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

General: Based on review of documentation, a staff member (DOH: 08/09/23) 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 review of documentation, a staff member (DOH: 05/16/23) did not complete the first aid and CPR training. 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, two (2) staff members (DOH: 01/28/22 and 05/16/23) did not complete the six (6) hours of orientation training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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

Category: recordkeeping. 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 05/25/23, and a child enrolled on 04/26/23, did have information on file to enable staff to contact the child's physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 01/28/22) had a professional development plan on file dated 08/19/22. 2) A staff member (DOH: 09/08/22) had a professional development plan on file dated 10/15/22. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 review of documentation, the center’s Fire Marshal report was dated 12/13/15. 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 review of documentation, a caregiver hired on 2/9/16, had an evaluation on file dated 9/19/16. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 2/9/16, had TB documentation on file dated 9/12/19. Two (2) caregivers hired on 2/24/22 and 9/8/22, did not have TB documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 2/24/22, had not completed training in First Aid and CPR.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 8/8/19, had thirteen (13) training hours during the subsequent year of employment. Two (2) caregivers hired on 1/28/22 and 2/24/22, had not completed the 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, there were two (2) soiled ceiling tiles and a tile was removed from the ceiling in the boys’ restroom located near the cafeteria.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water did not dispense from the faucet when turned to the on position. The faucet was at the middle sink in the girls’ restroom near the cafeteria. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 2/9/16, had a professional development plan on file dated 3/14/16. A caregiver hired on 8/8/19, had a professional development plan on file dated 9/12/19. A caregiver hired on 8/8/19, had a professional development plan on file dated 5/12/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written staff evaluation was not presented for review on the day of the inspection for two (2) staff members with the hire date 08/08/2019 and one (1) staff member with the hire date 02/09/2016. 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: Upon request, a High School diploma, GED or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential was not presented for review for two (2) staff members with the hire date 02/24/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current negative tuberculin test result or written statement from a health care professional stating that the staff members with the hire dates 02/09/2016, two (2) staff members with the hire date 08/08/2019 and two (2) staff members with the hire date 02/24/2022 were free of active tuberculosis was not presented for review on the day of the inspection.

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: Upon request, verification that a staff member with the hire date 08/08/2019 had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of the inspection.

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: Review of staff files revealed the following: 1. There were two (2) staff members with the hire dates 02/09/2016 and 10/05/2015 and two (2) staff members with the hire date 08/08/2019 whose files did not contain verification that the aforementioned staff members had completed fifteen (15) hours of cabinet-approved early care and educational training presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the staff members. 2. There were two (2) staff members with the hire dates 02/09/2019 and 10/05/2015 whose files did not contain verification that the aforementioned staff members had completed the one and one half (1 1/2) hours cabinet-approved pediatric abusive head trauma training within the first year of employment and thereafter every five (5) years of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the presented children’s files revealed the following: 1. There was one (1) child with the enrollment date 04/24/2021 whose file did not contain a preferred hospital. 2. There was a child with the enrollment date 08/12/2021 whose file did not list a family physician. 3. There were two (2) children’s files that did not contain enrollment dates. 4. There was a child with an unknown enrollment date whose file did not contain the name and phone number of each person to be contacted in an emergency involving or impacting the child. Also, there were not any individuals listed who are designated in writing to pick up the child. 5. There was one (1) child with an unknown enrollment date whose file did not contain a parent’s signature. Also, there was no authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence. 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: Upon request, a current written annual professional development plan was not presented for review on the day of the inspection for (2) staff members with the hire date 08/08/2019 and a staff member with the hire date 02/09/2016.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of documentation revealed a fire drill was not documented for January 2022. Interview with the staff in-charge revealed that the fire drill was conducted, but he/she did not document the time, date, and the name of the participants that participated in the emergency drill. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the liability insurance coverage presented expired as of 7/1/2020. 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, one (1) staff member did not have a current, written evaluation in his/her file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, neither of the two (2) staff members on duty were certified in CPR and first aid. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, one staff member did not have a current, annual professional development plan in his/her file. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the KARES report revealed three (3) individuals listed as current employees who were determined to eligible for employment on 10/23/18, 10/3/18 and 8/12/19. Interview with the staff member in charge revealed that the aforementioned individuals were no longer employed with the child care center. 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 4. Premises Requirements.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements in regards to continued compliance with the State Fire Marshal. Review of the presented documentation revealed that the Fire Marshal report presented for review was dated 12/13/15. Upon request, the staff member in charge did not present documentation to verify current compliance with the State Fire Marshal at the time of the survey. 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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 2/9/16 and 10/27/17 whose file did not contain a current annual evaluation. Upon request, the staff member in charge did not present a current evaluation for the aforementioned staff members at the time of the survey. 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

Category: recordkeeping. 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 employee records in accordance with regulatory requirements. Review of the presented employee records revealed that the files were not maintained for three (3) staff members with hire dates 9/15/17 and 8/2/19. Verification of completed background checks were not presented for review for the aforementioned staff members. No documentation was provided for review for the two (2) staff members with the same hire date of 8/2/19. Upon request, the staff member in charge did not provide documentation for the aforementioned staff members at the time of the 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 maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed files were not presented for review for two (2) staff members with the same hire date of 8/2/19. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff members at the time of the 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 maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed files were not presented for review for two (2) staff members with the same hire date of 8/2/19. Review of the presented employee records revealed three (3) staff members with hire dates 9/15/17, 2/9/16 and 10/27/17 whose file did not contain a current statement from a health professional that each staff member was free of active tuberculosis. Upon request, the staff member in charge did not present a current statement from a health professional verifying that the aforementioned staff members were free of active tuberculosis.

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 maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 9/15/17 and 2/9/16 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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. Review of the presented children’s records revealed three (3) children with enrollment dates 7/5/19, 6/7/19 and 4/19/18 whose file did not contain a current immunization certificate. Upon request, the staff member in charge did not present a current immunization certificate for the aforementioned children at the time of the survey.

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 children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed a child with enrollment date 8/5/19 whose file did not contain the name of the family’s preferred hospital. Upon request, the staff member in charge did not present the documentation for the aforementioned child at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 2/9/16 and 10/27/17 whose file did not contain a current professional development plan. Upon request, the staff member in charge did not present a current professional development for the aforementioned staff members at the time of the survey. 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 3. Implementation and Enforcement.

General: Based on review of documentation, interview, and observation, the child care center failed to assure compliance with background check requirements. Upon request, the child care director did not provide verification that a staff member with the hire date of 07/28/2018 had completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. The above-mentioned staff member was not observed working alone. 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 6. License Issuance.

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 staff in charge did not present verification that the child care center maintained a current copy of liability insurance coverage. Review of the documentation presented revealed the certificate expired 07/01/2017. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year. 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 9. Records.

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 staff in charge did not provide verification that the employee with the hire date of 07/28/2018 had a personnel file to include: Name, address, date of birth, and date of employment, proof of educational qualifications, Tb test results, and background checks.

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 maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employee with the hire date of 07/28/2018 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential.

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 maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for the employees with the hire dates of 07/28/2018, 02/09/2016, 10/05/2015 and 08/10/2016 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

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 maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employees with the hire dates of 02/09/2016, 08/17/2017, 10/05/2015 and 08/10/2016 contained verification that the employees met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the gym revealed a staff member's purse on a chair. The purse was open and within reach of the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification of a current written schedule of staff working hours that included the times the staff began their work time and the times the staff ended the shift. Posted Documentation In Compliance Animals Not Applicable

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 child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal documentation of a staff meeting was available for submission. An interview with the staff in charge revealed that documentation was not available to verify staff meetings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, the child care center director failed to assure regulatory compliance in regards to allowing staff members to work alone with children without the results of required background checks. Observation revealed three (3) staff members with hire dates of 08/28/17, 07/27/17 and 08/15/2017 all had supervisory control of school age children from approximately 2:30 P.M. to 5:30 P.M.. Throughout the observation, the staff members were intermittently alone with children, as well as working in pairs among the group of three (3) staff members. A review of staff files revealed that CRC and CAN results were not available for review when requested for the referenced staff members. Interview with the staff in charge revealed that the results may be at the main office. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation revealed three (3) staff members with hire dates of 08/28/17, 07/27/17 and 08/15/2017 all had supervisory control of school age children from approximately 2:30 P.M. to 5:30 P.M.. Throughout the observation, the staff members were intermittently alone with children, as well as working in pairs among the group of three (3) staff members. A review of staff files revealed that CRC and CAN results were not available for review when requested for the referenced staff members.

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 files in accordance with regulatory requirements. A review of staff files revealed staff members with hire dates of 07/27/17, 08/15/17, 9/25/15, and 8/10/16 failed to have verfication of negative results of a TB test or written documentation from a health care professional stating the individual is free of tuberculosis. An interview with the staff in charge revealed she was unable to provide the documentation 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. A review of documentation revealed that a staff member with a hire date of 8/10/16 failed to have documentation contained in the file showing 15 hours of cabinet approved training within the first year of employment. A staff member with the hire date of 12/5/16 failed to have verification of having received six (6) hours of cabinet approved orientation training within the first three months of employment. 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

Category: recordkeeping. 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 regulatory requirements. Observation revealed yellow, caution tape, which was partially removed from across the platform of the large sliding board preventing its use. Interview with the staff in charge revealed that a nest of bees or wasps had been observed in that area. The staff in charge was unsure as to whether the area had been treated. A small, very short slide revealed rubber coating which was dried and broken revealing many pieces missing from the edges. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation revealed blue and silver ground covering protruding from the mulch, under the area of a blue, tan and red climbing structure, a honeycomb-shaped climbing structure and a tall, circular, yellow climbing structure. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. A review of posted documentation revealed a date of 8/1-8/26 on the menu which was posted in the cafeteria. A current menu was not available when requested. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of ten (10) children's files revealed that a child with an enrollment date of 7/18/17 failed to have a copy of a current immunization certificate contained in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of ten (10) children's files revealed two (2) files which failed to contain a physician's phone number to enable a person in charge to contact the physician, and one child's file which failed to contain a preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care, which has been submitted to the local emergency management on an annual basis. Interview with the staff in charge revealed a current plan was not available for submission.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a chain of command showing only current employees with the center.

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 regulatory requirements. A review of the staff schedule revealed that new employees had not been added to the schedule and employees who were no longer employed remained on the schedule, resulting in an inaccurate display of staff working hours. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, 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 08/10/16 failed to have a completed CRC for an out of state residency within the past five (5) years. 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 3. Records.

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 staff files, a staff member failed to have listed in the file a hire date. Based on an interview with the staff in charge, the hire date was unknown at the time of the survey. Based on the review of the file, it was undeterminable if training and orientation training had been completed within the correct time frames due to the lack of hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of: 08/24/92 and 08/10/16 failed to have a statement from a health care professional stating the individual is free of tuberculosis, or a negative tuberculin test. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements. Based on a review of documentation, the children's allergy information list was not covered maintaining the confidentiality of the children listed.

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 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 09/30/14 was the sold caregiver supervising twelve (12) children ranging in age from nine (9) years to eleven (11) years from approximately 3:00 P.M. to approximately 5:00 P.M. Based on a review of documentation, the staff member failed to have a completed background check contained in the personnel file.

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 a review of documentation, the child care center failed to maintain the employees records in accordance with regulatory requirements. Based on observation, a staff member with a hire date of 09/30/14 was the sole caregiver, supervising a group of twelve (12) children ranging in age from nine (9) years to eleven (11) years. Based on a review of documentation, a completed background check was not available for review.

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 the children's records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 09/30/11 failed to have a current negative tuberculosis test result contained in the file or a written statement from a health professional stating the individual was free of tuberculosis.

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 files in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 02/16/15 failed to have documentation of orientation training within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, several (5) jackets were lying in the play area close to the entrance and accessible to the children. Based on interview with staff, the jackets did not belong to the children in his care and he was unaware to who they belonged or what was contained within the pockets.

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 outdoor play area in accordance with regulatory requirements. Based on observation, ground covering was insufficient in the blue and chrome dome area, the area surrounding the green climbing structure and the area under the yellow climbing structure. Based on further observation, ground covering under and around the four (4) swings was also insufficient and revealing dirt and weeds.

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 rubber type coating on the honeycombed type platform of the climbing structure, was broken and torn with sharp edges and allowing rusted metal to be exposed.

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 the children's records in accordance with regulatory requirements. Based on a review of documentation, children with enrollment dates of 04/15/15 and 04/16/15 failed to have a current immunization certificate contained in the file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation children with enrollment dates of 04/17/15 and 04/16/15 failed to have contact information to enable a person in charge to contact the child's physician.

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, employees hired on 2/19/2013 and 9/9/2013 did not complete the required nine (9) hours of early care and education training in addition to the required six (6) hours of Orientation Training within their first year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no completed Criminal Records Check onsite and available for review for a staff member with the hire date of 09/09/13. The referenced staff member was observed working as a group leader and working alone with 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, there was no document onsite and available for review confirming that a staff member with the hire date of 09/09/13 had successfully earned a High School Diploma, GED, or CCC. Also, the documentation presented for review verifying the education of a staff member with the hire date of 02/19/13 only verified completion of ninth grade.

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, there was no documentation onsite and available for review verifying that a staff member with the hire date of 09/09/13 was free of active tuberculosis.

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, children were permitted to engage in play after handling food/eating, without washing their hands first.

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, a staff member grabbed the front of a child's jacket to keep the child in place. Further observation revealed the staff member was verbally directing other children in a stern tone of voice to form a line behind the child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, Staff #1, hire date 8/24/92, had a TB test certificate on file that was current through 12/3/09. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, Staff #1, hire date 8/24/92, had documentation on file, at the center, of completing 4.5 hours of training during her subsequent year of employment. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.