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

General: Based on review of documentation, there was no written procedure to ensure compliance with, and inform staff of, the laws regarding reporting suspected abuse or neglect. The document provided for review was not specific and only indicated that abuse or neglect would be reported. 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 presented and ECE-TRIS records, a staff person with a hire date of 7/1/1984, completed one and one half hours of cabinet-approved pediatric abusive head trauma training on 1/9/2016. Staff person hired 7/1/1987, completed the same training on 1/16/2016. This training is required to be completed within the first year of employment and once every five years. Neither of the staff has updated this required training as required by this regulation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 observation and interview at the time of the survey, a small area in the children's play space had been sectioned off with several baby gates in the form of a circle. A one-year-old child had been placed in this area. There were minimal toys available in the space for the child and did not provide a variety of creative activities. The posted planned program of activities did not address specific activities for the child. The staff person in charge stated this space was created for the child as their specific play area.

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 children were seated at a table and in high chairs to eat their lunch at approximately 11:40 a.m. Each child was served the required components for lunch with the exception of milk. Cups of milk and a bottle were observed sitting on the counter. Some of the children asked for more servings of specific foods and still no milk was served. It was not until most of the children had finished eating before each child was served their milk. 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 Not In Compliance

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, a one-year old child was placed in a high chair to eat lunch. The child's food was torn into small pieces and placed directly on the high chair tray. The child was observed picking up the bits of food with their fingers and placing the food in their mouth. The child was not provided with proper eating utensils or a plate or bowl to contain their food. 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 interview and review of documentation, there was one child's enrollment information that did not contain parent contact information and the name and phone number of the child's physician. An interview with the staff person in charge found that the child is her grandson. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the posted diagrams did not show the space used for child care. One diagram showed a layout of the provider's home with the front door labeled and the neighbor's home labeled. Another diagram showed a large square with the home's crawl space and the front door of the home labeled. These diagrams do not show the layout of the inside of the home and the rooms the children must go through to get out of the home. In addition, the diagram labeled Natural Disaster only provides a written plan in the event there is a tornado. There is not a written plan that addresses what should be done in the event there is an earthquake. Animals In Compliance 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have the results of the background check conducted in accordance with 922 KAR 2:280 for the staff. The finger-print page was on file for a staff hired on 7/01/1984 and for a substitute staff hired on 7/01/1987. The KARES system indicated that both staff were eligible for employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A substitute staff member hired on 7/01/1987, did not complete 15 early care and education training hours during the completed training year. Three training hours were found in the ECE-TRIS system. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. A stack of discarded wooden privacy fence sections were located in the outdoor play area. The pile of wooden fencing contained some exposed sharp nails.

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, this regulatory requirement was not met. Five sections of the wooden privacy fence in the outdoor play area had fallen down and were located in the yard. The outdoor play area was not adequately fenced and the fence was not in good condition. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have written evidence of the submission of the emergency preparedness plan in accordance with KRS 199.895. 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 5. Staff Requirements.

Based on record review and interview, this regulatory requirement was not met. One (1) staff file (hire date: 7/1/84) did not contain the required fifteen (15) hours of training. The surveyor reviewed the Early Care and Education Training Records Information System (ECE-TRIS) website and the staff person's personnel file at the facility and found that only ten (10) hours of training had been completed. The staff person in charge acknowledged this finding during the exit interview. 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 4. Premises Requirements.

General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the outdoor play area the surveyor observed several wooden planks lying on the ground beside the storage building. The planks had broken/splintering edges. The surveyor also observed a broken piece of wood on the gate leading up to the deck. This piece of wood also contained a sharp/splintered edge. The staff person in charge acknowledged the finding during the exit interview.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. The surveyor observed a thirteen (13) month old child asleep on the carpeted floor of the playroom from 10:25AM - 10:57AM. The staff person stated, “He's exhausted. He fell asleep while we were reading a story”.

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, one (1) staff person (hire date: 7/1/84) eligible for an annual performance review did not have documentation of a review on file in the facility.

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, this regulatory requirement was not met. During a tour of the main child care space the surveyor observed two (2) cribs positioned end to end with no space in between.

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 following was found: 1. One (1) child's file (enrollment date: 9/23/13) did not contain information for the family's preferred hospital. 2. One (1) child that was present at the facility on the day of the inspection did not have enrollment paperwork on file; therefore, none of the required information had been obtained. The only documentation that the child had on file at the facility was the child's federal food program enrollment form. The staff person in charge identified the child as a five (5) month old sibling of another child enrolled at the facility.

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, two (2) staff (both hired 7/1/84) did not have evidence of a current staff professional development plan on file in the facility.

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, this regulatory requirement was not met. A review of the emergency drills found that the last earthquake and tornado drill documented was 1/10/14; therefore, these drills are not conducted quarterly. Posted 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 Review of Documentation, the following was found: 1. A Civil Penalty that was issued to the facility on 6/27/14 was not posted. 2. The statement of deficiencies and plan of correction from a survey conducted on 2/7/14 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 Review of Documentation, a schedule of daily activities was posted by the front door of the facility; however, no dates were listed.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, and interview, this regulatory requirement was not met. The staff person in charge stated during interview that her daughter's dog "Chopo" was present in the home and indicated that it would be present for approximately one (1) week while her daughter was out of town. The facility did not have written parental consent for the children to be in the presence of a dog.

Open Not marked corrected in the state record

Open / not marked corrected.

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

TYPE B CITATION: Based on Review of Documentation, it was found that both the director and her substitute did not have current CPR and first aid training. The director's CPR and first aid both expired on 4/30/13 as well as the substitute staff member. The facility operates from 6:00 AM until 5:00 PM Monday through Friday; therefore, no one is present with the children with current CPR and first aid for those hours of operation.

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, it was found that the substitute with a hire date of 7/1/87 did not complete fifteen (15) hours of cabinet-approved early care and education training within their training year. The staff member completed six (6) hours of training.

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, it was found that the children's enrollment forms did not contain an area for the parents to indicate a preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the documentation on file for the emergency preparedness plan did not include an off site location for the children to go in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care accordance with KRS 199.895. This area was left blank on the plan that was reviewed on site.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility had a copy of the regulations on site that was outdated. The copy on site was dated 2/12/11.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that both the director and her substitute had TB skin tests on file that were no longer current. The TB skin tests were dated 8/26/11 and 2/9/11.

Open Not marked corrected in the state record

Open / not marked corrected.