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

General: Based on review of documentation of the child-care center's KARES report, the surveyor discovered the following: 1. A staff member's (DOH: 03/27/2007) background check was eligible-expired on the KARES report. 2. A staff member's (DOH: 03/28/2007) background check was showing eligible-expired on the KARES report. The staff-in-charge reported that she would have the staff members complete an updated background check.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/20/2025 AND AS OF 07/07/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor witnessed a staff member (DOH: 03/27/07) working alone with thirteen (13) children for approximately three (3) minutes. The age of the children were three-years-old to five-years-old. The staff member's (DOH: 03/27/2007) background check was eligible-expired in KARES.

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 ECE-TRIS, the surveyor discovered the following: 1. A staff member (DOH: 03/27/07) completed the required one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma (PAHT) training on 10/09/18; therefore, the PAHT training was not completed every five (5) years. 2. A staff member (DOH: 03/27/07) completed zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23- 06/30/24. 3. A staff member (DOH: 03/27/07) completed three (3) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23- 06/30/24. 4. A staff member (DOH: 03/28/07) completed one and one-half (1 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23-06/30/24.

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 surveyor discovered the following: Preschool: 1. There was a brown substance on one (1) of the ceiling tiles. One-Year-Old Classroom: 1. There was a ceiling tile that appeared to be falling; therefore, the ceiling tile was in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found the following: 1. A staff member’s (DOH: 03/27/07) determination status in KARES was Eligible-Expired. The staff member was observed working with children in the Two Year Olds Classroom. 2. A staff member (DOH: 03/27/07) was listed two (2) times on the KARES report. The staff member’s determination status in KARES was listed as both Eligible-Expired and as Closed-Fingerprints not taken. The staff member was observed working with children in the Two Year Olds Classroom. 3. A staff member (DOH: 03/27/07) was listed two (2) times on the KARES report. The staff member’s determination status in KARES was listed as both Eligible-Expired and as Closed-Fingerprints not taken. 4. A staff member’s (DOH: 03/28/07) determination status in KARES was Eligible-Expired. Staff reported the background checks were not updated or completed due to the child-care center being short staffed. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the minimum staff-to-child ratios were not maintained from 11:41 am-11:50 am when one (1) staff member was observed providing care for fourteen (14) children in the Two Year Olds Classroom. Staff member confirmed through interview that the children in the classroom ranged in age between twenty-four-months-old to five-years-old. The classroom exceeded the staff-to- child ratio by four (4) children. Staff reported an additional staff member would added to the classroom to provide care for the children. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the surveyor found two (2) staff members (DOH: 03/27/07 and DOH: 03/27/07) working alone with fourteen (14) children in the Two Year Olds Classroom. One (1) staff member’s (DOH: 03/27/07) determination status in KARES was Eligible-Expired. The second staff member (DOH: 03/27/07) was listed two (2) times on the KARES report. The staff member’s determination status in KARES was listed as both Eligible-Expired and as Closed-Fingerprints not taken. During interview, staff member confirmed the ages of the children were two-years-old to five-years-old. Staff member reported the staff’s background checks would be updated. 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, the surveyor found the following: 1. A staff member’s (DOH: 03/27/07) file had a copy of negative tuberculin result dated 04/21/21. 2. A staff member’s (DOH: 03/27/07) file a copy of negative tuberculin results dated 04/22/21. Staff reported updated TB skin test would be obtained for the staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found a staff member (DOH: 03/28/07) completed the nine (9) hours of cabinet-approved pediatric abusive head trauma training on 10/09/18; therefore, the staff member did not complete the training every five (5) years as required. Staff member reported the training would be 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 4. Premises Requirements.

General: Based on observation and interview, the surveyor found the child-care center’s lighting was dim. The surveyor required a flashlight to read the wall postings in the Two Year Olds Classroom and the Preschool Classroom; therefore, the classrooms were not well lit. Staff member reported one light bulb needed to be replaced and the owners would be notified of the need for more lighting.

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 surveyor found holes in the floor tile in the Two Year Olds Classroom. Staff reported the holes in the floor would be fixed. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found a pole on top of the fence was detached and hanging downward; therefore, the fence was not in good repair. Staff reported the fence would be fixed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found a pink playhouse on the playground had a broken door frame exposing areas of sharp plastic. Staff reported the playhouse would be removed. 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 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. One (1) unsecured black cord coming down the wall from a white wall shelf in the Diaper Changing Room. 2. Two (2) unsecured cords coming down the side of a brown shelf in the Diaper Changing Room. 3. Two (2) bottles of Softsoap placed on the sink in the restroom located by the Preschool Classroom that stated, “Keep Out of the Reach of Children,” on the labels. The items mentioned were observed to be accessible to the children; therefore, the health, safety, and comfort of the children was compromised. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 03/27/07) obtained eleven and one-half (11 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 03/28/07) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A brown residue on the sink countertop behind the faucet in the restroom located by the One Year Old Classroom and Two Year Old Classroom; therefore, the sink countertop was not kept clean. 2. The faucet in the restroom located by the One Year Old Classroom and Two Year Old Classroom contained what appeared to be corrosion and was peeling in areas; therefore, the faucet was not kept in good repair. 3. A brown residue on the sink countertop behind the faucet in the restroom located by the Preschool Classroom; therefore, the sink countertop was not kept clean.

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 what appeared to be wall paper on the wall next to the sink in the restroom located by the Preschool Classroom that was peeling in one (1) area; therefore, the wall was not smooth or in good repair. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found an unlocked drawer under the diaper changing pad in the restroom located by the Preschool Classroom that contained a tube of Boudreaux's Butt Paste. The label on the tube stated, "Keep Out of the Reach of Children." The item mentioned was observed to be accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation of the playground, the surveyor found the following one (1) top fence pole on part of the fence roll was observed to be attached at the top of the fence with what appeared to be chain link. The end of the pole contained an exposed hole with a sharp inside edge. Therefore, the playground was not safe from foreseeable hazards.

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 of the playground, the surveyor found that the protective surface was depleted on the inside of the open area of a small climbing structure exposing the plastic liner underneath; therefore, the, climbing structure did not have an adequate fall zone. 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 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 the following: 1. A child’s (DOE: 04/20/21) file did not contain the name of each person who is designated in writing to pick-up the child. 2. A child’s (DOE: 04/20/21) file did not contain information regarding the child’s general health status and medical history. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 5. Evacuation Plan.

General: Based on review of documentation, the surveyor found that the Emergency Preparedness Plan was not signed/dated; therefore, the surveyor was unable to verify that the plan was updated annually. During interview, staff-in-charge stated that the plan was probably not submitted to local emergency management. 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor discovered the following: 1. A staff’s personnel file (DOH: 3/27/07) contained a negative tuberculin result that was no longer current after 11/9/18. 2. A staff’s personnel file (DOH: 3/28/07) did not contain documentation confirming that the employee is free of active tuberculosis or a copy of a negative tuberculin result. Therefore, the child-care center failed to show proof that the employees were free of active tuberculosis or have a copy of a negative tuberculin result. Staff stated they will obtain the TB documentation for the employees as soon as possible. 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 surveyor discovered that none of the staff with the child care center had current certification in CPR/First Aid. During interview, staff stated that she was aware of this and that the certification has been scheduled. The child care center failed to ensure that at least one (1) person was on duty and present with cabinet-approved infant/child CPR/First Aid certification.

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 review of documentation, the surveyor discovered: 1. The personnel file of a staff (DOH:3/27/07) did not contain verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon review of ECE-TRIS, for the timeframe of 7/1/20 thru 6/30/21, the surveyor discovered that the staff completed one (1) of the required fifteen (15) hours of cabinet-approved early care and education training. 2. The personnel file of a staff (DOH:3/27/07) did not contain verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon review of ECE-TRIS, for the timeframe of 7/1/20 thru 6/30/21, the surveyor discovered that the staff had not completed any of the required fifteen (15) hours of cabinet-approved early care and education training. 3. The personnel file of a staff (DOH:3/28/07) did not contain verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon review of ECE-TRIS, for the timeframe of 7/1/20 thru 6/30/21, the surveyor discovered that the staff completed eleven and one-half (11 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training. 4. The personnel file of a staff (DOH:3/28/07) did not contain verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon review of ECE-TRIS, for the timeframe of 7/1/20 thru 6/30/21, the surveyor discovered that the staff completed fourteen and one half (14 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training. Staff stated she thought that all staff had completed the required training hours; however, it was discovered during interview that the staff were using the previous regulation of counting training hours from hire date to hire date instead of 7/1 through 6/30. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, during a tour of the restroom located beside of the Two Year Old Classroom, the surveyor found a tear in the vinyl covering of the diaper changing pad; therefore, the diaper changing pad was not free of damage. Staff stated that the children in the adjacent classrooms are toilet trained and have not used recently used the diaper changing table. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment In Compliance Transportation Not Applicable 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 review of documentation, the surveyor was unable to locate a food service permit for 2021; therefore, the surveyor was unable to determine if the child-care center had a current food service permit. Staff stated that they had a 2021 food service permit; however, staff was unable to locate the permit for the surveyor to review. Staff stated that it may have accidently been thrown away.

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 kitchen, the surveyor discovered that the thermometer in the refrigerator's freezer indicated a temperature reading of twenty (20) degrees Fahrenheit; therefore, the frozen food was not kept at a temperature of zero (0) degrees Fahrenheit or below as required. Staff stated she would adjust the temperature of the freezer. 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

Category: nutrition. 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 Emergency Preparedness Plan was not dated; therefore, the surveyor was unable to verify that the plan had been reviewed or revised within the past year. Staff could not confirm whether the Emergency Preparedness Plan had been reviewed or submitted to local emergency management. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation of a KICCS history note, the surveyor learned that the center would be opening on 4/5/2021. On 04/12/21, the surveyor attempted to conduct a renewal survey; however, the center was closed when the surveyor arrived. The surveyor call the center and left a message to ask for a return call. During interview with staff, the staff reported that she could not remember if she put an opening date in the email to DRCC; however, the center would be opening on 4/19/2021. Based on review of documentation of the email sent to DRCC on 03/23/21, the director informed DRCC that the center would be re-opening on 04/05/21. Therefore, the center failed to provide written notification of a change in hours of operation. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the playground, the surveyor found that several wooden boards on a large climbing/slide structure were warped and loose. During interview, the director stated she was aware of the boards and she plans on having those fixed as soon as possible. Transportation Not Applicable Food Service/Food Program In Compliance 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the child care center’s thermometer located in the freezer indicated that the temperature was twenty (20) degrees Fahrenheit; therefore, the frozen food was not kept at a temperature of zero (0) or below on the date of the surveyor’s inspection. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, the file presented for surveyor review the Emergency Preparedness Plan did not contain the following: 1. The designated relocation site did not include an evacuation route. 2. Instructions relating to the training of staff or reassignment of staff duties. 3. Verification that the plan had been coordinated with the local emergency management officials. 4. A program to ensure that appropriate staff is familiar with the plan’s components. 5. The Emergency Preparedness Plan was not dated; therefore, the surveyor was unable to verify that it had been reviewed or revised within the past year. Posted Documentation In Compliance Animals 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 of ECE-TRIS and staff files, the following was found: 1) A staff member with DOH: 3/27/07 completed two (2) of the required fifteen (15) hours of annual training for the training year 3/27/16 to 3/26/17. 2) A second staff member with DOH: 3/27/07 completed two (2) of the required fifteen (15) hours of annual training for the training year 3/27/16 to 3/26/17. 3) A third staff member with DOH: 3/27/07 completed two (2) of the required fifteen (15) hours of annual training for the training year 3/27/16 to 3/26/17. 4) A staff member with DOH: 3/28/07 completed two (2) of the required fifteen (15) hours of annual training for the training year of 3/28/16 to 3/27/17. 5) A staff member with DOH: 8/1/09 completed two (2) of the required fifteen (15) hours of annual training for the training year of 8/1/16 to 7/31/17. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following things were found: 1) The children in the one-year-old classroom were not prompted or assisted in washing their hands before being served lunch; instead, the staff member used a baby wipe to wipe off the children's hands. 2) The children in the one-year-old classroom were not prompted or assisted in washing their hands after they ate lunch; instead, they went to the library area to look at books before laying down on their mats for nap time. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center's refrigerator only contained whole and 2% milk. Based on interview, the director stated that children ages two (2) and older are served 2% milk. The director further stated that the children will not drink 1% or skim milk. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that one (1) five-month old infant was left sleeping in a swing inside the Infant Classroom without proper supervision. When the surveyor entered the center a five-month old infant was observed sleeping in a swing in the Infant Classroom alone and without supervision. The surveyor observed a staff member to come from the back area of the center or Two's Classroom carrying another infant and a bouncy seat. Upon interview, the staff member reported that she had taken the other two (2) infant children to the Two's Classroom so that she and the children could participate in circle time and left the one (1) five-month old infant alone in the Infant Classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor observed one (1) staff member (DOH: 03/27/17) alone in the Two's Classroom with thirteen (13) children ranging in age from two-years-old to four-years-old. The staff person was the only staff member present in the Two's Classroom with the thirteen (13) children from 11:22 p.m. to 11:38 p.m. while the other two (2) available staff members were in the kitchen and Pre-school Classroom preparing lunch. Upon interview, staff reported that they had previously been told that because the classrooms are divided by low walls and the staff in the Pre-school Classroom can still see and hear the staff and children in the Two's Classroom that this arrangement was okay. Staff could not identify who told them that it was okay. General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the surveyor observed a five-month-old infant sleeping in a swing. Upon interview, staff stated that the infant's mother had requested that the infant be permitted to sleep in the swing. However, staff stated that the infant's health professional had not signed a waiver stating the infant required an alternate sleeping position. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1. There was one (1) black hair brush in the green caddy located in the art center in the Pre-school Classroom. Staff stated they were not sure where the hair brush came from or why it was there. 2. There was one (1) safety pin in a black pen/pencil holder located on the dest next to the center's entry door in the Pre-school classroom. The surveyor observed a child place a marker in the black pen/pencil holder; therefore, the safety pin was accessible to the chidren. Staff stated they were unsure as to why the safety pin was in the pen/pencil holder. 3. There was a vaccum cleaner next to the center's back exit door in the Two's Classroom. The vaccum cleaner was accessible to the children. Staff reported the vaccum must have been left out after it was last used. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the surveyor observed multiple large brown water stains on the ceiling tile in the changing room located off of the Infant Classroom. Staff stated that they were not were not aware of there being a leak but could have it checked.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, and interview, the surveyor found a puddle of liquid next to the toilet in the boys stall located in the restroom off of the Two's Classroom. Staff reported the toilet had not been leaking and that a child must have had an accident. Staff stated the restrooms are checked for cleanliness periodically throughout the day. 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 and interview, the surveyor found that the first aid kit which was stored on the lower shelf next to the children's cubbies in the Pre-school Classroom, contained two (2) small bottles of Eye Wash. The labeling on both bottles of Eye Wash stated that it should be kept out of the reach of children. The first aid kit was not locked and was stored in a location where it was accessible to the children. Staff stated they were not aware that the Eye Wash could not be accessible to the children. 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 observation and interview, the surveyor found that the sheet located on the crib in the corner of the Infant Classroom had multiple dry soiled spots on it. Staff reported that the sheets are changed and washed weekly unless soiled, in which case they are changed immediatley.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the following: 1. The vinyl furniture located in the One's Classroom was not in good repair. The furniture had multiple tears along the seams and at the corners exposing the foam filling. Staff reported they were aware of the condition of the furniture. 2. The toddler table located in the pre-school classroom was found to not be maintained in a clean condition. The table had what appeared to be dried food smeared across the surface in front of the end seat. Staff stated the table had been used at breakfast. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 8. Kitchen Requirements.

General: Based on observation and interview, the surveyor found that the thermometor located in the freezer was reading at five (5) degrees Fahrenheit rather than the required zero (0) degrees Fahrenheit. The food stored in the freezer did appear to be in a frozen a state. Staff stated they were not aware that the thermometor was not reading correctly.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor observed two (2) containers of milk in the kitchen refrigerater. One (1) container of whole milk was approximatley one- fourth (1/4) of the way full and one (1) container of two percent (2%) milk was full. The surveyor observed staff serving children ranging in age from one-year-old to four-years-old whole milk and two percent (2%) milk with lunch. Upon interview, staff in charge stated they had ran out of whole milk. 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 11. Toys and Furnishings.

General: Based on observation and interview, the surveyor found multiple tears in the vinyl covering of one (1) small couch and one (1) small chair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, one (1) staff file for an employee (DOH: 3/27/07) presented for review was missing proof of education.

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, review of the ECE-TRIS website, and interview, surveryor found all center staff had completed zero (0) training hours for the previous calendar year. The center director confirmed this to be true when questioned by the surveyor. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, during a tour of the restroom located off of the Pre-K classroom, the surveyor found multiple empty plastic bags placed in an unlocked drawer accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor determined bottles are not prepared by the parents as surveyor observed two (2) bottles with water in them and two cans of formula sitting on the shelf in the infant classroom. Upon interview the infant classroom teacher and the director confirmed that bottles are prepared by staff with formula and water provided by parents.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, five (5) staff files presented to the surveyor for review did not contain updated Professional Development Plans as the last ones signed and completed by staff were from August of 2014.

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 during a tour of the nursery, the surveyor found posted on the wall the first name, last name, date of birth, and telephone number of each child enrolled in the class.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center does not have a copy of most recent child day care administrative regulations which were effective on 11/8/13.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and a review of the ECE-TRIS website, the file presented for review for a staff member (DOH: 8/1/09) contained evidence of only nine and a half (9.5) hours of training for the current training year 8/1/13 through 8/1/14. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the restroom, the surveyor found multiple empty plastic bags placed in an unlocked drawer 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 11. Toys and Furnishings.

General: Based on observation, the surveyor found multiple tears in the vinyl covering of one (1) small couch, three (3) large blocks, and one (1) small chair.

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 preschool classroom, the surveyor found one (1) uncovered bottle located on a table.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the director did not have an available copy of the most current regulations in the child care center in accordance with the regulatory 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 review of documentation, a child's (DOE 07/31/13) file presented for review did not contain complete pick-up information as required by regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on interview with the Director, it was noted that the child care center's emergency plan has not been updated annually, nor filed with the local emergency management office as required.

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, the most recent statement of deficiency notice issued by the cabinet was not posted in accordance with the regulatory requirements.

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 (DOH: 11/09/12) file that did not contain documentation of the staff person's highest level of education.

Open Not marked corrected in the state record

Open / not marked corrected.