a child: “If you don’t get to your cot I will come and put you there” “Get on your cot and SLEEP”. The co teacher in that room, hire date is 4/30/17, was heard saying “Here’s one, wide awake” “She’s coming to get you” and “Get Her”. Interview with the director revealed that two of the staff have not received any orientation or training and that “these kids, they have a mind of their own and you can’t get their attention”. 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

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory programming requirements. Per interview with the Director regarding the children's behavior, it was revealed that food/candy is used as a reward if the children "go to sleep" and "behave". Director further stated that "we give them candy if they are good".

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, review of written documentation and interview, the child care center director failed to assure compliance with regulatory requirements with regard to a care giver who worked alone. Observation of the child care center cafeteria revealed staff with a hire date of 07/31/17 who worked alone with seven (7) children. Interview with staff with a hire date of 08/02/17 revealed the staff was required to work alone in supervisory control of children. Upon request, the child care center failed to provide written documentation that each staff person had completed background checks. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, interview and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of completed criminal records check and child abuse or neglect (CA/N) check for staff with a hire date of 08/02/17 and a CA/N check for staff with a hire date of 07/31/17. Observation and interview revealed these staff worked alone with supervisory control of children. 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

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff with hire dates of 04/30/17 and 07/31/17. Both staff were observed to work alone with supervisory control of children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide written documentation of a current statement from health professional that staff with hire dates 04/30/17 and 07/31/17 are free of active tuberculosis or had a current negative tuberculin result. 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 9. Food and Meal Requirements.

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Children were observed to consume food at lunchtime while they watched television in the child care center cafeteria area. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center director failed to provide written documentation of a written schedule of staff working hours for July 2017 and August 2017, that was maintained prior to the inspection on 08/09/17. The director created the documents provided in the presence of the surveyor.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for one (1) staff member hired 12/1/12. Interview with director revealed an evaluation had not been completed for the staff member. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 12/1/12. Interview with director revealed this documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed documentation of current certification by a cabinet approved training agency in Infant and Child Cardiopulmonary Resuscitation (CPR) and Infant and Child First Aid as required for a center licensed for infant, toddler, and preschool children was no longer valid as it had expired on 3/30/17 for the driver, hired 1/20/05. Interview with director revealed this documentation was not available for review at the time of survey. 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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of School Age classroom revealed several areas where the paint was chipping and peeling from the walls. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant Room revealed an infant’s hands were not washed after a diaper change.

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 child care center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant Room revealed a staff member changed an infant’s diaper, then touched other children and several items in the classroom, but did not wash her hands with liquid soap and running water after the diaper change. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant Room revealed a staff member failed to sanitize the diapering surface after changing a child’s diaper First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed one (1) bottle that was not individually labeled and refrigerated. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 5/31/17 revealed on the day of 5/31/17 twenty-three (23) children had been signed in but twenty-seven (27) children were present at time of survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain premises in accordance with regulatory requirements. Based on observation of the boy’s bathroom located off the dining room revealed the tile located around the base of the toilet was cracked and torn. Continued observation revealed the room ventilation system was not working properly. Interview with the director revealed she was in the process of addressing. 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 Observation and interview with the director revealed the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed the climbing apparatus contained jagged and splintered wood on the edges near the bottom of the handrails. Interview with the director revealed she was not aware of the issue.

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 review of documentation the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation, a staff member with a hire date of 08/25/15 was alone in the infant room supervising three (3) infants for approximately two (2) minutes when the surveyor entered the center. Based on a review of documentation, the staff member with the hire date of 8/25/15 was not a qualified staff as the file failed to contain a completed out of state background check(Georgia). Staffing Requirements 40 - Ratios and Group Size Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 2. Child Care Services. (2) Minimum staff-to-child ratios and group size for an operating child-care center shall be maintained as follows: Age of Children Ratio Maximum Group Size* Infant 1 staff for 5 children 10 Toddler 1 staff for 6 children 12 Preschool-age 2 to 3 years 1 staff for 10 children 20 Preschool-age 3 to 4 years 1 staff for 12 children 24 Preschool-age 4 to 5 years 1 staff for 14 children 28 School-age 5 to 7 years 1 staff for 15 children 30 School-age 7 and older 1 staff for 25 children (for before and after school) 30 1 staff for 20 children (full day of care) 30 *Maximum Group Size shall be applicable only to Type I child-care centers. Director Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care director failed to assure compliance with regulatory requirements. Based on observation a staff member with a hire date of 08/25/15 was observed as the sole caregiver in the infant room for approximately two (2) minutes supervising three (3) infants. Based on a review of documentation, the staff member failed to have a completed out of state,(Georgia) background check contained in the file. Employee Records

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 Observation, and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on observation, a staff member with a hire date of 08/25/15 was observed as the sole cargiver, caring for three (3) infants for approximately two (2) minutes. Based on a review of documentation, a completed out of state,(Georgia),background check failed to be contained in the file.

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation in the two - four year old classroom, a backpack, stuffed animal and a pencil were observed lying on the changing mat.

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 Observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, crackers and water were served for snack, failing to meet the required components for a snack.

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 child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation, a group of 15 children, aged three (3) to eight (8) years old, were in the dining area involved in an activity and supervised by two (2) staff members. Continue observation revealed one (1) child walked out of the room unattended and into another room where a plastic child's pic-nic table stood on its end. The child was observed climbing into the inside of the table and sticking his head through a small opening before being discovered by the staff in charge. The child was unsupervised for approximately two (2) minutes.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the child care director failed to assure compliance with the regulatory requirements. Based on observation, the safety of the children was compromised in the Two - Four year old classroom. Based on observation, one male child was observed jumping numerous times from the top of wooden shelving units which were approximately 30 inches high, walking across the table, from one end to the other, which had been prepared for lunch, and throwing metal chairs at the staff member. Another child was observed jumping from the top of a two-step, step stool located in front of the handwashing sink, after completing the handwashing procedure. There were eight (8) children observed in the room being supervised by one staff member. The staff member would intervene and have the child sit back down at the table, only to get up again when the staff member tried to help the other children with hand washing.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 02/24/15, failed to have an out of state Criminal Record Check from California and Nevada.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, a child in the two (2) to four (4) year old class was observed licking the packaging of diaper wipes, which cotained a warning on the packeage to keep bags out of the reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with the regulatory requirements. Based on observation a ceiling tile in the kitchen area contained a dark water stain. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the lighting fixtures failed to have all bulbs in working order, thereby failing to provide well-lit areas throughout the center.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, both bathrooms located off of the dining area, failed to be equipped with soap and hand drying materials.

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 child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on an interview with a staff member in the infant room, she stated the toys were sanitized every other day by placing the toys in a purple tote filled with bleach water and then dried. 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 child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, there were an insufficient amount of toys, play apparatuses and developmentally appropriated materials to provide a child with a variety of activities during the day, in the after school classroom.

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 child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation an area rug depicting roads had curled edges creating a hazard. A blue, yellow and green fish rug was observed in the 2-4 year old room. The rug was located at the bottom of a 2-step stool in front of the sink, and was bunched up creating a tripping hazard. Several children were observed tripping over this bunched area rug when completing their handwashing. Based on observation, two vans were inspected at the time of the survey. The Previa had a broken door handle on the sliding passenger, exterior side door. The Windstar had a front non functioning blinker. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a metal piece of equipment used to stand on and turn in circles, was not able to function properly as the gravel under it had accumulated and prevented the wheel from being able to turn. Additionally, the seat on a blue and wood see-saw had a piece of rotted wood which would be rough and unsmooth to a child sitting on it. In the toddler area of the playground, a Little Tykes blue slide was not secured to the ground and could easily topple over. A large green metal bus had 2 steering wheels which were broken off leaving sharp, pointed plastic protruding outward. Two, Step 2 riding cars had no handles to hold onto while riding.

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 child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, there was not a thermometer contained in the freezer or refrigerated section of the refrigerator. Based on observation, the staff in charge located a new thermometer and placed it into the refrigerator, allowing only one thermometer to be missing from the refrigerator.

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 child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, the child care center failed to have all bottles labeled which were contained in the refrigerator in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, several (approximately 3) large pieces of frozen pork were floating unpackaged in a sink of water, thawing.

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Record review revealed that a child with the enrollment date 6/11/13 failed to have a current immunization certificate on file at the time of the survey.

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, the child care center failed to comply with staffing requirements in accordance with regulatory requirements. Observation at 9:47 a.m. revealed that one (1) teacher left another teacher alone in the lunchroom area with twelve children age ranging two to four-years-old for a minute, therefore leaving the classroom out of ratio. Employee Records

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, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed a staff member with the hire date 2/12/15 listed an address in Nevada and California on their Child Abuse and Neglect Check. Further review revealed that the staff member failed to have an out of state Criminal Record Check from Nevada and California on file for review. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire dates of 12/1/12 and 4/23/14 did not have documentation from a health care professional to verify that they were free from active TB.

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, observation and interview, the child care center failed to comply with staffing requirements. Review of staff files and staff schedule revealed a sufficient number of qualified staff was not present from 9:00 a.m. to noon. Review of records revealed that staff with hire date of 5/16/14 did not have a completed CAN check on file or available for review. Observation revealed that said staff person was alone with eight (8) children ages three-years-old to eleven-years-old. Interview with the staff revealed that she was working alone with the children from 9:00 a.m.. Continued observation revealed that an additional qualified staff person did not arrive until 12:00 p.m.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Review of records revealed that there was not a copy of current regulations provided for the child care center staff at the time of the survey. Interview with the director revealed that the copy available for review was printed in March 2013.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employee with hire date of 5/16/14 did not have a completed CAN check available for review. Observation revealed that the same staff person was left alone with eight (8) children ranging in age from three-years-old to eleven-years-old from 9:00 a.m. to noon on the day of the survey.

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 observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employee with hire date of 5/16/14 did not have a completed CAN check available for review. Further review of staff file revealed that there was not documentation available to verify that the CAN check had been submitted. Observation revealed that the same staff person was left alone with eight (8) children ranging in age from three-years-old to eleven-years-old from 9:00 a.m. to noon on the day of the survey. Additional review of staff files revealed that staff with hire date of 6/16/14 did not have a completed CAN check available for review. Interview with the director revealed that a copy of the document had not been retained to verify that it had been submitted within five days of employment. Said staff was not observed alone with children at the time of the survey.

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 maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire dates of 1/20/05, 12/1/12 and 6/13/13 did not have documentation to verify the required fifteen hours of cabinet approved early care and education training. Additional review of staff records revealed that staff with hire date of 11/5/13 did not have documentation to verify that orientation training had been received within ninety days of hire.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that the driver of the van did not have documentatio to verify that they had not caused an accident which resulted in the death of a person. Interview with the director revealed that she was not aware of the required document, but had run the criminal records check each year to meet what she understood to be the requirement for drivers of a child care center. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with regulatory programming. Observation revealed that three (3) one-year-old children were being cared for with three (3) two-year-old children in the same room with one staff person. Interview with the staff revealed that the children had been in the room together since 9:00 a.m. Observation revealed an additional staff person arriving to assist in dividing the age groups at 1:00 p.m.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed a water-stained ceiling tile located in the space used for toddlers.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observations revealed a school-age child enter the child care facility and proceed to eat without first washing her hands with liquid soap and warm running water.

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed the changing pad was covered with absorbent fabric and a clear vinyl overlay that was not secured on the ends to ensure a hygienic surface for diaper changes.

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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor space revealed a yellow climbing tube with splintered wooden slats on top that failed to be in good repair.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a thermometer located in the kitchen refrigerator that registered twenty-eight (28) degrees Fahrenheit. Food located within the refrigerator was not frozen at the time of the survey indicating that the thermometer was not able to verify that the food was being stored at forty (40) degrees Fahrenheit or below.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a thermometer located in the kitchen freezer that did not register a temperature, failing to verify that the food was being stored at zero (0) degrees Fahrenheit at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed that the children ranging from two-years-old to eleven-years-old were served two percent milk for lunch, failing to meet the required fat-free skim or low-fat one percent milk for children ages twenty-four months to twelve years of age.

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed that there was not 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the was not a posting for the proper methods of hand-washing at the diaper changing areas in the infant and toddler rooms. Animals

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 Ooservation, there was no documentation of recent staff meetings presented for review. The documentation presented for review was dated February 2012. The staff in charge was given additional time to locate the documentation.

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, there were no staff evaluations presented for review for the three staff members who have been employed at the center for more than one year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the toilets were not kept in clean condition. At least two of the four toilets contained a heavy build up inside the toilet bowls. Hygienic Practices

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, personal information regarding children's medical conditions were not kept confidential as multiple parents signed the same medication administration log, which contained multiple children's information on the same page.

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 review of documentation, the copy of the regulations that was presented for review was not a complete copy of the current regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the mattresses on all five infant cribs still had a loose fitting, thin plastic covering over them. The plastic was covered with loose fitting sheets and the cribs appeared to be ready for use. Based on observation in the Twos' classroom, there were at least two electrical outlets that were within reach of children and were not covered.

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, there was no document presented for review verifying that a staff member with the hire date of 06/13/13 had a high school diploma, CCC, or GED.

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, there were no current documents presented for review verifying that two staff members were free of active tuberculosis. The hire dates of the referenced staff members were 01/20/05 and 09/12/06. 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 observation, there was no documentation available for review at the time of the survey verifying that the staff member who was working alone with children upon the arrival of the surveyor had First Aid and CPR certification. Interview with the staff member and the staff in charge revealed that the staff member completed the CPR and First Aid certification course in December 2012, but the certification cards were not on site.

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 staff file presented for review for a staff member with the hire date of 11/01/11 contained documentation verifying that the referenced staff member completed six hours of trianing during her first full year of employment. Therefore, there was no verification that the staff member completed the required amount of nine hours of training during her first year.

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 on observation, the school age children were cared for in the Two's classroom along with the two-year-old children. The staff member stated that the school age children are made to stay in the back area of the room and are kept separate from the younger children. The school age children were observed to stay at one table for a few hours with limited age appropriate materials, which mainly consisted of art supplies.

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 paint on the wall located near the entrance to the eating area consisted of peeling paint. The area of peeling paint was located approximately ten inches above the ground and was within reach of 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, there was no supply of toilet paper in one of the two toilet rooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle of Little Fevers (Acetaminophen) that was stored in the locked medication box was not labeled with a child's name. Also, the referenced medication expired in November, 2012. Additionally, the hinges of the locked medication box were completely broken; therefore the contents of the box could be accessed regardless of the lock. 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, multiple large play structures consisted of rust and untreated wood, which posed as a hazard of splintering.

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, at least one of the metal framed cots was no longer in good repair as the mesh surface was no longer securely fastened to the frame.

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 foam connecting floor mats in the infant classroom were not clean. Based on observation in the Two's classroom, the children's table was not in good repair as the stain on the table was peeling away and there were multiple areas on the table with splintering wood exposed.

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, multiple toys in multiple classrooms could not be used according to the manufacturer's intent due to not having working batteries.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the posted daily schedule in the Preschool classroom reflects the following meal schedule: breakfast - 7:30a.m. to 8:00a.m., morning snack - 9:45a.m. to 10:15a.m., lunch - 11:30a.m. to 12:00p.m., afternoon snack - 3:00p.m. to 3:30p.m., dinner - 4:45p.m. to 5:15p.m., and evening snack - 7:30p.m. to 8:00p.m. Therefore, there was less than two hours between breakfast and morning snack, morning snack and lunch, and afternoon snack and dinner. Observation revealed that no morning snack was served.

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, review of ten children's files revealed that five of the ten files contained expired immunization certificates.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the documentation of earthquake and tornado drills failed to include the names of the children who participated in the drills. The staff in charged pulled attendance records for the days that coincided with the days of the drills and presented them for review. However the documentation of names was not maintained with the drill documentaion.

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 documentation of fire drills failed to include the names of the children who participated in the drills. The staff in charged pulled attendance records for the days that coincided with the days of the drills and presented them for review. However the documentation of names was not maintained with the drill documentation.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the list of daily activities that was posted in the Preschool classroom was dated August 20-24th. Therefore, the posted list of daily activities was not current. Also, there was no list of daily activities posted in the School Age classroom.

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 it was determined that toddlers were combined with children up to four years of age under the care of one staff member from approximately 1:00 PM to 2:30 PM. Animals

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 observation and interview written parental consent failed obtained for the pet fish that were maintained on the premises and located in an area that was accessed by 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 file for one staff (DOH 8/12) did not contain a high school diploma, GED or Commonwealth Child Care Credential for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the files for three staff (DOH 11/11/11, DOH 5/24/11 and DOH 2/28/12) did not contain professional development plans for review. 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 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 41 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 2 (4)

Infant Room: Based on observation, children ages nine months to three years of age were already in attendance in the Infant Room at 10:30 a.m. The staff stated that the children were regularly grouped as one group. The children remained in the Infant Room until an additional staff arrived for care at 11:05 a.m. Observation of the Infant Room revealed there were no furnishings, toys, or learning centers appropriate for a two- or three-year-old child. The children were observed running, jumping and pushing one another. Eventually a staff sat on the floor and sang songs and told stories to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Infant Room: Based on observation when the surveyor arrived at the facility, children ages nine months to three years of age were already in attendance in the Infant Room and remained together until additional staff arrived one hour later. Interview with the Infant Room staff confirmed this was a regular grouping each day, infants and toddlers blended with older children.

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, the following was found: 1) there was a large wooden climbing apparatus on the outdoor play area that was in poor condition as follows: 1) the wooden boards supporting the slide were weak and would bend under pressure; 2) the wood throughout the play structure was old and unstable; 3) the chains that were extended downward for swinging activities were not securely attached at the base; 4) the umbrella fabric that provided shade at the top of the unit was torn. 2) The metal play car would rock back and forth and was no longer securely attached to the ground. 3) The carousel screws that connect the tricycles' stablizing bars to the base in the center of the unit were loose and wobbling.

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 (1)

School Age: Based on Interview, a six (6) year old child was placed in a high chair for being "disruptive" to the class while the caregiver was trying to clean. 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 Programming 171 - Areas of Development Not Applicable 922 KAR 2:120 - Section 2 (4) (c) That provides experience to promote the individual child's physical, emotional, social, and intellectual growth and well-being;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personal information regarding the medical information of several children was not kept confidential. Review of the medication log revealed information for mulitple children on the same page. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report

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 staff in charge failed to ensure the health, safety, and comfort of three (3) toddlers as the toddlers were left unsupervised. Upon the arrival of the surveyor, there was no staff member in the toddler room where three (3) toddlers were present. Further observation revealed one (1) toddler hitting another toddler. 120 - No Background checks - Caregiver Alone 922 KAR 2:110 - Section 4 (1) (n) Assure that a person acting as a caregiver of a child in care shall not be left alone with a child, if the licensee has not received the results of the: 1. Criminal records check required by KRS 199.896(19); and 2. Child abuse or neglect check in accordance with 922 KAR 1:470; 1) CRC Not In Compliance Findings: General: Based on observation, and interview, the file of a staff member that was observed working alone with children was not able to be located by the staff in charge at the time of the surveyor's visit. Therefore, the criminal record's check was not available for review to verify that it had been completed for the referenced employee. 2) CAN Not In Compliance Findings: General: Based on bservation, and interview, the file of a staff member that was observed working alone with children was not able to be located by the staff in charge at the time of the surveyor's visit. Therefore, the Child Abuse and Neglect check was not available for review to verify that it had been completed for the referenced employee. Programming 185 - Electronic Viewing/Listening planned program 922 KAR 2:120 - Section 3 General Requirements. (1) Electronic viewing and listening devices shall only be used in the center as a part of the child's planned program of activity described Section 2(4)(d). 1) Viewing devices Not In Compliance Findings: Classrooms: Based on observation, seven (7) children were observed sitting at a table and watching the movie, "The Adventures of Brer Rabbit." Review of the daily schedule and plan of activities revealed that movie viewing was not a documented component of the plans. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

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

Classrooms: Based on observation, there were two (2) shelving units in the Infant Room that were approximately five (5) feet tall and were not secured to the wall. The shelving units were very wobbly and unsteady. First Aid/Medication 249 - Administration Record 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time Not In Compliance Findings: General: Based on review of documentation, there were multiple entries in the medication log that listed the time to administer the medication as 'as needed'. 4) Staff name Not In Compliance Findings: General: Based on review of documentation, there were several entries in the medication log that did not include documentation of the person's name who administered the medication. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Food Service - Classroom 194 - Bottle Feeding 922 KAR 2:120 - Section 3 (10) While bottle feeding an infant, the: (a) Child shall be held; and (b) Bottle shall not be: 1. Propped; 2. Left in the mouth of a sleeping infant; or 3. Heated in a microwave. 1) Child held Not In Compliance Findings: Classrooms: Based on observation, two (2) infants were observed consuming bottles without being held. One (1) infant was taking a bottle while sitting in an infant seat and the other infant was taking a bottle while sitting in an exosaucer. Written Documentation 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, and review of documentation, at 4:30pm there were twenty-three (23) children present at the facility and only five (5) children were signed in with with a time of arrival on the daily sign in sheet. One (1) of the five (5) was already signed out for the day. Therefore, there were only four (4) of the twenty-three (23) children signed in.

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 at approximately 3:25 p.m., when the afternoon snack of peanut butter and crackers was served to five (5) toddlers the snack was placed directly on top of the table's surface. The director stated during interview she was unaware the toddlers' snack had been placed directly on top of the table.

Open Not marked corrected in the state record

Open / not marked corrected.