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

General: Based on interview and review of documentation, a fourteen-month-old child sustained multiple scratches on the face and was bitten twice on his back as a result of a physical altercation with a twenty-one-month-old child on 07/21/25 in the one-year-olds’ room. The child received medical treatment initiated by a parent on 07/21/25. The child care center did not report the child’s injury to the Division of Regulated Child Care within twenty-four (24) hours.

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 interview and review of documentation, a fourteen-month-old child sustained multiple scratches on the face and was bitten twice on the back as a result of a physical altercation with a twenty-one-month-old child in the one-year-olds' room on 07/21/25. The responsible staff member notified the parent of the injuries but did not fully disclose all the child’s injuries to the parent. The staff member only disclosed the child received scratches on the face. The parent discovered the two (2) bite marks on the child's back while at home and took the child for medical treatment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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.

General: Based on interview and review of documentation, the center’s accident procedures stated when an injury occurs apply first aid, record the incident on an incident report, and discuss the injuries with the parents at pick-up. The center’s accident procedures were not followed by a staff member on 07/21/25 when the staff member did not fully disclose the severity of the child’s injuries to the child’s parent. The staff member documented an incident report and disclosed to the parent at pick up that the child received scratches on the face. However, the staff member did not document the incident report and disclose to the parent that the child was also bitten on the back. The parent discovered the two (2) bite marks on the child's back at home.

Open Not marked corrected in the state record

Category: supervision. 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, a fourteen-month-old child sustained multiple scratches on the face and was bitten twice on the back as a result of a physical altercation with a twenty-one-month-old child in the one-year-olds' room on 07/21/25. The responsible staff member notified the parent of the injuries but did not fully disclose all the child’s injuries. The staff member only documented on an incident report and disclose to the parent at pick up that the child received scratches on the face. The parent discovered the two (2) bite marks on the child's back later and took the child for medical treatment. 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, a staff member (DOH: 06/30/25) did not have education documentation on file for review.

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 following was found: 1) A staff member (DOH: 07/17/23) had a TB skin test dated 07/12/23. 2) A staff member (DOH: 06/30/25) did not have TB documentation on file. Written Documentation 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, staff required children to sit on a bench in the front hallway from approximately 5:00 pm to 6:00 pm to wait for their parents to arrive for pick up.

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, a staff member cared for seven (7) children, aged six (6) months to twelve (12) months old, in the one-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 12/02/12) had a TB skin test dated 03/12/22.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) A staff member (DOH:01/11/21) had not completed the one and a half (1 ½) hours of pediatric abusive head trauma once every five (5) years. Staff member had taken the pediatric head trauma training on 09/06/19. 2) A staff member (DOH: 12/02/12) had thirteen and a half (13 ½) hours of the fifteen (15) hours of training completed between July 1st and the following June 30th of the subsequent year of employment. 3) A staff member (DOH: 11/10/15) had twelve and a half (12 ½) hours of the fifteen (15) hours of training completed between July 1st and the following June 30th of the subsequent year of employment. 4) A staff member (DOH: 08/085/19) had eleven (11) hours of the fifteen (15) hours of training completed between July 1st and the following June 30th of the subsequent year of employment. 5) A staff member (DOH: 08/01/17) had eleven (11) hours of the fifteen (15) hours of training completed between July 1st and the following June 30th of the subsequent year of employment. 6) A staff member (DOH: 10/29/10) had five (5) hours of the fifteen (15) hours of training completed between July 1st and the following June 30th of the subsequent year of employment. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the following was found: 1) The hot water temperature registered at eight-eight (88) degrees Fahrenheit in the infants’ room. 2) The hot water temperature registered at eight-eight (88) degrees Fahrenheit in the girls’ restroom. 3) The hot water temperature registered at eight-eight (88) degrees Fahrenheit in the boy’s restroom.

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 vent was not operable in the girl’s restroom. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no thermometer in the refrigerator in the infants' room. 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 observation and review of documentation, a child enrolled on 12/22/23, immunization certificate was current until 10/21/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) A child enrolled on 05/13/24, did not have allergies or medical information documented on the enrollment form. 2) A child enrolled on 08/23/24, did not have a physician or hospital information documented on the enrollment form. 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, the following was found: 1) One (1) staff member supervised nineteen (19) children, aged three to seven-years-old, in the preschool to school-age room. 2) One (1) staff member supervised six (6) children, aged six (6) weeks to one-year-old, in the nursery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration 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 8. General.

General: Based on interview and review of documentation, a school-age child was kicked underneath a table and was threatened by another school-age child at approximately 12:00 pm on 06/13/24 in the school-age room. The child received multiple bruises on her right leg and was frightened. The responsible staff member was unaware of the incident. Employee Records In Compliance Programming In Compliance Children's Records In Compliance Written Documentation 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 and interview, two (2) staff members (DOH: 1/11/11 and 10/29/10) TB documentation was dated 12/10/20.

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 interview, a staff member, (DOH: 7/8/19) completed eight and a half (8 1/2) hours of training between July 1 and the following June 30 of the subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a four-month-old infant and a six-month-old infant each slept with a blanket wrapped tightly around them in a crib in the infants' room. Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, a staff member changed a child's diaper did not wash her hands with liquid soap and warm running water in the infants' room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, three (3) bottles were not labeled to indicate to whom they each belonged to, and three (3) bottles were not covered in the refrigerator in the infants' room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center had no lockdown drills documentation. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 01/24/2024 AND AS OF 01/29/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, infants were permitted to sleep in cribs with items other than a tight fitted sheet. There were two (2) infants, six (6) and ten (10) months old, sleeping with a blanket in their cribs.

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, a caregiver hired 08/01/17, completed thirteen and half (13.5) hours training between July 1 and the following June 30 of the subsequent year of employment. A caregiver hired 10/29/10, completed seven and half (7.5) hours of training between July 1 and the following June 30 of a subsequent year of employment. 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, a large brown stain was on the ceiling tile in the purple restroom. Interview revealed there was a leak, but the leak was repaired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Hygienic Practices 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 3. General Requirements.

General: Based on observation, eleven (11) children did not wash their hands with liquid soap and warm running water before they ate lunch in the preschool area. Six (6) of the eleven (11) children sat on the restroom floor and five (5) of the eleven (11) children sat on the hallway floor. Six (6) children did not wash their hands with wash their hands with liquid soap and warm running water before they lunch in the toddler room. These children played with toys before they ate lunch. Seven (7) children did not wash their hands with liquid soap and warm running water before they ate lunch in the two-year-old room. These children continuously touched each other and sat on the floor. Two (2) children did not wash their hands with liquid soap and warm running water after they used the restroom. These children were in the two-year-old classroom and returned to play. A child did not wash his hands with liquid soap and warm running when he arrived in the toddler room. This child played with toys when he arrived.

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 caregiver did not wash her hands with liquid soap and warm running water before and after she diapered two (2) children in the toddlers' room. A caregiver did not wash her hands with liquid soap and warm running water after she wiped a child's nose in the toddlers' room. This caregiver picked up a toy and placed the toy in a child's cubbie after she wiped a child's nose.

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, the diaper changing table, which folded down from the wall, was not padded in the restroom. Surveyor observed a child diapered on the hard surface. 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

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, a caregiver did not disinfect the diaper changing mat after she each diapered two (2) children in the toddlers' room. The caregiver used the same washcloth to clean the changing mat after each child was changed. 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 large tube of diaper cream was stored underneath the diaper changing table, accessible to children in the toddlers' room. A toddler played with the diaper cream underneath the diaper changing table. 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, three (3) nap mats were torn and had exposed foam in the school age area.

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, an excessive amount of chipped paint was on the baseboard behind the toilet in the boys' restroom. The metal restroom stall had a large area at the bottom, which showed signs of rust in the boys' restroom. A portable sink was not operable in the toddlers' room. Interview revealed the portable sink was not operable for several weeks. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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, there was no indicating device available to determine the temperature registered zero or below in the kitchen freezer.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the caregiver cleaned the lunch table with the same washcloth used to clean the diaper changing mat in the toddlers' room; therefore, the toddlers' table, which was a food contact surface, was not clean and sanitary.

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, six (6) bottles were not individually labeled in a refrigerator in the infants' room. 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 Drink Requirements for All Child-Care Centers.

General: Based on observation and interview, six (6), one-year-old children were served two (2) percent milk for lunch in the toddlers' room. Interview and observation revealed the center did not have whole milk. 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 observation, interview and review of documentation, a child whose first date of attendance was 12/11/21, had an immunization certificate on file that was current until 09/27/22. 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

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired on 07/08/19, a caregiver hired on 11/10/15, a caregiver hired on 01/11/11, and a caregiver hired on 10/29/10, did not have an annual written professional development plan on file. 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: Upon request, job descriptions were not presented for review on the day of the inspection for the cook, substitute teacher, and the supervisor.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Observation of the food pantry located within the kitchen revealed there were crumbs and crackers scattered on the floor. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Observation of the Two-Year-Old room revealed there was one (1) electrical outlet that did not contain a protective covering. 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: Upon request, a High School diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential was not presented for review for a staff member with the hire date 02/14/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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: Upon request, a current written statement from a health care professional stating that the staff member with the hire date 12/02/2012 was free of active tuberculosis or a copy of a tuberculin result was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, verification that at least one (1) staff member on duty and present with the children was currently certified by a cabinet-approved training agency in first aid and cardiopulmonary resuscitation was not presented for review on the day of the inspection. Review of the presented staff schedule revealed there was not one (1) staff member on duty at the child care center that was certified in first aid and cardiopulmonary resuscitation on the day of the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Upon request, verification that the staff members with the hire dates: 01/11/2011, 08/08/2019, 11/10/2015 and 07/08/2019 had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review for a child with the enrollment date 06/16/2021. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Upon request, verification that the staff members with the hire dates 01/11/2011, 10/29/2010, 08/08/2019, 12/02/2012 and 07/08/2019 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the aforementioned staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a current daily activity plan was not presented for review for the School-Age room on the day of the inspection. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The entry door leading into the Two-Year-Old room revealed the window screen on the door was partially attached and was hanging from the window frame; and 2. There was a wooden baseboard that was not attached to the wall within the One-Year-Old room. The baseboard was lying on the floor, accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The walls throughout the Girls bathroom were peeling paint and the drywall was exposed; 2. The last stall within the Boys bathroom revealed there was paint chipping off the walls and the drywall was exposed; and 3. There was one (1) ceiling tile that was not flush to the metal frame within the Infant room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the One-Year-Old room revealed there was a portable sink in the room that was not equipped with hot water. Therefore, the hot water was not a minimum of ninety (90) degrees Fahrenheit and a maximum of one hundred - twenty (120) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of a diaper changing procedure in the Infant room revealed a staff member changed a child’s diaper and did not wash the child’s hands after the diapering procedure was completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of a diaper changing procedure in the Infant room revealed a staff member changed a child’s diaper and did not wash his/her hands after the diapering procedure was completed. The staff member placed the child on the floor and retrieved another child and proceeded to change that child’s diaper.

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: 1. Observation of the changing table within the Infant room revealed the seam of the changing pad was torn. The area of the changing pad that was torn was sealed with tape that was partially attached to the changing pad causing the inside absorbent material to be exposed. 2. Observation of the changing table within the One-Year-Old room revealed the changing pad was torn at the seam, causing the inside absorbent material to be exposed. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the Two-Year-Old room revealed there was a backpack sitting on the floor in front of a set of cubbies that stores the children's personal belongings. Interview with the staff member revealed that there were not enough cubbies available to store the child’s backpack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the hallway revealed there were numerous vinyl mats stored on a cart that contained rips and tears. The inside absorbent material was exposed. Interview with the staff member revealed the cots were used daily for the children to sleep on.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The plastic/foam protective material on the Jungle Gym was torn and missing pieces of the protective material, causing the metal frame to be exposed; 2. The large wooden crawling cube located within the School-Age room was damaged causing the top portion of the cube to have sharp splinter edges; and 3. There were multiple green vinyl mats that were torn and ripped, exposing the inside absorbent material within the Infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Preschool room revealed a large plastic toy dragon that was broken and contained sharp pointed edges. Therefore, the toy was in disrepair. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Frigidaire stand-up freezer located within the kitchen revealed the inside temperature of the freezer was twenty (20) degrees Fahrenheit. Therefore, the temperature inside the freezer was not zero (0) degrees Fahrenheit or below. Interview with the staff in-charge revealed the freezer was broken. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The oven located within the kitchen contained a mass build-up of a burnt substance on the bottom of the stove; 2. The Whirlpool refrigerator located within the kitchen contained a dried white substance on the shelves; and 3. The Frigidaire stand-up freezer located within the kitchen revealed there was a red and orange sticky substance throughout the freezer. Also, there were dried food particles throughout the freezer. Food Service 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: Upon request, a current written professional development plan was not presented for review on the day of the inspection for the staff members with the following hire dates: 10/29/2010, 08/01/2017, 08/08/2019, 11/10/2015, 12/02/2012 and 07/08/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a written quarterly practiced lockdown drill detailing the date, time and the name of the children that participated in the drill for the third (3rd) and fourth (4th) quarter of 2021 was not presented for review on the day of the inspection. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Observation of the school age room at 12:27p.m. revealed there was a staff member with the hire date 07/03/2021 who was the sole caregiver for eight (8) children through the duration of the inspection. The age of the children range from six-years-old through ten-years-old. Interview with the staff member revealed that he/she was new. Upon request, the director did not present verification that a completed background check with an eligibility date from the National Background Check Program (NBCP) had been completed for the staff member with the hire date 07/03/2021. Review of the Kentucky Applicant Registry and Employment Screening (KARES) revealed that the staff member with the hire date 07/03/2021 was not listed as an employee at the child care center. The director did present a Child Abuse and Neglect (CAN) background check and a Criminal Records Check (CRC) for the aforementioned staff member. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Discussed

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center did not maintain the minimum staff-to-child ratios and group size. Observation revealed there were (7) children present with one (1) staff member. Interview with the staff revealed the children were one-year-of age. 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

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. The kitchen revealed the stove had a vent above the stove, however the ventilation system was not vented to outside air.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview revealed that the kitchen had no vent to the outside. Interview with the staff in charge confirmed there was no vent to the outside above the stove. The staff in charge stated that “she had a fan set over the top of the stove but it kept tripping the breaker, so she had to remove it”. On 1/12/2021 a Plan of Correction was received from the Brightside Child Care & Learning Center that stated in part that: (1) a fan was placed over the stove in the kitchen for adequate ventilation to outside air by the director” (2) the date the action was to be completed: “11/2/2020” and : (3) action utilized to assure ongoing compliance: “ the asst. director will monitor the kitchen to ensure it is working properly and ventilation to outside air”. Therefore, the center failed to have adequate ventilation to outside air in the kitchen, and the center failed to comply with the submitted plan of correction.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the temperature of the freezer in the kitchen measured ten (10) degrees. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the staff member supervising children in the School Age Room walked away from the area several times to answer the door. When answering the door, the staff member was observed to walk across the center, and through a set of double doors. This was not within the scope of sight or sound of the four (4) school age children who were present. 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

Category: supervision. 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 files for staff members with hire dates of 1/11/11 and 1/27/17 did not contain a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. The staff member in charge acknowledged that the documentation was not available at the time or the survey. 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 interview and review of documentation, the center did not have adequate substitutes on the day of the inspection. Of the two substitues that the staff member in charge identified, one was listed as a "volunteer" and the other was not available at the time of the inspection. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the daily planned program posted in the Infant Room, Two Year Old Room and Three through Five Year Old Room did not list a variety of creative activities that included: . Art or music, Math or numbers, Dramatic play, Stories and books, Science or nature, Block building or stacking, Tactile or sensory activity, Multi- cultural exposure, Indoor or outdoor play in which a child makes use of both small and large muscles, or balance of active and quiet play, including group and individual activity.

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 of the Infant Room, all four cribs had loose-fitting sheets. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, ceiling tiles were separated from their frames in the Infant Room and Two Year Old Room. Three peices of wooden wall trim in the "Extra Room" were splintered and in disrepair.

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, seven (7) two-year-old boys and girls were taken into the Women's restroom at the same time. The restroom did not have doors on the stalls, and the children were not separated by gender when using the restroom. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, one sink in the women's restroom was not functioning; therefore it was not equipped with cold and warm running water that allowed for hand washing. Liquid soup was not available in the Men's Restroom. There was a soap dispenser sitting atop of the sink, but soap could not be accessed from it. 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 changing pads in the Infant Room, One Year Old Room, and Women's Restroom were torn. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the kitchen was not adequately ventilated to outside air.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the mini refrigerator in the Infant Room did not contain a thermometer or other appropriate temperature-measuring device; therefore, the temperature of the mini refrigerator could not be determined. 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 9. Records.

General: Based on interview and review of documentation, the name and phone number of each person to be contacted in an emergency situation involving or impacting the child was not listed in the enrollment file for a child with an enrollment date of 8/20/20. The enrollment form for a child with an enrollment date of 1/21/19 did not contain a preferred hospital. The staff member in charge acknowledged this difficency. 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, the current rates for the child care center were not posted in a conspicious place. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to assure compliance with regulatory requirements specific to the current pandemic as established in 922 KAR 2:405E. Children from the Infant Room and One Year Old Room and staff members from the One Year Old Room and School Age Room were moved between classrooms after groups had been established for the day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Infant Room revealed an infant lying on the floor, eating from a bottle at nap time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation in the Infant room revealed six (6) children. Interview with the sole staff member revealed the children ranged in age from 8 months to 1 year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with the regulatory requirements. A review of the fire marshall report indicated the center had failed the inspection. The staff in charge revealed a passing inspection was not available at the time of the survey. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation in the Infant room revealed three (3) high chairs with belts. Further observation revealed the three (3) infants sitting in the chairs were not buckled in. 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 observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal completed PAHT training for staff members with hire dates of 01/11/11 and 09/23/11. Further review failed to reveal 15 hours of completed training for staff members with hire dates of 01/29/18 and 08/01/17. Interview with the staff in charge revealed the documentation was not available at the time of the survey Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed an open storage room containing a large container of laundry deterget and a bottle of bleach sitting on the floor. Each container had warning labels to 'Keep Out of the Reach of Children'. Further observation revealed a large butcher knife lying on a kitchen counter. The kitchen also had 2 gallons of bleach stored under the sink. The kitchen failed to have a barrier to prevent entry. All of the children had access to both the storage room and the kitchen.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed fraying carpet in the threshold between the hallway and the bathroom. Additionally, the baseboard (approximately 2-3 feet long) close to the toilet, failed to be adhered to the wall and was lying on the floor. A small section of the baseboard was also observed unglued from an opposite wall in the purple bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed two (2) sinks in the purple bathroom with constantly running water. The faucets failed to stop the flow of water. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the Infant room revealed a one (1) year old child lying on a broken cot. The child's head was lying on the concrete floor as a result of the torn mesh failing to support the weight of his head. Transportation Not Applicable 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen refrigerator revealed shelves containing white, dried substances and food debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the kitchen and Infant room refrigerators revealed sippee cups containing partially drank liquids. The cups had plastic wrap covering the spout which contained white liquid. 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 interview and review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of children's records failed to reveal a physician's contact number for children with enrollment dates of: 05/25/18, 05/16/19, and 05/06/17. A child with an enrollment date of 05/25/18 failed to have a preferred hospital designated, and also failed to have individuals with permission to pick up the child from care. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation. A review of documentation failed to reveal earthquake and tornado drills for the 2019 year. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the preschool room at 4:00 p.m. revealed fourteen (14) children in care with one (1) staff member. Interview with the staff member revealed the youngest child in her care was one-years-old; therefore, the room was over ratio and maximum group size. Observation of the afterschool room at 4:05 p.m. revealed sixteen (16) children in care with one (1) staff member. Interview with the staff member revealed the youngest child in her care was four-years-old. Observation of the baby room at 4:09 p.m. revealed seven (7) children in care with one (1) staff member. Interview with the staff member revealed the youngest child in her care was three (3) months old. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the preschool room revealed fourteen (14) children in care. Interview with a staff member revealed the children’s ages were one-years-old to three-years-old. Continued interview with the staff member revealed the children had been combined for more than one (1) hour at 4:20 p.m. and would continue to be combined until the children were retrieved from care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, the child care center failed to comply with regulations regarding programming. Observation in the infant room revealed a two-month-old infant asleep in a swing. Further observation in the infant room revealed a six-week-old infant asleep in a crib on top of a “Boppy” pillow. Interview with the director revealed the two (2) aforementioned infants did not have a medical treatment plan from the physician requiring the infants to have an alternate sleep position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding programming. Observation in the infant room revealed a six-week-old infant asleep in a crib on top of a “Boppy” pillow. Further observation revealed the infant had a loose fleece blanket on top of him from the chest down, and a pacifier with a multi-colored clip was in the crib. 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, interview, and observation, the child care center failed to assure compliance with background checks. Upon request, the staff in charge did not provide verification that a member with the hire date of 09/09/2018 had completed the background checks required in accordance with this administrative regulation and found to have no disqualifying offense prior to becoming a child care staff member. The above-mentioned staff member was observed working alone, with four (4) children, from 10:20 to 12:55p.m. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/23/2018 AND AS OF 11/03/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record of the employees with the hire dates of 09/09/2018 and 09/17/2018 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records of the two (2) employees with the hire date of 09/09/2018 and the employees with the hire dates of 09/23/2011 and 09/17/2018 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

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 interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records of employees with the hire dates of 09/23/2011, 12/02/2012, 11/10/2015 and 04/10/2017 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with programming requirements. Observation in the one-year-old classroom revealed the staff placed four (4) toddlers in their high chairs at 10:45 a.m. The toddlers remained in the high chairs until 11:10 p.m., when lunch was served. Therefore, the toddlers remained in a prolonged sitting position awaiting an activity. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requiremetns. The duct tape located throughout the center on the floor was worn and frayed, creating a potential tripping hazard. The walls in the one-year-old classroom contained chipped paint. Observation of the door in the infant and one-year- old classroom revealed that the door ledge was loose and wobbly.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the boy's restroom revealed the tank-covering lid was not of adequate size to securely cover the holding tank. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Various toys located throughout the classroom revealed a number of battery-operated toys that were not maintained and used according to the manufacturers' safety specifications; the batteries were non-operational. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record for the child with the enrollment date of 02/05/2018 contained information listing the name of a person designated to pick up the child. 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 8. General.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of an updated policy identifying the chain of command. The documentation provided listed employees who were no longer employed.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that fire drills, tornado drills and earthquake drills had been conducted since December of 2017. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. The documentation, video and interviews revealed the center director failed to assure the health, safety and comfort of a child in care. The video reviewed shows a staff member forcibly grab a child by their shirt and pull the child backwards. In addition, the video shows the staff member grab the child by the upper and lower arms as the child attempted to exit an indoor play structure.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation and review of records, the child care center failed to maintain employee records in accordance with regulatory requirements. A staff member with an unknown hire date was observed working alone in the infant room. Upon review of the employee's record, their failed to be a completed criminal records check or a completed child abuse and neglect check on file for this individual. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. An infant was observed sleeping in a swing. Interview with the staff member revealed that the child sleeps best in the swing. Review of posted documentation revealed a posted note written by a staff member to other staff members indicating that this infant sleeps better if left to sleep in a swing. Furthermore, child was observed with a blanket completely covering the nose and mouth. 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 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

Based on observation, the child care center failed to comply with regulatory programming requirements. A six-month-old infant was observed sleeping in a crib with two blankets. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the one and two-year-old classroom during diaper changing revealed that the staff member failed to wash her hands following each diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed that the staff member for the one and two-year-old class failed to change the children's diapers on a padded surface as the changing area was a hard plastic, folded down piece from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. A staff member changing diapers of one and two year old children failed to wipe the affected area of any of the children that had their diaper changed with an individual disposable washcloth.

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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. A staff member changing the diapers of one and two-year-old children failed to disinfect the diaper changing surface between each diaper change or after the final diaper change was completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. A preschool child was observed sleeping directly on the floor at nap time, with no sleeping mat or cot having been provided to the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. In the infant room, personal health information regarding the infants in the classroom was posted on the wall, visible to any individual entering the classroom. Based on interview with the assistant director, the parents had not provided written permission for the center to post this information publicly.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the infant room at 8:47 am revealed six (6) children in care with one (1) staff member. Interview with the staff member revealed the youngest child in the room was two (2) months old. At 8:49 am the infant room was brought into ratio. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. A staff member with hire date 7/6/14 left a child with enrollment date 3/2/17 alone in the Men’s bathroom for about 2 minutes. 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

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee files revealed staff members with hire dates 8/25/14 and 1/11/11 whose files did not contain documentation to verify the fifteen (15) hours of cabinet approved training had been completed. Review of the ECE-TRIS report verified that staff members did not complete the fifteen (15) hours of cabinet approved training. The director did not provide documentation to verify that the staff members had completed fifteen (15) hours of cabinet approved training. Continued review of the employee files revealed staff members with hire dates 2/1/17 and 4/10/17 whose files did not contain documentation to verify the six (6) hours of cabinet approved orientation. Review of the employee files revealed a staff member with hire date 12/2/12 whose file did not contain documentation to verify the one and one-half hours of pediatric abusive head trauma had been completed. The aforementioned staff member had previously completed the pediatric abusive head trauma on 12/2/12. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a plastic spray bottle labeled “bleach water” located on the changing table in the Women’s bathroom making it accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There were two (2) cracked floor tiles located by the tables in the Three-Four-Year-Old Room. The baseboard located by the toilet in the Men’s bathroom was no longer attached to the wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The blue vinyl couch located in the reading area in the Three-Four-Year-Old Room was torn exposing the absorbent material. The oven door was broken off the brown play kitchen set located in the dramatic play area in the Two-Year- Old Room. The drawer located under the microwave was broken off in the kitchen. The tray was missing out of the microwave located in the kitchen. The red plastic container labeled “blocks” located in the Pre-K Room was cracked exposing sharp plastic pieces. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The mini-fridge located in the Infant Room had a thermometer reading of fifty (50) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children with enrollment dates 3/2/17, 8/16/16, 6/10/16 and 8/15/16 whose files did not contain the contact information for the family physician. Continued review of the presented children’s records revealed a child with enrollment date 4/10/17 whose file did not contain the name of the family’s preferred hospital. The director did not provide the documentation at the time of the survey. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. The childcare director was unable to present for review that the following staff member with the hire date of 12/02/2012 records contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. The childcare director was unable to present for review that the following staff members with the hire dates of 01/11/2011,09/23/2011,12/02/2012,08/25/2014 and 07/07/2015 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the rug located in the infant classroom revealed the area rug utilized was soiled and stained. Continued observation in the girl’s restroom revealed a large ceiling tile missing, exposing the plumbing. The director revealed she was in the process of addressing. Hygienic Practices 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 3. General Requirements.

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Upon observation in the two-year-old classroom at 11:30 a.m., it was observed that the staff did not assist or prompt the child in hand washing procedures after completing lunch. The children were assisting in nap-time. First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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 11. Toys and Furnishings.

General: Based on Observation and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the jungle gym apparatus revealed a visible buildup of dust on the top of outside tunnels. Observation in the Pre-K classroom revealed a table turned upside down with the legs pointing upwards. The table was located in an area which was accessible to the children which could be a hazardous situation. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the classrooms revealed there were several toys that were not maintained and used according to the manufacturer's safety specifications; the batteries were non-operational. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer located in the kitchen revealed there was no thermometer present to indicate the freezer temperature of zero degrees Fahrenheit or below. Interview with the director revealed she was unaware the thermometer was not present.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the one-year-old classroom revealed that at approximately 11:05 a.m. lunch was being served. Further observation revealed the children were served 1% milk and not the requirement of pasteurized whole milk for children ages thirteen (13) months to twenty-four (24) months. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain children’s records in accordance with regulatory requirements. The child care center director was unable to present for review, that the following children with the enrollment dates of 12/01/2014, 04/22/2016 and 06/07/2016 enrollment formS did not list a name of a physician. Continued review revealed the children with the enrollment dates of 04/22/2016 and 06/07/2016 did not list on the enrollment form a name of a preferred hospital. 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 4. Premises Requirements.

General: Based on Observation, the childcare center failed to maintain a sufficient amount of appropriate equipment. Observation of the Toddler Classroom revealed the lack of dramatic play equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center Director failed to assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation. Review of documentation revealed the staff members with the hire dates of 09/23/2011, 11/01/2011, 12/05/2012, 05/02/2013, 08/25/2014 and 09/02/2014 did not have a completed annual evaluation presented for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare Director failed to ensure the results of all required background checks were received prior to allowing a staff member to work alone with children. Observation of the Toddler Classroom revealed a staff member with the hire date of 04/01/2015 was caring for six (6) children without a qualified staff member present. Review of documentation revealed the staff member with the hire date of 04/01/2015 was a previous staff member that was rehired in April of 2015 and did not have a new Criminal Record Check (CRC) or a Child Abuse and Neglect (CAN) check completed upon rehire.

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 Interview, Review of Documentation and Observation, the childcare center failed to maintain all required background checks. Interview of the staff member present at the center in the Toddler Classroom revealed the staff member had previously been employed, but quit to work at a place closer to the staff members home and was recently rehired in April of 2015. Review of documentation revealed the Criminal Record Check (CRC) and Child Abuse and Neglect (CAN) check were previously completed on 11/19/2012 and 11/15/2012 respectively. Observation of the childcare center revealed the staff member with the rehire date of 04/01/2015 was in the Toddler Classroom with six (6) children without a qualified staff member present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all training requirements. Review of documentation revealed the staff members with the following hire dates failed to obtain Pediatric Abusive Head Trauma training: 11/01/2011, 05/03/2013, 08/25/2014 and 09/02/2014. Continued review of documentation revealed all staff members failed to obtain the required amount of required annual training hours. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all programming requirements. Review of documentation revealed the daily activities posted in the Two-Year-Old, Pre-School and School Age Classrooms listed "free day" or "free play" each Friday and some Saturdays. Continued review of documentation revealed the "free day" or "free play" days do not provide the children a variety of activities to include art, music, dramatic play, stories and books, science, block building, tactile activity and culture.

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, the childcare center failed to maintain all medication requirements. Observation of the Infant and Toddler Classrooms and the Women's Bathroom revealed diaper rash cream in the cubbies of the children instead of a locked box. Continued observation in the Toddler Classroom revealed an Infant's Tylenol in a cubby. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all toy and furniture requirements. Observation of the Infant, Toddler, Two-Year-Old and Preschool Classrooms revealed numerous battery-operated toys were not operational. Observation of the School Age Classroom revealed a green table in which the surface of the table was damaged exposing splintering wood to the children in care.

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 Review of Documentation, the childcare center failed to ensure all toys shall be used according to the manufacturer's safety specifications. Observation of the Infant Classroom revealed a Bumbo seat without the manditory restraint belt. Review of the company website, http://www.recall.bumbousa.com/, revealed on August 15, 2012 Bumbo International Trust conducted a voluntary recall to add a restraint belt and new warnings to the Bumbo® Baby Seat. Infants can maneuver out of or fall from the seat, posing a risk of serious injuries. Working closely with the CPSC, Bumbo has determined that the potential safety issue can be readily corrected in the home by adding a restraint belt. In addition, Bumbo is providing a new warning sticker for consumers to attach to the seat to re-emphasize existing warnings against use of the seat on any raised surfaces. Consumers should stop using their Bumbo Baby Seats immediately, and complete the order form to obtain a free Repair Kit.

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 childcare center failed to maintain all milk requirements. Observation of the Two-Year-Old Classroom revealed the two-year-old children were served whole milk for lunch.

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 childcare center failed to maintain all bottle preparation requirements. Observation of the Infant Classroom revealed prepared bottles in the refrigerator for one infant. However, three (3) infants in care. Interview with the Infant Classroom staff revealed that the two (2) remaining infants' bottles were prepared by adding a premeasured formula to a bottle in which the staff member must measure the water.

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, the center failed to maintain children's immunization records. Review of children’s files with the enrollment dates of 05/28/2015 and 06/25/2015 revealed the immunization certificates provided for review expired on 08/29/2015 and 08/31/2015, respectively.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain children's records. Review of a child's file with the enrollment date of 09/08/2015 revealed an absence of medical information, a primary physician and hospital and emergency authorization for medical care.

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 childcare center failed to maintain all required postings. Review of documentation revealed the childcare center failed to post two (2) civil penalty notices issued by the cabinet on 02/19/2015 and 02/20/2015.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to comply with staffing requirements. Observation of the three to four-year-old room from 09:37 a.m. to 10:17 a.m. revealed the childcare center did not maintain the minimum staff-to-child ratios and group size. Observation revealed twelve (12) children present, with the youngest being two-years- old and the oldest being four-years-old with one (1) staff member present. Continued observation revealed from 9:38 a.m. to 10:01 a.m. there were seven (7) infants present with one (1) staff member. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, the childcare center director failed to assure compliance with regulatory requirements. Interview with staff at 9:35 a.m. revealed the center failed to designate one (1) adult staff person in charge to carry out the director’s duties. Continued interviewed revealed there was no director or staff in charge present in the child-care center from 09:35 to 10:05 a.m. when the co-owner arrived.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the staff in charge, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member with the hire date of 10/29/2010 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met Interview with the staff in charge revealed he was unable to locate the documents.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. A survey was conducted on 09/11/2014 at the child care center. During the visit the center received a violation for a stove with a shattered cooktop.The plan of correction that was received on 10/06/2014 in our office revealed the provider stated the violation would be corrected by 10/31/2014. A follow-up visit was conducted on 12/16/2014 at 10:30 a.m. Observation revealed in the kitchen, a glass cooktop stove range to have a shattered glass cooktop creating a cooking surface that was unable to be adequately cleaned and sanitized. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with programming requirements. Based on observation of the infant classroom on 12/16/2014 at 10:30 a.m., it was observed the room contained five (5) children ranging in age from six (6) months to twenty-seven (27) months of age. Interview with the staff revealed the twenty-seven(27) month- old child had been in the infant classroom since 8:30 a.m. The child care center failed to meet the requirement that an infant or toddler shall participate in an activity with an older child for no more than one (1) hour per day. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed a glass cooktop stove range to have a shattered glass cooktop creating a cooking surface that was unable to be adequately cleaned and sanitized.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, review of records and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation revealed eleven (11) children in the Three and Four-Year-Old class in line for the bathroom when two (2) of the children darted off down the hall and ran into the “jungle” gross motor skills play area out of sight of the staff in charge. Additional observation revealed the staff person pursued the two (2) children that darted off, leaving the remaining nine (9) children unattended and unsupervised while several were still using the bathroom and the rest were in the hallway waiting. Continued observation revealed that upon the return of the staff member to the group of waiting children, while the staff was assisting three (3) of the children with the completion of toileting, the other eight (8) children ran off down the hall to disappear into the classroom area, out of sight of the staff and not responding to the directives of the staff in charge to stop. Observation revealed staff working alone in the Infant / Toddler Room, Two-Year room and After School Room. Review of staff files revealed that the employees in the above mentioned rooms were not qualified to be working alone as the Criminal Records Check and / or Child Abuse and Neglect documentation was not available for review. Interview with director revealed that the documents have not yet been returned completed for the staff observed in the Infant / Toddler Room and had not been printed for the staff observed in the Two-Year-Old Room and School Age Room.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation revealed that the staff person in the Infant / Toddler room turned her back to the room of children as she changed a diaper of a toddler. Staff failed to adequately supervise three (3) children of Infant / Toddler age while changing a diaper. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 27 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with staffing requirements. Observation revealed eleven (11) children in the Pre-K room ages two (2) to four-years-old with one (1) employee, failing to meet the regulated ratio at the time of the survey. Interview of staff revealed that the youngest child in the classroom was two-years-old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Review of records revealed that the child care center staff failed to be provided with a current copy of regulated requirements. Interview with the director revealed that the last copy provided was not current.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to comply with regulatory requirements. Interview with staff at approximately 10:00 a.m. revealed that the director was not available and that the individual was acting as staff in charge; however said staff was supervising a class of eleven (11) children ages two to four-years-old and not able to access the needed records for the survey. Observation revealed that the director did not arrive until approximately 12:45 p.m. to allow access to the required documentation for the survey to be completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements as it pertains to the health, safety and comfort of the children. Observations revealed a staff person lift a toddler out of the highchair by one arm, and dangle the child down to the floor to a sitting position before releasing the one arm used to transport the child from the chair to the floor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of records and interview, the child care center director failed to assure compliance with regulatory requirements. Observation revealed staff person working alone with four (4) children in the Infant and Toddler room. Review of staff files revealed that the staff person did not have a completed Criminal Records Check or Child Abuse and Neglect report available for review at the time of the survey. Interview with the director revealed that the staff person was not supposed to be working alone as the documentation has not yet come back as clear of any history. Additional observation revealed that a staff person was working alone with seven (7) two-year-old children. Review of records revealed that said staff person did not have a completed Criminal Records Check available for review. Continued observation revealed that a staff person was working alone with twelve (12) school age children. Review of records revealed that the staff person did not have a completed Criminal Records Check available for review. Interview with the director revealed that the employees had received on-line criminal records checks; however, the printer was not working and they had not been printed out. Continued interview revealed that the internet was not working and the records were unable to be accessed at the time of the survey to verify that the criminal records had been returned.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that employees with the hire dates of 9/10/14, 8/25/14, 6/30/14 and 9/2/14 did not have verification that a Criminal Records Check had been submitted. Additional review of staff files revealed that employees with hire dates of 9/2/14 and 9/10/14 did not have verification that a Child Abuse and Neglect check had been submitted. Observation of the Infant / Toddler Room revealed the employee with the hire date of 9/10/14 working alone with four (4) children. Additional observation revealed the employee with the hire date of 6/30/14 working alone with seven (7) two-year-old children. Continued observation revealed the employee with the hire date of 8/25/14 working alone with twelve (12) school age children. Interview with director revealed that the documents have not yet been returned completed for the employee in the Infant / Toddler room and the documents for the other two employees had been returned on-line, however the printer was not in working order and the internet was not in working order on the day of the survey to verify that the Criminal Records Checks had been completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire dates of 6/30/14, 10/29/10 and 5/3/13 did not have documentation from a health care professional verifying that they were free from active TB at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff with hire dates of 10/29/10, 10/29/10, 3/23/11, 12/5/12, 4/15/13 and 5/3/13 did not have documentation available to verify that they had completed the required fifteen hours of cabinet approved early care and education training for the previous year 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 2. Child Care Services.

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation revealed that children in the infant toddler room were placed in high chairs waiting for lunch for approximately twenty (20) minutes before lunch was served. Additional observation revealed that there was not an activity available for the children during the prolonged wait and the children were exhibiting behaviors of extreme crying and distress. Continued observation revealed children in the Pre-K room were seated for twenty-three minutes without an activity while waiting for lunch to be served. Additional observation revealed the children were climbing up in chairs and jumping down to climb around on the floor. Staff was observed reprimanding the children and telling them to remain seated while waiting for the lunch to arrive.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation revealed an infant sleeping in a crib with a bottle at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed that the play area licensed for indoor gross motor skills was not being used at the time of the survey. Interview with staff revealed that parts of the “jungle” were broken and the children had not been able to use it for over a week. Interview with the director revealed that an employee used scissors to cut the netting to access a sippy cup that had fallen behind the barrier. The director stated that the manufacturer had been contacted and the net would be hand sewn for repair by a professional in four (4) to six (6) weeks. Additional observation revealed that there was not a fenced outdoor play area available for gross motor skills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the infant toddler room revealed that staff failed to wash the hands of a toddler with liquid soap and warm running water after a diaper change before returning the child to play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a tray of raw ground beef in the refrigerator which was not covered, failing to protect the food from contamination.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the infant toddler room revealed that the staff failed to wash her hands with liquid soap and warm running water after changing the diaper of a toddler.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the diaper changing surface located in the infant and toddler room revealed that the diaper changing pad was heavily soiled and ripped; exposing the inner foam material, rendering the change pad as unhygienic at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Interview with staff revealed that the indoor play equipment used for gross motor skills was in poor repair and not able to be used. Continued interview with staff revealed that the equipment had not been used for over a week due to disrepair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a sleeping infant lying in a crib with a bottle containing milk in his mouth at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the thermometer located in the refrigerator in the kitchen revealed a temperature of twenty (20) degrees Fahrenheit. Additional observation revealed that the food was not in a frozen state indicating that the thermometer was not in working order to verify if the temperature of the refrigerator was forty (40) degrees Fahrenheit or below at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed the thermometer located in the kitchen freezer register thirty (30) degrees Fahrenheit upon the first check. A second check of the temperature, after the freezer had been undisturbed for several hours registered ten (10) degrees Fahrenheit, failing to keep frozen food stored at zero degrees Fahrenheit or below.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed a glass cooktop range with a shattered glass cooktop creating a cooking surface that was unable to be adequately clean and sanitary at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Interview with staff revealed that the bottles for an infant were not stored in the refrigerator. Continued interview with the staff revealed that the staff prepares the bottles as they are needed using the formula that the parents send in for the infant in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documentation revealed a menu for the week that had only been completed through Thursday, the day of the survey. Interview with the staff revealed that the menu is posted; however the meals are documented each day and not prepared in advance.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed that the children in the infant and toddler room were served a plated lunch at approximately 11:15 a.m.. Additional observation revealed that milk was not provided with the lunch and was not presented to the class until after 11:30 a.m. when two (2) of the three (3) children were finished with their lunch and were out of their high chairs. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s records revealed that two (2) children with the enrollment date of 5/28/14 did not have an immunization certificate available for review at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed the attendance sheet documented twenty-one (21) children signed into care at the time of the survey. Observation revealed that there were twenty-three (23) children in attendance, failing to be consistent with written documentation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of drill records revealed that a copy of a DCC attendance sheet for the last week of August was in the pocket of the drill binder, however, the actual drill record did not have details of the specific August date, time the drill took place or the names of the children that actually participated in the drill.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of drill records revealed that a copy of a DCC attendance sheet for the last week of August was in the pocket of the drill binder, however, the actual drill record did not have details of the specific August date, time the drill took place or the names of the children that actually participated in the drill.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, and review of documentation, it was determined the director failed to provide for the health, safety and comfort of the children. Interview revealed, on 1/7/14 when the outside temperature measured at approximately 15 degrees Fahrenheit, the building's heat was not working from approximately 5:00 a.m-11:00 a.m.; however, the children were still being accepted into the center for care. Review of documentation revealed 17 children were accepted into the center for care between 5:40 a.m. and 11:00 a.m. when the heating issue was repaired. Additionally, a staff member stated that the 17 children that were present had to wear coats, gloves, hats and scarves to stay warm until the heating unit was repaired at approximately 11:00 a.m. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, it was determined the center failed to provide adequate supervision of each child at all times. At approximately 7:45 a.m. upon entering the parking lot of the center, a staff member was observed smoking outside the front entrance of the center. At approximately 7:50 a.m., the staff member was followed into the center where she went into a classroom of eight previously unattended children ages ranging one to four years old. Interview revealed a staff member from a classroom across the hall was standing in the doorway supervising both classes during the staff member's break, however the children in the unattended classroom were out of the supervising staff member's scope of vision.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to provide additional staff for cooking. Observation revealed a staff member in the adjoined kitchen toasting bagels, while attempting to supervise a room of eight children ages ranging from one to four years, over a half-wall.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to maintain minimum staff-to-child ratios. Observation revealed eight children ages ranging from one to four years old, in a multi-purpose room eating breakfast and one supervising staff member.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the director failed to provide the staff a current copy of regulations. Review of documentation revealed the copy of regulations available for staff had a print date of 7/1/08.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and review of documentation, it was determined the director failed to supervise staff conduct to ensure the implementation of program policies. Observation revealed a staff member sitting outside the front entrance of the building smoking a cigarette. The center has a tobacco-free policy. Review of documentation revealed, the staff handbook states the following, "Our outside surroundings and center must remain tobacco-free at all times. Therefore, employees who smoke may do so in their vehicles".

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, it was determined the director failed to provide for the safety of each child. Observation revealed six sockets unprotected within three wall outlets in the preschool classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation verifying the following: 1. The completion of required state orientation training for one staff member hired 4/15/13. 2. The completion of 15 annual hours of training for four staff members with the following hire dates: 10/29/10 (2), 6/25/12, and 7/1/09.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to provide a program to include a variety of creative activities in the following areas: 1. Cultural activities in each classroom. 2. Book in the Toddlers. 3. Art in the Toddlers. 4. Blocks in the Toddlers. Additionally, lesson plans were not posted in the following classrooms: 1. Toddler. 2. Two-Year Old. 3. Preschool.

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 review of documentation, it was determined the center failed to use an electronic viewing device as part of the planned program. Observation revealed the children watching a movie during breakfast. Review of documentation revealed the schedule did not include TV time.

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 determined all five of the cribs in the infant room contained loose fitting bedding.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to use food appropriately. Observation revealed children watching a movie while eating breakfast.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to keep the following items inaccessible to children: 1. Observation revealed a staff purse sitting on a table in the hallway frequently passed by children. 2. Observation revealed plastic bags on a low shelf in an unlocked cabinet in the preschool classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to keep the premises in good repair. Observation revealed the black base board along the wall in the preschool classroom tearing away from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to implement plan for each gender to use the same toilet room at separate times. Observation of two separate classrooms revealed every child is taken into the bathroom as a group of both gender. All children were observed sitting on the floor of the bathroom while one child used the toilet with no privacy.

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, revealed the following: 1. Upon arrival to the center, approximately five children were observed not washing hands. 2. Before eating breakfast, approximately eight children were observed not washing hands. 3. After a diaper change, one child was observed not washing hands.

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,revealed the following: 1. Before serving breakfast, a staff member was observed not washing hands. 3. Before a diaper change, a staff member was observed not washing hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to provide a padded surface for diapering. Observation revealed a staff member changing a diaper on the plastic surface of the changing station in the bathroom. Additionally, it was determined the center failed to provide a surface free of holes. Observation revealed the diaper pad in the infant room contained small holes.

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, it was determined the center failed to provide a sufficient amount of toys to provide each child with a variety of activities throught the day, in the two- year old classroom.

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 determined the center failed to store the children's individual bedding in a sanitary manner. Observation revealed several children's blankets stored atop each other in the cubbies located in the Toddler classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation verifying current immunizations for two children with the following enrollment dates: 4/23/13 and 7/30/13.

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 Review of Documentation, it was determined the center failed to provide documentation verifying the completion of fire drills each month. Review of documentation revealed the date of the last practiced fire drill was 7/2/13.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation verifying the completion of tornado and earthquake drills each quarter. Review of documentation revealed the date of the last practiced tornado and earthquake drills was 4/7/13. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to post diaper changing procedures in the infant diaper changing area. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the center was over their licensed capacity of 49 children on 5-31-13 as there were 58 children present at the center. The center failed to notify the cabinet regarding a change in capacity. This was previously cited on April 11, 2013. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to comply with Plan of Correction submitted on May 15, 2013 as center was over licensed capacity by nine children and director failed to ensure that staff implemented policy of maintaining capacity of the building by following submitted Plan of Correction. Employee Records

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, there was not any First Aid or CPR coverage. The has been previously cited on 4-11-13. Premises

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the center failed to ensure that each child had a minimum of 35 square feet per child as center was over their licensed capacity of 49 and there were 58 children present. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were two children observed in the kitchen with the director. The was previously cited on April 11, 2013 and director failed to follow Plan of Correction submitted on May 14, 2013.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, staff members hired on 3-6-13 and 3-28-13 did not have T.B. verification and staff member re-hired on 3-11-13 did not have T.B. verification. Based on review of DRCC records, this was previously cited on 10-26-12 and 8-12-11.

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 staff schedule provided for the week of Saturday, 4-6-13 to Friday, 4-12-13, the center did not have a staff person who was certified in CPR and First Aid scheduled to be on duty and present with the children for the following hours: Saturday 4-6-13: 5:50 a.m. to 11:30 p.m,; Sunday 4-7-13: 5:50 a.m. to 11:00 p.m.; Monday to Friday 4-8-13 to 4-12-13: 4:45 a.m. to 1:30 p.m. Based on review of DRCC records, this was previously cited on 8-23-11 and 8-12-11. Programming

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, two infants were sleeping in bouncers. Infants did not have statements from a health professional stating that the infants required an alternate sleeping position.

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, three infant cribs contained toys on the interior of the crib attached to the sides. A crib containing a sleeping infant contained a large, loose, heavy quilt that the infant was sleeping on. A sleeping infant had a pacifier attachment device in the crib with him as he was sleeping. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, on 4-10-13, from 8:00 a.m. to 8:15 a.m. there were 10 children in the infant room that has a measured capacity of 241 square feet, equalling a capacity of six children. Room capacity was exceeded by four children.

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: 1.) Based on observation, the portable sink located in the toddler classroom adjacent to the diaper changing area did not have running hot or cold water to wash hands. 2.) Based on observation the girls restroom did not have hand drying material available for the children to dry their hands. Based on review of DRCC records, this was previously cited on 8-23-11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 6 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff and observation, the portable sink in the toddler classroom does not have running hot or cold water. Staff indicated during interview that they routinely wipe the toddlers' hands with a baby wipe after diaper change as opposed to using soap and running water as there is not soap and water available. Based on review of DRCC records, this was previously cited on 10-26-12.

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 interview with staff and observation, the portable sink in the toddler classroom does not have running hot or cold water. Staff stated during interview that they routinely wipe their own hands with baby wipes between diaper changes as opposed to using soap and water to wash her hands between diaper changes. Based on review of DRCC records, this was previously cited on 10-26-12. Equipment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were five cribs that do not meet Consumer Product Safety Commisssion standards established in 16 C.F.R. 1219-1220.

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 indoor Jungle Gym/"Playport" was deemed by Kentucky Department of Agriculture on 2-28-13 to be "temporarily out of order until necessary repairs are completed". Based on review of DRCC records, the "Playport" was determined to be not in good repair on 8-23-11 when this was previously cited. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 6 Web site: http://chfs.ky.gov/

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: 1.) Based on observation on 4-11-13, eight sleeping two-year-old children were observed to be unsupervised in the classroom for approximately five minutes as the assigned staff member was assisting a parent at the front desk. 2.) Based on observation, seven one-year-old children (six were asleep, one was awake) were observed to be unsupervised for approximately 4 minutes as the staff member assigned to their care was cleaning in a restroom across the hall from the classroom. 3.) Based on record review, on 2/28/13, the KY Department of Agriculture issued an inspection report which deemed the "Playport" located inside licensed space at the center as "temporarily out of order until necessary repairs are completed". Observation revealed a staff person failed to supervise a four year old child in the hallway who went into the indoor play area and accessed "Playport" unattended. 4.) Based on observation a staff member left five one-year-old children unsupervised in the lunchroom to go into the kitchen for milk. 5.) Based on interview one staff member was alone with up to 18 children on 4-10-13. During this time, the staff member left the children unsupervised in the lunchroom to go into the kitchen to make a breakfast of toasted bagels for the children and to go to the front door of the center to get two children to the bus for school. The staff member asserted that infants were left in car seats to maintain their safety during the time period that they were unsupervised. 6.) Based on interview and record review on 4-8-13, one staff member was alone in the center with 13 children including two infants when she would leave the children unsupervised to make the children breakfast in the kitchen and to take two children outside of the building to the bus, leaving the remaining children inside of the building alone and unsupervised. Based on interview a second staff member has also left the building leaving children unsupervised to take two children to their bus in the morning before any other staff members arrive. 7.) Based on interview, the staff member responsible for the one yea rold children left her classroom approximately three times, leaving the children unsupervised and awake to go wash her hands in the kitchen and to get the broom. Based on review of DRCC records, this was previously cited on 9-26-12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 6 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, observation and review of records, the director has not assured that additional staff are available during cooking and cleaning hours to maintain staff to child ratios as on 4-11-13, a staff member was observed cleaning a bathroom, leaving a classroom of seven one-year-old children unsupervised. On 4-11-13 a staff member was observed leaving five one-year-old children unsupervised in the dining room as she went to the kitchen to get milk. Based on interview on 4-10-13 a staff member left children unsupervised in the dining room to fix children breakfast in the kitchen as she was the only staff member in the building. Based on review of DRCC records, this has been previously cited on 8-23-11.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, center does not have sufficient qualified staff to ensure minimum staff-to-child ratios are followed as evidenced by on 4- 11-13 seven one-year-old children were observed in a class with one caregiver assigned, caregiver left class unsupervised to clean the bathroom. Based on interview and review of records, on 4-10-13, one staff member was with about 18 children from 7:08 a.m. to 7:30 a.m.; children's ages were 5 infants, one one-year-old, two two-year-olds, nine 3-5 year-olds and one school age child; staff member had been alone since 4:45 with up to 18 children. Based on interview and review of records, on 4-8-13 one staff member was alone with about 13 children from 7:00 a.m. to 7:30 a.m.; children's ages were 2 infants, two one-year-olds, one two-year-old, six 3-5 year olds and two school age children. Staff schedule, sign in sheets, parent interview and staff interviews reveal a pattern of failure to meet minimum staff-to-child ratios in the mornings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, on 4-11-13 seven one-year-old children were in a class with one caregiver assigned. Based on interview and review of records, on 4-10-13, one staff member was with about 18 children from 7:08 a.m. to 7:30 a.m.; children's ages were 5 infants, one one-year-old, two two-year-olds, nine 3-5 year-olds and one school age child; staff member had been alone since 4:45 with up to 18 children. Based on interview and review of records, on 4-8-13 one staff member was alone with about 13 children from 7:00 a.m. to 7:30 a.m.; children's ages were 2 infants, two one-year-olds, one two-year-old, six 3-5 year olds and two school age children. Staff schedule, sign in sheets, parent interview and staff interviews reveal a pattern of failure to meet minimum staff-to-child ratios in the mornings. Based on review of DRCC records, this was previously cited on 12-12-12, 7-27- 11 and 7-7-11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 6 Web site: http://chfs.ky.gov/ Inspection Report General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to request and wait for approval from the Cabinet for a change in capacity prior to implementation. On 4-10-13 sign in sheets reflect that at 2:45 p.m. the center was over given capacity of 49 when 61 children were signed into the center. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on record review, on 2/28/13, the KY Department of Agriculture issued an inspection report which deemed the "Playport" located inside licensed space at the center as "temporarily out of order until necessary repairs are completed". Observation revealed a staff person failed to supervise a four year old child in the hallway who went into the "Playport" unattended. The child was observed to be in the "Playport" for a period of at least two minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and observation, the center director did not assure that staff acting as sole caregivers to children in care were not alone with children until the results of child abuse and neglect and/or criminal records check were recieved by the licensee as three staff members hired on 4-11-13, 3-28-13 and 3-6-13 were observed working alone with children on 4-11-13 without above background checks. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and observation, a staff member re-hired on 4-11-13 did not have results of criminal records check or child abuse and neglect check and was observed to be alone in the 3-4 year old classroom for a period of approximately five minutes. Staff member hired on 3-6-13 did not have results of criminal records check and was observed to be working alone in the two-year-old class with eight children for about two hours. A staff member hired on 3-6-13 stated that on 4-10-13 she opened the center to receive children and was alone with up to eighteen children from 4:45 a.m. to 7:30 a.m. prior to another staff person arriving to assist her with the children. A staff member hired on 3- 28-13 was observed to be alone with 12 three/four-year old children for at least two and a half hours and staff member did not have the results of a criminal records check or child abuse and neglect check. Based on review of DRCC records this was previously cited on 8-23-11 and 7-7-11.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired on 1-13, 3-28-13, 3-6-13 and staff member re-hired on 4-11-13 did not have proof of a high school diploma, GED or Commonwealth Care Credential on file. Based on review of DRCC records, this was previously cited on 8-12-11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 6 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, ratios and group size failed to be maintained at the center, in that, one caregiver was supervising a group of twelve children in the Preschool Room, with the youngest child being two-years-old and the oldest child being five-years-old. Based on observation, one caregiver was supervising a group of six infants, the youngest child being six-months and the oldest child being one-year-old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 2) Specific Staff In Compliance Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

General: Based on observation, the Two-Year-Old Room consisted of one-year-old and two-years-old children, with a total group size of twelve children. Based on interveiw, the one- year-old and two-year-old children are supervised together as one group for the duration of the day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with the hire date 10/26/12 did not have a negative TB verification on file for review. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year Not In Compliance Findings: General: Based on review of documentation, staff members with the hire date 3/15/11 and 9/23/11 did not completed their 9 hours of cabinet-approved child development training within the first year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on observation, a staff member with the hire date 7/1/09 did not complete their annual 15 hours of cabinet-approved training. 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

infant room: Based on observation, the diapering surface was not disinfected after each diaper change.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, multiple staff members did not have a yearly evaluation on file for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.