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

A PLAN OF CORRECTION WAS DUE ON 01/05/2026 AND AS OF 01/09/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of the Early Care and Education Training Records Information System, (ECE-TRIS) two (2) staff (DOH: 09/23/24 and 09/16/24) did not complete first aid/CPR training within the first ninety (90) days of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the landscape fabric was raised above the mulch at the bottom of the sliding board, creating a tripping hazard on the three (3) and four (4) year old big playground in the back of the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center did not have a shaded area for the front one (1) and two (2) year old playground. Equipment 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 interviews with multiple sources, the health, safety, and comfort of children was compromised when the air conditioning in some classrooms was not working. Due to the heat in the Young 1's, Older 1's, and Older 2's classrooms, there were children who were hot, evidenced by them being fussy, crying, having flushed faces, and sweating. Premises In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the back door of the child care center did not close appropriately. Daylight from outside could be seen around the door casing. Cold air from outside could be felt coming into the child care center from around the door casing.

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: Observation of the Young Three's classroom revealed that one (1) electrical outlet near the refrigerator and one (1) electrical outlet near the dramatic play area were not covered. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, education credentials for a staff member (DOH 10/08/24) were not presented for review upon request. 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

Open / not marked corrected.

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

General: Based on observation, a bottle of disinfectant cleaner was stored on the edge of the changing table in the Young Three's classroom where it 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 ceiling-mounted vent cover within the Young Two's restroom contained an accumulation of dust.

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: Older Two's Room: 1) The wall to the right of the door contained a sizeable section of peeling paint. Infant Room: 1) One electrical outlet plate cover was not installed flush with the wall, creating a gap. The aforementioned electrical plate was installed in close proximity to the floor and a mobile infant was observed moving around the room. PreK Room: 1) One ceiling tile near the rear of the room was cracked and several of the surrounding ceiling tiles contained brown spots, indicative of water damage. Young Three's Room: 1) The doorway threshold contained sections of peeling paint. 2) A portion of the baseboard was missing from the lower portion of the wall, exposing damaged drywall and peeling paint. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a tube of Aquaphor healing ointment was stored near the restroom sink in the Young Two's classroom, where it was accessible to the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the lower portion of the interior of the refrigerator within the Older Two's Room was soiled with a sticky substance.

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, a Dr. Brown's infant bottle within the Waddler's room refrigerator was not covered. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper method for diapering was not posted near the changing area within the Young Three's classroom. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, there were twenty-six (26) children in the Pre-K room downstairs during the walkthrough on 08/26/24. Review of DRCC documentation revealed the Pre-K room measures to allow for 35 square feet of space per child for 25 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 interview and review of documentation, it was reported a child received a laceration from falling into the corner of a wall. Photos of the corner showed there were areas where exposed metal was visible.

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 interview and review of documentation, on 04/08/24, a two-year-old child was left unsupervised from 9:50 am to 10:06 am, when the class was returning from the playground. The child was found inside the child care center by a staff member and returned to her/his classroom to be supervised. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Upon request, verification that three (3) staff members (DOH: 09/22/22, 10/17/22, and 01/03/23) completed fifteen (15) hours of cabinet approved early care and education training from July 1, 2022, to June 30, 2023, was not presented for review. Review of an ECE TRIS report dated 3/4/2024, did not verify that the training had been completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, there were no protected services under the swing set and at the bottom of the slide. Additionally, the landscape fabric was exposed and ripped in areas, causing a potential tripping hazard. Equipment In Compliance 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, the file for a child (DOE: 12/8/23) had an immunization certificate that expired on 2/23/24. The staff member in charge acknowledged the deficiency. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on interview, it was reported that a staff member did not change diapers as needed within the Two-year-old classroom. Reports indicate that children would be left in soiled diapers for approximately six to eight (6-8) hours. The staff member responsible for the group indicated that there was not sufficient training regarding diaper changes. It is important to note that the staff member is no longer employed at the facility and that no further concerns regarding diaper changes have been presented.

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 interviews from multiple sources it was revealed that a staff member left a classroom (one/two's room) of sleeping children unsupervised for an unknown amount of time. 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 interviews with multiple sources, it was revealed that a staff member has been required to work while they were sick.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff’s (DOH: 07/06/22) file did not contain documentation of fingerprints for background checks submitted through the Kentucky National Background Check Service prior to being hired. Based on review of the Kentucky National Background Check Service, the staff member did have fingerprints taken on 08/16/22; therefore, the staff person was hired prior to clearance for employment. The surveyor reviewed the Kentucky National Background Check Service applicant history report and saw that the staff person had only had fingerprints taken on 08/16/22. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet in the downstairs girls' restroom; therefore, the toilet was not kept in good condition. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices 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 surveyor found the following: 1. In the Twos Classroom restroom, there was one (1) plunger beside the toilet. 2. In the Older Three's Classroom, there were approximately three (3) plastic bags located on the window sill. 3. In the downstairs girls' restroom, there was one (1) bottle of Antibacterial Soap labeled "Keep Out of Reach of Children" located on the sink. 4. In the Young Two's Classroom, there was a cabinet with a broken child safety lock. Inside the cabinet there was a roll of white trash bags and a roll of duct tape. Each of the items listed was accessible to children and compromised the health, safety and comfort of the children. 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, the surveyor found the following: 1. A staff’s (DOH: 08/17/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. During interview, staff-in-charge stated that the staff person had recently moved and could not find her proof of education. 2. A staff’s (DOH: 08/29/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 3. A staff’s (DOH: 06/12/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. During interview, staff-in-charge stated that the previous owner did not inform the staff person that it was required. 4. A staff’s (DOH: 08/12/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 06/12/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge stated that the previous owner did not inform the staff person that it was required. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the Older Three's Classroom, there was one (1) brown and black purse and one (1) Natural Life bag that contained a prescription bottle of Ondansetron that was located on the window sill; the purse and bag were observed to be accessible to children. During interview, staff-in-charge stated that those items belonged to a staff (DOH:08/12/22) person and that the medication was for her nausea. Staff-in-charge stated that the items had been moved to a locked area. 2. In the Young Three's Classroom, there was a tan and pink purse located on the counter beside the microwave. During interview, staff-in-charge was not sure if the purse belonged to a staff person. 3. In the Young Two's Classroom, there was a four (4) tier shelf that was approximately three feet and five inches (3'5") located behind the classroom door that contained the following: (a) On the second second shelf there was one (1) tube of Desitin Diaper Rash Cream and one (1) tube of Aquaphor Diaper Rash Cream; and (b) Located on the top shelf was one (1) spray bottle of Spic & Span Cleaner, two (2) bottles of Febreze, one (1) tube of disinfecting wipes and one (1) spray bottle of All Purpose Cleaner. The labels for each of the items mentioned stated, "Keep Out of Reach of Children." The surveyor observed each of the items mentioned to be within reach of children. During interview, staff-in-charge stated that those items are usually kept in a locked cabinet and must have been moved. 4. In the Young Two's Classroom, there was a brown cabinet with a broken child safety lock. Inside the cabinet there was one (1) spray bottle of Lysol Disinfecting Spray and the label stated, "Keep Out of Reach of Children." The surveyor observed the item to be within reach of 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 surveyor found in the Checker Board Classroom that there was a missing ceiling tile, exposing the duct work for the air conditioning; therefore, the ceiling was not kept in good condition.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found on the Infant/Toddler playground two (2) water tables that had standing water and did not have a cover; therefore, the standing water was accessible to children. During interview, staff-in-charge stated that the children had not been on the playground to play and that the water tables were full of rain water due to the recent rain.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Food and dirt were located on the diaper changing table underneath the diaper changing pad in the Older Infants Classroom; therefore, the diaper changing surface was not kept clean. 2. Dirt was found on the diaper changing table underneath the diaper changing pad in the Ones Classroom; therefore, the diaper changing surface was not kept clean. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the grass on the Infant/Toddler playground to be overgrown; therefore the playground was not kept in good condition. During interview, the staff-in-charge stated that the infant and toddlers have not been on the playground due to the overgrowth of the grass.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. On the smaller playground, the surveyor observed four (4) small slides that were in a grassy area; therefore, the slides were not on a protective surface and did not have an adequate fall zone that was equal to the height of the equipment. 2. On the larger playground, the surveyor observed one (1) large slide that was in a grassy area; therefore, the slide was not on a protective surface and did not have an adequate fall zone that was equal to the height of the equipment. 3. On the Infant/Toddler playground, the surveyor observed one (1) pink slide that was in a grassy area with a depletion of wood chips; therefore, the slide was not on a protective surface and did not have an adequate fall zone that was equal to the height of the equipment. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the surveyor found that the child-care center did not participate in a tornado, earthquake or lockdown drill from April 2021 - June 2022. During interview, staff-in-charge stated that the time period listed was when the new owners took over the child-care center and it must have been overlooked. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.