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

General: Based on observation and review of documentation, the Toddler Three (3) classroom had seven (7) children with one (1) staff member. The youngest child was age one (1). The child's file was reviewed for age confirmation. Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the following was found: PreK Two Classroom 1. Water stains on several tiles. There were also several missing tiles. The director indicated that they were being repaired on that day. 2. Multiple missing transition panels missing from the floor. The director indicated they would be secured prior to adding any children to the room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the trash can in the Toddler 1 classroom, which was used for soiled diapers, was not covered at the time of inspection.

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 container of Vaseline on the changing table in the Infant Classroom that was not labeled with a child's name. Outdoor Play Area In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a staff (DOH: 10/23/19) did not have evidence of a current evaluation at the time of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found during inspection: 1) A staff (DOH: 03/06/23) was due to have their TB skin test renewed by 03/18/24, but did not have a renewed test until 02/10/25. 2) A staff (DOH: 04/21/22) was due to have their TB skin test renewed by 03/16/24, but did not have a renewed test until 04/26/24. 3) A staff (DOH: 01/21/22) was due to have their TB skin test renewed by 10/05/24, but did not have a renewed test until 02/05/25. 4) A staff (DOH: 12/13/17) did not have up to date documentation of a negative TB results or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility. The document on file expired on 02/23/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff (DOH: 03/06/23 and 10/23/19) did not have the required fifteen (15) hours of annual training for the year.

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, this regulation was not met. At the time of inspection, the children in the Preschool 3 Classroom, who are ages three (3) and four (4), were sitting at the table waiting on their lunch to be served. The Surveyor witnessed the children sitting at the tables during her initial walk-through of the center at approximately 11:30 am. The Surveyor entered the room again at 12:06 pm and the children were still sitting at the tables. The staff was doing "circle time" activities with the children but they were getting restless. A child got up from the table to go play and the staff redirected him back to the tables. The Surveyor asked the staff if they were waiting on something and the staff replied, "Lunch". The Surveyor asked what time lunch was to be served and the staff replied at 12:30 pm. The Surveyor left the room around 12:16 pm; the children had already been sitting for approximately forty-five (45) minutes and lunch was still fifteen (15) minutes away.

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 sink cabinet in the Infant Classroom, which contained bleach and other cleaning supplies, was not locked and was accessible to children at the time of inspection.

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, there was a chirping smoke detector in the Toddler 1 Classroom; therefore, the smoke detector was in disrepair at the time of inspection.

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 following was found on the day of inspection: Infant Classroom: There were three (3) stained ceiling tiles. Preschool 3 Classroom: There were two (2) stained ceiling tiles. Bathroom: There was a stained ceiling tile. Hallway: There was an area of torn wallpaper.

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 sink in the Toddler 1 classroom was not accessible due to the staff placing toys and furniture on and around the sink.

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 cots in the Infant Classroom were too close at nap time. The Surveyor measured the space in between the cots while in the classroom, and they measured seven (7) inches apart. The staff in the classroom asked if the cots had to be a certain space apart and the Surveyor replied with twelve (12) inches to allow for free movement around them. The staff said she was unaware of this regulation. After the Surveyor left the room, a child ended up leaving and the staff then rearranged the cots.

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, there was a walker being used in the Infant Classroom. Walkers are not safe to use in classrooms because they are free moving and can harm another child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 22 of 33 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 review of documentation, a staff (DOH: 10/23/19) had a professional development plan on file but it was not dated and it could not be determined if it was current.

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, interview, and review of documentation, the child care center failed to maintain state regulations. At the time of survey, the Toddler 1 Classroom was in ratio with six (6) one-year-olds to one (1) adult staff. However, upon reviewing the center diagram it was determined that the square footage of this room only allows for five (5) children. Therefore, the regulation of thirty-five (35) square feet per child was not met. The staff in charge stated she believed the room held seven (7) children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. It was found that one (1) staff (DOH 05/06/24) present the day of inspection was not currently listed as Eligible in KARES. She was listed as "Separated" in KARES at the time of inspection; therefore, her current eligibility could not be determined. The surveyor checked the background checks for this facility in the Kentucky National Background Check Service (KARES) prior to visiting the facility and this staff was not listed as Current Staff. Supervision In Compliance Staffing Requirements In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, upon entering the center at approximately 10 am, the Toddler 2 classroom was in the small Pre-K classroom to the right beside the office watching tv. The room capacity is six (6) according to the diagram. There were sixteen (16) children in the classroom, making the room over capacity by ten (10) children. The children in this classroom were ages two (2) and three (3). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulation was not met. The sink had a very slow stream and did not reach the required temperature. The temperature was measuring 65 degrees. Water temperature should be between 90 and 120 degrees.

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 Future Leaders classroom used to store the children's food was reading forty-two (42) degrees Fahrenheit on the thermometer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this requirement was not met. 1) One (1) staff (DOH 04/05/07) did not have current eligible background check in KARES. The last eligible date was on 09/11/18; therefore, this staff needs to have their fingerprints retaken to determine eligibility. 2) One (1) staff (DOH 10/23/19) did not have current eligible background check in KARES. The last eligible date was on 10/01/18; therefore, this staff needs to have their fingerprints retaken to determine eligibility. 3) One (1) staff (DOH 03/06/23) did not have current eligible background check. The last eligible date was on 09/13/18; therefore, this staff needs to have their fingerprints retaken to determine eligibility. This staff was alone during at the time of inspection. The surveyor checked the background checks for all the staff for this facility in the Kentucky National Background Check Service (KARES) prior to visiting the facility and these staff did not have eligible background checks in KARES. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulation was not met. 1) One (1) staff (DOH 03/06/23) completed PAHT training on 1/4/19; however, did not renew training due 01/04/24. 2) One (1) staff (DOH 10/23/19) completed PAHT training on 3/19/18; however, did not renew training due 03/19/23. 3) One (1) staff (DOH 10/23/19) did not have the required 15 hours of annual training. The ECE-TRIS record confirmed this finding. 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, there was a beeping smoke detector in Building 2; therefore, the smoke detector was in disrepair and needed new batteries.

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 Toddler 2 classroom has a maximum capacity of seventeen (17); however, on the day of inspection, there were eighteen (18) children in the classroom, thus putting the classroom over capacity by one (1) child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulation was not met. Toddler 2 Classroom 1) Nine stained ceiling tiles, 2) Broken floor tiles in the bathroom 3) Chipped paint in the bathroom next to the sink 4) One stained ceiling tile in the bathroom Toddler 1 classroom 1) Two stained ceiling tiles. The Preschool classroom 1) One stained ceiling tile 2) Two holes in the wall of the bathroom. In Building 2, the Future Leaders classroom 1) Four stained ceiling tiles 2) Broken floor tiles in the bathroom. The kitchen 1) The floor had several broken tiles. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the sink in the Future Leaders bathroom was registering fifty-four (54) degrees Fahrenheit on the thermometer. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 9. Records.

General: Based on review of documentation, one (1) child (DOE 09/22/23) did not have preferred hospital listed on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulation was not met. The following documented drills did not have attendance records on the day of inspection: fire drills for May, July, and August, earthquake drills for January and July, tornado drill for August, and the lockdown drills for July and January. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 10/23/2019, only completed nine of the 15 cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. 2. A staff member hired on 12/09/2021, only completed seven and a half of the 15 cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. The ECE-TRIS system was reviewed and confirmed these findings. 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, this regulatory requirement was not met. The following was found: 1. The Toddler I Room contained a section of missing baseboard on the mirrored wall by the door to the room. 2. The bathroom in the Toddler 2 Room contained a stained ceiling tile above the toilet in the corner of the bathroom. 3. Two stained ceiling tiles were observed in the science/sensory area in the Pre-K Room (building #2). One of the ceiling tiles was bulging out. 4. The bathroom in the Pre-K Room (building #2) contained a broken floor vent.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. A section of chipped paint was observed in the Toddler 2 bathroom next to the hand washing sink. 2. A section of drywall was missing in the Toddler 2 bathroom behind the toilet. 3. Two cracked floor tiles were observed in the Pre-K bathroom (building #2) when entering the 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The Toddler I Room contained a toy shelf with a mirror on one side. The side with the mirror contained what appeared to be tape residue on the surface.

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, this regulatory requirement was not met. A smoke detector was heard beeping in the Toddler I Room (building #1) and in the Pre-K Room (building #2). This usually indicates a low battery or a malfunction of the device. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The facility did not have a written orientation policy indicating that the staff will implement the procedures that were taught in the orientation training. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a TikTok video showed a person dressed up as The Grinch going into two (2) different classrooms where young children and adults were present. The Grinch could be seen squatting down, walking towards the children, and touching some of the children. Several of the children could be seen visibly upset, screaming, and trying to get away from The Grinch. There were also words across the video screen that read, "When all the kids ae being bad af". The video lasted approximately forty five (45) seconds.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, there was no documentation made available at the time of survey regarding a Fire Marshal report.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There were two sets of stacked chairs placed on top of a table in the One-Year-Old classroom. Children were playing and walking around the table with the stacked chairs. Storing chairs in this manner is a safety hazard to the children in care. 2.) There was an uncovered, broken electrical outlet with sharp edges in the hallway leading to the classrooms. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff hired on 8/12/19, did not complete Pediatric Abusive Head Trauma Training within the first year of employment. A review of ECE-TRIS confirmed this finding. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an infant was asleep in a crib with a boppy pillow and a blanket. There should be nothing in a crib with an infant other than a clean tight-fitted sheet; and no toys or other items except the infant's pacifier. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There was a stained ceiling tile in the Preschool classroom and Preschool bathroom. 2.) There were four stained ceiling tiles located in the Pre-K classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the refrigerator used to store milk did not have an indicating thermometer; therefore, the temperature of the refrigerator could not be determined. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance 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.

General: Based on observation, it was found during a walkthrough of the facility that the staff member assigned to the toddler classroom was standing outside of the door with her back to the classroom. She could not see six one-year-old children in the classroom. The teacher remained outside of the door for approximately 30 seconds, while the surveyor introduced herself to the staff in charge. The toddler classroom was the first classroom toured and the teacher entered the classroom at the same time of the surveyor. Staffing Requirements In Compliance Premises In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired on 12/30/2020, did not have written documentation of a child abuse and neglect check on file. The staff member was working alone in the three-year-old classroom at the time of the inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There was a small clear plastic bag of nails found in an unlocked sink cabinet drawer in the toddler classroom. The nails were accessible to the children. 2) The smoke detector was beeping in the Pre-K room and in the School-Age building. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired on 12/30/2020, did not have education documentation on file. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the following was found: 1) An infant was found in a crib propped up on a boppy pillow. Staff in the classroom stated that the child did not have a doctor's note requesting she use the boppy pillow. 2) A second infant was found asleep in a crib with a bib secured around the child's neck. 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 were containers of bleach found on a low table near the door leading out to the playground. The bleach was accessible to the 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.

General: Based on observation, the following was found: 1) The bathroom light was not working in the three-year-old bathroom. 2) The protective overhead light covering was missing near the door leading to the playground. 3) The overhead light near the door leading to the playground contained numerous dead bugs.

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, there were 10 children in the infant classroom on the day of the inspection. The maximum license capacity for that classroom is nine children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the following was found: 1) There was a section of baseboard coming unglued in the toddler classroom. 2) There were several ceiling tiles with water stains in the three-year-old classroom. 3) There was a section of baseboard coming unglued in the three-year-old classroom. 4) There were ceiling tiles with water stains found in the Pre-K classroom. 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, there was a face mask, drinking straws, numerous broken pieces of zip ties and cigarette butts found on the playground. 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 11. Toys and Furnishings.

General: Based on observation, a bolt was loose on a piece of yellow playground equipment and was protuding up approximately one inch making it accessible to the children. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the Two's Classroom, the surveyor observed a glue trap used to catch insects and rodents positioned on the floor beside the children's handwashing sink. The glue trap was accessible to the children and posed a safety risk. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. A tour of the infant classroom found that the diaper changing table was positioned approximately 10 - 12 feet from the sink; therefore, was not immediately adjacent.

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, it was found that the toilet paper was not being stored in a proper manner throughout the facility. Some of the toilet paper was on top of the toilet paper holders, but none of the toilet paper was actually on the roll. Storing toilet paper in this way is not sanitary. 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 9. Records.

General: Based on review of documentation, it was found that two staff members did not have evidence of an annual evaluation on file at the facility. 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 review of documentation, the following was found: 1.) One staff member did not complete orientation training within the required timeframe. 2.) One staff member did not complete the required fifteen-hours of training. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There was an unlocked closet in the preschool that contained florscent lightbulbs, tiles, and other various items. 2.) There was a bottle of disinfectant spray and a roll of trash bags in an unlocked drawer of the handwashing sink in the toddler room. 3.) There was a broom and dust pan accessible to the children in the toddler classroom. 4.) There was a toilet brush being stored in a plastic bag on the back of the door knob in the back bathroom of the preschool room. 5.) There was a roll of trash bags being stored in a plastic bin at the front of the preschool classroom. All of these items were accessible to the 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.

General: Based on observation, the following was found: 1.) There was mismatched paint on the wall in the infant room. It was stated by the staff in charge that this area was used as a dry erase area. 2.) There were holes in the wall of the front bathroom in the preschool classroom. It appeared to be holes from where a paper towel rack used to be hung. 3.) There were stained ceiling tiles, as well as a sagging tile that was coming away from the ceiling itself. This was located in the front bathroom of the preschool room. 4.) There were three stained ceiling tiles in the preschool room. 5.) There were stained ceiling tiles in the bathroom of the classroom that was being used by the school-age children on the date of the survey. 6.) There were two stained ceiling tiles in the classroom that was being used by the school-age children on the date of this 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, it was found that there were no paper towels in the bathroom of the school-age building. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation in the toddler room, there was a tear in the diaper changing mat, rendering the mat unable to be properly sanitized. The mat was the changing table that was located on the same wall as the sink. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There was a chirping fire alarm indicating a low battery in the school-age building. 2.) The seats in the van used for transportining children were torn in some areas, leaving the foam on the insides exposed. 3.) There was an old intercom system in the school-age building. One of the speakers for this system was coming out of the wall. It was originally being secured in the wall by orange duct tape. There were no wires exposed. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that one staff member did not have evidence of an annual professional development on file at the facility. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain the confidentiality of a child's record and information concerning the child. An incident between two (2) children occurred at the child care facility on 2/20/19 in the Toddler Room. Based on record review and staff interview, a child took a toy from another child and then the child proceeded to hit child in the face with the toy. The center incident report specifically named both children that were involved in the altercation.

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, it was determined a staff member was currently employed who had a substantiation on her record for risk of harm through DCBS from 2015. The staff member stated she was involved in the case, but was not aware of the substantiation. The staff member stated she believed the substantiation to be only against an ex-boyfriend and not herself. Conversation with DCBS confirmed the substantiation against the staff member. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that six (6) toddler aged (1 year-olds) children were observed to be unsupervised in their classroom while there teacher was down the hall. Several children were observed to be upset and crying. It was also found as this same staff person was trying to get her class together for lunch, one (1) toddler age child was observed to run out of the classroom and into the food storage area, the staff person did not intially know that the child was in the food storage room. Staffing Requirements In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, it was found that a toddler child had her diaper changed during lunch and did not have her hands washed after her diaper change. The child was observed to go back tothe table to eat her food. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the toddler age (1 year olds) children were served a big piece of chicken that was not served in a quantity developmentally appropriate for their age.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no thermometer located in the milk chest refrigerator in the kitchen area. In addition, the small refrigerator used to store milk in the one- year-old room did not contain a thermometer. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children's files contained immunization certificates that were no longer current. The immunizations on file were both dated 12/01/18. Both children had been enrolled in excess of thirty (30) days. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, eight (8) of the ten (10) children's files reviewed did not contain the physician's contact phone number. In addition, one file did not contain the physician's name. 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 posted daily activities schedule in the early two-year-old room was no longer current. The posted schedule was dated 3/04-3/08. Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a turtle was observed in the early two-year-old room. The staff in charge indicated that they did not have written permission from the parents for the children to be in the prescence of the turtle.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the two (2) staff that drive the van that transports the children did not have current driver history records on file. These staff were hired on 8/15/09 and 10/25/10. Programming In Compliance Premises 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 did not have proof of education on file. This staff was hired on 4/20/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff were missing negative TB documentation on file. These two (2) staff were both hired on 9/24/18. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation and review of documentation, neither of the van drivers, nor the van monitor that transports the children, had current CPR and first aid training. In addition, the facility did not have anyone with current CPR and first aid training during the hours of operation. The facility operates from 6:00 AM until 11:00 PM Monday through Friday.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Based on observation and review of documentation, (4) staff did not complete their fifteen (15) hours of cabinet-approved early care and education training during their completed training year. The following was found: 1. Staff hired on 10/23/12 completed 14 hours of training. 2. Staff hired on 8/15/09 completed 5.50 hours of training. 3. Staff hired on 4/01/15 completed 4 hours of training. 4. Staff hired on 10/25/10 completed 4.50 hours of training. In addition, one (1) staff hired on 8/15/09 did not have a current (within the last five years) pediatric abusive head trauma training on file. ECE-TRIS and the staff files were both reviewed.

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.

Based on observation, the following items were unclean or in disrepair: 1. The one-year-old room contained a missing section of baseboard between the area of the room with the tables and the main playroom (below the picture of the elephant on the wall). 2. The early two-year-old room contained two (2) cracked electrical outlet plate covers, one (1) was covered in clear tape, and the other was covered with paper and taped. 3. The early two-year-old room contained tape reside on the wall (in the first area of the room). 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the early two's room and the older two's room both contained areas of chipped paint on the walls. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the three-year-old room contained a refrigerator in the homeliving area that contained a broken plastic handle. Transportation 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. Transportation.

General: Based on review of documentation, the facility did not have written documentation of drills conducted monthly for vehicle evacuation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the 2012 Chevy Express G3500 used to transport the children had a vehicle inpsection that was no longer current. The inspection was dated 2/11/16 and expired 2/11/17. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff person hired 11/6/2017 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years.

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, it was determined in five (5) of the staff files presented for review that the employees did not have fifteen (15) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. It was determined in four (4) of the staff files presented for review that the employees did not have evidence of completing the Pediatric Abusive Head Trauma training within the first year of employment. A review of ECE-TRIS records supports the information found during the survey. 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, a ceiling tile in the School Age room had a brown ring type stain that looked, upon observation, like a water stain. The brown stain covered a large area (approximately one quarter (1/4) to one half (1/2) of the 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the toilet in the PreK Room had not been flushed upon inspection. The toilet had been urinated in and contained toilet paper and feces. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, six (6) out of six (6) crib mattress sheets inpsected were loose fitting and did not fit the mattress appropriately. Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that the facility did not have written evidence of the routes taken by the driver to take children to and from home and school.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, it was found that the fire extinguisher on the vehicle used to transport the children was empty.

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, it was found that several coats were piled together on the cubbies between two (2) of the classrooms, promoting the spread of disease. In the Infant classroom, it was found that an eight-month-old child was being fed while sitting in a highchair. The safety straps of the highchair were not engaged as required. Employee 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 5. Staff Requirements.

General: Based on Review of Documentation, it was found that the files for employees hired on 7-1-08 and 10-17-13 contained the results of TB skin tests that were dated 3-11-15 and 3-12-15. These dates are not within the two (2) year timeframe required by the regulation. 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, it was found that the files and ECE-TRIS records for employees hired on 1-4-12, 9-9-14, 3-26-15, 7-1-08, 11-1-12 and 10-17-13 contained evidence of only 2, 5, 8, 10.5, 2 and 6 hours respectively of annual training being completed during the last completed training year. It was also found that the file and ECE-TRIS record for an employee hired on 3-26-15 did not contain evidence of Pediatric Abusive Head Trauma training being completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that an unlocked drawer in the Younger Preschool classroom contained empty plastic bags and a container of spray disinfectant which bore the label "Keep Out of Reach of Children."

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, it was found that an unlocked drawer in the Younger Preschool classroom contained empty plastic bags. These bags were not being used for a classroom activity. Hygienic Practices In Compliance First Aid/Medication In Compliance 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, it was found that a yellow metal car-shaped climber was located on blacktop. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the eight (8) crib mattresses were all covered with sheets that were very loose. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, it was found that the cots in the Younger Preschool classroom were placed less than twelve (12) inches apart when the children were napping. Some of the cots were less than three (3) inches from the other cots. Transportation 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. Transportation.

General: Based on Review of Documentation, it was found that the last daily inspection of the vehicle used to transport the children was conducted on 1-26-17. The driver of the vehicle stated that children are transported daily. 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, it was found that the refrigerator in the Infant classroom did not contain a thermometer.

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, it was found that the refrigerator in the Infant classroom contained two (2) uncovered bottles and three (3) unlabeled bottles. 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, it was found that one (1) child's file out of ten (10) children's files reviewed did not contain a physician's telephone number. 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 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that the Infant classroom did not have a posted schedule of daily activities. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that upon entry to the facility there were twenty-six (26) three and four-year-old children and two (2) adults in the Pre-K classroom. The classroom was over ratio and maximum group size by two (2) children for approximately five (5) minutes. The staff in the classroom stated that two (2) groups of children had been combined so a teacher could go to the bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that 1) a daily planned program was not posted in the Pre-K classroom or the School Age classroom and the one posted in the Two Year Old classroom was not current; 2) blocks, dramatic play materials and culture materials were not available for the children in the School Age classroom. The teacher for this classroom admitted that after doing their homework the children are allowed to read, play games or color. She stated that most of the other materials were destroyed by the children.

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, it was found that the children in the Pre-K classroom were watching Peppa Pig. The daily schedule did not reflect television time nor was there a schedule of daily activities to demonstrate how the television show was being used as part of the educational programming. 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 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that a schedule of daily activities was not posted in the Pre-K classroom or the School Age classroom. The posted schedule of daily activities in the Two Year Old classroom was dated for the week prior to the investigation.

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 upon the surveyor arrival to the center, seventeen (17) children were observed in the parking lot with one (1) teacher. The staff person in charge stated that two (2) of those children were with a parent who was sitting in a car in the parking lot and that she was thinking about enrolling her children there, and that is why the children were outside. This surveyor later went to the school-age classroom where the same teacher was observed with sixteen (16) children. The staff person in charge stated the one of those children was the child of the parent that had been in the parking lot and she was unsure why she was in the classroom. The children were school age and the youngest child in the group was six-years-old according to the staff person in charge. The parent who was reported to be considering enrolling her children was never observed with the group that contained her children. 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 3. Records.

General: Based on Observation, there was a child in the school-age classroom that was not currently enrolled at the facility and had no information on file. The staff person in charge stated that this child's parent was in the parking lot visiting because she was thinking about enrolling her children there but she was unsure why the child was in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were two (2) uncovered bottles in the infant room's refrigerator.

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, there were two (2) staff who did not have annual staff evaluations. The staff person in charge confirmed that the evaluations were not on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 2/5/16 did not have a criminal records check on file. The staff person in charge stated that she did not work alone with 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, there was a staff person hired 9/14/15 but did not have documentation of being free of TB until 9/24/15. During the exit interview the staff person in charge acknowledged the lapse in time from hire date to TB skin test date.

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 four (4) staff who did not have the required (15) hours of annual training. The ECE-TRIS database was checked and also reflected the same.

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 hot water in the two (2) year olds' bathroom did not work. No water came from the hot side. The staff person in charge stated she would contact the building maintenance people. Also, there was another sink the children could use until it was repaired.

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 child in Ms. Tee's two (2) year old class who had a runny nose. The child's nose needed to be wiped but the staff did not notice or chose not to assist the child.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the transportation records for the children were not available at the time of the survey. The van driver stated that he could not locate the binder with the children's sign on/sign off times.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, there were five (5) staff files that did not include an annual professional development plan. The staff person in charge confirmed the the plans were missing from the files.

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, this regulatory requirement was not met. During a tour of the outdoor playground, the surveyor observed a bag of trash hanging on the chain link fence. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, this regulatory requirement was not met. Upon arrival (12:07PM) the surveyor entered the four (4) year old classroom and observed nine (9) children asleep on mats with no staff person present in the room. The staff person working in an adjacent room (two (2) year old room) identified the staff person assigned to the four (4) year old group as a female staff person and stated that this staff person was taking out the trash. The staff person in charge (co-owner) that was supervising a group of children in the hallway at the time, identified the staff person assigned to the four (4) year old group as a male staff person and stated that he was probably cleaning up the children's lunchroom. A male staff person was observed entering the four (4) year old classroom as the surveyor was exiting. The exact amount of time that children were left unsupervised in the four (4) year old room could not be determined due to the confusion about which staff person was assigned to the group. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 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, this regulatory requirement was not met. At the time of the visit (12:07PM) it was found that staff-to-child ratio requirements were not being maintained in two (2) classrooms. The surveyor entered a two (2) year old classroom and observed one (1) staff person caring for eleven (11) children (two (2) and three (3) year olds). Since the youngest child in the group was a two (2) year old, the minimum staff-to-child ratio would need to be one (1) staff person for ten (10) children. The surveyor entered another classroom and observed one (1) staff person caring for seven (7) children (one (1) and two (2) year olds). Since the youngest child in the group was a one (1) year old, the minimum staff-to-child ratio would need to be one (1) staff person for six (6) children. Director Requirements

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, this regulatory requirement was not met. During a tour of a two (2) year old classroom the surveyor observed three (3) children sleeping on mats. The children did not have any bedding provided to them.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, there was no documentation available for review to verify a daily inspection of the vehicle has been performed and documented from December 2014 to February 2015.

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, it was found that a staff person who had been rehired on 2/23/15 had not had a new application for the results of a criminal records check and child abuse or neglect check submitted and the results placed on file at the facility. This staff person was observed working alone in the infant room at the time of the survey which began at 10:05 a.m. There were five (5) infants present at the time. A review of the staff schedule found that this staff person is schedule to work from 9:00 a.m. - 5:30 p.m. An interview with staff found that this staff person has been working alone in the infant room since she was rehired. In addition at the time of the survey a child was observed in the office with the secretary. An interview with the staff person in charge indicated that the child belongs to a staff person who was present at the time of the survey. The staff person in charge indicated that the child is not enrolled at the facility and is waiting on the grandmother to come and pick him up. This child arrived at the facility at approximately 8:00 a.m. The suveyor arrived at the facility at 10:05 a.m. This child was observed at various time being supervised alone by the facility secretary in the office. There were no results of a child abuse or neglect check on file for the secretary. There was not evidence that the application for the child abuse or neglect check had been submitted. The secertary has a hire date of 9/9/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff person who had been rehired on 2/23/15 had not had a new application for the results of a criminal records check and child abuse or neglect check submitted and the results placed on file at the facility. This staff person was observed working alone in the infant room at the time of the survey which began at 10:05 a.m. There were five (5) infants present at the time. A review of the staff schedule found that this staff person is schedule to work from 9:00 a.m. - 5:30 p.m. An interview with staff found that this staff person has been working alone in the infant room since she was rehired. In addition at the time of the survey a child was observed in the office with the secretary. An interview with the staff person in charge indicated that the child belongs to a staff person who was present at the time of the survey. The staff person in charge indicated that the child is not enrolled at the facility and is waiting on the grandmother to come and pick him up. This child arrived at the facility at approximately 8:00 a.m. The suveyor arrived at the facility at 10:05 a.m. This child was observed at various time being supervised alone by the facility secertary in the office. The child was in the care of the facility. There were no results of a child abuse or neglect check on file for the secretary. There was not evidence that the application for the child abuse or neglect check had been submitted. The secertary has a hire date of 9/9/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff person rehired 2/23/15 who did not have a high school diploma, GED or other qualifying documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were three (3) staff with hire dates of 4/11/08, 3/4/13 and 1/2/14 who did not have the results of a current negative T.B. skin test or a statement from a health professional indicating they are free from the symptoms of T.B. on file at the facility.

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, found seven (7) staff with hire dates of 7/1/07, 7/1/09, 3/27/09, 4/11/08, 3/4/13, 11/15/13, 91/1/13 and 1/2/14 had not completed the required number of training hours for their training year. In addition there was a staff person hired 9/9/14 who was observed supervising a child in the office. There was no documentation to verify this person had completed six (6) hours of orientation training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the van driver did not have a current driver history record through the state transportation agency that issued the driver's license. The driver has a license issued through the state of Ohio. Programming

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, during a tour of the facility a low shelf was observed in the hallway outside of the Toddler I classroom. On the shelf a can of Lysol disinfecting spray was observed sitting on the shelf. The disinfecting spary was accessible to children. The label on the can indicates to Keep out of the Reach of Children. During a tour of the eating area used by the Toddler I room a container of bleach and a small bottle of Lysol liquid cleaner was observed sitting on a low counter within reach of the children. In the unclocked cabinet under the counter a bottle of Fabulose cleaning solution was observed. During a tour of the bathroom located in the four (4) to five (5) year old room a container of disinfectant wipes was observed in a pink container on the floor by the toilet.

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, during a tour of the school age room a water stained ceiling tile was observed. During a tour of the infant room the cover over one (1) of the flourescent ceiling lights was loose.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, during a tour of the younger preschool room the children had left the room to wash their hands for lunch. Howver, the tables the children eat at were covered in toys. The children came in a sat down at the table and began playing with the toys as they waited for their food. The children hands were not washed again after playing with the toys.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during an inspection of the first aid kit located in the facility packets of antibiotic cream, sting relief and Immodium were found. These medications were not labeled for an individual person nor were they in a locked container or area. An inspection of the first aid kit located on the facility van found packets of Immodium that were not labeled for an individual child. The packets of Immodium were not in a locked container and were accessible to the children. 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, during a tour of the outdoor play area there was a small slide sitting on the black top surface. Black top is not an acceptable form of surfacing under equipment used to slide.

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, during a tour of the infant room there were five (5) infants present at the time but there were only four (4) cribs in the room. There was an eight (8) week old child sleeping in a swing. Therefore there were not enough cribs in the room ready and available for the five (5) children who were present. An interview with staff found that the eight (8) week old arrived at approximately 9:45 a.m.

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, during a tour of the school age room there was a white shelf that contained some of the materials used by the children that was unstable and leaning to the side.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, there was no documentation available to verify that monthly emergency evactuation drills are being conducted and documented.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, an inspection of the first aid kit located on the facility van found that there was not any liquid soap, a CPR mouthpiece or a thermometer.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that the last documented time the facility's fifteen (15) passenger van was inspected was 3/2013.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview, it was found that in the mornings beginning at 5:30 a.m. five (5) children ages one (1) to ten (10) years old are picked up and brought to the facility. However, the van driver is the only other adult on the vehicle at the time. The driver indicated that there are some days when there are only four (4) children but at times there can be five (5).

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, during a tour of the area where breakfast and snack items are stored there was a refrigerator used to store items served to the children. The digital thermometer in the refrigerator was not working so it could not be determined that the temperature inside the refrigerator was at forty (40) 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, during a tour of the area where breakfast and snack items are stored there was a freezer attached to the refrigerator used to store items served to the children. The digital thermometer in the freezer was not working so it could not be determined that the temperature inside the freezer was at zero (0) degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 27 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, during at tour of the Toddler II room which consists of children who are one (1) year old four (4) bottles that had various amounts of milk in them were observed sitting on a shelf as well. The children were getting ready to each lunch. A staff person was observed taking the bottles out of the room and then returned quickly with the same bottles that had been filled full again with milk. An interview with the staff person found that the milk in the bottles had been left from breakfast and that she poured the pour the remaining milk out of the bottles and rinsed them out but did not wash them and then refilled them with milk for lunch. During a tour of the younger preschool room the children had left the room to wash their hands for lunch. Howver, the tables the children eat at were covered in toys. The children came in a sat down at the table and began playing with the toys as they waited for their food. The children hands were not washed again after playing with the toys nor were the tables cleaned and sanitized before their food was served.

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, during a tour of the infant room there was one (1) bottle that contained a mixture of formula and cereal sitting on the counter. This bottle did not have a cover. During a tour of the Toddler II room there were four (4) uncovered bottles that contained milk sitting on a shelf.

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 snack menu posted was for the week prior.

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, out of ten (10) children's files reviewed six (6) children's enrollment information did not contain a preferred hospital. In addition there was a child in the office who was being supervised by the facility secretary. An interview with the staff person in charge indicated that the child belongs to a staff person but the child is not enrolled at the facility. They were waiting for the child's grandmother to pick him up. However, the child had been at the facility since 8:00 a.m. that morning and the surveyor arrived at 10:05 a.m. The child was in care of the facility at the time and did not have enrollment information on file at the time of the visit.

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, during a tour of the Toddler II room it was found that there was not a daily schedule of activities that includes the dates and times the activities will be conducted posted.

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, during a tour of the Toddler II room it was found that the proper methods of diapering and hand-washing were not posted at the diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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, mulch had been used to cover black top and then a tall plastic climbing structure had been placed on the mulch covered black top.

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, there was a seatbelt that was not working. An interview with the staff person who drives the van indicated that a child does not ride in the spot where the seat belt is missing.

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, there was one (1) staff person who was rehired on 11/20/13. There was no evidence that the application for the results of a criminal records check had been submitted. There was one (1) staff person hired 8/1/13 who had the results of a criminal records check dated 8/15/13. There was no documentation to verify the application for the results of the criminal records check had been submitted prior to employment or on the date of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were three (3) staff who did not have documentation to verify they had completed fifteen (15) hours of training for the 2012-2013 training year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it wa found that the van driver did not have a current driving record from the Department of Motor Vehicle. Programming

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, there was not a planned program of activities posted in the one (1) year old room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the baseboard on the wall located where the bulletin board is located in the infant room had come loose from the wall.

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, during a tour of the one (1) year old room there were areas of chipping and peeling paint on the wall in the dramatic play area. Chipping and peeling paint was also observed on the wall under the chalkboard. A hole the size of a quarter was also observed on this same wall as well as an area where the dry wall was exposed. During a tour of the preschool room areas of chipping and peeling paint were observed in the wall with the dinosaur stickers, the concrete wall and on the half wall. During a tour of the three (3) year old room there were four (4) stained ceiling tiles as well as chipping and peeling paint on the wall with the calendar. A hole was observed in the wall under an electrical outlet in the dramatic play area, There was chipping and peeling paint on the wall with the cookie jar poster and two (2) holes were observed in the wall where a white shelf is located. During a tour of the two (2) year old room there were five (5) stained ceiling tiles. The walls in the two (2) year old room also had areas of chipping and peeling paint.

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. Transportation.

General: Based on Observation, it was found that there was not any gauze, medical tape, a CPR mouthpiece and a flashlight available for use as part of the first aid supplies. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the last documented pretrip inspection was 2/10/14.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, there are no documented times indicating when school-age children get off the van when they are dropped off at school each morning. It was also found that the times each child gets on the van in the mornings is not being documented each day.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, there was not a thermometer in the refrigerator located 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 9. Food and Meal Requirements.

General: Based on Observation, the menu posted for breakfast and snack was not dated.

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, of ten (10) children's files three (3) of those children did not have written permission for emergency medical care. It was also found that five (5) of those files did not have documentation that listed a preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a daily schedule was not posted in the one (1) year old room.

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, Based on observation the following staff to child ratios were observed during a tour of the facility. There were twelve (12) two (2) to three (3) year olds with one (1) staff person. The staff to child ratio with the youngest child being two (2) years old is one (1) staff person for ten (10) children. The staff to child ratio was over by two (2) children. There was a group of seven (7) one (1) year olds observed with one (1) staff person. The staff to child ratio with the age of the youngest child being one (1) is one (1) staff person for six (6) children. The staff to child ratio was over by one (1) child.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, there was one (1) staff person hired 12/27/12 who did not have the results of a negative T.B. skin test or a statement from a health professional indicating the individual is free from the symptoms of T.B. on file at the facility. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 42 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, there were two (2) staff persons with hire dates of 7/07 and 7/09 who had not completed fifteen (15) training hours for the 2011-2012 training year. There were two (2) additional staff persons with a hire date of 7/08 who had not completed fifteen (15) hours of training for the 2011-2012 training year. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: 3's: Based on Observation, there was not a daily planned program of activities posted in the classroom. 2's: Based on Observation, the posted program of activities was not specific for each day of the week. There was a list of specific activities for the month. However, it was not specified as to when the specific activities would take place in that month. 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff hired 2/13 who did not have a copy of a high school diploma, GED or other qualifying documentation on file. There was an additional staff person hired 12/27/12 who did not have a high school diploma or GED or other qualifying documentation on file at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Infants: Based on Observation, the staff person used a wash cloth to wipe off the changing table after a bleach solution was sprayed. Further interview with the staff person in charge found that the same wash cloth is used to wipe off the changing table after each use.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 11

Infants: Based on Interview, the staff indicated that toys are placed daily in bleach water to soak and are then rinsed off. This procedure does not meet the requirements for the sanitation of toys. First Aid/Medication 244 - First aid supplies 922 KAR 2:120 - Section 7 (3) If a child becomes ill while at the center: (a) The child shall be placed in a supervised area isolated from the rest of the children; (b) The parent shall be contacted immediately; and (c) Arrangements shall be made to remove the child from the child-care center as soon as practicable. 1) Availability In Compliance 2) Storage In Compliance 3) Inventoried In Compliance 4) Sanitized, if reusable In Compliance 5) Maintained in sanitary manner In Compliance 6) Liquid soap In Compliance 7) Adhesive bandages In Compliance 8) Sterile gauze In Compliance 9) Medical tape In Compliance 10) Scissors In Compliance 11) Thermometer In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 42 Web site: http://chfs.ky.gov/ Inspection Report 12) Flashlight In Compliance 13) Cold pack In Compliance 14) First aid book In Compliance 15) Disposibale gloves In Compliance 16) Cardiopulmonary resuscitation mouthpiece protector In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

3's: Based on Interview, the staff person indicated that the children do not use the same cot each day. The staff person stated that the cots are santized on Fridays and not each day.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, there was one (1) child enrolled 2/3/11 who did not have a current immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 2

4's Classroom: Based on Observation, Upon arrival the surveyor toured the facility and found one (1) staff person caring for sixteen (16) children (four (4) - five (5) year olds) in the children's bathroom; therefore, staff-to-child ratios were not in compliance. Infants: Based on Observation, upon arrival the surveyor toured the facility and found two (2) staff caring for eleven (11) children in this classroom; therefore, staff-to-child ratios and group size were not in compliance. Director Requirements 110 - Regulatory Compliance 922 KAR 2:110 - Section 4 (1) (d) Ensure compliance with 922 KAR 2:090, 922 KAR 2:120, and this administrative regulation; 2) 922 KAR 2:110 In Compliance Children's Records 96 - Enrollment Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for 5 years: (1) Sufficient records to: (a) Identify each child enrolled in the child-care center; and (b) Enable the person in charge to contact each child's: 1. Parent at: a. Home; or b. Place of employment; and 2. Family physician; and (c) Identify the name of each person designated in writing by the parent to pick up the child; 1) Identification Information Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit. 2) Parent Contact Information Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility, including parent contact information. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit. 3) Physician Contact Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility, including physician contact informaton. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit. 4) Designated Pick-up Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility, including designated pick-up information. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit. 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 97 - Emergency/Medical Information 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (2) Each child's medical history, along with authorization for emergency medical care, signed by the parent and left with the child-care center director at the time of enrollment; 1) Medical History Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility, including medical history information. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit. 2) Emergency Authorization Not In Compliance Findings: General: Based on Interview, one (1) child did not have any identifying information on file at the facility, including emergency authorization information. The staff person in charge stated that the child was only present at the facility two (2) days (2/1/13 and 2/5/13). The staff person in charge stated that child had the required paperwork on file; however, was not able to locate it during the visit.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 2

Infant Group Two: Based on Observation, there were eight (8) infants with one (1) staff person. The staff person in charge stated that the other staff person assigned to the group was on a thirty (30) minute break.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, it was found that one (1) staff hired on 6/09/11 did not have written evidence of being free from active tuberculosis. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on Review of Documentation, it was found that one (1) staff did not have an orientation certificate on file. This staff member was hired on 11/01/11. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was found that one (1) staff hired on 3/27/09 had eight (8) hours of training on file for the current training year. Another staff that is a substitute that was hired on 10/01/09 did not have any training hours on file. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: 2 Year-old Room: Based on Observation, it was found that no lesson plan was posted in this classroom. The staff in charge located the lesson plan in a binder and posted the plan during the relicensure survey. 4-5 Year-old Room: Based on Observation, it was found that the lesson plan was not posted in this classroom. 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on Review of Documentation, it was found that two (2) staff had evaluations dated 2010 on file (hire dates of 4/11/08 and 3/27/09) and two (2) other staff did not have evaluations on file (hire dates of 6/01/09 and 10/01/09).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, it was found that two (2) staff had professional development plans that were dated 2010 (hire dates 4/11/08 and 6/01/09). One (1) other staff did not have a professional development plan on file (hire date 3/27/09). 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 4) Current State other than KY Not In Compliance Findings: General: Based on Review of Documentation, it was found that one (1) staff hired on 10/01/11 had listed living in Ohio on the CAN check and an out of state background check was not on file for this staff member.

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, it was found that one (1) staff hired on 6/09/11 did not have written documentation of a high school diploma, GED, or Commonwealth Child Care Credential on file. The staff in charge indicated that this particular staff member indicated that she did take the GED and was planning on turning in documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

Infant Room: Based on Observation, it was found that a two (2) month-old was sleeping in his crib on his stomach with a blanket covering his body. The staff in charge indicated that it was the parent's preference to place the child to sleep on his stomach. The staff must follow the most current policy of the American Academy of Pediatrics when placing a child to sleep, which is putting a child to sleep on his or her back. In addition, another child that was two (2) months-old was sleeping in his crib with his coat on, his hood on his head, a bib over the coat, a blanket over his body, and a pacifier in his mouth.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 2

Three and Four Year Old Room: Based on Observation, there were twelve (12) children in this group with one (1) staff person. The youngest child in the group was two (2) years old. Therefore, the group exceeded the acceptable staff to child ratio by two (2) children. Infant Room: Based on Observation, there were fourteen (14) children and three (3) staff in this group. Therefore, the group exceeded maximum group size by four (4) children. The staff stated that the group is usually divided into two (2) seperate groups. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, a child enrolled on 6/23/11 had an immunization certificate that was valid until 11/30/11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.