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

A PLAN OF CORRECTION WAS DUE ON 09/25/2025 AND AS OF 09/29/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 10/14/2025 AND AS OF 10/15/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, a yellow and blue slide was placed on grass located on the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 13. Toys and Furnishings.

General: Based on observation and interview, black tape was wrapped around a seat on an airplane shaped apparatus located on the outdoor play area. Interview determined the seat had a half dollar size hole and was repaired by using the black tape.

Open Not marked corrected in the state record

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 06/06/2025 AND AS OF 06/10/2025, 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 interview and review of documentation, a staff member (DOH: 12/17/24) had not completed CPR/First aid training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1) A staff member (DOH: 09/25/22) completed pediatric abusive head trauma training on 03/24/20 and did not complete the training again within five (5) years. 2) A staff member (DOH: 03/07/17) completed pediatric abusive head trauma training on 09/12/18 and did not complete the training again within five (5) years. 3) A staff member (DOH: 12/17/24) had not completed six (6) hours of cabinet approved orientation training within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a half (1/2) inch tear was found on the surface of the diapering mat in the nursery.

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 and interview, a root, approximately a foot long, was above dirt and presented a tripping hazard at the entrance to 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 13. Toys and Furnishings.

General: Based on observation and interview, a half dollar size hole was in a seat on an airplane shaped apparatus on the playground.

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 following was found: 1) A child, enrolled on 01/23/22, did not have medical information pertaining to allergies documented on the enrollment form. 2) A child, enrolled on 09/03/19, did not have medical information pertaining to allergies documented on the enrollment form.

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, the statement of deficiency issued by the cabinet during the current licensure year and the plan of correction submitted by the child-care center to the cabinet during the current licensure year were not posted.

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 observation and review of documentation, a staff member (DOH: 08/4/22) had a background check dated 08/31/22, which was after the hire date. Therefore, the staff member did not complete required background checks and be determined eligible for employment prior to becoming a staff member. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 observation and review of documentation, the following was found: 1) A staff member (DOH: 01/23/19) had an annual performance evaluation dated 06/12/23. 2) A staff member (DOH: 05/01/22) had an annual performance evaluation dated 06/09/23. 3) A staff member (DOH: 08/03/21) had an annual evaluation dated 06/12/23. 4) A staff member (DOH: 04/10/23) did not have an annual performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee 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 11. Staff Requirements.

General: Based on observation and review of documentation, a staff member (DOH: 08/04/22) had TB documentation dated 8/16/22.

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, a staff member (DOH: 02/13/24) did not complete orientation training. Programming In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, multiple holes were in the seams of (3) purple nap mats, three (3) blue nap mats and two (2) red nap mats in the two (2) year-old room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, five (5) seats were broken and cracked on a red five (5) seat merry-go-round on the playground. 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 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

Open / not marked corrected.

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

General: Based on observation and review of documentation, a child enrolled on 08/17/20, had an immunization certificate that was valid until 06/05/24. 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 9. Records.

General: Based on observation and review of documentation, the following was found: 1) A staff member (DOH: 01/23/19) had an annual professional development plan dated 06/12/23. 2) A staff member (DOH: 05/01/22) had an annual professional development plan dated 06/09/23. 3) A staff member (DOH: 08/03/21) had an annual professional development plan dated 06/12/23. 4) A staff member (DOH: 04/10/23) did not have an annual professional development plan on file. 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 2. Child Care Services.

General: Based on observation and interview, a staff member supervised nine (9), one-year-old children in the one-year-olds' room. Interviewed determined the staff member supervised the children alone for thirty (30) minutes when another staff member from the one-year-olds' room left the room and took a thirty (30) minute lunch break. General Administration 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

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member's (DOH: 01/23/19) eligibility had expired as indicated on the centers' Kentucky Applicant Registry and Employment Screening (KARES) report. The staff member’s determination date was 01/23/19. The staff member was alone in the preschool room with twelve (12) children ages three to four years old. Supervision In Compliance Staffing Requirements In Compliance 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 observation and review of documentation, a staff member's (DOH: 01/23/19) eligibility had expired as indicated on the centers' Kentucky Applicant Registry and Employment Screening (KARES) report. The staff member’s determination date was 01/23/19. The staff member was alone in the preschool room with twelve (12) children ages three to four years old. Employee Records In Compliance Premises In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, and observation, six (6), one-year-old children were left unsupervised for an undetermined amount of time in the one-year-old room. Staffing Requirements In Compliance General Administration Not 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 01/29/2024 AND AS OF 02/02/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 and interview, a staff member (DOH: 12/16/16) completed one and one half (1 1/2) hours of Pediatric Abusive Head Trauma training on 9/11/18 and did not complete the training within five (5) years. 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 6. Sleeping and Napping Requirements.

General: Based on observation, an infant slept in a bouncy seat for fifteen (15) minutes in the infants' room. A review of documentation and interview determined the infant did not have a waiver, on file, from a health professional stating the infant required an alternate sleep position. Premises In Compliance Transportation In Compliance Written Documentation 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 11. Staff Requirements.

General: Based on review of documentation, a staff member (DOH: 06/13/17) did not have TB documentation on file. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center transported children since 2022. Review of documentation indicated the children were transported to and from the center and a local church. Therefore, the center implemented transportation service prior to obtaining approval from the cabinet. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

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 and interview, two (2), two-year-old children were grouped with eight (8) preschool-age children in the toddlers’ room. The oldest child was four (4) years old. Interview determined the toddlers did not have a signed transitional plan approved by a parent. Children's Records In Compliance Written Documentation 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, three (3) infants slept in a bouncy seat for thirty (30) minutes. Interview determined the child did not have a signed waiver from a health professional for an alternate sleep position. 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, two (2) ceiling light fixtures were inoperable in the one-year-old's room. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on interviews, the air conditioner unit was in disrepair on 6/28/23, 6/30/23, 7/3/23, 7/5/23, 7/6/23. The air unit was repaired on 06/28/23, stopped working again on 6/30/23 and was repaired at 11:00 am on 7/7/23. Interviews determined the temperature inside the building ranged from eighty (80) degrees to eight-five (85) degrees Fahrenheit during the time the air unit was inoperable. 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 3. General Requirements.

General: Based on observation, a caregiver did not wash her hands upon arrival to the center at 9:40 am. This same caregiver did not wash her hands prior to dispensing aloe vera cream on a child's buttocks. 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, the grass was approximately five (5) inches tall and had grown through the mulch in the large outdoor play area. A roll of green artificial turf was on the fence in the large outdoor play area. In addition, a gas chain saw was in the preschool outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) staff members hired 08/13/21, 03/16/22, 08/17/21, and 10/25/22, were listed as current staff on the center's Kentucky Applicant Registry Employment System (KARES) report but were separated from the center. 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08/14/2023 AND AS OF 08/17/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 09/01/2023 AND AS OF 09/06/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 8. General.

General: Based on observation, interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations, 922 KAR 2:120, and 922 KAR 2:280. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 interview and review of documentation, a staff member hired 03/23/21, did not have an annual written performance evaluation on file for review. Employee 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 11. Staff Requirements.

General: Based on interview and review of documentation, a staff member hired 01/20/23, did not have education verification on file.

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 interview and review of documentation, a staff member hired 01/20/23, did not have a TB skin test or a physician statement on file.

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 interview and review of documentation, a staff member hired 12/05/22, did not have first aid and CPR training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff hired 05/13/22, completed nine and one half (9 ½) hours of annual training from 07/01/2021 to 06/30/2022. A staff hired 08/03/21, completed three and one half (3½) hours of annual training from 08/03/2021 to 08/03/2022. A staff hired 02/07/17, completed one (1) hour of annual training from 07/01/2021 to 06/30/2022. A staff hired 12/22/21, completed nine and one half (9 ½) hours of annual training from 01/13/22 to 01/13/23. A staff member hired 03/23/21, completed no training from 07/01/2021 to 06/30/22. A staff member hired 06/20/22, completed no training from 06/20/2022 to 06/20/23. A staff member hired 12/05/22, did not complete six (6) hours of orientation training within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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, interview and review of documentation, the daily planned program of activities was not posted in the two-year-olds' and three-year-olds' class. 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 and interview, a three (3) foot section of chipped paint and drywall was in the wall near the floor, beside the entrance door in the two and three-year- olds' classroom. Hygienic Practices 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the diapering changing pad on the changing table had a 2-inch tear in the two-year-olds' and three-year-olds' classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, a crib sheet was soiled and appeared to have circles of wet milk in the infants' room. In addition, two (2) crib sheets were not tight fitted to the crib mattresses in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation and interview, a multicolor square area rug was heavily soiled in the two-year-olds' classroom. 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 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, a child enrolled 08/11/22, did not have an immunization certificate on file. In addition, a child enrolled 08/15/22, had an immunization certificate on file that was valid until 01/11/23.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) children, enrolled on 05/01/23, and 08/11/22, did not contain contact information to enable the person in charge to contact the child’s physician and preferred hospital. A child, first date of attendance on 08/11/22, did not have the name and phone number of each person to be contacted in an emergency situation involving or impacting the child and did not have the name of each person who was designated in writing to pick-up the children. This child did not have an enrollment form available for review to include a parent’s contact information and signature, pick-up list, medical information on child and authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence.

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, interview and review of documentation, five (5) children played baseball outside in a large, field adjacent to the center's parking lot on 06/22/23. The individual permission form used for the off-site field trip was dated for 05/16/23. Therefore, permission was not secured for the field trip taken on 06/22/23. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written 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 9. Records.

General: Based on observation, interview and review of documentation, thirty-five (35) children were present on 06/22/23 and only twenty-nine (29) children had an arrival time documented. Therefore, six (6) children did not have an arrival time documented. In addition, fifteen (15) parents had signed the DCC-94 attendance record on 06/22/23, for the week ending 06/22/23.

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 interview and review of documentation, two (2) staff members hired 02/07/17, and 03/23/21, did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

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, interview and review of documentation, two (2) caregivers supervised twenty-two (22) children alone, with a one-year-old child being the youngest, outside on the large playground when the surveyor arrived at 2:50 p.m. until the surveyor left at 3:30 pm on 09/07/22. Interviews revealed staff to child ratios had not been maintained since 2:30 p.m. General Administration 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

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, the licensee failed to ensure the center met the approved capacity on the following dates: fifty-eight (58) children were present at the center on 6/15/22; forty-seven (47) children were present on 5/23/22; fifty-seven (57) children were present on 5/24/22; fifty (50) children were present on 5/25/22; fifty- three (53) children were present on 5/26/22, and forty-five (45) children were present on 5/27/22. A review of the fire marshal's inspection report determined a safe capacity was forty (40). Therefore, the safety of everyone present was compromised on the aforementioned dates.

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 and review of documentation, fifty-eight (58) children were present at the center on 6/15/22. A review of the children’s attendance records indicated the center did not meet the approved capacity on the following days: forty-seven (47) children were present on 5/23/22, fifty-seven (57) children were present on 5/24/22, fifty (50) children were present on 5/25/22, fifty-three (53) children on 5/26/22, and forty-five (45) children on 5/27/22. A review of the Fire Marshal's inspection report determined the center's approved capacity was forty (40) children. Therefore, the center was not in compliance with the Fire Marshal's recommended capacity.

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 observation and review of documentation, a caregiver hired on 8/17/21, did not have completed background checks through the National Background Check Program (NBCP) and was left alone and cared for ten (10) children for approximately forty (40) minutes in the two-year-olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, three (3) caregivers hired on 8/7/21, 5/1/22 and 3/16/22, did not initiate the process for obtaining background checks through the National Background Check Program (NBCP) portal. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Staffing 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 11. Staff Requirements.

General: Based on review of documentation, a caregiver hired on 12/29/20, completed three (3) hours of training during the first year of employment and did not complete six (6) hours of orientation training and Pediatric Abusive Head Trauma Training. A caregiver hired on 6/15/20, did not complete any training hours during the first year of employment, which included Pediatric Abusive Head Trauma Training. Three (3) caregivers hired on 8/17/21, 12/22/21 and 8/3/21, did not complete six (6) hours of orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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, a caregiver exited the one-year-olds’ room and stood at the door of the two-year-olds’ room for less than twenty (20) seconds. The caregiver left a caregiver alone to care for nine (9), one-year-old children. The same caregiver left the one-year-olds’ room a second time and took a bag of trash outside. The caregiver was out of the room for less than forty-five (45) seconds. Staff-to-child ratio was not maintained. A caregiver left the outdoor play area and went inside the center for one (1) minute. The caregiver’s one (1) minute departure left two (2) caregivers to care for twenty-seven (27) children, ages two to six-years-old on the older children’s outdoor play area. Therefore, the maximum group size was not maintained. General Administration Not In Compliance

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, the center's liability insurance expired on 1/23/22.

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 and review of documentation, forty-two (42) children were present at the center. A review of the Fire Marshal's inspection report determined the center's approved capacity was forty (40) children. Therefore, the center was not in compliance with the Fire Marshal's recommended capacity. In addition, after a review of the emergency drills participation log, forty-two (42) children were also present on 4/12/22. 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 review of documentation, two (2) caregivers hired on 12/29/20 and 6/15/20, did not have an annual performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Employee 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 11. Staff Requirements.

General: Based on review of documentation, seven (7) caregivers hired on 12/29/20, 3/7/22, 12/22/21, 3/16/22, 8/3/21, 6/15/20, and 8/17/21, did not have education verification on file.

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, a caregiver hired on 12/22/21, did not have TB documentation on file.

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, there was no caregiver on duty and present with the children who was certified to administer first aid and CPR.

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 review of documentation, five (5) caregivers hired on 12/29/20, 12/22/21, 8/3/21, 6/15/20, and 8/17/21, were not trained in first aid and CPR.

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, the daily planned program of activities was not posted in the two-year-olds' room, one-year-olds’ room, and infants’ room. 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, unknown particles were in two (2) light fixtures in the two-year-olds' room.

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, several dark, circular stains were on the carpet flooring in the two-year-olds' room. A twelve (12) inch long area was missing from the baseboard and exposed drywall in the two-year-olds' room.

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, dried, dark brown spots were on the inside surface of a toilet bowl in the restroom. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report 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, a CPR mouth shield and a flashlight was not in the first aid supplies.

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, a bottle of Australian Gold Sunscreen Spray Gel and a bottle of Banana Boat Sunscreen Spray were stored unlocked on the back porch and were accessible to children next to the outdoor play area. In addition, the bottle of Banana Boat Sunscreen was not labeled to indicate whom it belonged to. A bottle of Equate Sunscreen was not labeled to indicate whom it belonged to and was stored unlocked on a mounted TV shelf in the two-year-olds’ room. Outdoor Play Area In Compliance Equipment 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 13. Toys and Furnishings.

General: Based on observation, a dried white substance was on the seat cover of a Cosco Highchair in the one-year-olds’ room. Several dark circular stains were on an oval shape, multicolored area rug in the preschool room. Particles of food were under a crib mattress in the infants’ room next to the restroom. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report 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 observation, a dried yellow substance was on the microwave plate and on the back inside wall of the microwave in the kitchen.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, eight (8) bags of breastmilk were not labeled to indicate whom it belonged to in an upright freezer in the kitchen. 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, mixed fruit was uncovered in a Country Crock Butter container in an upright refrigerator in the kitchen. Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, breakfast, snack, and lunch menus were not posted. Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 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, a child enrolled on 11/30/21, had an immunization certificate on file that was valid until 5/18/22. Three (3) children enrolled on 9/14/21, 8/14/21, and 8/2/21, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 7/28/21, did not include the name of a person, who was designated in writing, to pick up the child in the enrollment information. A child enrolled on 9/3/21, did not include a preferred hospital and a physician’s phone number in the enrollment information. A child enrolled on 3/7/22, did not include a physician’s phone number in the enrollment information. 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 review of documentation, the center did not have a written policy on child illness available for review. Also, the center’s staff policies were not available for review.

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) caregivers hired on 12/29/20 and 6/15/20, did not have an annual professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

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, a monthly fire drill was not conducted in May through December 2021 and March 2022. A quarterly lockdown drill was not conducted in the third and fourth quarters of 2021 and first quarter of 2022. Also, a quarterly earthquake and tornado drill was not conducted in the second, third, and fourth quarters of 2021. 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 observation, the posted Statement of Deficiencies and Plan of Correction was dated 7/21/20. Therefore, the center did not have the current Statement of Deficiencies and Plan of Correction for the current licensure year posted.

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, there was no posted diagram outlining the course of action in the event of a natural or manmade disaster located in the preschool room.

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 observation, the posted schedule of daily activities only indicated activities from 8:00 a.m. to 10:30 a.m. in the two-years-olds’ room and preschool room. There was no additional schedule of daily activities for the remainder hours of operation. Animals Not Applicable

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 interview, the center had only one (1) qualified substitute staff person available in case of need.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, a caregiver hired on 3/23/21, did not have a name-based child abuse/neglect check and a criminal records check on file. Supervision 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, two (2) caregivers hired on 3/23/21 and 9/17/18, did not have a TB documentation on file. Also, a caregiver hired on 2/7/17, had a TB documentation on file dated 5/31/19.

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, a caregiver hired on 9/8/19, left seven (7) children unsupervised when she stepped out of the infants’ room and went to the door of the two and three- year-olds’ room. Interview determined the caregiver stepped out of the room to inform the other caregivers the surveyor was at the center. The children were unsupervised for less than approximately ten (10) seconds. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, a caregiver cared for seven (7) children alone from 9:55 a.m. to 10:25 a.m. in the infants’ room. The youngest child was two-months-old. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. 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 07/10/2021 AND AS OF 07/14/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, a parent entered the center at 10:24 a.m., a second parent entered at 11:36 a.m., a third parent entered at 12:04 p.m., a fourth parent entered at 12:08 p.m., a fifth parent entered at 1:11 p.m., and a sixth parent entered at 1:33 p.m., and each did not wear a face mask. In addition, a food deliverer took food inside the infants’ room and did not wear a face mask at 12:30 p.m. A ten and a half (10 ½) inch step down was between the back porch to the outdoor play area ground. This created a hazard for children when this route was used to enter the outdoor play area.

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 and review of documentation, forty-four (44) children were present at the center. A review of the Fire Marshal's inspection report determined the center's approved capacity was forty (40) children. Therefore, the center was not in compliance with the Fire Marshal's recommended capacity. In addition, after review of the drills participation log, forty-three (43) children were present on 4/7/21, forty-seven (47) children were present on 2/10/21, and forty-four (44) children were present on 1/5/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 review of documentation, five (5) caregivers hired on 9/17/18, 7/17/19, 9/12/17, 9/8/19, and 6/13/17, did not have an annual written performance evaluation on file. Employee 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 11. Staff Requirements.

General: Based on review of documentation, two (2) caregivers hired on 3/23/21 and 9/17/18, did not have documentation of education on file.

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, a caregiver hired on 9/8/19, did not completed six (6) hours of orientation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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, there was no daily planned program of activities developed in the infants’ room.

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, an eleven-month-old child slept on a boppy pillow in a crib in the infants’ room. The child did not have a signed waiver from a health professional to indicate the child required an alternate sleep position. 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, a twenty-seven (27) inch long area of rubber baseboard was not adhered to the wall near the window in the one-year-olds’ room. An accumulation of dust was on a ceiling vent above the refrigerator in the infants’ room. Also, an accumulation of dust was on a ceiling vent near the camera in the foyer.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the preschool age and two and three-year-old children walked through the infants’ room to utilize a restroom. Interview determined the restroom the children regularly used was inoperable.

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, a toilet had not been flushed after usage in a restroom near the two and three-year-olds’ room. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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, black fabric weed block was above mulch under the Little Tikes Climber in the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, sparse mulch was under a Little Tikes Climber in the outdoor play area. A yellow/blue slide was placed on dirt and a thin layer of mulch in the outdoor play area. 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, an uncovered bottle was not in use in two (2) separate cribs in the infants’ room. A Lansinoh breastmilk storage bag was in the refrigerator and not labeled to indicate whom it belonged to in the infants’ room. 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 interview and review of documentation, the center’s written evacuation plan was not updated each year in accordance with KRS 199.895. The evacuation plan was last updated on 2/1/17.

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, six (6) caregivers hired on 9/17/18, 7/17/19, 9/12/17, 9/8/19, 6/13/17, and 2/7/17, did not have an annual professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report 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 observation, the center’s current regular license was not posted.

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 observation, the posted schedule of daily activities was not dated and only showed activities from 8:30 a.m. to 10:30 a.m. in the preschool room. There was no date on the posted schedule of daily activities in the two and three-year-olds’ room, one-year-olds’ room, and infants’ room. Animals Not Applicable

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 observation and review of documentation, and interview, two (2) staff members hired 03/02/2020 and 03/27/2020 did not have a processed background check through the National Background Check Program (NBCP).

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, and interview, one (1) staff member, hired 11/08/2019, had not submit a background check through the National Background Check Program (NBCP). Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 6. License Issuance.

General: Based on review of documentation and interview, a Fire Marshal inspection report was not avalible for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the liability insurance, on file at the center, was valid until 01/23/20. 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 and interview, seven (7) staff members hired 02/07/17, 06/12/17, 09/11/17, 10/15/18, 07/17/19, 09/17/18, and 06/12/17, did not have an annual written performance evaluation on file. Employee 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 11. Staff Requirements.

General: Based on observation, review of documentation, and interview, seven (7) staff members hired on 09/17/18, 07/17/19, 02/19/20, 11/18/19, 03/27/20, 11/08/19 and 03/02/2020, did not have education verification on file.

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 interview, two (2) staff members hired 03/02/2020 and 09/17/18, did not have TB documentation on file.

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 interview, a staff member hired 09/11/17, completed one and a half (1 1/2) hours of cabinet approved Pediatric Abusive Head Trauma training on 12/31/2013, and did not complete the training again within five (5) years. A staff member hired 06/12/17, completed one and a half (1 1/2) hours of cabinet approved Pediatric Abusive Head Trauma training on 12/10/2013, and did not complete the training every five (5) years. In addition, three (3) staff members hired 07/17/19, 02/19/20, and 11/18/19, did not have documentation of completing six (6) hours of cabinet approved orientation training within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 review of documentation, and interview, the program of activities was not developed in the infants' and toddlers' room, one and two-year-olds’ room, three and four-year olds' room and school-age room. 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 3. General Requirements.

General: Based on observation and interview, a plastic bag filled with wadded up plastic bags was stored in an unlocked cabinet under the sink in the infants' and toddlers' room. These items were accessible to children and were not part of the planned program of instruction.

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 and interview, an oval multi-colored rug was heavily stained with a brown substance in the school-age room. Hygienic Practices In Compliance 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 review of documentation and interview, medication was administered to a child, but the medication log was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, black fabric weed block was raised above the protective surface in several areas on the older children's 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, sparse protective surface was at the end of a slide on the older children’s playground. Sparse protective surface was at the end of a slide on the younger children’s playground. 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

Open / not marked corrected.

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

General: Based on review of documentation, a child, first date of attendance on 09/12/18, did not have information on file to enable the person in charge to contact the child’s physcian. 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 9. Records.

General: Based on review of documentation, and interview, two (2) staff members hired 02/07/17 did not have an annual professional development plan on file. In addition, three (3) staff members hired 09/17/18, 10/15/18, and 07/17/19 did not have an annual professional development plan on file. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on interview and review of documentation, the center failed to assure all child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:400E Section 8 (1). Six (6) staff members hired 07/17/19, 02/19/20, 11/18/19, 09/17/18, 03/27/20, and 11/08/19 did not complete the mandatory training.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation, a staff, hired on 05/13/19, did not initiate the background check process. 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, zoning documentation was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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 8. General.

General: Based on interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations. The copy on file had a print date of 2014.

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, there was no documentation that staff meetings were conducted.

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 review of documentation, a staff, hired on 02/07/17; a staff, hired on 04/03/17; a staff, hired on 06/02/17, and a staff, hired on 09/11/17, each did not have an annual written performance evaluation on file. Employee 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, a staff, hired on 04/03/17 did not maintain TB documentation on file. A staff, hired on 02/07/17, did not maintain education verification on file.

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, a staff, hired on 09/17/18; a staff, hired on 10/17/18; a staff, hired on 05/13/19; a staff, hired on 10/15/18, and a staff, hired on 03/06/19, each did not have education verification on file.

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, a staff, hired on 09/17/18, a staff, hired on 05/13/19, and a staff, hired on 10/15/18, each did not have TB documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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, black fabric weed block was raised above the protective surface in several areas on the older children's playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a director, hired on 02/07/17, had documentation of completing one and a half (1 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 02/07/17, had documentation of completing seven and a half (7 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 10/17/18, did not have documentation of completing six (6) hours of cabinet approved orientation training. 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, the program of activities was not developed and posted in the one and two-year-olds’ room. 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 3. General Requirements.

General: Based on observation, a spray bottle labeled "Mr. Clean", two (2) large containers of disinfecting wipes, a bottle of glass cleaner, and two (2) bottles of Glade air freshner were stored in a cloth container on the counter and were accessible to children in the three and four-year-olds' room.

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, a pair of sharp adult scissors, twenty-two (22) half inch screws, a caregiver’s keys and phone were stored in an unlocked drawer under the counter in the three and four-year-olds’ room. Several wadded up plastic bags were stored in unlocked drawers under the counter in the three and four-year-olds’ room. These items were not a part of the planned program of instruction and were accessible to children. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report 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, first aid supplies in a kit was stored in a bag underneath a sink, accessible to children in the three and four-year-olds’ restroom.

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, fourteen (14) stick packs of AdvoCare Slim herbal supplements labeled “Keep out of reach of children”, a bottle of Equate acetaminophen were not labeled to indicate to whom each belonged. These items were stored in an unlocked top drawer at the counter in the three and four-year-olds’ room. A four ounce bottle of Equate children’s allergy syrup and a four ounce bottle of DG Health Children’s Ibuprofen were not labeled to indicate to whom each belonged in the infants’ room. 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, ten (10) children were present on the younger children’s playground. The younger children’s playground measured four hundred thirty-two (432) square feet, which allowed for seven (7) children to have sixty (60) square feet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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, sparse protective surface was at the end of a slide on the older children’s playground. Sparse protective surface was at the end of a slide on the younger children’s playground.

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 and interview, a portion of the center's parking lot, which was under the pavilion, was converted to a play area but was not fenced. The children used this area for outdoor play on 06/06/19. Equipment In Compliance Transportation Not Applicable Food Service/Food Program 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 Meal Requirements.

General: Based on observation and interview, two percent (2%) milk was served with the breakfast meal and lunch meal to approximately twenty (20) two-year-old and older children. 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, a bottle was not labeled in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 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, a child, first date of attendance on 07/13/17, had an immunization certificate on file that was valid until 06/07/19. A child, first date of attendance on 07/13/17, had an immunization certificate on file that was valid until dated 01/28/19.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child, first date of attendance on 10/17/18, did not have information on file to enable the person in charge to contact the child’s physcian. 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 review of documentation, the center did not have a written plan for evacuation in accordance with KRS 199.895, which included an evacuation route to a designated relocation.

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, the daily attendance records for the week of 04/15/19, did not include documented arrival times for three (3) children and documented departure times for eight (8) children, in accordance with Child Care Assistance Program. Attendance records for the weeks of 03/25/19 and 04/01/19 were not available for review.

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, a director, hired on 02/07/17; a staff hired on 02/07/17; a staff hired on 04/03/17; a staff hired on 06/12/17, and a staff hired on 09/11/17, did not have an annual professional development plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

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, a monthly, practiced fire drill was conducted in February 2019, but the names of children participants were not documented. Monthly, practiced fire drills were conducted June 2018 through December 2018, but the dates, times and names of children participants were not documented. Quarterly, practiced earthquake and tornado drills were conducted in the second, third and fourth quarters of 2018, but the dates, times and names of children participants were not documented.

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 observation and review of documentation, monthly, practiced fire drills were conducted June 2018 through December 2018, but were not documented. Quarterly, practiced earthquake and tornado drills were conducted in the second, third and fourth quarters of 2018, but were not documented. 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 10. Director Requirements and Responsibilities.

General: Based on observation, the schedule of daily activities was not posted in the one and two-year-olds’ room.

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, the proper methods of handwashing was not posted at the diapering station in the one and two-year-olds’ room. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. 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 09/08/2018 AND AS OF 09/14/2018, 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 and interview, staff hired 5/29/17, TB skin test was administred on 8/17/17, but did not have the date the test was read. 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, two (2) staffs hired on 2/7/17, a two (2) staffs hired on 4/3/17 and 5/29/17, did not complete one and a half (1 1/2) hours of pediatric abusive head trauma training. Also, staff hired 4/3/17, had not completed six (6) hours of orientation training. Premises In Compliance Hygienic Practices In Compliance Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.

General: Based on Observation, three (3), two-year-old children did not have a sheet on their mat. 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, there was no indicating thermometer in the kitchen freezer to ensure the temperature registered zero or below zero. Written Documentation In Compliance Posted 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 8. General.

General: Based on Observation and interview, the statement of deficiencies and plan of correction for the current licensure year were not posted.

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 and interview, a caregiver hired 02/26/18, a caregiver hired 12/08/17, and a caregiver hired 10/27/17, did not have a criminal records check on file. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation and interview, the infant/toddlers' caregiver cared for six (6) children, with an infant being the youngest. Interview determined the caregiver did not maintain staff/child ratios for about five (5) minutes until after the director/owner moved a three-year old child. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, there was no fire marshal documentation on file to ensure the center was in compliance. 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 and interview, four (4) electrical outlets in the preschool area, two (2) electrical outlets in the infant/toddler area and two (2) eletrical outlets at a child's crib did not contain safety plugs. 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 and interview, a caregiver hired 05/29/17, and a caregiver hired 02/26/18, each did not have their TB skin test or physician statement on file. A caregiver hired 09/20/17, had a TB skin test dated 02/02/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 interview, a caregiver hired 04/03/17, and three (3) caregivers each hired 02/07/17, did not complete pediatric abusive head trauma training. A caregiver hired 04/03/17, did not complete orientation training. A caregiver hired 02/07/17, did not complete any training during the first year of employment. 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 and interview, a bottle of bleach water was on the handwashing sink. A bottle of hand sanitizer, which indicated on the label, "Keep out of Reach of Children" was on a shelf. A bottle of hand sanitizer was on the sink, accessible to the preschool children. A staff member's purse was on the floor, accessible to the preschool 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 3. General Requirements.

General: Based on observation and interview, the infant/toddlers' caregiver used hand santizer after she wiped a child's nose. The caregiver had access to warm running water in the classroom where she wiped the child's nose. 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 and interview, black fabric was raised above the protective surface material throughout the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 and interview, there was no protective surface material underneath one (1) slide on the outdoor playground. 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 11. Toys and Furnishings.

General: Based on observation and interview, there was an accumulation of dust on the ceiling fan and vent located in the two-year-olds' room. The glider seat cushion was severely stained on the arms and seat cushion in the infant/toddlers' room. 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, there was no indicating thermometer in the kitchen refrigerator.

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, there was no indicating therometer in the kitchen freezer to ensure the temperature registered zero or below zero. 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, a child enrolled 10/24/17, and a child enrolled 04/23/18, did not have an immunization certificate on file. A child enrolled 07/17/17, had an immunization certificate which was valid until 05/04/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, there were no names of the children documented for the fire drills which were conducted in January 2018, February 2018 and March 2018. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) caregivers hired on 5/29/17 and 6/12/17, did not have documentation of their education on file.

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 Observation, five (5) caregivers hired 2/7/17 and a caregiver hired 4/3/17, did not complete orientation training within the first three (3) months of their employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication 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 7. First Aid and Medicine.

General: Based on Observation, a jar of Aquaphor was not labeled to indicate for whom it belonged. The Aquaphor was in a locked box in the infants' room. Equipment 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 6. Sleeping and Napping Requirements.

General: Based on Observation, sixteen (16) children, two to twelve- years-old, were not provided a sheet during nap. 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 Meal Requirements.

General: Based on Interview, caregiver hired 6/12/17, confirmed she prepared the bottle for a five (5) week old infant whom she was feeding in the classroom. The caregiver measured the formula and added the water from the sink used for handwashing and then mixed them together. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center did not utilize the childcare assistance attendance form, for eight (8) children who received assistance, in accordnce with 922 KAR 2:160.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the diapering mat was torn on the top in the infants' room. Observation and interview determined the toddlers' caregiver changed a child's diaper on a hard surface that was not padded. The diaptering table pulled down from the wall and was not padded.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, a caregiver hired 05/01/17, had no criminal records check on file. This caregiver supervised five (5), infant and toddler children, alone, from 8:05 a.m. until 11:35 a.m. on 05/22/17. A caregiver hired 02/07/17, had no criminal records check on file and supervised nine (9) preschool children alone, for about twenty-five (25) minutes, while the preschool caregiver went to lunch. 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 6. License Issuance.

General: Based on review of documentation, observation and interview, a caregiver hired 05/01/17, had no criminal records check on file and supervised five (5) infant and toddler children alone. A caregiver hired 02/07/17, had no criminal records check on file and supervised nine (9) preschool children alone. A caregiver hired 04/27/17, and a caregiver hired 04/03/17, did not have proof a criminal records check was submitted timely. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

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 and interview, five (5) caregivers, each hired 02/07/17, did not complete orientation training within the first three (3) months of employment. 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 5. Infant and Toddler Play Requirements.

General: Based on observation, interview and review of documentation, two (2) children, a sixteen-month-old and a seventeen-month-old, were combined with the two-year-old and a three-year-old children from 8:25 a.m. until 11:35 a.m. on 05/22/17. Interview determined these children were together all day, each day. Premises In Compliance 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 3. General Requirements.

General: Based on observation, thirteen (13) school-age and nine (9) preschool children did not wash their hands after they played outside. One (1) preschool child did not wash her hands after she ate breakfast. One (1) toddler child used hand wipes but did not wash his with warm running water after he ate breakfast.

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, a toddlers' caregiver did not wash her hands after she wiped a child's nose. The infants' caregiver wore gloves but did not wash her hands after she diapered two (2) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the infants' caregiver did not disinfect the diapering table after each use. This caregiver diapered two (2) infants prior to disinfecting the diapering mat. 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 review of documentation, the medication sheet, dated 05/15/17, did not have the dosage amount and time to administer Motrin and Pepto to a child. The medication sheet dated 05/10/17, did not have the signature of the staff who adminstered and the time to administer Cetitizne to a child.

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 observation, a jar of Aquaphor was on a counter and was not locked and labeled to indicate who it belonged to in the toddlers' room. Outdoor Play Area In Compliance Equipment 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 Little Tyke combo swing set was not anchored on the outdoor playground. Interview determined the anchor came out of the ground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

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, an infant child was not provided a sheet for her mattress while she slept in the crib from 8:20 a.m. until 8:48 a.m. The caregiver stated she could not find the sheets but was told they were taken home to be laundered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the safety strap was missing from a high chair in the toddlers' room. A sign posted to the back of the high chair stated, "to prevent serious injury or death from falls or sliding out, always secure child in the restraint." Interview determined the safety strap was removed and children utilized the high chair daily. Transportation Not Applicable 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 3. General Requirements.

General: Based on observation, an infant held and drank out of a bottle while he laid on the floor in the infants' room.

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, interview and review of documentation, three (3) toddler children, nine (9) preschool children and thirteen (13) school-age children were served 2% milk for breakfast.

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 and interview, two (2) different cans of powdered formula was on the shelf above the hand washing sink in the infants' room. Interviews confirmed the caregiver prepared the infants' bottles in the classroom. The caregiver measured the formula and water and then mixed them together.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the menu was not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

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 and interview, a child enrolled 04/06/17, a child enrolled 02/09/17, and a child enrolled 02/07/17, did not have an immunization certificate on file.

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 observation, two (2) children, each enrolled 05/22/17, did not have their enrollment information on file. Interview determined these two (2) school age children were siblings of an infant child who was enrolled. The school-age children were present while their parent finished school work for the summer. Written Documentation Not In Compliance

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 and interview, the center did not utilize the childcare assistance form required in accordance with 922 KAR 2:160 for one (1) child who received payment assistance. Also, twenty-four (24) children had a documented arrival time but thirty-one (31) children were present on 05/22/17. Posted Documentation In Compliance Animals Not Applicable

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 a review of documentation and interview, there was no staff employed who was currently certified in first aid and infant/child CPR. 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 Children's Records Discussed Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.