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

General: Based on interview and review of documentation, the licensee failed to provide written notification to the cabinet, prior to changing its hours of operation, to allow for approval before implementation.

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 wooden deck/platform located beside a pool on the playground that appeared to contain pool hoses. The surveyor observed a step up onto the wooden deck/platform that resulted in the pool wall measuring approximately three (3) feet high. The pool was observed to contain a cover. During interview with staff-in-charge, the surveyor learned that the children present at the child-care center on 03/16/23 were four-years-old to five-years-old. Staff-in-charge stated that they would put a gate up to make the step up onto the small wooden deck/platform inaccessible. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center had maintained enrollment records to include a current listing of a preferred hospital. Six (6)of the ten (10) enrollment forms listed a name of a hospital that is no longer in operation. 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: Review of two (2) staff files revealed there was not a qualified staff member certified in a cabinet approved adult and pediatric cardiopulmonary resuscitation and first aid. Interview with the staff in charge revealed that she / he and the qualified substitute took the class online. 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 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed two (2) yellow slides with exposed ground; therefore, there was not sufficient protective surfacing. Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 and Interview, the child care center failed to comply with staffing requirements. Observation of the child care center on 12/2/15 revealed the owner/director was the sole caregiver of nine (9) children, ages one-year-old to three-years-old, for the duration of the survey from 11:12am-11:22am. During interview with owner/director, she acknowledged staff-to-child ratios were not maintained for the duration of the survey. Children's Records

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Observation of the child care center on 12/2/15 revealed a one-year-old was present. Interview with owner/director revealed the one-year-old was her nephew. Continued interview with owner/director revealed the child does not regularly attend the center, but she agreed to supervise him on 12/2/15 because his regular caregiver was not available. Review of documentation revealed the center failed to present an enrollment file for the child enrolled 12/2/15. During further interview with owner/director, she acknowledged the center failed to present an enrollment file for this child at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the dining room revealed pre-school children sitting at an adult-sized dining room table, in adult-sized chairs and on adult-sized stools while the children waited for lunch to be served. Continued observation revealed the children remained at the adult sized dining room table, in adult-sized chairs and on adult-sized stools while they ate lunch. Continued observation revealed the children’s feet did not touch the ground. Further observation revealed several of the children stood up in their adult-sized chairs and remained standing until the owner/director instructed the children to sit down. Transportation 775 - Maintain Records Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (l) A written record of transportation services provided in accordance with 922 KAR 2:120, Section 12. 780 - Transportation Compliance Not Applicable 922 KAR 2:120. Section 12. Transportation. (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff who transports children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.125 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left unattended: (a) At the site of aftercare delivery; or (b) In a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. 907 - Parent Transport during Field Trip Not Applicable 922 KAR 2:120. Section 12. Transportation. (21) A parent may use the parent’s vehicle to transport the parent’s child during a field trip. Food Service

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of the child care center on 10/14/15 revealed on five (5) separate occasions, 10:58am, 11:01am, 11:05am, 11:09am, and 11:18am, a two-year-old left the room being unattended by the owner/director and wandered into another area of the house, causing the two-year-old to be out of the scope of vision of the owner/director for at least one (1) minute each time. Observation of the child care center at 11:34am revealed seven (7) of the eight (8) children in care left the room unattended and wandered into another area of the house, while the owner/director cleaned up after lunch, causing the children to be out of the scope of vision of the owner/director for at least one (1) minute. During interview with owner/director, she acknowledged supervision was not maintained at various times throughout the duration of the survey.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the child care center on 10/14/15 revealed the owner/director was the sole caregiver of nine (9) children ages one-year-old to three-years-old from 10:36am - 11:28am. During interview with owner/director, she acknowledged staff-to-child ratios were not maintained for the duration of the survey.

Open Not marked corrected in the state record

Category: ratio. 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 director failed to assure compliance with regulatory requirements. Review of the regulations 922 KAR 2:90, 922 KAR 2:110, 922 KAR 2:120 presented at the time of survey revealed the regulations were no longer current as they were dated 10/3/11.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Type II child care center at 10:58am revealed two (2) pre-school children standing around in the kitchen and a one-year-old sitting in a high chair in the kitchen while the owner/director prepared lunch in the kitchen.

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 Observation, Review of Documentation, and Interview, the child care center failed to maintain children’s records in accordance with regulations. Observation of the child care center on 10/14/15 revealed a one-year-old was present. Review of children’s files revealed the center failed to present a file for the child enrolled 10/14/15. Interview with owner/director revealed the child’s first day at the center was on 10/14/15. Continued interview with owner/director revealed the child does not regularly attend the center, but she agreed to supervise the child for a few hours on 10/14/15. During further interview with owner/director, she acknowledged the center failed to present a file for this child at the time of survey. Continued review of children’s files revealed the written records for children enrolled1/3/14, 4/28/14, and 7/17/15 failed to contain preferred hospital information. Further review of children’s files revealed the written record for a child enrolled 5/15/14 failed to contain family physician and preferred hospital information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the child care center failed to maintain written documentation in accordance with regulations. Observation of the child care center on 10/14/15 revealed eight (8) children were present; however, review of attendance records for 10/14/15 revealed only six (6) children were signed in. Continued review of attendance records for 10/14/15 revealed two (2) children were signed out in advance. During interview with owner/director, she acknowledged the attendance records were not properly documented.

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 child care center failed to post documentation in accordance with regulations. Review of documentation revealed the center failed to post a written plan outlining the course of action in the event of a natural or manmade disaster.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain a child-care program that assures each child will be provided with adequate supervision at all times by a qualified staff person who ensures the child is within scope of vision and range of voice unless the child is school age. Observation revealed a child was allowed to leave the class area of the home and go to use the bathroom located down the hallway from the classroom. The child went unsupervised while staff remained in the classroom. The child was completely out of the staff's scope of vision and range of voice (the bathroom door was closed and the classroom was very loud with children) for approximately three (3) minutes. Interview with staff indicated that she has always allowed children to go the bathroom unsupervised because it was safer than her leaving all of the other children alone while she took one child to the bathroom.

Open Not marked corrected in the state record

Category: supervision. 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 have one qualified substitute staff person available in case of need. Review of documentation revealed no substiture staff person identified. During the subsequent interview with the Director she argued that according to 922 KAR 2:110 she was not required to have a substitute because the reguation allowed for closure of the center in the event she could not provide care. The regulation reads: "(9) If the operator of a Type II child-care center is unable to provide care in accordance with this administrative regulation, 922 KAR 2:090, or 922 KAR 2:120, the Type II child-care center shall close temporarily until the operator is able to resume compliance." The Director further argued that she has never had a substitute. I advised the Director that the regulation she was referring to was not fully encompassing with regards to having a subsitiute staff person available.

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 ensure that Staff hired on 11/20/2008 completed the required fifteen (15) hours of early care and education training. Review of documentation disclosed the staff completed only 13 training hours. 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 3. General Requirements.

General: Based on Observation, the child care center failed to ensure that a toilet plunger was made inaccessible to the children. Observation revealed the toilet plunger on the floor next to the toilet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that a child shall be helped with personal care and cleanliness and that a child shall wash their hands with liquid soap and warm running water after toileting and before and after eating or handling food. Observation revealed the Director allowing a child to use the bathroom and not helping or ensuring that the child washed his hands. The Director asked the child if had washed his hands and he replied "no". Further observation revealed the same child picking up a toaster pastry after using the bathroom and he did not wash his hands before eating or handling of the food nor did he wash his hands after he finished eating the food.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the first aid supplies located in the child care center did not contain a first aid booklet and the flashlight was not operating.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that the outdoor play area was free from litter and rubbish. Observation revealed several empty "beer" cans were lying at the entrance to the outdoor play area where children have to pass by to enter the play area. Observation also revealed several piles of dog feces in the grass area.

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 ensure that the outdoor play are was maintained in good condition. Observation revealed weeds growing through the mulch; weed contro fabric exposed and an excessive amount of leaves/debris in the play area.

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 ensure that the protective surface was sufficient in the area of the swing, slide and climbing apparatus.

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 ensure that indoor and outdoor equpment shall be safe and meet the physical and developmental needs of children of different age groups. Observation revealed an outdoor tree house that has a rope cargo net extending from the tree house to the ground and is used for climbing which could pose an entrapment/strangulation threat for younger children. (NOTE: Prior POC addressed this issue also)

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that food was protected against contaimination from dust, flies and other contaminants. Upon arrival at the center at approximately 9:40 a.m., a plate containing an unwrapped toaster pastry and a peeled banana were observed on the dining room table. At approximately 10:30 a.m. a child who was allowed to go the bathroom unsupervised stopped in the dining room after toileting and picked up the toaster pastry and began eating it and then took it back to the classroom.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that all children were offered the same food items. Observation revealed only one child was allowed to eat a toaster pastry in the classroom while the remaining six (6) children were without food. Interview with the Director disclosed that the child eating in the classroom was not present during breakfast so she allowed him to eat the pastry in the classroom.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a written, annual plan for child-care staff professional development.

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 a written record of quarterly practiced earthquake and tornado drills detailing the date, time and children who participated in the drills. Review of documentation disclosed that the 2014 record of quarterly practiced earthquake and tornado drills did not detail the children who participated.

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 a written record of monthly practiced fire drills detailing the date, time and children who participated in the drills. Review of documentation disclosed that the 2014 record of monthly practiced fire drills did not detail the children who participated.

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, a protective surface failed to be provided with a fall zone equal to the height of the wooden climbing structure that surrounded a tree.

Open Not marked corrected in the state record

Open / not marked corrected.