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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. One (1) staff member (DOH: 09/20/18) did not have documentation that orientation was completed within the first three (3) months of employment. During interview with staff-in- charge, she stated that the staff member completed orientation training, but the certificate was not uploaded to ECE-TRIS. 2. One (1) staff member (DOH: 08/20/01) completed six and one-half (6 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/22 - 06/30/23. 3. One (1) staff member (DOH: 10/20/14) completed three and one-half (3 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/22 - 06/30/23. 4. One (1) staff member (DOH: 04/26/18) completed six and one-half (6 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/22 - 06/30/23. 5. One (1) staff member (DOH: 09/20/18) completed zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/22 - 06/30/23. 6. One (1) staff member (DOH: 09/02/21) completed ten and one-half (10 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 09/01/22 - 06/30/23. 7. One (1) staff member (DOH: 10/01/21) completed twelve (12) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 10/01/22 - 06/30/23. 8. One (1) staff member (DOH: 07/19/22) completed two (2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/19/22 – 07/19/23. 9. One (1) staff member (DOH: 01/11/23) completed nine and one-half (9 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 01/11/23 - 01/11/24. Programming 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 6. Sleeping and Napping Requirements.

General: Based on observation, the surveyor found an infant sleeping in a crib with a loose pink blanket that was wrapped around the infant in the Nursery Classroom. During interview with the staff in the Nursery Classroom, the surveyor found that the infant was two-months-old and had been asleep for approximately forty-five (45) minutes. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a sink in the One's Classroom did not drain properly; therefore, the sink was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a cracked floor tile in the Preschool Classroom next to the eating area; therefore, the floor was not kept in good repair. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet located in the School Age Restroom #1 and in the School Age Restroom #2; therefore, the toilets were not in good repair. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Two's Classroom, the surveyor found a bottle of Equate Sunscreen on the top shelf of a set of children's cubbies. The sunscreen bottle had a label that stated, "Keep Out of Reach of Children". The surveyor observed the sunscreen to be within reach and accessible to the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the temperature in the kitchen's refrigerator had a temperature reading of approximately fifty-five (55) degrees Fahrenheit; therefore, the temperature of the refrigerator was not forty (40) degree Fahrenheit or below. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with the staff-in-charge, the surveyor discovered that the personnel file of two (2) staff (DOH:8/17/2022 & 7/19/2022) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. 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: Based on review of documentation, the surveyor discovered the following: 1. No date was listed on the ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 9/20/2018 ) indicating that the staff completed six (6) hours of cabinet-approved orientation training; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed orientation training. 2. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 10/1/2021 thru 9/30/2022, the surveyor discovered that one (1) staff (DOH: 10/1/2021) completed zero (0) of the fifteen (15) required hours of cabinet-approved early care and education training. 3. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 7/1/2021 thru 6/30/2022, the surveyor discovered that one (1) staff (DOH: 10/20/2014) had completed eight (8) hours of the fifteen (15) required hours of cabinet-approved early care and education training. Therefore, the child-care center failed to ensure that training was completed as required. Programming In Compliance Premises In Compliance Hygienic Practices 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 during the initial walk through, the surveyor observed staff in the Ones Classroom change a child's diaper and then place the child down onto the floor without washing the child's hands; therefore, the staff failed to clean the child's hands with liquid soap and warm water after the diaper change as required. 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 In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the files presented for review for five (5) children (DOE: 2/2/2022, 8/15/2022, 7/19/2021, 4/26/2021 and 4/4/2022) did not contain the name or telephone number for the preferred hospital; therefore, the child-care center failed to maintain children's records. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a child that was washing his hands at a sink that was located between two (2) walls near the Three Year Old Classroom; therefore, the child was not within scope of vision. The child was observed to be alone and without supervision. The Three Year Old Classroom was observed to have a half wall and a staff person was observed inside the classroom. The staff person was observed to be tending to other children and had her back turned. Another staff person was observed to see the child at the sink and called for the staff person inside the Three Year Old Classroom to look at the child. Through interview with staff, the surveyor learned that the child was three- years-old and that he had went to the restroom alone. Staff stated that the children in the Three Year Old Classroom do go to the restroom alone sometimes and she will supervise them from the half wall. The restroom was observed to be located directly beside the half wall to the Three Year Old Classroom. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A staff’s (Start Date: 02/22/22) file did not contain documentation of a completed Child Abuse/Neglect Background Check. During interview, staff-in-charge stated that the individual was a volunteer and seventeen (17) years of age. Staff-in-charge stated that she was not aware she had to complete a Child Abuse/Neglect Background Check for the volunteer. Staff-in-charge stated that the volunteer has not worked alone with children. The surveyor did not observe the volunteer working alone with children. 2. A bottle of Superfy Hand Sanitizer placed on the ledge of a half wall in the Preschool Classroom beside the entrance/exit door into the classroom that stated “Keep Out of the Reach of Children” on the back label. The hand sanitizer was observed to be within reach of the children. 3. A dust pan that contained debris inside the pan and a broom that were placed in what appeared to be a blue art station in the Three Year Old Classroom. 4. A long white piece of trim that was leaned on the wall in the restroom located in the Two Year Old Classroom that contained three (3) exposed nails. 5. A bottle of Dial Antibacterial Soap placed on the counter beside the sink in the restroom located across from a gray/red table in the School Age Classroom. Staff-in-charge stated that school age children utilize the restroom. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 02/24/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 2. A staff’s (DOH: 10/01/21) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. During interview, staff-in-charge stated that she did not have verification of the educational documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 08/20/01) obtained fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. Staff-in-charge stated that the trainings were completed; however, the trainings were not uploaded to ECE-TRIS. 2. A staff (DOH: 10/20/14) obtained eight (8) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. 3. A staff (DOH: 09/20/18) obtained fourteen and one-half (14 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. 4. A staff’s (DOH: 04/26/18) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 5. A staff’s (DOH: 09/25/18) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 6. The following staff (DOH: 09/02/21, 09/20/18, 10/01/20, 11/16/21, and 04/14/21) did not obtain six (6) hours of cabinet-approved orientation training; therefore, the training was not completed within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The lesson plan posted in the Preschool Classroom was dated for 12/10/22 - 12/14/22; therefore, the lesson plan was not current. 2. The lesson plan posted in the Three Year Old Classroom was dated for January 2022; therefore, the lesson plan was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a loose blanket placed on a child that was asleep in a crib in the Infant Classroom. Through interview with staff, the surveyor learned that the child was approximately ten (10) weeks old and had been asleep for approximately forty-five (45) minutes. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a small hole in the wall beside a plastic mirror in the Two Year Old Classroom; therefore, the wall was not in good repair. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a rip/tear on the diaper changing pad in the Infant Classroom; therefore, the diaper changing surface was not free of holes, rips, tears, or other damage. Staff-in-charge stated that she had recently replaced the diaper changing pad. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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, the surveyor found large gravels covering the ground surface of the whole playground that were not pea gravel. Staff-in-charge stated that the gravels were a grade one (1) or grade two (2) gravel and that the Toddler, Preschool, and School Age children utilize the playground. 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 surveyor found the following: 1. A child’s (DOE: 02/28/22) file did not contain the name or contact telephone number for the child’s preferred hospital. 2. A child’s (DOE: 05/18/15) file did not contain the name and telephone number of each person to be contacted in an emergency involving or impacting the child or the name and contact telephone number for the child's preferred hospital. 3. A child’s (DOE: 05/14/18) file did not contain the name and telephone number of each person to be contacted in an emergency involving or impacting the child. Written Documentation 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 review of documentation, the surveyor found no documentation of a fire drill conducted for the month of February 2022. During interview, staff-in-charge stated that a fire drill was not conducted for the month of February 2022. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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, the surveyor found the following: (1.) Staff’s (DOH: 3/29/19) file did not contain an annual written performance evaluation. (2.) Staff’s (DOH: 9/13/19) file did not contain an annual written performance evaluation. (3.) Staff’s (DOH: 4/26/18) file did not contain an annual written performance evaluation. (4.) Staff’s (DOH: 10/20/14) file did not contain an annual written performance evaluation. (5.) Staff’s (DOH: 1/20/14) file did not contain an annual written performance evaluation. (6.) Staff’s (DOH: 11/3/13) file did not contain an annual written performance evaluation. Staff confirmed through interview that the annual written performance evaluations had not been completed with staff. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found two (2) light fixtures in the restrooms contained dirt and debris; therefore, the light fixtures were not clean. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a small tear in the diaper-changing pad located in the Nursery. Staff were not aware of the issue stating all the diaper-changing pads were replaced approximately one (1) month ago. 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: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: (1.) Staff’s (DOH: 8/20/01) file did not contain an written annual plan for professional development. (2.) Staff’s (DOH: 11/3/13) file did not contain an written annual plan for professional development. (3.) Staff’s (DOH: 1/20/14) file did not contain an annual written plan for professional development. (4.) Staff’s (DOH: 10/20/14) file did not contain an annual written plan for professional development. (5.) Staff’s (DOH: 4/26/18) file did not contain an annual written plan for professional development. (6.) Staff’s (DOH: 9/13/19) file did not contain an annual written plan for professional development. (7.) Staff’s (DOH: 3/29/19) file did not contain an annual written plan for professional development. Staff confirmed through interview that the written plans for professional development had not been completed with staff. 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered there were rips in the padding on the changing table in the one (1) year old room. During interview, staff reported that it will be taken care of. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation 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 interview, the surveyor found that a staff person compromised the health, safety and comfort of a two-year-old child. On 11/15/19, a staff person was using a broom while sitting in a chair. The staff was sweeping food from under a child-size table. The staff person did not look behind her, stood up and began to turn around. She hit a two- year-old child on the head with the broom causing the child to cry. The staff person did not complete an incident report or inform the staff-in-charge of the incident.

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, files presented to the surveyor for review found one (1) staff (DOH: 04/26/18) did not contain verification of a HS diploma, GED, CCCC or other qualifying documentation. During interview with the director, she stated that the verification was received; however, it was not in the file at the time of this 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

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found: 1. A staff member (DOH: 09/28/18) record presented for review contained cabinet-approved orientation dated 03/30/19; which was not completed within the first three (3) months of employment as required by regulations. 2. A staff member (DOH: 08/20/01) had obtained only twelve (12) hours of cabinet-approved early care and education annual training. 3. A staff member (DOH: 02/16/04) had obtained only nine (9) hours of cabinet-approved early care and education annual training. 4. A staff member (DOH: 01/20/14) had obtained only five (5) hours of cabinet-approved early care and education annual training. 5. A staff member (DOH: 04/26/18) record presented for review did not contain documentation of completed the one and one half (1 ½) hours of pediatric abusive head trauma training. A review of the staff member’s file and a review of ECE-TRIS found no PAHT training was completed. 6. A staff member (DOH: 08/20/01) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 08/17/13. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. 7. A staff member (DOH: 02/16/04) last completed the one and one half (1 ½) hours of pediatric abusive head trauma training on 08/17/13. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. During interview with the director, she stated that she was informed when obtaining background checks that employee dates of hire would change; therefore, training hours would not be correct at this time. 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 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 file presented for surveyor review for one (1) child (DOE: 03/28/19) failed to contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. During interview with the director, she stated she would have the parent complete the information as soon as possible. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that two (2) fly swatters were hanging in the hallway next to the utility sink. The fly swatters were hanging where they were accessible to children on route to the restrooms. The Director was not aware that the flyswatters posed a health risk to the children. Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that an infant was sleeping in a crib with a loose blanket. Upon interview, staff stated that the infant was three months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the blue circular rug located in the Toddler Classroom was significantly soiled with debri and food crumbs. Staff reported that the rug is vaccuumed daily.

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 and interview, the surveyor found that a soiled piece of toilet paper was in the Girls Restroom floor. Upon interview, staff stated that the restroom are cleaned daily. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found that mouth contact toys were not being properly sanitized. Staff stated that they are responsible for sanitizing the toys in their own classroom. Staff stated that the toys are soaked in soapy water and then soaked in a bleach solution before letting them air dry. Staff explained that if needed a paper towel is used to wipe the toys off. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the wood shelving located through out the center and used to store children's belongings and toys was not in good repair as the shelving had a significant amount of paint chipped/peeling off of it. Upon interview, the Director stated that she is aware the shelving is in need of being painted. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the refrigerator located in the Toddler Classroom was not maintained at the required forty (40) degrees Fahrenheit or less. The thermometer was reading at approximately forty-eight (48) degrees Fahrenheit. Staff were not aware that the temperature was not maintained as required. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the surveyor found that only twenty-one (21) children were present at the center; however, there were thirty- one (31) signed in on the daily attendance. Upon interview, the Director explained that some of the children ride the school bus from the center to school but they do not sign the children out of the center when they leave for school. The Director stated that the children are not signed out until they are picked up from the center by their parents after they returned to the center from school. Posted Documentation In Compliance Animals 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 3. Records.

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 03/31/14) file did not contain a phone number for the preferred physician. 2. A child’s (DOE: 04/01/16) file did not contain the name or phone number for the preferred physician or hospital. 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, an employee's (DOH: 08/20/01) file did not contain a written annual plan for child-care staff professional development. 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor found the following: 1. An employee’s (DOH: 02/16/04) file did not contain an annual written performance evaluation. 2. An employee’s (DOH: 11/03/13) file did not contain an annual written performance evaluation. 3. An employee’s (DOH: 01/15/14) file did not contain an annual written performance evaluation. 4. An employee’s (DOH: 10/20/14) file did not contain an annual written performance evaluation. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the surveyor found the following: 1. An employee’s (DOH: 11/03/13) file did not contain documentation that Pediatric Abusive Head Trauma (PAHT) training has been completed. A review of ECE-TRIS shows no additional training for the staff member. The staff member has been employed for longer than twelve (12) months. 2. An employee’s (DOH: 01/15/14) file did not contain documentation that the PAHT training has been completed. A review of ECE-TRIS shows no additional training for the staff member. The staff member has been employed for longer than twelve (12) months. 3. An employee’s (DOH: 10/20/14) file did not contain documentation that the PAHT training has been completed. A review of ECE-TRIS shows no additional training for the staff member. The staff member has been employed for longer than twelve (12) months. 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 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 8. Kitchen Requirements.

General: Based on observation, the freezer, located in the kitchen, had a temperature reading of eight (8) degrees Fahrenheit. The freezer tempearture must be kept at zero (0) degrees Fahrenheit or below. 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: nutrition. Open / not marked corrected.

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

General: Based on observation, a broom and dust pan were located across from the sink in the preschool room and was accessible to children in the room. Therefore creating a health and safety concern for the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation of staff files, a staff member's (DOH: 1-15-14) file contained a TB skin test that was no longer current. Therefore, the child care center was not compliant with staff requirements for employee records.

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, there was not a current lesson plan posted in the preschool or the school age room. During interview, staff stated they did not have one posted. Therefore the child care center did not post in writing a current daily planned program for these two (2) 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 and interview, there was no medical tape in the first aid kit. Staff reported that it must have been taken out and used for something else. 660 - Medication Administration Not Applicable 922 KAR 2:120. Section 7. First Aid and Medicine. (4) Prescription and nonprescription medication shall be administered to a child in care: (a) With a daily written request of the child’s parent. (b) According to the directions or instructions on the medication’s label. 665 - Administration Record Not Applicable 922 KAR 2:120. Section 7. First Aid and Medicine. (5) The child-care center shall keep a written record of the administration of medication, including: (a) Time of each dosage; (b) Date; (c) Amount; (d) Name of staff person giving the medication; (e) Name of the child; and (f) Name of the medication. 670 - Medication Not Applicable 922 KAR 2:120. Section 7. First Aid and Medicine. (6) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. (7) Medication shall not be given to a child if the expiration date on the bottle has passed. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there were two (2) tricycles on the playground that were each missing one (1) front petal; therefore, they were not in good repair. Based on interview with staff it was stated they have the other pedals but need to put them on the tricycles.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation of children's files by surveyor, it was found that one (1) child (DOE: 8-18-14) did not have the following in their file: (1) contact phone number for preferred doctor (2) preferred hospital (3) contact phone number for preferred hospital. Therefore, the child care center failed to maintain the proper enrollment information for this child's record.

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 interview, the two-year-old classroom had six (6) children present during the a.m. hours on 09/30/15. The staff stated that the children ranged in age from one to two (1-2) year olds and were combined all morning on 09/30/15. Therefore, toddlers were combined with older children for more than one (1) hour. 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 Premises

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 interview, a one-year-old child exited the front door of the child care center and was found in the parking lot by the owner of a neighboring business. Based on interviews, the child was unsupervised in the parking lot for three to eight (3-8) minutes. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, a one-year-old child exited the front door of the child care center and was found in the parking lot by the owner of a neighboring business. The child was unsupervised in the parking lot while it was raining for three to eight (3-8) minutes. Therefore, the child's health, safety, and comfort was compromised. Programming

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 following was observed during a walk through of the child care center: 1. The back door of the child care center was open. The door was not covered with a protective screen. 2. There was water on the floor inside the back door and along the wall inside the nursery classroom next to the back door. There were four (4) children present in the nursery classroom. 3. There were towels located on the floor at the back door and along the wall in the nursery classroom. The towels were soaked with water. The staff stated during interview that the towels had been changed three (3) times during the day on 09/30/15 due to the towels being soaked with water. 4. There was a lock on the gate leading into the two-year-old classroom that was loose. The surveyor witnessed several children from the classroom reach their hands through the gate and unlocked the latch from inside the classroom. The staff stated during interview that the children in the two-year-old classroom can unlock the latch on the gate.

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, there were numerous flies located inside the child care center. The staff acknowledged during interview that flies were flying around in the child care center.

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, there were numerous flies located inside the child care center. The staff acknowledged during interview that flies were entering the building due to the doors being open. These doors did not have protective screens to prevent incoming insects.

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, during a tour of the Preschool Room at nap time, the surveyor found that one (1) staff person was providing care for a one-year-old child along with eleven (11) two and three-year-old children. Based on review of documentation contained in all twelve of the children’s files, the surveyor confirmed that the child was one-year-old. The staff to child ratio was exceeded by six (6) children. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, during a tour of the Preschool Room at nap time, the surveyor found that one (1) staff person was providing care for a one-year-old child along with eleven (11) two and three-year-old children that were sleeping. Based on review of documentation contained in all twelve of the children’s files, the surveyor confirmed that the child was one-year-old. Interview with staff confirmed that the child is in the classroom for the entirety of the day: thus, being in a mixed-age group for longer than one (1) hour. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that three (3) infant children were present in the Nursery; however, only two (2) cribs were available for their use. Through interview with a staff, the surveyor learned that the staff alternates the use of the cribs to meet the children’s needs. 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

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, upon entering the Type I child care center on 09/17/15, the surveyor found that a preschool-age child walked out of the kitchen and into an area located outside of the office. Through interview with a staff, the learned that the child had opened the classroom gate, left the Preschool Room and followed a staff person into the kitchen while it was being cleaned. Children's Records

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 surveyor found that the child care center did not have a written record for a five-month-old child that was completed and signed by the child’s parent that was retained on the first day the child attended the child care center to include: 1. Identifying information about the child to include name, address and date of birth. 2. Information to enable a person in charge to contact the child’s family physician and preferred hospital. 3. The name of each person designated in writing to pick-up the child. 4. The child’s general health status. 5. The name of each person to be contacted in an emergency situation involving or impacting the child. 6. Authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence.

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, one (1) child care center staff member occasionally sprays mouth contact toys with a bleach water solution instead of submerging the toys in a bleach water solution during the toy sanitization process. First Aid/Medication

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 and a review of the ECE-TRIS website, there was no documentation to verify that a staff member (DOH: 1/15/14) has yet completed six (6) hours of cabinet-approved orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, one (1) staff does not tuck the infants' blankets into the crib when the infants are sleeping. Therefore, loose bedding is accessible to the infants.

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 following was found: (1) During a tour of the infant classroom, the surveyor observed five (5) mats with peeling tape and one (1) mat with multiple tears. (2) During a tour of the two's and three's classroom, the surveyor found two (2) mats that were less than two (2) inches thick. (3) During a tour of the preschool classroom, the surveyor found one (1) mat with peeling tape.

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 during a tour of the infant classroom, the surveyor found one (1) infant swing that contained a shredded restraint strap. The infant swing was not in good repair.

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, none of the ten (10) children's files presented for surveyor review contained the child's preferred hospital and preferred hospital telephone number. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the earthquake and tornado drills presented for surveyor review for 2014 did not contain the names of the children that participated in the drills.

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 fire drills presented for surveyor review for 2014 - 2015 did not contain the names of the children that participated in the drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor observed only four (4) pages posted of the child care center's statement of deficiency and plan of correction for the current licensure year.

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 pad on the changing table in the nursery classroom had several small tears in it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, none of the ten (10) children's files presented for review contained contact information to enable a person in charge to contact the child's preferred hospital. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center did not have information posted about the Kentucky Consumer Product Safety Program and the program's website.

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, there was one (1) staff (DOH: 03/03/10) file that contained the results of a negative TB skin test that was no longer current after 03/04/12. 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 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 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 2) Type II Not Applicable 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 Not In Compliance Findings: General: Based on review of documentation, there were two (2) staff (DOH: 01/24/12 and 01/24/12) files that contained training certificates for orientation that were dated for 04/28/12. However, the two (2) staff did not complete the orientation training within ninety (90) days of their hire date. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, there was one (1) staff (DOH: 09/25/06) file that contained only thirteen (13) hours of cabinet approved training within the last year of employment. 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. 2) 9 hours-first year In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 317 - Driver requirements Not Applicable 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 Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable 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 Not In Compliance Findings: School Age: Based on observation, there was not a planned program of activities posted in the classroom. 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; 2) Followed 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: Based on observation, the children's names and their dates of birth were posted on the children's chairs located in the Two and Three Year Old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery: Based on observation, the following health and safety issues were found in the classroom: 1. There was a toy hanging on the inside of a crib in the classroom. 2. There was one (1) child that was placed in a crib and the child was wearing a bib. The bib was not taken off of the child before being placed in the crib to sleep. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery: Based on observation, there were two (2) cribs located in the classroom that had been placed less than 12 inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

Preschool Classroom: Based on observation, ten (10) children were present in the classroom. The surveyor measured the classroom and found that the classroom measured for a capacity of only seven (7) children. Therefore, the classroom was over capacity by three (3) children. Two and Three Year Old Classroom: Based on observation, ten (10) children were present in the classroom. The surveyor measured the classroom and found that the classroom measured for a capacity of six (6) children. Therefore, the classroom was over capacity by four (4) children. Toddler: Based on observation, six (6) children were present in the classroom. The surveyor measured the classroom and found that the classroom measured for a capacity of five (5) children. Therefore, the classroom was over capacity by one (1) child. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 39 Web site: http://chfs.ky.gov/ Inspection Report 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 1) Winter Temperature sixty-five to seventy-five In Compliance 2) Summer Temperature sixty-eight to eighty-two In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 4) Traffic Pattern In Compliance 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance 4) Not damp In Compliance 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 6) Equipped with an easily cleanable, covered waste receptacle In Compliance 7) Immediately adjacent to a changing area used for infants and toddlers In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 39 Web site: http://chfs.ky.gov/ Inspection Report 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage In Compliance 2) Locked In Compliance 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance In Compliance 2) Outdoor Designated Area In Compliance 3) Not in the presence of children In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance

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, one (1) file for a staff (DOH: 01/24/12) did not contain documentation of her level of education.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddler: Based on observation, an unsecured fan was placed on a shelf that was approximately five (5) feet high. Nursery: Based on interview, the surveyor learned that the infant's bottles are washed in the same sink used for handwashing. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.