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

General: Based on interview, the following was found: On 12/27/24, during naptime at approximately 1:20 pm, a staff member was in the restroom assisting a child. She and the child were in the restroom for approximately twenty (20) minutes. The other eleven (11) children were asleep on their cots. The staff member did not have view of the classroom while she and the child were in the restroom. After she and the child exited the restroom; she realized one (1) of the children, a three-year-old male child, was not on his cot nor in the classroom. She vocalized that this child was not in the classroom. The staff member in charge and another staff member searched for the child in the building. The staff member in charge walked to the front of the building and saw two (2) police officers and an adult female in the parking lot. The adult female was holding the male child. The staff member in charge told the police officers and the adult female that the child belonged with her. The staff member stated that the adult female saw the child roaming around the Park Lane Shopping Center for approximately three (3) minutes before she knocked on the child-care center’s door. After no answer, she carried the child across the parking lot to Highland Fitness Center to an off-duty police officer. Based on review of documentation, the off-duty officer called for assistance at approximately 1:57 pm. The child was returned to the staff member in charge at approximately 2:02 pm. It should be noted, a major highway is approximately fifty (50) yards from the front door of the childcare center. 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 8. General.

General: Based on observation and interview, the following was found: On 12/27/24, during naptime at approximately 1:20 pm, a staff member was in the restroom assisting a child. She and the child were in the restroom for approximately twenty (20) minutes. The other eleven (11) children were asleep on their cots. The staff member did not have view of the classroom while she and the child were in the restroom. After she and the child exited the restroom; she realized one of the children, a three-year-old male child, was not on his cot nor in the classroom. She vocalized that this child was not in the classroom. The staff member in charge and another staff member searched for the child in the building. The staff member in charge walked to the front of the building and saw two (2) police officers and an adult female in the parking lot. The adult female was holding the male child. The staff member in charge told the police officers and the adult female that the child belonged with her. The staff member stated that the adult female saw the child roaming around the Park Lane Shopping Center for approximately three (3) minutes before she knocked on the child-care center’s door. After no answer, she carried the child across the parking lot to Highland Fitness Center to an off-duty police officer. Based on review of documentation, the off-duty officer called for assistance at approximately 1:57 pm. The child was returned to the staff member in charge at approximately 2:02 pm. It should be noted, a major highway is approximately fifty (50) yards from the front door of the childcare center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) staff members (DOH: 12/04/17, 12/04/17, and 01/31/19) did not have evidence of completing fifteen (15) hours of early care and education training. A review of ECE-TRIS verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the Two's Room, there were two (2) stacks of blue chairs that created a falling and/or tripping hazard for children in care.

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 facility did not have one (1) staff member on duty or scheduled who was certified in CPR/First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: Preschool Room 1.) A plastic cabinet was not locked, and the staff's personal drink was accessible to children. Two's Room 1.) A plastic cabinet that contained AJAX cleaner was unlocked and accessible to children. Infant Room 1.) A plastic cabinet was not locked, leaving several cleaner bottles and diaper creams accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the following was found: Kitchen 1.) One (1) ceiling light was not working at the time of the survey.

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 following was found: Two's Room 1) The walls had an excessive number of patches that were not painted and sanded.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, there was a bottle of medication in the Infant Room refrigerator that was not locked. The staff member stated that medication should have been thrown out. Outdoor Play Area 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, a crib sheet was loosely fitted on a mattress in the Infant 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, a cabinet door in the kitchen was broken and in disrepair.

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, it was determined that the staff person in the Infant Room was preparing formula in bottles for children in care. The facility does not provide formula for all children and the powdered formula and water being prepared were not pre-measured by the parent before mixing.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, four (4) children enrolled did not have current immunization certificates on file in the facility.

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, the recorded drills did not include the times and the names of the children that participated.

Open Not marked corrected in the state record

Category: physical safety. 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 lesson plans posted in the rooms at the facility did not have dates and two (2) out of three (3) did not have a theme. The lesson plans were very vague and did not specify what activities are being done with children. The staff in the rooms did not have any activities to show that they were doing with children or any arts or crafts that were done recently. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview during the investigation, it was found that the outdoor playground was not in the condition to be used for children as the grass and weeds were overgrown throughout the whole playground. The black fabric under the mulch was out and piled up and there was not enough mulch for the climbing structures. Staff in charge stated that the playground is now closed for children as she was trying to fix the playground but did not have enough mulch for the climbing structures. Staff in charge stated that they will work on getting the playground back open and will use the indoor gross motor area for children to play.

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, a toy work bench in the Preschool/School Age room was cracked in an accessible area. Transportation Not Applicable Kitchen 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, one (1) staff member, (DOH 12/04/2017), had an expired TB test on file at the time of the survey.

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, proof of liability insurance for the facility was not presented for review on the day of the survey. Director Requirements In Compliance 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 7. First Aid and Medicine.

General: Based on review of documentation, one (1) staff member, (DOH 03/15/2021), had no record of CPR/First-Aid training on file at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 4. Premises Requirements.

General: Based on observation, two (2) lights were out/not working in the kitchen.

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 floors in the Preschool/School Age room were dirty and stained in multiple locations.

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 water temperature in the Infant/Toddler Room was only measuring seventy (70) degrees at the time of the survey. 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 diaper changing table in the Toddler Room was covered with white stains. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the fence surrounding the playground had a broken post that was accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the outdoor playground had multiple pieces of trash and debris scattered around, and children's clothes and socks were thrown into trees on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a large metal structure was on the ground with sharp edges accessible to children.

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, playground had inadequate protective surface--there were multiple areas of exposed dirt with missing mulch. 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 8. Kitchen Requirements.

General: Based on observation, the refrigerator in the Toddler Room had a thermometer reading of forty-five (45) degrees which does not meet the required forty (40) degrees or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the slow cooker on the kitchen counter was dirty and had spots of rust on the outside. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, two (1) children with enrollment dates of 06/18/21 and 10/24/22 had no physician contact listed in their file at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the lesson plan in the Preschool Room was dated for July of 2023 at the time of the survey. 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: Upon request, a High School diploma, GED or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential, was not presented for review for a staff member with the hire date 04/03/2023. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

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: Upon request, the staff in charge did not present verification that the child care center had liability insurance with at least $100,000 per occurrence on the day of the inspection. Director Requirements In Compliance 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 7. First Aid and Medicine.

General: Upon request, the staff member in charge did not provide verification that a staff member with the hire date 4/25/2022 completed first aid and cardiopulmonary resuscitation training. Review of the ECE TRIS report did not verify that the training was completed.

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: Upon request, the staff member in charge did not provide verification that two (2) staff members with the hire dates 12/4/2017 and 4/25/2022 completed fifteen (15) hours of cabinet-approved early care and education training. The staff member with the hire date 12/4/2017 did not complete the training from July 1, 2021 to June 30, 2022. The staff member with the hire date 4/25/2022 was new to the field of early childhood and did not complete the training from 4/25/2022 to 4/25/2023. Review of the ECE TRIS report did not verify the training hours were completed. Interview with the staff in charge revealed the training hours had not been completed. Upon request, the staff member in charge did not provide verification that a staff member with hire date 4/25/2022 completed six (6) hours of cabinet-approved orientation within the first three (3) months of their employment. Upon request, documentation was not presented to verify that a staff member with the hire date 4/25/2022 had completed one and one half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. Review of the ECE TRIS report did not verify that the trainings were completed. 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: Upon request, a current daily planned program was not presented for review on the day of the inspection for the school-age room, two-year-old room, and the preschool room. There were daily planned programs posted in the aforementioned classrooms. However, they were all dated 04/17. Therefore, the daily planned programs posted were not current. 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: Observation of the child care center revealed the following: 1. There were cigarette butts in a container adjacent to the entry door of the child care center and there were numerous cigarette butts scattered on the sidewalk leading into the child care center. 2. On a low window sill within an area that the children use was one (1) open bottle of Coke-Cola and one (1) opened bottle of water that was accessible to the children. Interview with the staff in charge revealed that bottled drinks belonged to staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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: Observation of the child care center revealed the following: 1. The tile flooring throughout the child care center was heavily soiled with dried food, dust, broken pieces of toys, and debris. 2. There were two (2) water fountains that were heavily soiled with a hard white substance indicative of calcium build-up on the mouthpiece from where the water streams. 3. The walls within the preschool-K room were heavily soiled with dried food. 4. The low windowsills within the front of the child care center contained numerous dead insects. 5. The low windowsills within the front of the child care center was chipping concreate and paint. 6. The handwashing sink within the preschool-k bathroom was heavily soiled with a dark unknown substance.

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: Observation of the child care center revealed the following: 1. There was a wall within the men’s bathroom used by the children that was peeling paint and the drywall was exposed. Also, there was an area of a wall that contained drywall puddy that was rough to the touch. 2. There was a wall within the hallway that contained drywall puddy that was rough to the touch. 3. There was a hole in the wall within the front hallway. 4. The walls were chipping paint within the preschool room. The drywall was exposed. 5. The tile floor within the bathroom of the infant/toddler room was broken and missing a piece of tile.

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: Observation of the toilet within the two-year-old room contained a black fuzzy ring around the inside of the toilet bowl. Also, there was a gob of toilet paper, urine, and feces within the toilet bowl. 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: Observation of the changing area revealed the changing pad within the two-year-old room was heavily soiled with a brown substance, dust, and debris. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the outdoor play area revealed there were numerous cigarette butts, a Kleenex box, pieces of broken foam, paper, and cups scattered throughout the outside play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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: Observation of the outdoor play area revealed there was a plastic climbing structure that was broken, leaving a large sharp pointed piece of plastic protruding from the climbing structure that was accessible to the children. 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 4. Premises Requirements.

General: Two (2) plastic climbing structures within the outside play area were covered throughout with green and black fuzzy spots, indicative of mold.

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: Observation of the infant/toddler room revealed there was a crib mattress that contained multiple holes. The inside absorbent material was exposed.

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: Observation of the child care center revealed the following: 1. The plastic toys within the school-age room were soiled with a dust and debris. 2. There was a white wooden shelf within the school-age room that was in disrepair and a screw was exposed. 3. There were nine (9) tables throughout the school-age room that were heavily soiled with dirt, dried food, and a sticky substance. 4. There was a set of wooden cubbies within the two-year-old room and the preschool-k room that was missing pieces of Formica, leaving the cubbies with rough splintered edges. 5. There was a white wooden shelf within the preschool-k bathroom that was chipping paint. 6. There were two (2) cloth adult size chairs that was heavily soiled with a white substance within the preschool-k room. 7. The changing table within the infant/toddler room was missing a door and there were three (3) sharp hinges that were exposed. Also, the changing table was missing pieces of Formica leaving the changing table to have sharp splintered edges that was accessible to the children. 8. There was an adult size vinyl chair within the infant/toddler room that was peeling vinyl. The inside absorbent material was exposed.

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: Observation of the child care center revealed the following: 1. There were multiple white plastic crates within the school-age room that were heavily soiled with dust and debris. 2. The carpet within the school-age room was heavily soiled with dust, debris, paper, and dirt. 3. There were a four (4) drawer filing cabinet withing the school-age room that was missing the front face of a drawer, leaving pieces of sharp metal accessible to the children. 4.The trash can and trash can lid was heavily soiled with dried food within the preschool-k room and infant/toddler room. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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: Observation of the child care center revealed the following: 1. The Kenmore refrigerator within the kitchen contained hair, dried food particles, and a sticky substance. 2. The Kenmore refrigerator freezer within the kitchen was heavily soiled with dried food particles and a sticky substance. 3. The second Kenmore refrigerator within the kitchen contained a dried white substance on the shelves. 4. The exterior of the microwave within the kitchen was heavily soiled with grease, dust and debris. Also, the inside of the microwave was soiled with dried food. 5. The exterior of an electric skillet sitting on the counter within the kitchen was heavily soiled with grease, dust, and debris. 6. The small black refrigerator within the infant/toddler room contained a sticky substance on the shelves. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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: Review of ten (10) children’s files revealed the following: 1. One (1) file did not contain the information for the family physician, 2. Two (2) files did not contain the information for the parents' preferred hospital. 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: Upon request, the staff in charge did not present an evacuation plan for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a written annual plan for child care staff professional development was not presented for a staff member with the hire date 4/25/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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: Upon request, documentation for fire, earthquake, tornado, lockdown or shelter in place drills was not presented for review. Interview with the staff in charge revealed the drills had been conducted and documented; however, the documentation had been misplaced and could not be presented at the time of the inspection. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification during an inspection on 03/29/2022 that the child care center maintained the employment status for each child care staff by reporting the status of employment using the National Background Check Portal (NBCP). Review of the KARES system revealed the report did not list current employees or the employees who were no longer employed. 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 interview and review of documentation, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification of the annual evaluations assessing the staff persons' interaction with children in care and classroom performance for five (5) of the six (6) employees eligible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 interview and review of documentation, the staff in charge did not present verification that the record for the employee with the hire date of 01/31/2019 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result.

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, the staff in charge did not present verification that all six (6) of the six (6) staff eligible had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. The staff with the hire dates of 01/31/2019 and 12/14/2017 had not updated their Pediatric and Head Trauma training within the required timeframe. Review of documentation in the ECE-TRIS training system revealed the employees listed above had not met the requirements. 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 interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for all five (5) classrooms. 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, there was a gallon of interior paint located on the ledge of the wall. The item was accessible to the school-age 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

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) In the infant classroom there was a discarded banana peel located on the floor. 2) The school-age classroom contained numerous items on the floor, i.e, discarded paper and pencils. 3) The return vent in the front hallway had a build up of dust. 4) There was a broken outlet cover in the Pre-K classroom, and the interior of the wall was exposed.

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 walls in all five (5) classrooms and the hallway contained numerous areas where the wall had dark smudge marks, splattered paint and numerous areas where the paint had begun to chip away from the walls. 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 observation, there was a tube of diaper cream located on the changing table in the one-year-old classroom that was not labeled for individual use. 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 perimeter of the playground contained a large quantity of discarded cigarette butts, empty plastic bottles, and discarded papers. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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, there were three (3) mats in the school-age classroom that were torn on the edges exposing the material inside.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were several blankets located on the floor in the school-age classroom. In the Pre-school classroom there were several blankets located on one cot. Therefore, the blankets used for the children were not stored in a sanitary manner. Transportation Not Applicable 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, the following was found: 1) The exterior of the stove had a greasy build-up covering the top and front of the stove. 2) The refrigerator located in the kitchen had a buildup of a sticky substance on the shelves. 3) Continued observation revealed a small metal bucket that contained a substance indicative of cat litter with numerous cigarette butts in the kitchen area. Food Service In Compliance 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 interview and review of documentation, the staff in charge did not present verification that a menu had been completed and posted in a conspicuous place for review. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that an annual plan for child-care staff professional development had been completed for five (5) of the six (6) staff eligible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 9. Records.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the center had documented the times that the children had participated in disaster drills for the first quarter of 2022. 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 interview and review of documentation, the staff in charge did not present verification that each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was readily accessible for public inspection. Continued review revealed there was no description of services or rates for the child care services. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 02/17/2022 AND AS OF 02/18/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming 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.

Interview with multiple sources revealed that on 12/20/2021 some children in the school age room were being disrespectful. The children acting disrespectful were served food for lunch; however, a staff member talked to them about misbehaving before permitting them to consume the food. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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.

Observation of the preschool room revealed a staff member that was putting out cots went to the table and served food to the children without washing her/his hands. Kitchen Requirements 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 8. Kitchen Requirements.

Observation of the younger age room, toddler room and preschool room revealed the tables were not sanitized before lunch was served.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

The investigation revealed that the child care center re-hired two (2) staff members approximately near the end of May 2021 or the being of June 2021. However, there was no name-based criminal background checks for the above-mentioned staff members (a Central Registry Check, Criminal Record Check) conducted. (Please note: The two (2) above- mentioned staff members were not observed working alone (independently and without the presence of another qualified staff) during the onsite inspection.) Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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.

The investigation revealed that the classroom known as the Infant-Toddler room is regularly attended by eight (8) students ranging from six-months-of-age to twenty-four-months-of- age. In addition, interviews revealed that on most days, the Infant-Toddler room is regularly supervised by only one (1) staff member. Employee Records 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 9. Records.

The investigation revealed that the child care center re-hired two (2) staff members approximately near the end of May 2021 or the being of June 2021. However, a review of staff records disclosed that there were no personnel files for the two (2) above-mentioned staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The investigation revealed that the child care center re-hired two (2) staff members approximately near the end of May 2021 or the being of June 2021. However, there was no proof of the following with regard to education for the aforementioned staff members: 1. High school diploma; 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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.

The investigation revealed that the child care center re-hired two (2) staff members approximately near the end of May 2021 or the being of June 2021. However, there was no proof of the following for the aforementioned staff members: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results.

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 current statement of defiency was posted in a conspicuouse place; however, the current, plan of correction was not. In addition, the Infant/Toddler classroom as well as the Preschool/School Aged classroom, did not have dated, daily plan program postings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the limited liability insurance information presented expired as of 10/15/2020. 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 interview and review of documentation, an employee with a hire date of 6/15/2020 did not have any proof of one (1) of the following: 1. High school diploma; 2. GED or qualifying documentation from a comparable educational entity; or 3. Commonwealth Child Care Credential as described in 922 KAR 2:250. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 interview and review of documentation, three (3) employees failed to complete updated training (once every five (5) years) for one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. The three (3) above-mentioned employees' hire dates are 8/22/2013, 10/14/2014 and 9/7/2019. In addition, an employee with a hire date of 6/15/2020 has not completed six (6) hours of cabinet-approved orientation training. Programming In Compliance Premises In Compliance Hygienic Practices 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, at approximately 10:15 am, a staff member completed a diaper change. However, after completing the diaper change, the staff member did not disinfect the diapering surface after completion of the diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, in the sole classroom with infants, there was no posting of the proper methods of diapering and hand-washing in the changing area. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation and interview, at approximately 10:00 am, a student who was ten-years-of age was observed not wearing a facemask/face covering as he/she participated in programming activities. After a discussion with the staff-in-charge, the above-mentioned student began wearing a facemask.

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 child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that six (6) staff members received fifteen (15) hours of annual cabinet approved early care and education training. These six (6) staff members have the following hire dates: 8/22/13, 8/6/14, 10/14/14, 12/19/16, 12/4/17 and 5/6/18. In addition, the child care center did not produce ECE-TRIS verification that a staff member with a hire date of 5/28/19 completed six (6) hours of cabinet-approved orientation within the regulatory timeframe. Furthermore, the child care center did not produce ECE-TRIS verification that staff members with hire dates of 12/19/16 and 5/6/18 had completed their respective pediatric abusive head trauma (PAHT) training within the regulatory timeframe. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulations. In the classroom known as the Pre-K room, chipped paint was observed on the walls located near the corner of the room where cots were stored. In addition, the ceiling in the Infant and Toddler classroom was observed to have tile stains, which appeared to be the result of water leakage. Furthermore, the floor-board in the Two-Year-Old room was observed as pulling away from the wall. Moreover, a crack in the wall, running from the ceiling to the floor, was observed in the Preschool room. Finally, the tile floor in the School Aged room, which was unoccupied at the time, was observed as generally dirty. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the outdoor play area in accordance with regulations. The fence post that attaches to the gate was in poor repair to the point that the gate could not be secured. In addition, a staff member disclosed that a garbage truck had recently damaged the fence post. 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 observation and review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed that a child with enrollment date of 4/24/17did not have a preferred hospital listing – the listing read “no preference”. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulations. Specifically, the School Age room daily activity plan was dated from 12/2/19 through 12/6/19; however, the date of survey was conducted the week of 12/16/19 through 12/20/19. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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.

The child care center failed to assure compliance with supervision. The investigation revealed that the classroom known as the School-Aged Classroom has an exit door that is directly across from the kitchen. Interviews confirmed that on occasions, students from the School-Aged classroom have wandered into the kitchen area. In addition, the investigation revealed that the director recently implemented a policy of keeping the kitchen door locked to prevent children from wandering into the kitchen area. Staffing Requirements 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 and interview, the child care center failed to comply with staffing requirements. Observation of the preschool room at 2:50 p.m. revealed there were thirteen (13) children with one (1) staff member. Interview with the staff member revealed the youngest age child in the preschool room was three-years-old. Observation of the two- year-old room at 2:53 p.m. revealed eleven (11) children with one (1) staff member. Interview with the staff member revealed the youngest child in the two-year-old room was two- years-old; therefore the room was out of ratio. At 2:56 p.m. the two-year-old room was brought into ratio, with ten (1) children with one (1) staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) for six (6) staff members with the following hire dates, 10/14/2014, 4/10/2015, 5/24/2016, 12/04/2017, 12/04/2017 and 12/4/2017 received fifteen (15) hours of annual cabinet approved early care and education training. In addition, the staff-in-charge disclosed that the child care center could not produce verification from the ECE-TRIS that the above-mentioned staff members completed the required annual training. Secondly, six (6) hours of cabinet-approved orientation training is required to be completed within the first three (3) months of employment for staff. However, the child care center did not produce verification from the ECE-TRIS that five (5) staff members with the hire dates 5/24/2016, 12/04/2017, 12/04/2017, 1/02/2018 and 5/06/2018 completed orientation within the first three (3) months of employment. In addition, the staff-in-charge acknowledged that the child care center could not provide evidence from the ECE-TRIS that the above mentioned staff members completed the cabinet-approved orientation training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the One-Year-Old classroom, the Infant classroom, the Pre- School classroom, the Pre-K classroom, the Two-Year-Old classroom, and the School Aged classroom, the tile floors were covered with grime. In addition, the One-Year-Old classroom, the Infant classroom, the Pre-School classroom, the Pre-K classroom and the Two-Year-Old classroom had chipped paint on the walls. Furthermore, the walls of the School Aged classroom and the Two-Year-Old bathroom were grimy. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Interviews and review of documentation revealed a staff member took a picture of a five-year-old child at the child care center and posted the child’s picture on Facebook. Further interviews and review of documentation revealed the center failed to obtain written permission from the child’s guardian to use the child’s photograph.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the bathroom located in the preschool room revealed a plunger sitting by the toilet at the time of the survey. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two’s room revealed a soiled child size plastic kitchen set and a soiled pink rectangle rug. Observation of the preschool room revealed a soiled circle rug.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a staff member with the hire date 12/4/17 had a GED certificate from Georgia dated in 2016. Continued review of the staff member's file revealed it did not contain an out of state background check from Georgia. Upon request from the staff in charge, an out of state background check was not presented for review. Interview with the staff in charge revealed the staff member with the hire date 12/4/17 had never worked alone with children. During the survey the staff member with the hire date 12/4/17 was not observed working alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed two (2) staff members with the hire dates of 8/9/17 and 12/19/16 did not complete six (6) hours of cabinet-approved orientation within ninety-days (90) of employment. Continued review of presented staff files revealed files for staff members with hire dates of 10/14/14, 4/10/15, 6/28/16 and 12/19/16 did not contain documentation to verify the fifteen (15) hours of cabinet approved training had been completed. Review of the ECE-TRIS report did not verify the aforementioned staff members’ completion of the training. Interview with the staff in charge revealed she could not verify that the aforementioned staff members had completed the required trainings. 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the child care center revealed chipping paint located in the following rooms; nursery, toddler room, school age room, two’s room and pre-k room. Observation of the pre-k bathroom revealed the wall was soiled by the door. Observation of the school age room revealed the floor was soiled with a brown substance.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the pre-k room revealed a wall cracked from the ceiling to the floor.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of a diaper change in the toddler room revealed after changing the child’s diaper the staff opened the door using the door handle to enter the bathroom; therefore, the sink is not immediately adjacent to the changing area. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor playground revealed a swing set that was not anchored securely to the ground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the playground revealed a swing set where two (2) metal clips were protruding from the middle bar that was at children’s level. 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 8. Kitchen Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the mini- refrigerator in the toddler room revealed there was not an indicating thermometer or other appropriate temperature measuring device. Continued observation revealed there was milk and juice in the mini-refrigerator. Interview with a staff member revealed the milk and juice in the mini-refrigerator was for children in care. Continued interview with the staff member revealed there was not a thermometer in the mini-refrigerator. 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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed one (1) of the files did not contain information for the parents preferred hospital and information for the family physician. In interview, the director acknowledged the aforementioned items were not contained in the file. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

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 review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed the two’s room did not have the proper methods of diapering posted at the diaper changing area. Interview with a staff member verified that the proper methods of diapering were not posted at the diaper changing area in the two’s room. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain employee’s records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the out of state background check had been completed for the employee with the hire date of 06/28/2016. The employee had resided in the state of Indiana within the last five (5) years. Continued review revealed the employee with the hire date of 07/17/2016 had resided in the state of Michigan within the last five (5) years, with no out of state background check. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the personnel files for two (2) staff members with the hire dates of 12/19/2016 and 12/19/2016 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the employees with the hire dates of 08/24/2016, 09/21/2016 and 09/30/2016 had completed orientation training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. 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 Review of Documentation and interview the child care center failed to post documentation in accordance with regulatory requirements. Upon request the staff in charge did not present for review an updated daily activity plan to reflect the current week for the school-age and pre-k classroom. 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, the childcare center failed to maintain the premises in accordance with regulatory requirements. Observation in the two-year classroom in the morning revealed two (2) cans of Spray Disinfectant, located on top of a plastic bin within reach of the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the childcare center failed to maintain the premises in accordance with regulatory requirements. Observation of the school-age classroom revealed the floor to contain several small pieces of shredded paper, food crumbs, and discarded toys. 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 Observation the childcare center failed to comply with regulatory requirements regarding first aid and or medication. Observation in the infant classroom revealed there was a diaper rash cream, “Butt Paste” near the changing table, which was not securely locked. 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the small play kitchen set revealed the toy to have a build-up of grime and a sticky surface.

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 the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the classrooms revealed there were several toys that were not maintained and used according to the manufacturer's safety specifications; the batteries were non-operational. 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 the childcare center failed to maintain food service requirements. In the infant room, it was revealed there was several infants' bottles that were not properly labeled to identify the name of the infant. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation and interview the childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the following child with the enrollment date of 11/16/2016 had a current Kentucky immunization record. The immunization recorded presented expired on 08/27/2016.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records for the children with the enrollment dates of 12/01/2012, 08/12/2015 and 09/28/2016 contained information listing the preferred hospital. Continued review revealed the child with the enrollment date of 09/28/2016 did not contain a listing for their family physician. The child with the enrollment date of 03/25/2014 enrollment records were not signed by a parent Written Documentation In Compliance Posted 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 2. General.

General: Based on Review of Documentation and interview the childcare center failed to post documentation in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the requirement that each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not readily accessible for public inspection. 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 it was determined the center failed to comply with regulatory staffing requirements regarding maintaining minimum staff-to-child ratios. On 6/22/16 at 8:45 a.m., observation revealed a person standing in the entry way upon arrival to the center. Upon entry to the center, interview revealed the person standing in the entry way was a staff member. At 8:45 a.m. continued observation revealed one (1) staff member solely supervising a group of fifteen (15) children. Interview revealed the youngest child present among the group was three-years-old. At 8:47 a.m. observation revealed two (2) staff members supervising the group of fifteen (15) three-year-olds. Interview with the director revealed the staff member, whom was standing in the entry way at arrival, has three (3) children whom were added to a group of twelve (12) three-year-olds being supervised by one (1) staff member. As a result, the staffing issue was created; as the staff member, whom was standing in the entry way at arrival, was not scheduled to start her shift until 9:00 a.m. Premises

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, it was determined the center failed to comply with regulatory premise requirements regarding providing a minimum of thirty-five (35) square feet of space per child. Observation revealed a group of twelve (12) children being led down a hallway into a classroom. Interview with the director revealed the children were being separated from the large group after eating breakfast. Observation revealed a large classroom divided into two (2) separate areas by blocking access to either area with children's storage units. Interview with the director revealed the original classroom was an open space for the school-age children; however, the center created the two (2) separate areas, which included a defined space identified as the younger school-age classroom and a defined space identified as the older school-age classroom. Observation revealed the children that were led down the hallway entered the defined space identified as the younger school-age classroom, while fourteen (14) children were observed in the defined space identified as the older-school age classroom. Interview with the director revealed the twelve (12) children were previously combined during breakfast with the fourteen (14) children for a total of twenty-six (26) children in the defined space identified as the older school-age classroom. Measurement of the space identified as the older school-age classroom revealed a total of seven hundred eighty-three (783) square feet, which allowed for thirty-five (35) square feet of space for only twenty-two (22) children.

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 child care center failed to comply with staffing requirements. Observation through the glass entry doors revealed a staff member in the front foyer entrance area looked at the surveyor then left the area. Upon entry into the child care center the surveyor observes the aforementioned staff member entering a room. Interview with a staff member revealed the room to be the gym room. Observation at 7:12 am of the gym room revealed twenty-four (24) children in care, with the aforementioned staff and two (2) additional staff members; therefore the minimum staff-to-child ratios and group size were not maintained. Interview with a staff member revealed the ages of children in care to be eleven (11) months of age to eleven (11) years old. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to comply with regulatory programming requirements. Observation of the gym room revealed a sleeping infant in a crib with a toy attached to the inside. Continued observation revealed the aforementioned sleeping infant wake and sit up in the bed. Interview with a staff member revealed the age of the infant in the crib to be eleven (11) months of age. Hygienic Practices

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed four (4) children failed to wash hands with liquid soap and warm running water upon arrival to the child care center. Interview with a staff member revealed the children were three-and- four-year-olds. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Equipment

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the gym room revealed a large child asleep in a crib, instead of a two (2) inch mat or cot. Interview with a staff member revealed the child was two-years-old.

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 child care center failed to maintain adequate supervision in accordance with regulatory requirements. Based on observation of the childcare center upon arrival, there were ten (10) children in the Infant and Toddler Room, ten (10) children in the room for two (2) and three-year-old children and twelve (12) children in the Preschool Room that ranged in age from three (3) through seven-years-old. Continued observation revealed two (2) staff members in the child care center upon arrival at 1:03 p.m.; both seated near the entrance in the lobby area, out of the scope of vision of all thirty-two (32) children and out of the range of voice of the ten (10) children located in the Infant and Toddler Room and the ten (10) two (2) and three-year-old children. Observation in the Infant and Toddler Room at 1:06 p.m. revealed the staff person entered the room with the surveyor and then immediately exited the room again with a gallon of milk. Continued observation revealed the same staff person re-enter the Infant and Toddler Room with a gallon of milk at 1:07 p.m.. Three (3) additional staff members and the director were observed arriving to the child care center at 1:07 p.m., one reporting to the Infant and Toddler Room, and two (2) staff members going into the room with the two (2) and three-year-old children that had previously been completely unsupervised. Interview with the director revealed that one of the staff members had been on lunch and the others had been down the street preparing a new facility for the child care center to move into in the near future. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 4 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

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, and interview, the child care center failed to comply with staffing requirements. Observations in the Infant and Toddler Room at 1:06 p.m. revealed a staff person enter the previously unsupervised room, with the surveyor, and then immediately exit the room again with a gallon of milk. Continued observation revealed the same staff person re-enter the Infant and Toddler Room with a gallon of milk at 1:07 p.m., providing a ratio of one (1) staff member for ten (10) children ages four (4) months through one (1) year. Ongoing observation revealed that a staff person arrived for work at 2:00 p.m. with an infant. Observation in the Infant and Toddler Room at 2:00 p.m. revealed eleven (11) children, ages four (4) months through one (1) year with two (2) adults. Continued observation revealed that the infant was left in the Infant and Toddler Room from 2:00 p.m. until 2:10 p.m. when the surveyor questioned the director about the ratio exceeding the maximum group size in the Infant and Toddler Room. Interview with the director revealed that the last infant to arrive was not enrolled at the child care center and was only waiting in the Infant and Toddler Room to be picked up by the staff person’s spouse. Employee Records

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, review of records and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the child care center facility at 1:03 p.m. revealed two (2) staff members on the premises. Review of employee records revealed that the two (2) staff members present failed to have documentation presented to verify that they had completed the certification for first aid and CPR. Interview with the director revealed that the staff members completed the first aid and CPR course in November, 2015; however had not yet received the documentation to present for review at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report Programming

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, and interview, the child care center failed to comply with regulatory programming requirements. Observation in the Infant and Toddler Room revealed an infant, identified by staff to be four-months-old, sleeping in an infant swing at approximately 1:06 p.m.. Continued observation revealed three (3) cribs located in the room, all occupied by other sleeping children. Interview with staff revealed that the additional cribs had been moved to another location in which the child care center is hoping to move in the near future, so the infant regularly slept in the swing. Ongoing interview with the staff and the director revealed that the child did not have documentation from a health care professional stating that the infant required an alternative sleeping position. Premises

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 Review of Documentation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Review of DRCC records revealed a telephone number that was called to notify the child care center staff person in charge that a named individual was no longer eligible to work in the child care center based on a substantiated Child Abuse and Neglect history. Telephone interview with the staff person in charge revealed that the telephone number used to contact her was no longer providing service to the child care center facility, but to the new location in which the child care center was hoping to relocate in the near future. Continued telephone interview revealed that the individual was working on the facility at the proposed new location and the telephone service had been transferred to assist in preparing the new facility. Interview with the director at the child care center on the day of the inspection revealed that the child care center did not have a working land-line telephone that was accessible to a room used by a child; however, a staff person’s personal cell phone was used to communicate between staff and parents. Food Service

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, interview and review of records, the child care center failed to maintain food service in accordance with regulatory requirements. Observations in the Infant and Toddler Room revealed sippy cups, which are classified as single service items, sitting on a counter, containing various amounts of milk at approximately 1:44 p.m.. Observations made while touching the exterior of the sippy cups revealed that the contents of the cups were room temperature; revealing that the cups had not been stored at forty (40) degrees Fahrenheit or below. Continued observations revealed a staff person proceeded to pour additional milk into several of the cups and then serve the cups of milk to the toddlers for snack. Ongoing observation revealed the director provided instruction to the staff person to rinse the cups prior to re-serving them to the children in care. Observation revealed the staff person dumped the left over milk from the labeled cups, rinse the remainder of the sippy cups in the classroom sink, used to wash hands after diaper changes, and refill the cups with milk prior to serving the milk to the children in care. Interview with the staff revealed that the cups were left over from lunch. Review of the classroom schedule revealed that lunch was served at 11:15 a.m.. Interview with the director revealed a statement that lunch was actually served at 11:30 a.m. on the day of the inspection. Based on observation, interview and review of records, the child care center failed to handle and dispense the milk in the sippy cups in a sanitary manner and failed to store and use the cups only once at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 4 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

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 Observation, and interview, the child care center failed to maintain children’s files in accordance with regulatory requirements. Observations in the child care center revealed a staff member arrive for work at 2:00 p.m. with an infant. Continued observation revealed the staff person leave the infant in the Infant and Toddler Room for care, creating an eleven (11) to two (2) child to staff ratio. Interview with the director revealed that the infant was not enrolled at the child care center; however was waiting at the child care center for the child’s other parent to pick up. Observation revealed that the infant was cared for in the Infant and Toddler Room from 2:00 p.m. until 2:10 p.m. when the surveyor inquired about the ratio. Continued interview with the director revealed that the child did not have enrollment documentation available for review at the time of the inspection as the infant was not enrolled. Written Documentation

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, observation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written attendance records revealed twelve (12) children signed into care. Observation of the child care center facility revealed thirty-two (32) children in attendance. Interview with the director revealed that the telephone service had already been transferred to the facility in which they were hoping to soon move and the internet was not available without the telephone; therefore, prohibiting the parents from utilizing the electronic sign-in that they were used to. Continued interview with the director revealed that the written attendance documentation was not maintained at the time of the inspection to accurately document the time of arrival for each child in attendance.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation upon entrance into the Pre K Classroom revealed two (2) children with one staff member at 7:25 am. Observation at 7:25 am in the Three-and-Four-Year-Old Classroom revealed nine (9) children with no staff member. Continued observation at 7:27 am revealed the staff member and the two (2) children from the Pre K Classroom to enter the Three-and-Four-Year-Old Classroom. Observation of the Two-and-Three-Year-Old classroom revealed a staff member take a child into the bathroom. Continued observation revealed from 8:13 am-8:14 am the staff member’s back was to four (4) children in care. Further observation revealed the children to be out of staff member’s scope of vision. Exit interview with owner revealed an acknowledgement of the deficiency.

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, Interview and Review of Documentation, the child care center failed to comply with staffing requirements. Observation of the Three-and-Four-Year- Old Classroom at 7:27 am revealed eleven (11) children in care with one (1) staff member. Interview with the staff member revealed the children in care to be two-years-old to four- years-old, however review of children’s files revealed conflicting information. Review of children’s files revealed the youngest child in the classroom to be one-years-old. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, Observation and Interview, the child care center failed to comply with regulatory requirements. Review of DRCC records indicates the name of a director for the child care center. Observation of the child care center revealed the absence of the director listed on DRCC records. Interview with the owner revealed the director named in DRCC records had resigned in September 2015. Continued interview revealed the owner to be acting as director.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation, Observation and Interview, the child care center failed to comply with regulatory requirements. Review of DRCC records indicates the name of a director for the child care center. Observation of the child care center revealed the absence of the director listed on DRCC records. Interview with the owner revealed the director named in DRCC records had resigned in September 2015. Continued interview revealed the owner to be acting as director. Review of DRCC documentation failed to reveal a notification to the cabinet of the name of the acting director as of 12/1/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation failed to reveal staff meetings conducted by the director. Interview with the owner revealed an inability to find documentation of staff meetings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files failed to reveal a staff evaluation for two (2) staff hired 8/6/14 and 8/22/13. Interview with the owner revealed an inability to locate the documents.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Infant Classroom revealed a staff member was holding an infant while spraying a sanitizing solution onto the changing pad. Interview with a staff member revealed the sanitizing solution to be bleach water. Observation of the Two-and-Three-Year-Old Classroom revealed cords attached to an I Pad to be hanging down from shelving unit beside a play table used by children. Observation of the Three-And-Four-Year-Old Classroom revealed an electrical outlet by the green basket to not be covered at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files failed to reveal a Criminal Record Check on file or submitted for a staff hired 10/16/15. Continued review of staff files revealed the Child Abuse and Neglect Check to not be submitted within five (5) days of being hired for staff hired 4/10/15, 5/14/15 and 5/16/15. Further review revealed the Criminal Record Check to not be submitted on the first day of employment for a staff hired 4/10/15. Exit interview with the owner revealed staff never work alone with children until all background checks are returned clear. Continued interview revealed the owner was unaware of the time frames for the Criminal Record Check and the Child Abuse and Neglect Check to be submitted.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal a Criminal Record Check on file or submitted for a staff hired 10/16/15. Continued review of staff files revealed the Child Abuse and Neglect Check to not be submitted within five (5) days of being hired for staff hired 4/10/15, 5/14/15 and 5/16/15. Further review revealed the Criminal Record Check to not be submitted on the first day of employment for a staff hired 4/10/15. Exit interview with the owner revealed staff never work alone with children until all background checks are returned clear. Continued interview revealed the owner was unaware of the time frames for the Criminal Record Check and the Child Abuse and Neglect Check to be submitted.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed a staff hired 10/16/15 did not have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey. Interview with the owner revealed an inability to find the document at the time of the survey.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal staff members with Pediatric and Adult Cardiopulmonary Resuscitation and First aid training as of 10/31/15. Exit interview with the owner revealed the deficiency is in the process of being addressed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for staff members hired 10/23/13, 8/6/14, 8/22/13 and 10/14/14 at the time of the survey. Continued review of staff files revealed a staff with the hire date 5/14/15 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Exit interview with the owner revealed an acknowledgement of the deficiency. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Two- And-Three-Year-Old Classroom revealed a child to be present in the classroom at 8:00 am continuing for the duration of the survey. Interview with a staff member revealed the children to be two-years-old and three-years-old, however review of children’s files revealed conflicting information. Review of children’s files revealed a child’s age to be twenty- three months old. Continued review revealed a transition plan for the twenty-three month old child. Further review revealed the child was to be combined in the classroom for transitioning at 9:30 am. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Classroom revealed at 11:30 am an infant sleeping in a crib to have a pacifier with a clip attached to the shirt. Exit interview with the owner revealed an acknowledgement of the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 28 Web site: http://chfs.ky.gov/ 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, and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Two-and-Three- Year-Old classroom revealed one (1) light to not be in working order. Continued observation revealed a light shield to be cracked at the time of the survey. Exit interview with the owner revealed the deficiency is in the process of being addressed.

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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Two-and-Three- Year-Old classroom revealed approximately ten (10) feet of baseboard missing. Observation of the Infant Classroom revealed cracked and chipped paint. Continued observation cobwebs to be hanging from the ceiling at the time of the survey. Observation of the bathroom off the Two-and-Three-Year-Old classroom revealed a broken eye and hook latch. Continued observation revealed the wall to have a hole and being used to latch the door. Further observation revealed two (2) holes approximately one and a half (1 ½ ) inch across in the wall. Ongoing observation revealed two (2) holes approximately one-fourth (¼) inch across at the time of the survey. Observation of the Preschool Classroom revealed cream colored paint to be chipped and peeling. Continued observation revealed two (2) holes in the wall by the backpacks. Observation of the Three-and-Four-Year-Old Classroom revealed a wall with ripped drywall exposing the inside materials by the cubbies. Continued observation revealed two (2) holes in the wall above the block tote. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant Classroom revealed cooking staff to walk through the classroom to provide the lunch food to the children in the Two-and-Three-Year-Old classroom. Exit interview with the owner revealed that normally the cooking staff use the office as an entrance to the Two-and-Three-Year-Old classroom.

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, and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Preschool Classroom bathroom failed to reveal single use disposable hand drying material. Continued observation failed to reveal a garbage can. Observation of the changing area in the Infant classroom revealed once an infant was changed the staff had to unlock the door, open the door to be able to wash hands. Observation of the bathroom off the Infant Classroom failed to reveal single use disposable hand drying material. Exit interview with the owner revealed unawareness that the sink for hand washing after a diaper change must be adjacent to a sink. Continued interview revealed unawareness that single use disposable hand drying materials are to be in the bathroom. Further interview revealed unawareness that a garbage can was not in the Preschool Classroom bathroom.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of Fire drills revealed the child care center failed to document the names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the School Age bathroom revealed fecal matter in the toilet at the time of the survey. Continued observation revealed a urinal covered with plastic sheeting. Further observation revealed a sign stating the urinal was out of order. Exit interview revealed the deficiency was in the process of being addressed. Hygienic Practices

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant classroom revealed when a toddler arrived at the child care center the staff failed to wash the child’s hands. Observation of the Two-and-Three-Year-Old Classroom revealed when a child’s diaper was changed the staff failed to wash the child’s hands. Exit interview with the owner revealed an acknowledgement of the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 28 Web site: http://chfs.ky.gov/ 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 Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Two-And- Three-Year-Old Classroom revealed a staff member failed to wash hands after a diaper change two (2) individual children in care. Exit interview with the owner revealed an acknowledgement of the deficiency.

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 and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Three- And-Four-Year-Old Classroom revealed dirt on the changing pad. Continued observation revealed debris under the diaper changing pad at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, The child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed pieces of a blue broken toy scattered on the ground. Continued observation revealed empty Capri-Sun containers and paper at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, The child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed pieces of a large playhouse propped against the fence inside the play area at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, The child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground failed to reveal protective surface under the slide at the time of the survey. Exit interview with the owner revealed unawareness that grass is not a protective surface.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Two-and-Three- Year-Old Classroom failed to reveal materials for science, stories and books. Continued observation revealed a pretend stove/kitchen set with one (1) pan at the time of the survey. Exit interview with the director revealed the deficiency was in the process of being addressed.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Three-And-Four- Year-Old Classroom revealed two (2) rest mats to be ripped exposing the inside materials at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Classroom revealed cribs that failed to be twelve (12) inches apart. Continued observation revealed cribs that were approximately four (4) inches apart. Further observation revealed a sleeping infant in one of the cribs at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Classroom revealed a high chair with a green cover to have the plastic covering cracked and ripped at the time of the survey. Continued observation revealed three (3) high chair trays with food residue on them. Interview with a staff member revealed the high chairs were used the previous day for infants in care. Observation of the Three-And-Four-Year-Old Classroom revealed a white shelf that moves and is unsecure when touched. Observation of the Two-and-Three-Year-Old Classroom revealed a vent cover with dirt on it. Continued observation revealed a changing table with a portion of the top section to be missing. Further observation revealed the back of the changing table to not be secured to the rest of the table at the time of the survey. Exit interview with the owner revealed the deficiency is in the process of being addressed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of documentation failed to reveal a food service permit. Exit interview with the owner revealed an inability to locate the food service permit at the time of the survey.

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 and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer in the kitchen failed to reveal an indicating thermometer or appropriate temperature measuring device at the time of the survey. Interview with a staff member revealed the thermometer was not in the freezer.

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 and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Two-and-Three- Year-Old classroom revealed materials on a table. Continued observation revealed a child take off boots and place on the table. Further observation failed to reveal the surface of the previous mentioned table being sanitized before children were served food on it. Exit interview with the owner revealed an acknowledgement of the deficiency.

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 and Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the Infant Classroom revealed a bottle not labeled. Continued observation of the refrigerator revealed a bottle not covered at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files failed to reveal an immunization certificate for two (2) children with the enrollment date 12/3/14 and 8/10/15 at the time of the survey. Exit interview with the owner revealed an inability to locate the documents at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 28 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed three (3) files failed to reveal parents preferred hospital. Continued review of the children’s files failed to reveal a family physician for two (2) of the files. Further review of children’s files failed to reveal emergency authorization for one (1) of the files. Interview with the owner revealed they were not aware the items listed above were missing from the children’s files.

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, Observation, and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records revealed on 11/30/15 thirty-one (31) children signed into care. Continued review revealed on 11/30/15 sixteen (16) children signed out of care. Further review revealed on 12/1/15 at 7:40 am eight (8) children signed into care. Observation of the child care center at 7:40 am revealed fifteen (15) children in care. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of Earthquake and Tornado drills revealed the child care center failed to document the names of children who participated in the drills. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of the activity plan in the Infant Classroom failed to reveal a date. Review of the activity plan in the Pre-K Classroom failed to reveal a date. Review of the School Age Area failed to reveal an activity plan at the time of the survey. Exit interview with the owner revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center director failed to assure compliance with regulatory requirements. Observation in the Infant Room revealed an older infant sitting in the floor playing without a shirt. Observation revealed the room to have a chill in the air; although the exact temperature was not determined. Interview with the staff revealed that the child had soiled his shirt while eating and clean clothing was not available for his comfort. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal current documentation from a health care professional to verify that an individual with the hire date of 3/2/15 was free from active TB at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 Web site: http://chfs.ky.gov/ Inspection Report Premises

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant Room revealed a fluorescent light fixture flickering off and on. Observation of the Toddler Room revealed a fluorescent light fixture flashing off and on. Observation of the Two-Year-Old Room revealed two (2) light bulbs flickering steadily.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Preschool Room revealed heavily water stained ceiling tiles. Observation of the area used for television viewing revealed six (6) water stained and warped ceiling tiles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the toilet room, located off of the Two-Year-Old Room, revealed a staff member pick soiled tissue off of the floor and proceed to wipe off the toilet seat, before discarding the tissue into the toilet and flushing. Observation of this action revealed a failure to keep the toilet in clean condition. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant Room revealed that the infants failed to have their hands washed with liquid soap and warm running water before and after being fed. Observation in the Toddler Room revealed that the toddlers failed to wash hands with warm running water and liquid soap before and after eating lunch. Observation in the Two-Year-Old Room revealed that the children failed to wash hands with liquid soap and warm running water before and after eating lunch. Observation in the Preschool Room revealed that the children failed to wash their hands with liquid soap and warm running water after eating lunch.

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant Room revealed staff failed to wash hands with liquid soap and running water after feeding the infants. Observation in the Toddler Room revealed staff failed to wash hands with liquid soap and running water before and after feeding the children lunch. Observation in the Two-Year-Old Room revealed that the staff failed to wash hands with liquid soap and running water after feeding children lunch.

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, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant Room revealed an older infant that failed to be wearing a shirt while playing in a chilled room. Interview with the staff revealed that the child had soiled his shirt while eating lunch and there were not clean clothes available for him to wear.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant Room revealed a rip in the diaper changing pad that exposed the interior absorbent material, rendering it unhygienic at the time of the inspection. Equipment

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Room revealed a crib with sheets that failed to be tight fitted at the time of the inspection. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the lunch meal served to the children failed to reveal a bread component on the day of the inspection. Written Documentation

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 Observation, and review of records, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center revealed thirty-one (31) children in attendance on the day of the inspection. Review of attendance records revealed sixteen (16) children had been signed in for care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation failed to reveal daily attendance records documenting the arrival and departure time of each child, including records that are required in accordance with 922 KAR 2:160, Section 13, if a child receives service from the child-care center through the Child Care Assistance Program. Interview with the owner revealed that attendance forms had not been printed or maintained for the children in care. Additional interview with the owner revealed that the attendance had not been maintained for longer than she could recall, although the owner did say that she does electronically claim attendance for the children on the Child Care Assistance Program.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of earthquake and tornado drill documentation revealed that drills were documented for May, June and July 2014, but no documentation was made available for review for earthquake or tornado drills conducted in the following quarter. Interview with the director revealed that she was unsure of the last drill actually conducted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of monthly fire drill documentation revealed that drills were documented for May, June and July 2014, but no documentation was made available for review for fire drills conducted in the following months. Interview with the director revealed that she was unsure of the last fire drill that was actually conducted.

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, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documents failed to reveal a schedule of activities including a current date and times of activities to be conducted in each of the four (4) child care classrooms.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that an employee with the hire date of 10/14/14 failed to have verification that a criminal records check had been submitted.

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, the child care center failed to comply with regulatory programming requirements. Observation of the Infant / Toddler Room revealed an infant asleep in a crib with loose bedding that failed to be tucked at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Observation of the lunch preparation revealed that the substitute staff called in to assist with the ratios in the Two-Year-Old Room left the room of thirteen (13) children ages one-year-old to eleven-years-old to prepare and serve lunch. Continued observation of the Two-Year-Old Room revealed one staff member working alone with thirteen (13) children ages one (1) to eleven-years-old.

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 child care center failed to comply with staffing requirements. Observation of the Two-Year-Old Room revealed thirteen (13) children, ages one (1) to eleven-years-old under the supervision of one adult staff member from approximately 10:45 a.m. until 12:30 p.m.. when another staff person joined the room. 45 - Ratio/Group Size Discussed 922 KAR 2:120. Section 2. Child Care Services. (2)(b) The age of the youngest child in the group shall determine the: 1. Staff-to-child ratio; and 2. Maximum group size.

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, and interview, the child care center failed to comply with regulatory requirements. Review of records failed to reveal documentation for proof of liability insurance coverage. Interview with the director revealed that the documentation was unable to be located at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Review of records failed to reveal an assessment of a staff person’s interaction with children in care and classroom performance through an annual written performance evaluation for an employee with the hire date of 8/22/13. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements as it pertains to the health, safety and comfort of the children in care. Observation in the Infant/Toddler Room revealed a child eating cracker crumbs from the floor that had been dropped in the floor by a child having snack in a highchair. Additional observation of the Infant / Toddler Room revealed an infant, later determined to be seven weeks old, placed in an infant hammock at approximately 10:00 a.m. and left in the hammock until 11:50 a.m.. The infant was observed crying and sleeping intermittently during this time, without attention from a staff member to offer comfort or care. Ongoing observation in the Infant / Toddler Room revealed an infant sleeping directly on a crib mattress without bedding and toddlers sleeping directly on plastic napping mats without bedding. Further observation in the Infant / Toddler Room revealed a toddler crying during the entire survey, failing to receive comfort from the staff present. Continued observation revealed the toddlers in the Infant / Toddler Room were served milk from a container that expired on December 18, 2014 and had a distinct sour odor. The service was stopped by the surveyor prior to any of the children consuming the spoiled milk. Ongoing observation in the Infant / Toddler Room revealed a child’s coat and diaper bag left in the floor at approximately 10:00 a.m.. Continued observation revealed a child fell over backwards on the items at approximately 11:28 a.m.. Further observation of the Infant / Toddler Room revealed a staff person transferring an infant from the diaper changing table to the floor by one arm and a staff person transferring a toddler from a high chair to the floor by one arm; failing to maintain the comfort and safety of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employees with the hire dates of 10/23/13 and 8/6/14 failed to have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed an employee with the hire date of 10/14/14 failed to have written documentation from a health care professional to verify that the individual was free from active TB.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that five (5) employees with the hire dates of 8/22/13, 10/23/13, 10/28/13, 10/23/13 and 8/6/14 failed to have documentation to verify that they had completed six (6) hours of cabinet approved orientation within the first three months of employment. Further review of staff files revealed that two (2) employees with the hire date of 10/23/13, and one (1) employee with the hire date of 10/28/13 failed to documentation to verify that they have fifteen (15) hours of cabinet approved early care and education training. Continued review of records revealed an employee with the hire date 8/22/13 failed to have documentation to verify completion of nine (9) of the fifteen (15) required hours of cabinet approved early care and education training.

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 child care center failed to comply with regulatory programming requirements. Observation of the room used for children two-years-old through school age revealed staff failed to provide a daily planned program for school age children in care. Continued observation revealed staff failed to have opportunities for art, music, dramatic play, books, science and culture for older school age children in care. Further Observation revealed an eleven-year-old child sitting up against a wall during throughout the survey which was approximately five (5) hours in duration. Review of documentation in the Infant / Toddler room revealed staff failed to have current written plan of activities for children in care.

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, the child care center failed to comply with regulatory programming requirements. Observation of the room used for children ages two- years-old through school age, revealed two (2) toddlers placed in care with school aged children from approximately 9:00 a.m. until 10:45 a.m.. Interview with staff revealed that there was not a transition plan in place.

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 Review of Documentation, and interview, the child care center failed to comply with regulatory programming requirements. Review of documentation failed to reveal a transition plan for the two (2) toddlers that were observed in the room used for children ages two-years-old through school age from approximately 9:00 am-10:45 am. Interview with staff revealed that there was not a transition plan in place and a signature and approval of the toddlers parents had not been obtained.

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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the room used for children ages two- years-old through school age on the day of the survey revealed a plastic bag lying on the floor under a highchair, a spray bottle labeled as a cleaning solution sitting at the children’s table, an open can of Dr. Pepper sitting on a table and all of it was accessible to the children in care at the time of the survey.

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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Two-Year-Old Room revealed empty plastic packaging, soiled tissues, paper, gummy candies on the floor and soiled bedding spilling out of tubs. Interview with staff revealed that the bedding had been used, did not belong to children that were currently enrolled, but kept for use when children in care forgot to bring personal bedding to use during rest time. Observation of the School Age Room revealed a used juice bag sitting on a chair, soiled diapers in the garbage can, and a connected area with a toilet that contained solid waste. Interview with staff revealed that the room had not been in use for at least a week.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the rear exit revealed the exit failed to be kept clear of debris. Observation revealed a large circular table, missing a leg, propped against the rear wall, blocking the exit. Continued observation revealed two (2) garbage bags, filled with soiled diapers, placed in front of the propped table, also blocking the fire exit at the time of the survey.

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 review of records, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Infant / Toddler Room revealed fluorescent lights that failed to be in good repair, and light fixtures that failed to be clean as they were filled with dead bugs. Observation in the School Age Room revealed a sagging light cover that failed to be securely fastened to the fixture. Review of DRCC records revealed a previous statement of deficiency identifying the same issues of dead bugs in the light fixtures in the Infant / Toddler Room, lights that failed to be in working order and a sagging light cover in the School Age Room. Continued review of DRCC records revealed a plan of correction from the child care center that stated on January 22, 2014, the lights were fixed and that a daily check would be completed to assure ongoing 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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the School Age Room revealed a dried yellow textured substance that dripped down the wall in an area approximately thirty (30) inches wide by thirty (30) inches long. Continued observation revealed a section of baseboard missing by the door, rips and tears in the paint exposing sections of drywall approximately eight (8) inches in length each. Observation of the Two-Year-Old Room revealed five (5) water stained ceiling tiles and staples attached to a wall that were bent and protruding, exposing one end of the sharp staple. Observation revealed that the sharp staples protruding were located at a height that was accessible to children.

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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed rubbish including a piece of broken plastic with sharp edges and points and a broken kitchen set lying on its side in the grass.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the School Age Room revealed a connecting space with a half wall for privacy that contained a toilet. Additional observation of the toilet revealed solid waste that had not been flushed. Interview with the staff revealed that the School Age Room had not been used for care in at least a week, resulting in a conclusion that the toilet failed to be cleaned or sanitized on a daily basis.

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant / Toddler Room revealed staff failed to wash an infant’s hands with liquid soap and warm running water before feeding them a bottle. Continued observation revealed that staff failed to wash three (3) children’s hands with liquid soap and warm running water before serving them lunch. Further observation revealed staff failed to wash a child’s hands with liquid soap and warm running water after a diaper change at the time of the survey.

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant/ Toddler Room revealed staff failed to wash hands with liquid soap and warm running water before feeding a child a bottle, after a diaper change and prior to serving food to children.

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant / Toddler Room revealed a hole in the diaper changing pad exposing the absorbent interior material.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Infant / Toddler Room revealed staff failed to disinfect the diapering surface after diapering a child.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements regarding first aid and medication. Observation of the first aid supplies failed to reveal a flashlight. Interview with staff revealed a flashlight was not able to be located at the time of the survey.

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, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the first aid supplies revealed antacid that failed to be stored in a locked place at the time of the survey. Outdoor Play Area

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, and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed a deep hole in the dirt, approximately eighteen (18) inches wide and six (6) inches deep, located in the middle of the play area, creating a tripping hazard. Interview with staff revealed that the children like to dig in that area, which has created a larger hole than anticipated, which was acknowledged to be a concern.

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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed two (2) climbing structures that failed to have a protective surface provided at the time of the survey.

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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area failed to reveal a source of shade for the infants or toddlers. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed a climbing structure which failed to be anchored and was lying on its side. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the room used for children ages two- years-old through school age failed to reveal sufficient toys or developmentally appropriate materials for the child identified as an eleven-year-old. Observation revealed a school aged child sitting against the wall observing the rest of the children in the room that ranged in age from two-years-old to five-years-old during most of the survey which lasted approximately five (5) hours in duration. Observation failed to reveal staff engage the child in any activity during the survey.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant / Toddler Room during rest time revealed an infant resting directly on a crib mattress which failed to have bedding available. Interview with staff revealed that the bedding had been taken off the cribs to launder off site and had been forgotten to be returned.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant / Toddler Room during rest time revealed toddlers resting directly on the plastic surface of the rest mats which failed to have bedding available. Interview with staff revealed that the bedding had been taken off site to launder and was forgotten.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Two-Year-Old Room revealed bedding piled up, overflowing from tubs failing to be stored in a sanitary manner. The staff person indicated during interview that the bedding had been used, but did not belong to children that were currently enrolled; however, were kept for use when children in care forgot to bring their personal bedding to use during rest time. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 29 Web site: http://chfs.ky.gov/ Inspection Report

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the School Age Room revealed a “Step 2” kitchen sink and stove set that were heavily soiled at the time of the survey.

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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed a broken kitchen set which had been knocked over and was lying in the grass on its side at the time of the survey.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen failed to reveal an indicating thermometer to verify that the storage of perishable food was preserved at forty (4) degrees Fahrenheit or below.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the microwave oven located in the kitchen revealed that the interior of the appliance was heavily soiled with particles of dried food at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 29 Web site: http://chfs.ky.gov/ Inspection Report

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the Infant / Toddler Room revealed four (4) bottles that failed to be individually labeled at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen revealed a gallon of fat free skim milk with an expiration date of 12/18/14 and a gallon of low fat one percent milk with an expiration date of 12/21/14. Additional observation revealed a can of biscuits in the refrigerator that had an expiration date of 12/14/14 stamped on the packaging. Continued observation revealed that the fat free skim milk with a sour odor was poured and served with the lunch meal to the children in care. Surveyor confronted the staff prior to any of the children consuming the spoiled milk and whole milk was served to all of the children in care.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the room used to care for children ages two-years-old through school age revealed lunch plates that had been prepared and were sitting on a table for longer than twenty (20) minutes waiting to be served. Ongoing observation revealed a child threw a toy that landed in a plate of food that was waiting to be served. Continued observation revealed that the staff removed the toy from the plate and served the plate of food to a child in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation during service of the lunch meal revealed that expired milk was poured and served. Surveyor confronted the staff prior to the spoiled milk being consumed and pasteurized whole milk was substituted and served to all children in care; failing to meet the milk requirements for children ages twenty-four (24) months to twelve (12) years of age. Review of DRCC records revealed a statement of deficiency had been issued for failing to meet the milk requirements in 2013. Continued review of DRCC records revealed a plan of correction dated 1/20/14 stating that the director would assure ongoing 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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Infant / Toddler Room revealed canisters of formula. Interview with the staff revealed that parents provide the formula and staff prepare the bottles for the infants in care.

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 Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the lunch meal served revealed corn, fruit cocktail and four (4) chicken nuggets on each plate, failing to include a serving of whole or enriched grain bread.

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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documentation failed to reveal a menu. Interview with staff revealed that a menu had not been prepared, dated, posted in advanced or kept on file for thirty (30) days.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the lunch meal served failed to reveal a bread component that is required. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed two (2) children with the same enrollment date of 6/16/14 failed to have immunization certificates with an expiration date available for review at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of documentation in children’s files revealed a child with the enrollment date of 3/25/14 failed to have authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Further review of documentation revealed a child with the enrollment date of 10/20/14 failed to have contact information for a physician and hospital at the time of the survey.

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 child care center failed to maintain a child care program that assures that each child will be provided with adequate supervision at all times by a qualified staff person who ensures the child is within scope of vision and range of voice. Observation revealed a two-year-old child laying on a mat watching television in a room alone for approximately ten (10) minutes without adult supervision. Interview with staff-in-charge disclosed that they allowed the child to watch television in a separate room from other children napping because the child's mother was a staff member and she apparently said it was okay to do so. Programming

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, and interview, the child care center failed to ensure that the use of electronic viewing was part of the daily planned programming. Observation revealed a two-year-old child being allowed to watch television during nap time. Interview with staff-in-charge disclosed that they allowed the child to watch television in lieu of napping because his mother was a staff member. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Equipment

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, the child care center failed to ensure that cots, equipment and furnishings used for sleeping and napping shall be spaced twelve (12) inches apart to allow free and safe movement by a person. Observation of the two year old classroom revealed approximately nine (9) cots that were positioned immediately next to one another being utilized by children during nap time.

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, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation revealed at approximately 12:15 pm a staff member walked a child to the Boys' Restroom located near the entrance to the center. Continued observation revealed the staff member then returned to multi- purpose area were a second staff member was supervising fifteen children. Further observation revealed at approximately 12:18 pm the staff member escorted a second child to the Boys' Restroom before returning back to the area with the first child. Ongoing observation revealed the second child then returned to the area from the restroom unsupervised. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and interview the child care center failed to comply with the staffing requirements. Observation revealed at approximately 12:15 pm two staff members were supervising sixteen children between the ages of two years old to five years. Further observation revealed a third staff member at approximately 12:25 pm in the Infants/Toddlers room was supervising four infants/toddlers between eight months to twenty two months. Interview with the staff in charge revealed the second staff member assisting with supervising the sixteen children between two years old and five years old was responsible for preparing and serving lunch. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ 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 2. Child Care Services.

General: Based on Observation and interview, the child care center failed to comply with the staffing requirements. Observation and interview revealed at approximately 12:15 pm one staff member was supervising fifteen children between the ages of two years old and five years old. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation revealed a two year old male child was sleeping in a high chair at approximately 12:15 pm. Further observation revealed a staff member gently stroked the child's head to wake him but the child went back to sleep and was allowed to remain there. Programming

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, the child care center failed to comply with regulatory programming requirements. Observation of a sleeping eight month old infant revealed the bedding was not properly tucked and was loose inside the crib.

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, three cups with evidence of having been used to drink milk from were present in the dining area of the center.

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, two unlabeled bottles were present in the Infants' Area of Room #2.

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, only 2% milk was served to each child during lunch time.

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 with the staff in charge, a menu had been prepared but had not been printed off of the computer to be posted.

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, at approximately 11:05 am one staff member was supervising four children in the School Age Area between the ages of five years old to nine years old of Room #1 and six children between the ages of two years old and four years old in the Preschool Area of Room #1. Continued observation revealed the staff member was positioned in an entry way between the two areas. Continued observation of the room at approximately 11:45 am revealed a five year old child in the School Age Area became upset. The child began to verbally express that he wanted to leave the room as the staff member tried to verbally redirect him in a calm tone to remain in the room to assist her. At approximately 11:49 am the five year old child walked to the door and proceeded to open the door to leave the room. Continued observation revealed the staff member left the area that she was standing at which allowed her to visually see both areas to prevent the child from leaving the room. Further observation revealed the six children in the Preschool Area were left unsupervised until approximately 11:51 am. At approximately 11:52 am the five year old child in the School Age area bolted out of the room with the staff member immediately following behind again leaving the six children in the Preschool Area unsupervised. Further observation revealed the staff member stops at the door of the room as the five year child walks into the Men’s restroom but returns back to the room within approximately one minute. Ongoing observation revealed the staff member remained in the School Age Area with the five year old child until an additional staff member arrived at approximately 12:05 pm to assist with supervising.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, at approximately 11:05 am only two staff members were present in the center to supervise thirteen children. Continued observation revealed one staff member was supervising four children between the five years old and nine years old in the School Age Area of Room #1 and six children between the ages of two years old and four years old in the Preschool Area of Room #1. Further observation revealed the other staff member was supervising three children between the ages of three months and one year in the Infants' Area of Room #2. Ongoing observation revealed a third staff member arrived to the center at approximately 12:05 pm to assist the staff member in Room #1.

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, toilet paper was not available in the first stall of the Women's Restroom, Men's Restroom and the toilet area in Room #1 and Room #2. Further observation revealed a strong odor of urine was detected in the Men’s Restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center's abuse reporting procedure required staff members to report all abuse/neglect, whether actually observed or suspected, to the director as soon as possible. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have a current copy of the administrative regulations KAR 922:090, KAR 922:110, and KAR 922:120 which were updated on 11/08/2013.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, one uncovered electrical outlet was present in the School Age Area and in the Preschool Area. Further observation revealed an uncovered electrical outlet was present in the Toddler Area.

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, a complete personnel file that was to include a child abuse and neglect (CAN) check, a criminal records check (CRC), results of a negative TB skin test, a high school diploma or other qualifying education document, and proof of completion of six hours of orientation training for a staff member, identified as a substitute, hired on 10/02/2013 was not available for review at the time of the survey.

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 present for a staff members in the personnel files, a copy of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential was not available for two staff members hired on 10/02/2013 and a staff member hired on 10/28/2013.

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 present for all staff members in the personnel file, a statement from a health professional that the individual is free of active tuberculosis or copy of negative tuberculin results for a staff member hire on 12/23/2013 was not presented for review.

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, there were no qualifying documents submitted for review for a staff member who was hired on 10/02/13 and was identified as a substitute.

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 present for all staff members in the personnel file, proof of completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment was not available for two staff members hired on 10/02/2013. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, children present in the Preschool Room and School Age Room were engaged in free play activities during a majority of the time that the surveyor was present, which was approximately four hours. Continued observation revealed a list of daily activities (lesson plan) posted in the School Age Area but was not being followed as the children were engaged in free play. Further observation revealed a posted list of daily activities (lesson plan) was not posted in the Preschool Room or Infants'/Toddlers’ Room to determine if the free play was part of planned programming.

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, a blanket was wrapped around a sleeping infant and was not properly tucked. Further observation revealed the infant was still wearing his bib while asleep.

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 bottle of hand sanitizer and a bottle of hand lotion was stationed on a desk located in the entry way of the center accessible to the children. Continued observation revealed a tube of hand lotion was located on the floor under a table in the eating area of the center. Further observation revealed a spray bottle was hanging on the side of a play pen located in the Toddlers' Area. Ongoing observation revealed a plunger was located in the first stall of the Women’s restroom.

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, throughout the center several ceiling tiles were present with brown circular stains. Continued observation revealed the paint was chipped down to the surface of the dry wall in the area labeled as "Dramatic Play" and an area that was immediately adjacent to the entry way into the School Age Area of Room #1. Further observation of the two areas in the room revealed the dry wall had small holes that allowed for dry wall material to be exposed.

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 covering over a light fixture in the School Age Area of Room #1 was not securely fastened. Continued observation revealed the light bulbs in one light fixture in Preschool Area of Room #1 was not working properly. Further observation revealed evidence of dead bugs present in the light fixtures in the Infants' Area and Toddlers' Area of Room #2.

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 hole approximately the size of a quarter was in the wall behind the door in the Women's Restroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation present in ten children's enrollment files, a current immunizaton certificate was not available for three children who were enrolled on 10/21/2013 and a child enrolled on 11/21/2013. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the names of the children that participated in the earthquake and tornado drills conducted on 10/30/2013, 11/30/2013 and 12/30/2013 were not documented.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the names of the children that participated in the fire drills conducted on 10/30/2013, 11/30/2013 and 12/30/2013 were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the statement of deficiencies (SOD)/plan of correction (POC) for the initial survey conducted on 10/16/2013 were not posted. Further observation revealed a daily scheduled was not posted in the School Age Area or Preschool Area in Room #1. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a list of daily activities (lesson plan) was not posted in the Preschool Area of Room #1 or the Infants' Area of Room #2.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a fish tank containing fish was located in the Preschool Area of Room #1. Interview with the staff in charge revealed the center had not obtained written permission slips from the parents of the children in the room.

Open Not marked corrected in the state record

Open / not marked corrected.