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

General: Based on observation, the surveyor found the following: 1. A brown substance was located on the side of the restroom stall's wall in the first stall of the boys' restroom; therefore, the stall's wall was not kept clean. 2. Toilet paper was observed on the floor in the first restroom stall in the boys' restroom; therefore, the floor was not kept clean. 3. Toilet paper observed on the floor in the first, second, and fourth restroom stalls of the girls' restroom; therefore, the floor was not kept clean. During interview, staff-in-charge stated that staff check the restrooms; however, staff-in-charge stated the child-care center is housed inside a school and school aged children also utilize the restrooms. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

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 mulch around three (3) play structures with slides and three (3) swings on the playground; however, the play structures and swings were observed to not have a fall zone equal to the height of the equipment. The surveyor observed mulch on the other side of the playground fence. During interview, staff-in- charge stated that she would have maintenance add the rest of the mulch around the playground equipment.

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 observed two (2) small gaps at the bottom of the back fence roll on the playground and observed part of the back fence roll to not be secure at the bottom causing the fence to slightly push outward; therefore, the fence was not in good condition. 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 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, the surveyor found a staff’s (DOH: 02/23/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member does not have a completed background check; therefore, the staff person was hired prior to clearance for employment. The staff’s file contained a completed Child Abuse/Neglect Background Check dated 02/28/2022 and a completed Criminal Records Background Check dated 01/12/2022. Staff-in-charge stated a background check was submitted for the staff through the Kentucky National Background Check Service; however, staff-in-charge was not sure if the staff had completed their fingerprints. Staff-in-charge thought she could hire the staff as a “provisional staff” and allow her to begin working in a classroom with another staff. Staff-in-charge stated the staff has not worked alone with children. The surveyor did not observe the staff working alone with children. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A bottle of Germ-X Hand Sanitizer and a bottle of Waltz Free Hand Sanitizer Lotion that read "Keep Out of the Reach of Children" on the back label was located on a table beside the door in Room 1. Both items were observed to be within reach of children. 2. A stapler that was located on a wooden shelf in the art center in Room 1 was within reach of children. During the interview, staff-in-charge said she would have her staff place the stapler out of reach. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 08/01/92) file contained an annual written performance evaluation dated for 10/02/19. 2. A staff’s (DOH: 08/09/00) file contained an annual written performance evaluation dated for 10/02/19. 3. A staff's (DOH: 08/09/02) file contained an annual written performance evaluation dated for 10/02/19. During the interview, staff-in-charge stated that the evaluations had been completed annually; however, they were not presented at the time of inspection. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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: A child’s (DOE: 02/24/20) file contained an immunization certificate that was no longer current as of 03/06/22. Staff-in-charge stated that she was aware that the immunization record was expired and that the child has an appointment within the next week. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the lockdown drills had not been conducted quarterly. During the interview, staff-in-charge stated that she was unaware that lockdown drills had been added to the required quarterly drills by regulation. 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 8. General.

General: Based on observation, the surveyor found the following: 1. One (1) electrical outlet was missing one (1) outlet plug cover located under a window in Wee Care Classroom 1. 2. A tall wood framed mirror placed behind a cot that was in the floor in Wee Care Classroom 1. The surveyor did not observe a child in the cot. 3. A red dolly and metal platform dolly with wheels located in a hallway near the restrooms. 4. A lunch room table folded and standing upright next to a wall in the hallway by the restrooms. 5. Four (4) boxes with orange cables coming out of them placed in the floor of the hallway by the restrooms. During interview, staff-in-charge stated that Wee Care Classroom 2 uses the restrooms in the hallway. 6. A large box and white standing fan placed by the door that leads to Wee Care Classroom 2. 7. Eight (8) children and one (1) staff person sitting in a gazebo located outside the fenced in area of the playground. Staff-in-charge stated that the eight (8) children and staff person were waiting to go onto the playground as another classroom was currently on the playground. The surveyor did not observe children's files to contain written permission specific to allowing the children to go to the gazebo which was located outside the fenced in area of the playground. The gazebo has not been approved as licensed space by DRCC; therefore, the children were in an unlicensed area. Staff-in-charge stated that she was not aware the children could not use the gazebo. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 08/01/92) file contained a written performance evaluation dated for 10/02/19; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 08/09/02) file contained a written performance evaluation dated for 10/02/19; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 08/09/02) file contained a written performance evaluation dated for 10/04/19; therefore, the evaluation was not completed annually. 4. A staff’s (DOH: 08/28/17) file contained a written performance evaluation dated for 10/04/19; therefore, the evaluation was not completed annually. During interview, staff-in-charge stated that the written performance evaluations were completed for the staff mentioned; however, she was unable to locate the documentation. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. One (1) Zep spray bottle and one (1) spray bottle that stated "DZ7" on the front of it placed on a heating unit in front of the hallway that leads to the restrooms used by Wee Care Classroom 2. 2. Lysol wipes placed on a desk beside a set of cots in Wee Care Classroom 1. The items mentioned were observed to be accessible to the children. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found debris on the diaper changing table underneath the diaper changing pad and a brown stain on the diaper changing pad; therefore, the diaper changing surface was not clean. During interview, staff-in-charge stated that the brown area on the diaper changing pad was from cleaning the pad with bleach. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A small black bag placed on a shelf in the restroom located in Wee Care Classroom 1 that was open and displaying a white packet that stated "Aspirin" on front of the packet; therefore, the medication was not stored in a separate and locked place. 2. A tube of Desitin Diaper Rash Cream placed in a blue basket on a lower shelf in the restroom located in Wee Care Classroom 1. Therefore, the diaper cream was accessible to the children. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found a slide that was broken on the end and exposing a sharp edge on a climbing structure located on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the playground, the surveyor found the following: 1. A small plastic slide placed in the grass with no protective surface. 2. The protective surface around a wooden climbing structure with a slide was depleted and did not have an adequate fall zone. 3. The protective surface around a climbing structure with three (3) slides was depleted and did not have an adequate fall zone. 4. The protective surface around a climbing structure with two (2) slides was depleted and did not have an adequate fall zone. 5. The protective surface around three (3) swing sets was depleted and did not have an adequate fall zone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found two (2) areas in the fence roll along the right side of the playground that appeared mangled exposing holes in the fence. Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor was presented with a food service permit that had an expiration date of 12/31/20. During interview, staff-in-charge stated that the food service permit was current; however, she was unable to locate the documentation. 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 Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 08/01/92) file contained a professional development plan dated for 09/11/19; therefore, the plan was not completed annually. 2. A staff’s (DOH: 08/09/02) file contained a professional development plan dated for 09/11/19; therefore, the plan was not completed annually. 3. A staff’s (DOH: 08/09/02) file contained a professional development plan dated for 09/11/19; therefore, the plan was not completed annually. 4. A staff’s (DOH: 08/28/17) file contained a professional development plan dated for 09/11/19; therefore, the plan was not completed annually. 5. A staff’s (DOH: 11/01/10) file contained a professional development plan dated for 11/18/19; therefore, the plan was not completed annually. During interview, staff-in-charge stated that the professional development plans were completed for the staff mentioned; however, she was unable to locate the documentation. 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 record review, the surveyor discovered the following: 1. The file for a staff member (DOH:8/1/92) did not contain an updated staff evaluation. The most recent staff evaluation was dated for 10/2/19. Staff stated that she had not done staff evaluations for staff but would have them done. 2.The file for a staff member (DOH:8/9/00) did not contain an updated staff evaluation. The most recent staff evaluation was dated for 10/4/19. Staff stated that she had not done staff evaluations for staff but would have them done. 3.The file for a staff member (DOH: 8/9/00) did not contain an updated staff evaluation. The most recent staff evaluation was dated for 10/2/19. Staff stated that she had not done staff evaluations for staff but would have them done. 4. The file for a staff member (DOH:8/28/17) did not contain an updated staff evaluation. The most recent staff evaluation was dated for 10/14/19. Staff stated that she had not done staff evaluations for staff but would have them done. 5.The file for a staff member (DOH:8/22/18) did not contain an updated staff evaluation. Last The most recent staff evaluation was dated for 10/2/19. Staff stated that she had not done staff evaluations for staff but would have them done. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor discovered the following: 1. The file for a staff member (DOH:11/1/10) did not contain an updated professional development plan. The most recent professional development plan was dated for 11/8/19. Staff stated that she had not updated professional development plans for staff but would have them done. 2. The file for a staff member (DOH:8/1/92) did not contain an updated professional development plan. The most recent professional development plan was dated for 10/2/19. Staff stated that she had not updated professional development plans for staff but would have them done. 3. The file for a staff member (DOH:8/9/00) did not contain an updated professional development plan. The most recent professional development plan was dated for 9/11/19. Staff stated that she had not updated professional development plans for staff but would have them done. 4. The file for a staff member (DOH: 8/9/00) did not contain an updated professional development plan. The most recent professional development plan was dated for 9/11/19. Staff stated that she had not updated professional development plans for staff but would have them done. 5. The file for a staff member (DOH:8/28/17) did not contain an updated professional development plan. The most recent professional development plan was dated for 9/11/19. Staff stated that she had not updated professional development plans for staff but would have them done. 6. The file for a staff member (DOH:8/22/18) did not contain an updated professional development plan. The most recent professional development plan was dated for 8/26/19. Staff stated that she had not updated professional development plans for staff but would have them done. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 05/30/2019 AND AS OF 06/17/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 that a staff’s (DOH: 11/01/10) negative tuberculin result was no longer current as of 03/15/2019. Interview with staff found that a current tuberculin result was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. The surveyor found verification of only thirteen (13) hours of cabinet-approved early care and education annual training for a staff (DOH: 08/01/1992). 2. The surveyor found verification of only thirteen (13) hours of cabinet-approved early care and education annual training for a staff (DOH: 11/01/2010). 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, the surveyor found that a child’s (DOE: 12/06/17) immunization certificate was dated 01/23/19; therefore, was no longer current. Interview with the director found that verification of current immunization was not available for review. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/29/2018 AND AS OF 07/06/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 that a staff's (DOH: 8/28/17) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. During interview, the director confirmed that the documentation was not in the file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE - TRIS, the surveyor found that a staff (DOH: 9/8/15) obtained six (6) of the required fifteen (15) hours of cabinet - approved early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of ECE-TRIS and staff files, a staff member (DOH: 3-10-16) has not completed the required pediatric abusive head trauma training within the first year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of children's files, the following things were found: 1) Three (3) children's (DOE: 9-10-16, 1-8-16, & 8-4-16) enrollment forms did not have a phone number listed for the preferred doctor. 2) One (1) child's (DOE: 9-14-15) enrollment form did not have the preferred hospital name or phone number listed and did not have a phone number listed for the preferred doctor. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no written evidence of staff meetings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of employee files, the surveyor found the following: 1. An employee’s (DOH: 3/10/16) file did not contain a child abuse or neglect check that was submitted timely. The child abuse or neglect check showed a submit date of 3/29/16. 2. An employee’s (DOH: 2/27/16) file did not contain an updated criminal records check or an updated child abuse or neglect check. Based on an interview, the director informed the surveyor that the employee’s first hire date was 5/14/15, the employee quit on 8/1/15 and then was rehired on 2/27/16.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the files for three (3) staff members (DOH: 3/10/16, DOH: 2/27/6 & DOH: 9/8/15) did not contain verification of education.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the file for a staff member (DOH: 9/8/15) did not contain verification that the staff member completed the required six (6) hours of orientation training. The staff member has been employed for longer than three (3) months.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, during a tour of the restroom off of Classroom I, the surveyor found a broom and dustpan located beside the garbage can. The broom and dustpan were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, during a tour of the girls' & boys' restrooms used by Classroom II, the surveyor found the following: 1. Three (3) toilets in the girls' restroom had urine and toilet paper in them. 2. The floor in the girls' restroom was littered with pieces of toilet paper. 3. One (1) toilet in the boys' restroom had urine in it. 4. The floor in the boys' restroom was littered with pieces of paper towels.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no evidence of a fire drill conducted in March 2016.

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 observation and review of documentation, the surveyor found the following: 1. A statement of deficiency issued by the cabinet during the current licensing year was not posted. 2. A plan of correction submitted by the child-care center to the cabinet during the current licensing year was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of Room #401 the surveyor found the following: 1. Computer attachments, power cords and chargers, all with attached cords, were observed to have been stored in unlocked drawers of the sink cabinet. The cords were accessible to the children. 2. A telephone had been placed on a desk with the extended cord dangling down to the floor. The cord was within reach of the children. 3. A bucket containing soiled rags had been placed on the floor near the refrigerator located in the classroom. The soiled rags were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of Room #401 the surveyor found the following: 1. A paring knife was observed in an unlocked top drawer of the sink cabinet. The knife was accessible to the children. 2. Numerous empty plastic bags were found to have been stored in unlocked drawers and in the unlocked sink cabinets. The plastic bags were accessible to the children. 3. A staff’s purse had been stored in an unlocked cabinet and was within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of Room #401, the surveyor found a thick coating of dust on the wall vent.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the First-Aid Kit was stored in an unlocked cabinet located under the sink in Room #401. The First-Aid Kit was within reach of the children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation during a tour of Room #401, the surveyor found that an Epi-Pen had been stored in an unlocked medication box. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a substitute teacher was lacking (3.5) three and one-half of the required training hours. Interview with the director revealed that a substitute has not been called in for over (2) two years. 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the thermometer located in the freezer of Room 401 was an oven thermometer. The temperatures of this thermometer only read between 150 and 600 degrees Farenheit.

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 no children's records contained the family's preferred hospital or hospital contact information. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 25 Web site: http://chfs.ky.gov/ Inspection Report 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 5 (1)

General: Based on review of documentation, copies of negative tuberculin tests or written documentation from a health care professional of no evidence of active tuberculosis were not presented for review for two (2) staff members (dates of hire - 11/1/10 and 8/9/00). An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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 Not In Compliance Findings: General: Based on review of documentation, the files for substitute staff members did not include the following: 1) An evaluation or professional development plan for a substitute staff member (date of hire - 5/19/11). 2) A professional development plan and only five (5) hours of training for a substitute staff member (date of hire - 8/10/11). 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 In Compliance 3) 15 hours annually In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, the file for a substitute staff member (date of hire - 8/10/11) included documentation of only five (5) hours of training obtained from 8/10/11 to 8/10/12. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, evaluations were not presented for review for a substitute staff member (date of hire - 5/19/11).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, professional development plans were not developed for the substitute staff members (dates of hire - 5/19/11 and 8/10/11). 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

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 educational documentation on file for a staff member (DOH: 7/11/11) did not contain a date of graduation and therefore, completion of high school could not be verified for this employee.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 7

4 & 5 Year Olds: Based on review of documentation, the center did not have written parental permission to administer an Epi Pen to a child (DOE: 11/18/11) in the event of need. 248 - Nonprescription medication protocol Not Applicable 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 42 Web site: http://chfs.ky.gov/ Inspection Report 2) Administered according to label Not Applicable 249 - Administration Record Not Applicable 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time Not Applicable 2) Date Not Applicable 3) Amount Not Applicable 4) Staff name Not Applicable 250 - Medication Storage Not Applicable 922 KAR 2:120 - Section 7 (7) 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. 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) 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. 1) Separate and locked In Compliance 2) Original Bottle In Compliance 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) 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. 3) Labeled Not In Compliance Findings: 4 & 5 Year Olds: Based on observation, an Epi Pen located inside the locked medication box was not labeled with a child's name.

Open Not marked corrected in the state record

Open / not marked corrected.