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

General: Based on interviews, the center is frequently out of ratio during the morning drop-off. Multiple staff said that several times per week, one (1) staff member will be left alone nine (9) infants for up to thirty (30) minutes.

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 and interview, during a tour of the outdoor play area on 06/11/25 the surveyor observed fifteen (15) children, ages one (1) to two (2) years-old with two (2) staff members. The staff-in-charge stated that she was unsure of why the two (2) classrooms were combined on the playground since they have separate times scheduled to utilize the playground. General Administration In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 10/13/21) previously lived in Ohio (2000-2019) and Indiana (2019-2020), based on the KARES Employment Authorization Form in the staff member's file. The facility did not have written evidence of the submission or the results of an out-of-state background check for either state. The staff member would need a CAN check and a sex offender registry check from Ohio and a criminal records check, CAN check, and a sex offender registry check from Indiana. The staff member was not present during the renewal survey.

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General: Based on review of documentation, the general liability insurance on file was no longer current. The general liability insurance on file was dated 12/01/23 to 12/01/24.

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, three (3) staff members (DOH: 09/12/16, 08/24/18, and 10/13/21) did not have current evaluations on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, seven (7) staff did not have documented hire dates on file. The staff in charge verbally gave the surveyor the staff members hire dates.

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, three (3) staff members (DOH: 04/15/24, 09/21/24, and 03/11/24) did not have proof of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Documentation presented for a staff member (DOH: 09/12/16), included the most recent TB skin test dated 11/30/22, which was no longer current. 2) Documentation presented for a staff member (DOH: 08/24/18), included the most recent TB skin test dated 11/30/22, which was no longer current. 3) Documentation presented for a staff member (DOH: 10/13/21), included the most recent TB skin test dated 01/21/22, which was no longer current. 4) Documentation presented for a staff member (DOH: 01/10/23), included the most recent TB skin test dated 05/20/22 which was no longer current. 5) Documentation presented for a staff member (DOH: 12/06/22), included the most recent TB skin test dated 12/01/22 which was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 03/11/24) did not have writtten evidence of CPR and First Aid training. A review of ECE-TRIS verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH: 03/11/24) has not completed orientation training, which is required within ninety (90) days of employment. 2) A staff member (DOH: 04/20/18) completed PAHT training on 05/29/18; however, did not renew the training due on 05/29/23. A review of ECE-TRIS verified this information.

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, Room 3, DPS Two's, contained a vent that was not attached to the wall on one (1) side. The vent was located by the handwashing sink. In addition, the top of the metal vent was rusted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: Room 6, Infant 1 1) Two (2) small, stained ceiling tiles were observed above the cubbies. 2) A crack was observed in the drywall above the door frame that led to the ceiling.

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 and interview, the hot water in the handwashing sink in the Toddler 1 Room would not work. When the handle was turned on nothing came out of the faucet. The staff member indicated that the hot water stopped working yesterday in that sink.

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, a bottle of Equate Pain Reliever Acetaminophen was located in an unlocked cabinet in the kitchen above the sink. The medication was not labeled with a name and not stored in a locked area. Medication shall be labeled and stored in a separate locked place. Outdoor Play Area In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child's file (DOE: 05/28/24) contained an expired immunization certificate. The immunization certificate expired on 10/28/24.

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 review of documentation, four (4) staff members (DOH: 09/12/16, 08/24/18, 10/13/21, and 4/20/18) did not have current professional development plans on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the facility did not have a written record of the children who participated in the monthly fire drills documented for 2024. In addition, the facility did not have written documentation of conducting quarterly earthquake and tornado drills or a written record of the children who participated in these drills for 2024.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Preschool 1 Room and the Infant 2 Room contained a list of children's allergies posted on bulletin boards in each of the rooms. This information is considered confidential.

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, the facility did not have any drills documented for 2024 except fire drills. The facility did not have earthquake, tornado, or shelter-in- place/ lockdown drills documented for 2024. These drills are to be conducted quarterly and documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The statement of deficiency and plan of correction from the renewal survey conducted on 12/15/23, an investigation conducted on 03/26/24, and an investigation conducted on 03/27/24 were not posted for public inspection. 2) Room 2, Preschool 1, did not have a dated lesson plan posted. 3) Room 3, DPS Two’s, did not have a dated lesson plan posted. 4) Room 4, Toddler 1, did not have a dated lesson plan posted. 5) Room 7, Pre-K did not have a posted lesson plan.

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, Staff #5 spanked Child #1 while at center. A licensee shall be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:120, and 922 KAR 2:280; and protect and assure the health, safety, and comfort of each child.

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, on 03/05/24 a two-year-old child smashed his thumb in a classroom door. The staff person in charge sent an email on 03/26/24 stating "Unfortunately, we do not have an updated CPR certification for any of our staff members that were on the clock at the time of the incident. I have attached my most recent CPR card. It expired in August 2023, we have already reached out to enroll our entire staff in CPR certification courses within the next couple weeks".

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, this requirement was not met. Each center shall maintain a child-care program that assures each child shall be: Provided with adequate supervision at all times by a qualified staff person who ensures the child is within scope of vision and range of voice. On Tuesday, 02/06/24, a staff member was observed on the playground, yelling at children. The staff member was standing against the wall with her back to other children on the playground and they were out of her scope of vision. This was confirmed by two (2) witnesses. General Administration 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 8. General.

General: Based on interview, the child care center did not protect and assure the health, safety, and comfort of each child. On Tuesday, 02/06/24, two (2) witnesses observed a staff member yell at a child, push the child to the ground, grab the child's arm, and throw him against the wall. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center did not assure appropriate discipline of each child. On Tuesday, 02/06/24, two (2) witnesses observed a staff member on the playground yell at a child, push the child to the ground, grab the child's arm, and throw him against the wall.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, no Professional Development Plans were provided for review during the survey.

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 observation and review of documentation the Kentucky Applicant Registry and Employment Screening (KARES) report found that one (1) staff member (DOH 08/24/18) is currently employed but not showing as eligible for employment. This staff member was working alone with children in the Infant 2 Room. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff member (DOH 02/06/23) did not have proof of educational qualifications in their personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff members (DOH 05/07/21 and 11/22/21) did not have evidence of a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff member (DOH 02/06/23), did not have evidence of completing cabinet-approved orientation training. 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 of the Preschool Room, there was Restroom Cleaner placed next to the handwashing sink close to the floor, accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, both Infant Room 1 and Toddler Room 3 had stained ceiling tiles at the time of the survey. 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, a staff member did not wash the child's hands after diapering. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) children had immunization records that were outdated. All three (3) children had been enrolled longer than thirty (30) days. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Based on review of documentation, lockdown drills were not presented for review during 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, there were no current staff evaluations on file. 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, staff hired 12/14/22, 05/23/22, 11/15/22, and 02/06/23, did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired 04/16/07, 12/14/22, 08/29/22, and 12/05/22, did not complete the required CPR/First Aid Training. These staff members have been employed for more than three months. The ECE-TRIS system was reviewed and confirmed these findings. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Staff hired 12/14/22, and 08/29/22, did not complete the required orientation training. These staff have been employed for more than three months. 2) Staff hired 05/07/21, 10/13/21, 10/13/20, and 11/22/21, did not have the required fifteen (15) hours of cabinet approved training on file. 3) Staff hired 10/13/21, did not complete the required pediatric abusive head trauma training. This staff member has been employed for more than one year. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was no indicating thermometer in the refrigerator located in the Older Infant classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no indicating thermometer in the freezer located in the Older Infant classroom. Therefore, the temperature of any items being stored could not be determined. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, there were no current staff professional development plans on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the children that participated in each drill was not on file for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, this regulatory requirement was not met. The facility did not present for review the incident/accident reports for a scratch that occurred on 8/08/2022 and a bite that occurred in late August to a toddler. Accident/incident reports were not presented to the child's parent. The toddler sustained minor injuries from all the incidents. The facility’s policy states if a child is injured at the center, the parent will receive an incident/accident report at pickup time. The facility’s biting policy states that if your child bites or is bitten, you and the parent of the other child involved will receive an incident/accident report that keeps the identity of both children confidential. The facility did not follow their policies in regard to these injuries sustained by a toddler. Please note an incident/accident report was located for the scratches sustained to the toddler on 8/04/2022 and it was emailed to the surveyor on 9/13/2022. The incident/accident report was not signed by a management staff or a parent. 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 review of documentation, this regulatory requirement was not met. A staff hired on 3/28/2022 did not have negative TB documentation on file during the investigation conducted on 9/13/2022. Child-care center staff shall provide prior to employment and every two years thereafter: a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on interview, this regulatory requirement was not met. During the investigation it was found that facility placed a staff member, who was suspected of being infected with a communicable disease and not feeling well, to perform duties in two classrooms for approximately four (4) hours while waiting for the test results. When the test results came back positive the staff member was allowed to leave.

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.

Based on interview, this regulation was not met. The current teacher in the two-year-old classroom has a hard time keeping up with this active two year old class where biting is an issue and children are being potty trained. The teacher often has to call for help to control the classroom behaviors even if another teacher is present in the classroom. Another teacher also indicated that this is a rough classroom with very active children and the current teacher often struggles with redirecting the challenging behaviors by repeating commands but not actually gong to the child to help redirect or deescalate the behaviors. 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 5. Checks of Other States.

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 10/04/2021, did not have written evidence of completing an out-of-state child abuse and neglect check or an out-of-state sex offender registry check. This staff member previously lived in Tennessee within the last five years. 2. A staff member hired on 10/23/2021, did not have written evidence of completing an out-of-state child abuse and neglect check or an out-of-state sex offender registry check. This staff member previously lived in Indiana and Ohio within the last five years. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. Three staff members did not have proof of education on file. These staff were hired on 7/28/2021, 10/23/2021, and 11/12/2021.

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, this regulatory requirement was not met. Four staff did not have negative TB skin test documentation or a statement from a health professional that the individuals are free of active tuberculosis. These staff were hired on 5/24/2021, 7/28/2021, 10/23/2021, and 11/12/2021.

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, this regulatory requirement was not met. The following was found: 1. A staff member hired on 7/28/2021, did not complete the required Orientation. This staff member has been employed for more than three months. 2. A staff member hired on 4/16/2007, did not complete the fifteen hours of cabinet-approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed 14.50 hours of training. 3. A staff member hired on 8/24/2020, did not complete the fifteen hours of cabinet-approved early care and education training between 8/24/2020 and 8/23/2021. The staff member completed 13.50 hours of training. 4. A staff member hired on 4/22/2014, did not complete the fifteen hours of cabinet-approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed 9 hours of training. 5. A staff member hired on 7/27/2020, did not complete the fifteen hours of cabinet-approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed 13.50 hours of training. 6. A staff member hired on 7/08/2020, did not complete the fifteen hours of cabinet-approved early care and education training between 7/08/2020 and 7/07/2021. The staff member completed 13.50 hours of training. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Discovery Preschool Room (Room #3) contained two ceiling vents with an excessive amount of dust on the surface. The vents were located in the center of the room and above the tan storage cabinet. 2. The Preschool I Room (Room #2) contained a dusty ceiling vent above the cubby area. 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 3. General Requirements.

General: Based on observation and review of documentation, this regulatory requirement was not met. There was no written documentation indicating that fire, earthquake, tornado, and lockdown/shelter-in-place drills were conducted and documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Pre-K Room (Room #7) contained a section of chipped paint and torn drywall below the birthday bulletin board. 2. The School-Age Room (Room #8) contained an area of chipped paint and crumbled drywall below the window and on the wall outside of the bathroom. 3. The Toddler I Room (Room #4) contained a section of missing baseboard under the hand washing sink. This area contained crumbled drywall and glue from where the baseboard was removed. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The outdoor play area used by the older children contained a missing wooden plank on the privacy fence. The opening was approximately 6.5 inches wide. Another wooden plank on the privacy fence was broken at the top. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Pre-K Room (Room #7) contained tape residue on the top of a shelving unit that was storing dolls and on the top of another shelving unit that was storing Legos and blocks. 2. The Infant 2 Room (Room #5) contained a cabinet, within reach of the children, that the hinges were not connected properly. The cabinet door was hanging by one hinge. The children in this room were mobile. 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: Based on observation, this regulatory requirement was not met. The Infant Room 1 (Room #6) contained six uncovered bottles in the refrigerator. In addition, the Infant Room 2 (Room #5) contained two uncovered bottles in the refrigerator. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A child enrolled on 9/11/2020, did not have a physician's name or phone number listed on their enrollment paperwork. This area was left blank. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have written evidence of the submission of the emergency preparedness plan for 2020. The emergency preparedness plan shall be undated annually and submitted to the local emergency management officials per KRS 199.895.

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, this regulatory requirement was not met. There was no written documentation indicating that fire, earthquake, tornado, and lockdown/shelter-in-place drills were conducted detailing the date, time, and children who participated in accordance with 922 KAR 2:120, Section 3.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The statement of deficiency and plan of correction from an investigation conducted on 6/25/2021, was not posted. In addition, the statement of deficiency and plan of correction from the post-preliminary inspection conducted on 1/25/2021, was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The posted lesson plan in the Discovery Preschool Room (Room #3) was no longer current. The posted lesson plan was dated 11/10/2021. The renewal survey was conducted on 12/07/2021. 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 interview and review of documentation, it was found that a two-year-old child was left alone and unsupervised on the playground from 10:59AM to 12:08PM. This was due to a breakdown in staff following the facility's policies and procedures set in place. It should be noted that the child was found safe and unharmed on the playground. Staffing Requirements In Compliance General Administration 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 8. General.

General: Based on interview and review of documentation, it was found that a two-year-old child was left alone and unsupervised on the playground from 10:59AM to 12:08PM. Therefore, the facility did not provide a safe environment for the child while in care. It should be noted that this facility is located next to a main road which posed another risk to the child while she was outside on the playground. 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 12. Reports.

General: Based on interview and review of documentation with the staff person in charge, it was found she had been named director in November 2020. A review of the Division of Child Care records found there was no documentation to verify that a request for a change of director had been submitted by the provider. 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 observation, a toilet plunger and toilet brush had been placed on the floor by the toilet in the bathroom located in the Preschool I room. These items were stored in an unsanitary manner and accessible to the children. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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 observation, review of documentation and interview, the following was found: 1) In the Preschool I room, the planned program of activities had Week I Unit/Fall. The staff person in the room stated the lesson plan was in a bag she left at home. 2) There was no planned program of activities posted in the Pre-K room and the Young Preschool room. 3) In the Toddler II room, there was not a planned program of activities posted. The staff person stated she does not do a lesson plan for the children. 4) In the Infant II room a planned program of activities was not posted.

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, an empty bottle was observed in a crib with an infant in the Infant II room. The infant was starting to wake-up when the surveyor entered the room at approximately 11:42 a.m. No toys or other items except the infants pacifier should be in the crib with an infant. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff person's coat and purse were hanging on a hook in the children's bathroom in the School-Age room. There were three school-age children in the room at the time of the survey. This room is also used at naptime for some of the children in the Pre-K room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a round table turned on its side, a manual push sweeper and two mats were found in the hallway by an exit door by the Toddler II room. These items did not allow a clear path of egress in the event of a fire or other emergency requiring the building to be evacuated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found during a tour of the facility: 1) In the bathroom located in the Pre-K room, the exhaust fan/light was not mounted securely in the ceiling. 2) In the School-Age room, a portion of the baseboard near the couch was not secured to the wall. Cheerios, dirt and debris were also found scattered on the floor. 3) In the Infant II room, dried food particles were observed on the wall behind the sink. Small holes were also found in the wall by the soap dispenser.

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, pieces of toilet paper were found on the floor around the toilet in the bathroom in the School-Age room. 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 diaper-changing pad in the Infant II room had a tear in the surface. This does not allow the pad to be adequately sanitized after each child is diapered.

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 with staff caring for children not yet toilet trained, it was found that toys that are mouthed by the children are submerged in a multi-surface cleaning solution, rinsed and then sprayed with a sanitizing solution. The process does not meet the requirement as required by this regulation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that the facility's first aid supplies did not contain a CPR mouthpiece.

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: Based on observation, packets of burn and antibiotic ointment were found in two first aid kits located in two of the classrooms. These items were not labeled for an individual child or adult. 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, there were several nap mats that were in disrepair. The corners and sides were torn exposing the foam inside. This does not allow the mats to be properly cleaned and sanitized. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, three laundry baskets containing blankets were observed on the floor in the Pre-K room. An interview with staff found that the blankets are used for naptime. The staff person stated the blankets are laundered every other day. This method of storage of the blankets is unsanitary due to the blankets not being laundered after each use.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were several shelves throughout the facility that contained tape residue with a build-up of dirt and grime on the surface. A step stool located in the Pre-K room contained a build-up of dirt and grime on the surface.

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, a table measuring fifteen inches tall and chairs measuring five inches tall were found in the Toddler II room. Three children were seated at the table for lunch. An additional child had been placed in a low chair with an attachable tray. The edge of the table was level with the children's chin. The children seated at the table struggled as they attempted to retrieve their food from their plates due to the height of the table. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 and interview, an empty bottle was observed in a crib with an infant in the Infant II room. The infant was starting to wake-up when the surveyor entered the room at approximately 11:42 a.m. An interview with the staff person in the room found, when she entered to the room at 10:40 a.m.to give the teacher a break, the child was already asleep with the bottle in the crib. This regulation requires a child be held when drinking from a bottle or be placed in an appropriate feeding furnishing if the child is able to hold their own bottle or cup.

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, an unknown substance was dried on the bottom shelf inside of the refrigerator in the kitchen. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, out of ten children's files, there was one child who had an immunization certificate that was no longer current as of 1/5/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, out of ten children's enrollment information, there were five that did not contain a preferred hospital. One child did not have anyone listed as those authorized to pick-up the child. 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 observation, the facility's preliminary license was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a schedule of daily activities with the times activities would be conducted was not posted in the Toddler II room and in the Infant II room. Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.