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

General: Based on interview and review of documentation, on 11/05/25, between 10:30 a.m. and 10:40 a.m., two (2) two-year-old children were observed climbing shelves in the Toddler One Room. The staff member instructed the children to stop climbing. When the behavior continued, the staff member stated she swatted each child on the top of their hands twice, on two (2) separate occasions. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, on 11/05/25, between 10:30 am and 10:40 am, a staff member swatted two (2) children’s hands, therefore the child care center did not follow their own discipline policy. The center policy does not permit the use of corporal punishment as a form of discipline.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff member (DOH: 12/06/22) had TB documentation on file that was no longer valid as of 12/01/24.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation at approximately 10:55 am, the surveyor found twelve (12) children and one (1) staff member present in the Preschool Classroom. The staff member stated that she had six (6) children ages two (2) years old and six (6) children ages three (3) years old. The surveyor informed the staff member that she was over-ratio by two (2) children. She stated that she knew and that she had been over-ratio since 9:44 am. At approximately, 11:10 am, a second staff member entered the classroom to remedy the situation. The staff member in charge stated that there are typically two (2) staff members who work in the Preschool Classroom; however, one of the staff members quit that morning.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the following was found: Preschool #1 Classroom 1) Loose grocery bags on an art shelf. The loose grocery bags were not intended for an activity.

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: Infant #1 Classroom 1) A crack in the ceiling. 2) An exhaust vent plate not secured to the ceiling. Toddler #1 Classroom 1) A section of drywall mud in the corner of the classroom. DPS Classroom 1) Areas of drywall mud.

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 following was found: Toddler #1 Classroom 1) Stains inside the toilet. DPS Classroom 1) Stains inside the toilet. School-Age Classroom 1) Stains inside the toilet. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found excessive grime on the front of the kickplate attached to the bottom of the refrigerator.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation in the two-year-old classroom, the surveyor found a buildup of water scale, grime, and discarded food in the hand-washing sink.

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 in the two-year-old classroom, the surveyor found no single use hand-drying material at the hand-washing sink. At 10:55 am, ten (10) children entered the classroom from the playground to wash their hands; however, they were not able to dry their hands afterwards. 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, the following was found: Gym 1. A large amount of unflushed toilet paper inside of the toilet. Furthermore, the restroom had a strong smell of urine. Two-Year-Old Classroom 1. An excessive amount of yellow and brown stains inside the toilet. 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 13. Toys and Furnishings.

General: Based on observation in the Two-Year Old classroom, at approximately 11:07 am, the children were eating lunch. The surveyor found that the tables and chairs were not a suitable size for the children in care. The children’s feet did not touch the floor, and the table height did not fall between the waist and mid-chest level of the children. 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 Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, Based on interview and record review, the facility reported that on 11/22/23 a child had an allergic reaction. The allergic reaction was caused when the child retrieved a cheese cracker that had been tossed into the trash by a staff member. The child has a diary allergy. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview and review of documentation, on multiple occasions a 1-year-old child was allowed access to foods containing dairy despite having a known, severe dairy allergy. In two (2) instances an ambulance was called and one (1) the ambulance calls resulted in him being admitted to the hospital. The center adjusted the menu by adding soy milk but still allowed foods with dairy in the classroom where the child again ingested the food and had a reaction. The child’s enrollment file completed in July 2023 included information regarding the severe allergy, but the center did not develop a plan for handling the allergy until December 2023. The center staff were also not prepared to use the epi pen provided and called the parent instead of 911 during a time the child was having a severe allergic reaction. Director Requirements In Compliance Employee Records 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.

Based on interview and review of documentation, a 1-year-old child with a severe dairy allergy consumed food containing dairy that he found on the floor of the classroom. On 8/14/23, he ingested the food at 9:20 am. Breakfast clean-up was schedule to be completed at 9:00 am but the floor was not cleaned of all food debris allowing the incident to occur.

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, staff members hired 11/2/2020, and 11/16/2020, had Pediatric Abusive Head Trauma training that exceeded five years; therefore, the training is no longer valid. A review of ECE-TRIS supports 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 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on review of documentation, several staff members who are no longer employed at the facility were listed as active on the KARES portal. Staff members who are no longer employed should be listed as “separated”. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 1/30/2023, did not have proof of educational qualifications in their personnel file. 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 review of documentation, staff member hired 1/30/2023, did not have a negative tuberculin skin result, nor a physician’s statement clearing them of active tuberculosis in their personnel file. Additionally, staff member hired 12/18/2020, had a negative tuberculin skin result that exceeded two years; therefore, it is no longer valid.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 03/17/2022, did not have evidence of CPR/FA training. A review of ECE-TRIS confirmed this finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the corner wall of the Preschool classroom had a strip of chipping paint. Additionally, several crumbs and food debris were found under the window, on the carpet in this classroom. 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 6. Sleeping and Napping Requirements.

General: Based on observation, two of the napping mats used within the Three-to-Five-Year-Old classroom had torn and frayed edges, exposing the interior foam. 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 13. Toys and Furnishings.

General: Based on observation, there was a significant amount of tape residue on a dramatic play shelf within Room 3. The tape residue had started to accumulate dirt and grime. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child enrolled 1/30/2023, had “N/A” listed for the preferred hospital, a specific hospital was not designated. 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, there was no written evidence to indicate that a tornado drill had been practiced in the first quarter of 2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction from the 2022 licensure year was posted for public inspection; however, several pages of the report were missing. Animals Not Applicable

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, this regulatory requirement was not met. In the bathroom of Room #1, there was a plunger stored next to the toilet. This manner of storage is not sanitary and promotes the spread of germs. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two staff did not have proof of education on file. These staff were both substitutes that were hired on 4/20/2021 and 2/07/2022. 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 review of documentation, this regulatory requirement was not met. A staff member hired on 6/15/2021, did not have current negative TB documentation on file. The staff member had a chest X-ray on file that was dated 01/13/2020. Child-care center staff shall provide prior to employment and every two years thereafter: a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results. Programming 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 3. General Requirements.

General: Based on observation, this regulatory requirement was not met. Room #5, the Two-Year-Old Room, contained a staff purse on the floor near a storage cabinet. The purse was within reach of a child; therefore, accessible.

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, this regulatory requirement was not met. Room #1, the Pre-K/School-Age Room, contained a pair of adult scissors (pink handle) located on top of the home living kitchen set. The staff member was located at a table in the front of room doing a coloring activity with a group of 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, this regulatory requirement was not met. Room #3, the School-Age Room, contained tape residue on the inside of the door to the classroom that leads to the hallway. 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. Room #1, the Pre-K/School-Age Room, contained a rug in front of the hand washing sink that was stained and dirty on the surface. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The chest freezer in the kitchen contained an oven thermometer and it did not provide the correct temperature range of numbers on the thermometer for a freezer; therefore, the temperature of the freezer and its contents could not be verified. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A child enrolled on 3/20/2021, did not have a physician’s name or phone number on file. This child’s enrollment paperwork also did not list a preferred hospital. 2. A child enrolled on 5/31/2021, did not have a preferred hospital listed in the file. 3. A child enrolled on 8/06/2020, did not have a physician’s name or phone number on file. This child’s enrollment paperwork also did not list a preferred hospital. 4. A child enrolled on 1/04/2021, did not have a preferred hospital listed in the enrollment paperwork. 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 regulatory requirement was not met. The facility did not have any documented shelter-in-place/lockdown drills. Lockdown drills shall be conducted quarterly and documented. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, this regulatory requirement was not met. A staff member in the School-aged classroom inappropriately handled a child in care. The staff member held a child against the wall, resulting in an injury to the child. The child was taken to Saint Elizabeth and confirmed to have a rib contusion as a result of the staff member’s actions. It is important to note the staff person is no longer employed by the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on record review and interview, this regulatory requirement was not met. The facility reported that on 6/17/21, at approximately 10:15AM, a seven-year-old child was upset, ran out of the school-age classroom, down the hallway, and out the front door of the facility. An interview with staff during the investigation revealed that the child ran across the facility parking lot and into a grassy area between the parking lot and a four-lane highway. Staff identified a black street light positioned beside the highway as the area the child made it to before the staff person was able to stop the child from running. The surveyor measured the distance of the area the child traveled during the investigation. The hallway from the school-age classroom to the double set of front doors is approximately 38 feet. The front porch area of the facility is approximately 25 feet. The parking lot area the child would have crossed over is approximately 40 feet and then the child would have traveled approximately 50 feet to the black pole. The child did not sustain any injuries as a result of the incident; however, was in an un-safe area being so close to a busy road. 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.

Based on record review and interview, this regulatory requirement was not met. The staff person in charge stated during interview that she administered medication to a seven-year- old child daily for several days prior to the child being disenrolled on 6/17/21. The staff person in charge was not able to identify the name of the medication or provide any medication administration records for the child. The staff person in charge stated that the medication permission forms were sent home with the child's parent when the child was disenrolled; the facility did not keep a copy on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, observation and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 6/16/21) was observed working alone with four preschool children during the visit. This staff person had a child abuse/neglect check (CAN) application that had been submitted for processing on 5/26/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a criminal records check (CRC) on file. 2. One staff person (hire date: 6/16/21) was observed working alone with seven preschool children during the visit. This staff person had a CAN check application that had been submitted for processing on 6/8/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a CRC on file. 3. One staff person (hire date: 6/14/21) was observed working alone with 13 school age children during the visit. This staff person had a CAN check application that had been submitted for processing on 6/4/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a CRC on file. The staff person in charge acknowledged this finding and stated that she had contacted a director at a different location to find out how to get background checks done in the KARES system. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, observation and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 6/16/21) was observed working alone with four preschool children during the visit. This staff person had a child abuse/neglect check (CAN) application that had been submitted for processing on 5/26/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a criminal records check (CRC) on file. 2. One staff person (hire date: 6/16/21) was observed working alone with seven preschool children during the visit. This staff person had a CAN check application that had been submitted for processing on 6/8/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a CRC on file. 3. One staff person (hire date: 6/14/21) was observed working alone with 13 school age children during the visit. This staff person had a CAN check application that had been submitted for processing on 6/4/21; however, the results had not yet been obtained. This staff person did not have evidence or results of a CRC on file. The staff person in charge acknowledged this finding and stated that she had contacted a director at a different location to find out how to get background checks done in the KARES system. 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.

Based on record review, one staff person (hire date: 6/16/21) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on record review, one staff person (hire date: 6/16/21) did not have T.B. documentation on file. Programming 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.

Based on observation, this regulated requirement was not met. A tour of the building found two rooms (Room #1 and Room #3) wherein the capacity was exceeded. Room #1 measures to be 562 square feet which gives a maximum capacity of 16 children. However, at the time of the survey the room was accommodating 21 children. Room #3 measures to be 391 square feet which gives a maximum capacity of 11 children. However, at the time of the survey the room was accommodating 13 children. This does not provide a minimum of 35 square feet of space per child. 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.

Based on observation, this regulatory requirement was not met. At 8:35AM, the surveyor toured the Pre-K Classroom and observed a four year old child asleep on top of two soft climbing structures shaped like tree stumps. The child was not provided with a mat or cot. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on observation and interview, this regulatory requirement was not met. The surveyor conducted an investigation on 6/16/2021. During the staff interview and observation of the pick-up procedure, the surveyor found that facility is not allowing parents access to the child-care center during the hours of operation.

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, three children did not have immunization records on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the toddler classroom, the surveyor observed that the roll of toilet paper that the children use in the bathroom area is stored in an unsanitary manner; positioned on the back of the toilet. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found one staff person that did not have the date of employment listed in their file. The staff person in charge reviewed information on her computer and then verbally identified the date - 12/18/20 as the hire date. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff person (hire date: 11/2/20) did not have educational documentation on file. A review of Division of Regulated Child Care files found that this regulatory violation was previously issued on this same staff person as a result of the initial inspection conducted on 11/2/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and the Training Records Information System (TRIS), the following was found: 1. Two staff (hire dates: 11/17/20 and 11/2/20) did not complete the six hours of cabinet-approved training within the first three months of employment. 2. One staff person (hire date: 11/2/20) completed the pediatric abusive head trauma training class on 3/4/14; therefore, this training is no longer valid. 3. One staff person (hire date: 11/2/20) completed the pediatric abusive head trauma training class on 3/23/15; therefore, this training is no longer valid. 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, this regulatory requirement was not met. The following was found: 1. The surveyor observed excessive food crumbs, dirt and debris on the carpet beside the classroom table in the Discovery Preschool Classroom. 2. Ceiling vents and exhaust fans contained an accumulation of dust in three rooms (Discovery Preschool Classroom, Toddler Classroom and the kitchen).

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, an uncovered/unprotected light bulb was found in a ceiling light fixture in the children’s bathroom in the toddler classroom. The plastic cover was missing from the light fixture. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor observed areas of chipped paint on two walls in the Discovery Preschool Classroom. This classroom also contained a piece of baseboard that was in dis-repair. The baseboard had come loose from the wall and was folded backwards.

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, this regulatory requirement was not met. The bathroom in the lower level of the building had a non-functional exhaust fan. There was no other ventilation to the outside air in the bathroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the children's bathroom in the Discovery Preschool Classroom, the surveyor observed a tube of A&D diaper ointment lying on a shelf above the toilet that was not labeled with a child's name. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and observation, this regulatory requirement was not met. During a tour of the facility, the surveyor found that the tri-fold mats that children sleep on during nap time are not two inches thick. A review of Division of Regulated Child Care files found that this regulatory violation was previously issued as a result of the initial inspection conducted on 11/2/20. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. One child that was present at the facility on the day of the inspection did not have enrollment paperwork on file; therefore, none of the required information had been obtained. The staff person in charge stated that the child enrolled on 9/23/20. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The statement of deficiencies and plan of correction from the 11/2/20, initial/change of ownership inspection was not posted. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and the Training Records Information System (TRIS), two staff (hire dates: 11/16/20 and 11/17/20) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). Both staff were observed working in the facility during the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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 bathroom located between the Pre-K Room and Toddler I Room, there was a dried substance on the wall near the toilet paper holder. In a bathroom located downstairs off of the gym, numerous pieces of toilet paper were observed on the floor around the toilet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the facility, the following was found: 1) In the One-Year-Old Room an industrial-type metal, three-hole-punch machine was found sitting on a low shelf and was accessible to the children. 2) In the Discovery Preschool Room, a CD player was observed on a low shelf that contained materials used by the children. The cord to the player was not in a secure position and hung loosely from the outlet making it accessible to the children. 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, there was one staff person (hire date 11/2/2020) who did not have a copy of a high school diploma, GED or other qualifying documentation on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview and review of documentation, there is no one currently certified in infant/child and adult CPR nor first aid from 6:30 a.m.-7:30 a.m. each day and 5:30 p.m. to 6:00 p.m. on Tuesday and Thursday of each week. An interview with the staff person in charge found that the facility is open from 6:30 a.m. to 6:00 p.m. Monday through Friday. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation during a tour of the Discovery Preschool Room, an adult's bag was observed on a low shelf by the filing cabinet. This shelf was in the children's play space making the bag 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 during a tour of the facility, the following was found: 1) In the School-Age Room there was an accumulation of dirt and grime on the walls. Crumbs, candy pieces, dirt and other debris were observed on a navy area rug. Two soiled diapers and a latex glove were observed on the floor in the bathroom located in this same classroom. 2) The walls in the Toddler I Room had areas of chipping and peeling paint and an accumulation of dirt and grime on the surface. 3) The walls in the Pre-K Room had numerous areas covered in dirt, grime and scuffs. 4) In the Preschool Room, the wall by the water fountain and sink had dried food particles on the surface as well as the the pipes leading to the water fountain. The other walls in the classroom had an accumulation of dirt and grime on the surface. 5) The walls in the One-Year-Old Room had an accumulation of dirt and grime on the surface. 6) In the Discovery Preschool Room, dried food particles and dirt and grime were observed on the walls. A piece of the baseboard on the wall where an electrical box is located had come loose from the wall. A hole with wires protruding from the interior was observed on the wall by the electrical box. 7) A large wall vent in the hallway upstairs had an accumulation of dust on the surface. 8) Dried food was observed on the wall behind the trashcan located in the kitchen.

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, toilets located in the One-Year-Old Room and a bathroom located off of the gym area downstairs had an accumulation of dirt around the inside of the toilet bowl. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found during a tour of the facility: 1) Two soiled diapers and a latex glove were observed on the floor of the bathroom located in the School-Age room. 2) In the Preschool Room, a soiled diaper was found in an uncovered trash can located by the sink in the classroom. Soiled diapers are required to be stored in a covered container.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing mat in the Toddler I Room soiled and obtained numerous stains. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the bathroom located in the Preschool Room, a first aid kit was observed stored on the third shelf from the bottom in an open storage cubbie. The bathroom is also shared with the an adjoining classroom. The first aid kit was accessible to the children. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, during a tour of the Infant Room there were seven children and six cribs. An interview with staff in the room found the children present were ages five-months-old to fifteen-months-old. Further interview with staff found that a child who is eleven-months-old sleeps on a mat instead of sleeping in a crib. An infant, who is defined as a child under twelve-months-old is required to sleep in a crib.

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 mats used for napping measure 1 1/2 inches thick. In addition, there were two blue and red nap mats split down the side exposing the foam. The nap mats were observed stored in stacks in the hallway. Mats used for napping are required to be at least two inches thick.

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 facility, the following was found: 1) The plexiglass ends on the cribs in the Infant Room contained dirt, grime and smudges. 2) Shelves and various other storage units were observed in each of the classrooms that had numerous areas of dust, dirt, grime and tape residue embedded with dirt particles. 3) The handwashing sinks located in each room contained cracked, dirty caulking around the edges. 4) The finish on the front of the sink cabinet in the One-Year-Old Room was worn away leaving the surface rough and dull. 5) The front of the refrigerator located in the Infant Room contained dried food particles and spills. 6) The sink in the bathroom located downstairs was stained and dirty. 7) A water fountain located downstairs in the gym area had blue tape wrapped around the drinking spout. An interview with the a staff person who was in the area at the time found that the water fountain does not work properly. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the Infant Room, a ten-month-old infant was observed laying on the floor in a boppy pillow while drinking their bottle. Although the child was able to hold their bottle and drink unassisted, the child was not placed in an appropriate feeding furnishing to drink their bottle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an open gray plastic container that contained a bowl of corn, a bowl of blueberries, a scoop for serving food, Styrofoam plates, a container of milk and pizza wrapped in aluminum foil was observed on the floor by the door of the One-Year-Old Room. The corn and blueberries had plastic wrap covering each container. An interview with the staff person in charge found that the food for each classroom is placed on the floor outside of each classroom to keep the number of adults entering a room to a minimum due to COVID19. However, placing the container on the floor does not protect the contents from contamination. Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation and interview, during a tour of the facility the following was found: 1) Soft-body dolls and doll clothing were observed in the dramatic play area in the School-Age Room and the Pre-K Room. 2) In the Infant Room, three cloth boppy pillows were observed on the floor. A child was observed laying in one of the boppy pillows while drinking from a bottle. An interview with staff found that the pillows are left out on the floor for children to use at any time. Staff stated further that there are covers for each of the pillows that are washed weekly. A rattle with a cloth stuffed animal and a cubed shaped cloth toy were observed on a shelf in the same room. 3) In the One-Year-Old Room, a cloth sack-type object was observed on the floor in an area in front of the diaper changing table. 4) In the Discovery Preschool Room, a stuffed turtle was observed on a shelf beside the filing cabinet. This regulation requires that machine washable toys not be used in classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.