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

General: Based on interview, the surveyor verified that the childcare center failed to maintain adequate supervision of a three-year-old child on 08/05/25 when staff allowed the child to be unsupervised behind a closed restroom door for an approximate duration of two (2) to three (3) minutes, per staff interview. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/13/2025 AND AS OF 11/26/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 12/12/2025 AND AS OF 01/15/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 surveyor found a grey basket underneath the changing table station in the Two's Classroom that contained a tube of Desitin; therefore, the diaper rash cream was not kept out of reach of 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 that the walkway to the playground had a broken shelf that contained exposed nails and screws; therefore, the playground walkway was not free from a foreseeable hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 21 of 34 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the playground did not contain a protective surface around or under the two (2) slides. The surveyor observed that both slides were placed on a grass area. During interview with staff-in-charge, she stated that the playground use to have mulch but rain had washed it away.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed that the outdoor play area did not contain a shade/shelter area for toddler and younger children. During interview with staff-in- charge, she stated that the playground use to have a shade area, but storms had blew it away. Equipment 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, the surveyor found that the child-care center had the full name and date of birth of the children posted on the wall in the Infant Classroom and in the front foyer of the child-care center; therefore, the confidentiality of the children was not kept. During interview with staff-in-charge, she informed the surveyor that she had been informed that the information needed to be posted in the classrooms and in the front foyer for the food program out of Tennessee.

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: Girls' Restroom: 1. There was a used blue toothbrush placed on the sink. During interview with staff-in-charge, she stated that the toothbrush was used to clean children's fingernails after playing outside. Boys' Restroom: 1. The practice toilet seat was placed on the floor next to the toilet. The floor was observed to be dirty. Therefore, the health, safety and comfort of the children was compromised.

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 that the following staff (DOH: 05/02/24 and 06/04/24) files did not contain a written performance evaluation; therefore, the surveyor was unable to determine if the evaluations were completed annually. During interview with staff-in-charge, she stated that she had not completed the written performance evaluations for the staff mentioned because she had forgotten that the two (2) staff had been working for over a year.

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 an unlocked cabinet in the Pre-K Classroom that contained a lunch box on the second shelf. The surveyor asked the staff person in the classroom who the lunchbox belonged to, and she informed the surveyor it was her lunchbox. Therefore, the personal belongings of staff was accessible to children. The surveyor observed the staff person to move the lunch box to a higher shelf.

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 boys' restroom had toilet paper ripped and thrown all over the floor through-out the restroom floor; therefore, the restroom was not kept clean.

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 observed there to be six (6) children present in the Two's Classroom during the surveyor's initial walk-through of the child-care center. While the surveyor was conducting a headcount, the staff-in-charge removed a child from the Two's Classroom and placed him in the One's Classroom for the remainder of the surveyor's visit. During interview with the staff person present in the Two's Classroom, the surveyor found that the child that was removed was a two-year-old child and had been in the Two's Classroom for approximately one (1) hour. The surveyor reviewed the child-care center's diagram and found that the Two's Classroom has a licensed capacity for five (5) children; therefore, the child-care center was over the classroom capacity by one (1) child, not allowing thirty-five (35) square feet per child.

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 three (3) ceiling tiles in the Infant Classroom that appeared to have discoloration; therefore, the ceiling was not in good repair. During interview with staff-in-charge, she stated that she was not aware of the building having any type of water leaks or roof leaks.

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 interview, the surveyor found that the child-care center had not been utilizing the outdoor play area for about two (2) weeks and had been having indoor recess in each classroom; therefore, the child-care center failed to ensure that there was a separate area for children to have access for an indoor gross motor area.

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 girls' restroom did not have a hand dryer or a supply of disposable hand drying towels for the children to use; therefore, the children did not have a way to dry their hands after washing their hands with soap and water.

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 the following: Girls' Restroom: 1. The light in restroom was not working properly and when the surveyor shut the restroom door, she had to use a flashlight to be able to see; therefore, the restroom was not well lit. Boys' Restroom: 1. The toilet was continuously running from 10:35 am until 11:56 am; therefore, the toilet was not in good repair. 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 that the Infant Classroom had a trashcan next to the diaper changing station that contained dirty diapers. Upon observation, the surveyor found that the trashcan did not contain a lid; therefore, the dirty diapers were not stored in a covered container.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Two's Classroom: 1. The diaper changing pad contained a small rip. Boy's Restroom: 1. The diaper changing pad contained two (2) small rips. Therefore, the diaper changing surfaces was not free of holes, rips, tears, or other damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of the child-care center’s KARES surveyor report, the surveyor discovered that the determination status for one (1) staff member (DOH: 05/20/24) indicated that the background check was “In Process”. The surveyor observed the staff member working alone with eight (8) children in the Preschool Classroom. Staff-in-charge provided a printed copy of an Employment Authorization Form from KARES for the surveyor’s review that noted the staff member had an eligibility date of 09/23/2021. Staff-in-charge thought that the staff member’s background check was valid and that the staff member was permitted to work based upon the printed document. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on interview with the staff-in-charge, the fire marshal had not conducted an inspection of the child-care center since the removal of a wall and a sink being added in the One’s Classroom. Since the fire marshal had not completed an inspection, the surveyor was unable to determine if the child-care center was in compliance with the codes administered by the Kentucky Fire Marshal. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 10. Director Requirements and Responsibilities.

General: Based on observation, the surveyor discovered one (1) staff member (DOH: 05/20/24) working alone in the Preschool Classroom with eight (8) children. Staff-in-charge reported that the children ranged in age from two-years-old to three-years-old. Upon review of the child-care center’s KARES surveyor report, the surveyor discovered that the determination status for the staff member indicated “In Process”. Staff-in-charge provided a printed copy of an Employment Authorization Form from KARES for the surveyor’s review that noted the staff member had an eligibility date of 09/23/2021. Staff-in-charge thought that the staff member’s background check was valid and that the staff member was permitted to work based on the printed document. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on interview with staff-in-charge, the surveyor discovered that the water to the faucet in the One's Classroom was not working; thus, the sink was not equipped with hot or cold water for hand washing. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered two (2) castle play structures with slides that were placed directly on the grass; therefore, the play structures with slides did not have an adequate protective surface. Equipment In Compliance Posted Documentation 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: Two's Classroom: 1. There were four (4) cots leaned against the wall that were unstable and not secure. Preschool Classroom: 1. There were eight (8) cots leaned against the wall that were unstable and not secure. After School Classroom: 1. A shelf that contained a spray bottle of bleach cleaner, a spray bottle of Deodorizing Bathroom Cleaner and a canister of Clean Cide Wipes. Each item had a label that stated, "Keep Out of Reach of Children". The items were accessible to the children. Therefore, the health, safety and comfort of the children were compromised. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 the child-care center has two (2) staff members on duty and present with children at the child-care center with a cabinet-approved certification in Infant and Child Cardiopulmonary Resuscitation (CPR), Infant & Child First Aid, Adult Cardiopulmonary Resuscitation (CPR) and Adult First Aid from 8:00 am to 6:00 pm. After a review of the staff member's schedules, the surveyor found that the child-care center does not have a staff member present who is certified in First Aid/CPR from 6:00 am - 8:00 am; therefore the child-care center did not meet regulatory requirements. Programming In Compliance Premises 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 ceiling tile was missing over the door way in the Two's Classroom; therefore, the ceiling was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet in the girls' restroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Ones Classroom 1. A pink bucket was underneath a diaper changing table that contained a tube of Aqauphor. 2. A pink bucket was underneath a diaper changing table that contained a tube of A & D Prevent Ointment. Each item had a label that stated, "Keep out of Reach of Children" and was observed to be within reach of children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 large pile of rock on the ground near the building; therefore, the outdoor play area was not safe from a foreseeable hazard.

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 the following: 1. A climbing structure that had a red plastic slide that was located on a grassy area on the playground. 2. A small purple plastic slide that was located on a grassy area on the playground. Therefore, there was not an adequate protective surface for the slides and climbing structure. Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor found the following: 1. One (1) gallon of unopened 1% milk in the kitchen refrigerator that had a best by date of 04/09/24. 2. A one-half (1/2) gallon of unopened 1% milk in the kitchen refrigerator that had a best by date of 04/04/24. Therefore, the child-care center failed to keep the milk free from spoilage. 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 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children’s (DOE: 12/21/23, 12/30/23, 01/23/24, 01/23/24, 01/11/24, 01/29/24, 01/29/24, 02/19/24, 02/24/24 and 04/01/24) files did not contain written authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. 2. The following children's (DOE: 01/11/24, 01/23/24, 01/23/24, 01/29/24, 02/19/24 and 02/24/24) files did not contain the name of the child’s preferred hospital or contact telephone number. 3. The following children's (DOE: 12/21/23 and 01/29/24) files did not contain the contact telephone number of the child's preferred hospital. 4. A child's (DOE: 04/01/24) file did not contain the name of the child's preferred hospital. 5. The following children’s (DOE: 01/23/24 and 01/29/24) files did not contain the name or contact telephone numbers for the child’s preferred family physician. 6. The following children’s (DOE: 01/11/24, 01/29/24 and 02/24/24) files did not contain the contact telephone numbers for the child’s preferred family physician. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered that the first aid supply kit did not include the following: 1. Liquid soap 2. Scissors 3. A thermometer 4. A flashlight 5. A first aid book 6. A cardiopulmonary resuscitation mouthpiece protector Therefore, the child-care center failed to have the required first aid supplies available for prompt and proper first aid treatment. 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 discovered the following on the outdoor play area: 1. An uncovered clay pipe, approximately six inches (6”) in diameter, protruding from the ground. 2. A mound of black top and a pile of large rocks on the ground near the building. Therefore, the outdoor play area was not safe from foreseeable hazard.

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 discovered that orange safety netting was being used for fencing on the left side of the outdoor play area. Staff-in-charge stated that they were waiting on the gas company to advise them if there were any lines underneath that would interfere with digging to place a fence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered that the outdoor play area was not shaded. Staff-in-charge stated that she had purchased a canopy to provide shade for the area. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Discussed Children's Records Discussed 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 interview with staff-in-charge, the surveyor discovered that the child-care center could not locate a written evacuation plan for the surveyor’s review; therefore, the surveyor was unable to determine if the child-care center had a written evacuation plan. Staff-in-charge stated that she had completed the plan; however, she was unable to locate her copy of the plan. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.