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

General: Based on observation, the surveyor found a laptop computer in a bouncy seat, cords, and a wind tunnel vacuum cleaner next to the bouncy seat. These items were accessible to the children in care. It should be noted, the computer was removed from the bouncy seat during the inspection. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children (DOE 12/11/23 and 02/12/24) had immunization documentation that was not longer valid as of 07/14/24 and 07/16/24. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the emergency preparedness plan presented for review was dated 2022. Therefore, the emergency preparedness 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 3. General Requirements.

General: Based on review of documentation, shelter-in-place or lock down drills have not been conducted. The provider stated that she has not practiced the drills with the children. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was no written documentation of fire drills being conducted for July 2023. There was no evidence presented at the time of survey of lockdown drills being conducted at the facility. Posted 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 8. General.

General: Based on review of documentation, the center did not have a copy of the license, rates, emergency diagram with instructions, current lesson plans, or the statement of deficiency/plan of correction from the previous survey posted or made available on the day of inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) staff present on the day of inspection were currently listed as "Expired" in KARES. The staff had their fingerprints taken but had not changed their status in KARES prior to inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no documentation made available at the time of survey regarding a recent Fire Marshal report. The most current one on file was dated 06/25/21. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a current copy of the regulations at the time of inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff hired on 02/06/12 and 07/02/12 respectively did not have an annual evaluation on file at the time of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, there was no evidence on file at the facility of any family involvement activities being conducted. 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, three (3) staff did not have the required 15 hours of annual training. Respective hire dates for these staff are 02/06/12, 07/02/12, and 11/01/06. 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 3. General Requirements.

General: Based on observation, the children were ready for nap and watching television upon the surveyor's arrival to the center at 11:20 am. When the surveyor left at 12:50 pm, the children were still watching television. It could not be determined if it was part of the planned program since current lesson plans were not made available at the time of inspection. Screen time is prohibited for any child under twenty-four (24) months of age. Only one (1) child was over twenty-four (24) months of age. Premises In Compliance Hygienic Practices In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation, there was a toddler asleep in a swing when the surveyor arrived at 11:20 am. The child was still asleep in the swing when the surveyor left at 12:50 pm. 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 4 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, two (2) children enrolled on 06/07/22 and 03/30/23 respectively did not have an immunization record on file at the facility. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence of policies and procedures presented at the time of inspection that included staff policies.

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, there were eleven (11) children present but only nine (9) were signed in for the day.

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, there was no written schedule of staff hours presented at the time of inspection.

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, three (3) staff did not have a professional development plan on file at the facility. Respective hire dates for these staff are 02/06/12, 07/02/12, and 11/01/06.

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 review of documentation, there was no evidence of an orientation procedure for staff on file at the facility. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff hired on 07/02/12, and 02/06/12, did not have current documentation on file from a health care professional stating they were free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 11/01/06, completed PAHT training on 05/23/17; however, did not renew the training due 05/23/22. The ECE TRIS system was reviewed and confirmed this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 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 5. Evacuation Plan.

General: Based on review of documentation, the current emergency preparedness plan was not available for review at the time of the inspection. 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 6. License Issuance.

General: Based on review of documentation, it was found that the facility's general liability insurance that was on file was no longer current. It has expired in October of 2020.

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, it was found that there was a broom being stored in the bathroom used by the children. This was accessible to the children and is not a proper method of storage as it promotes the spread of germs. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance 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, it was found that the child-care space was located in the basement of the home. The stairs leading to the upstairs were located in the child-care space. These stairs were not protected at the time of inspection. The baby gate used to cover the stairs was in another area of the space. 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

Open / not marked corrected.

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

General: Based on observation and interview, it was found that there were two (2) uncovered bottles located on a shelf during the time of inspection. The staff in charge reported that the two (2) children had just finished being fed. 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, it was found that two (2) children's files did not have a preferred hospital listed on their enrollment paperwork at the facility. 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 8. General.

General: Based on interview and review of documentation, it was found that there was not a current copy of the regulations on file at the facility. The staff in charge reported that she did have a copy; she was just unsure of where they were located. 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 8. General.

General: Based on review of documentation, it was found that there was no information from the Kentucky Consumer Product Safety Program, as well as the Child and Parent Rights information, posted in the facility. 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 review of documentation and the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 7/2/12) completed the pediatric abusive head trauma training class on 3/28/13; therefore, this training is no longer valid. 2. One staff person (hire date: 2/6/12) completed the pediatric abusive head trauma training class on 3/15/12; therefore, this training is no longer valid. Programming In Compliance Premises In Compliance 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: 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. The surveyor arrived at the facility and observed orange plastic temporary fencing being used to block off the entrance to the children's playground area. A pile of wooden boards was observed stacked in the middle of the playground and it appeared as though new equipment was being installed. The staff person in charge stated during interview that they started renovations on the playground during the mandated Covid-19 closure period and indicated that the person they hired to do the project has not shown back up to finish. Therefore, the playground is still closed. 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: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. One child’s file/enrollment paperwork did not have physician contact information and it did not contain information for the family's preferred hospital. Written Documentation In Compliance 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 8. Kitchen Requirements.

General: Based on Observation, there were two (2) unlabeled bottles stored in the refrigerator. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, a staff member that is referred to as a "volunteer" did not have proof of education on file. The individual was supervising a group of five (5) children with another staff member during the complaint investigation. The children ranged in age from three (3) months to three (3) years-old. The individual was not counted toward ratio during this investigation, but based on interviews has been counted toward ratios in the past. Based on interviews the individual does not work alone with the children. The individual began working with the children on 6/1/15. Programming In Compliance Food Service 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) staff file (hire date: 5/13/2016) contained TB skin documentation that was completed on 6/8/16. The documentation was obtained after the staff person's date of hire.

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 during the inspection, the surveyor found that there was only whole milk in the refrigerator. The surveyor found that there were three (3) children present ages two to four (2-4) years old that would need to be served 1% or skim milk. The director stated that she had recently purchased a gallon of 1% milk but had to throw it away that morning because it was spoiled.

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, this regulatory requirement was not met. Upon arrival (9:20AM), the surveyor approached the back door of the home to obtain entrance into the facility. The surveyor knocked on the storm door and observed an adult female present with several children in the main child care space. The adult female walked over to the storm door, locked the door via a hook and eye latch near the top of the door and then walked over to the stairwell leading to the upper level of the home. While standing outside the surveyor observed a second adult female enter the child care space from the stairwell that was carrying an infant. This adult female opened the door for the surveyor to enter and introduced herself as the owner/director. An adult male also entered the child care space at this time via the stairwell and he was identified as the director's husband who is also a staff person at the facility. The owner/director identified the adult female that was observed working alone with the children as a volunteer. There were eight (8) children present in the facility during the visit. The owner/director identified the child that she was carrying down from the upper level as her three (3) month old granddaughter. The volunteer was observed caring for seven (7) children (age range: one (1) - five (5) years old) alone in the main child care space upon arrival. The volunteer does not meet the requirements of a qualified staff person;therefore, staff-to-child ratio requirements were not met.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff 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 and interview, this regulatory requirement was not met. A child identified as being three (3) months old was observed sleeping in a swing in the main child care space during the survey. Documentation stating that the child required an alternate sleeping position was not provided. The staff person in charge stated that the child was her granddaughter and indicated that she placed the child in a swing to sleep after feeding her a bottle because she "spits-up".

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, this regulatory requirement was not met. A child identified as being the three (3) month old granddaughter of the staff person in charge was observed sleeping in a swing in the main child care space during the survey. A green fluffy blanket was lying on top of the child and was positioned near the child's face.

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 facility failed to provide protective surfacing for equipment used to swing. During a tour of the outdoor play area the surveyor observed three (3) swings hanging from a wooden deck. The surface under the swings consisted of concrete with a foam mat, that was less than one half inch thick, positioned on top of the concrete. This type of surfacing does not provide adequate cushioning for the children during falls.

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 Interview, there is not a complete copy of the regulations available to provide to staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, there was a staff person hired 3/10/14 who had the results of a criminal records check dated 3/18/14. There was no documentation to verify the application for the criminal records check had been submitted prior to employment or on the date of hire.

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, a staff person hired 3/10/14 did not have the results of a T.B. skin test read until 3/20/14.

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, a staff person hired 11/1/06 only had evidence of having completed thirteen (13) hours of training for the 2012-2013 training year. 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 7. First Aid and Medicine.

General: Based on Review of Documentation, daily written permission is not being obtained for medication to be administered.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that on 3/17/14 Children's Motrin was administered to a child. However, the name of the medication, amount, and date and time was not documented once the medication was administered. The only information that was documented was the name of the staff person who administered the medication.

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 program did not have written job descriptions for staff.

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, earthquake and tornado drills that had been conducted so far for 2014 did not have the time documented for when each of them were conducted.

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 statement of deficiencies for the relicensure survey conducted on 7/3/13 and plan of correction submitted by the provider was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

a review of records found one (1) child whose immunization was no longer longer current after 5/3/13. There was a note in the child's files stating they have an appointment for 7/19/13. The child's date of birth is 5/3/02.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, found that there was not a date and time documented as to when the tornado and earthquake drills were conducted.

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, there was not a date documented as to when the fire drills have been conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the rabies vaccination for two (2) dogs did not have sufficient documentation to verify the two (2) dogs were current on their rabies vaccination.

Open Not marked corrected in the state record

Open / not marked corrected.