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

General: Based on interview, this regulation was not met. A child in the Infant Classroom found and used a vape pen/device, that was brought into the center by a staff member. She dropped the vape on her way to take a break when it fell out of her purse. A child found the vape pen/device and took a "hit" from it. An ambulance was immediately called, and the child was evaluated for any health concerns. The child did not suffer any injuries, and the parents were also notified of the incident.

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, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) Two (2) employees (DOH: 05/24/19 and 05/03/21) had renewed their background checks after their five (5) year expiry date. It should be noted both employees do have current determination statuses of eligible. 2.) An employee (DOH: 05/22/19) had a background check that had not been renewed at the five (5) year expiry date. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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, the child care center failed to maintain state regulations. Three (3) employee files (DOH: 05/03/21, 05/09/16, and 08/15/19) did not contain evidence of an annual evaluation being administered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) Five (5) employees (DOH: 06/07/99, 10/07/19, 06/28/23, 01/02/20, and 05/09/22) renewed their TB skin tests after the two (2) year expiry date. It should be noted all five (5) employees have current TB skin tests on file as of survey. 2.) Two (2) employees (DOH: 05/09/16 and 04/18/11) did not have current TB skin tests or statements from a medical professional declaring them free from an active tuberculosis infection.

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 child care center failed to maintain state regulations. During the survey, the following was observed: 1.) An employee (DOH: 06/07/99) completed zero (0) hours of the required fifteen (15) hours of annual training for the year 07/01/23-06/30/24. 2.) An employee (DOH: 01/28/19) completed eight and one half (8.5) hours of the required fifteen (15) hours of annual training for the year 07/01/23--06/30/24. 3.) An employee (DOH: 05/03/21) completed thirteen (13) hours of the required fifteen (15) hours of annual training for the year 07/01/23-06/30/24. 4.) One (1) employee (DOH: 05/09/16) completed zero (0) hours of the required fifteen (15) hours of annual training for the year 07/01/23--06/30/24. 5.) An employee (DOH: 10/19/20) completed the pediatric abusive head trauma training after its five (5) year expiry date. It should be noted the training is up-to-date currently. A review of ECE-TRIS has 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, there was one (1) light that was not working on the day of inspection in the Young School Age Classroom. 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

Open / not marked corrected.

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

General: Based on observation, the Infant A Classroom had a stained ceiling tile on the day of inspection.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the water temperature at the sink in the School Age bathroom registered one-hundred twenty-four (124) degrees Fahrenheit when measured with a thermometer. The children use this sink for hand washing and should be between ninety (90) and one-hundred twenty (120) degrees Fahrenheit. 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

Open / not marked corrected.

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

General: Based on observation, the freezer in the Infant C Classroom did not have a thermometer and the thermometer in the Infant A freezer was broken so the temperature 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, the child care center failed to maintain state regulations. Two (2) employee files (DOH: 05/09/16 and 06/07/99) did not contain evidence of an annual professional development plan. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, an eight-month old child fell from a changing table on 05/22/24 while in the care of a staff member. Medical attention was sought for the child. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files found that a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 6/20/2022.

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 child care center failed to maintain employee records in accordance with regulations. Review of staff files found that a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member with a hire date of 9/17/2020. 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 7. First Aid and Medicine.

General: Based on review of documentation, the child care center failed to maintain state regulations in regards to employee records. Review of staff files found that documentation of current training by a cabinet approved training agency in Cardiopulmonary Resuscitation (CPR) and First Aid as required by state regulations was not presented or found in the Early Care and Education Training Records Information System for four (4) current employees with hire dates 6/11/2019, 2/21/2022, 10/04/2021, and 5/17/2021.

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 child care center failed to maintain state regulations in regards to employee records. A review of staff files and the Early Care and Education Training Records Information System found that documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 3/16/2020 and 5/3/2021. 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 Transition B Room contained an area of chipped paint on the back wall next to an electrical outlet. 2. The Middle School-Age Room contained an area of chipped paint and a scuffed wall behind the trashcan near the door. 3. The Middle School-Age Room contained a scuff on the wall below the telephone. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The Middle School-Age Room contained tape residue on the top of a toy shelf that contained Legos. In addition, the Middle School-Age Room contained tape residue on a toy shelf labeled wooden blocks. 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. Two mini refrigerators in the food prep area for the Infant C Room did not have thermometers inside them; therefore, the temperatures could not be determined. These refrigerators contained bottles, sippy cups, and milk. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, it was found that staff members hired 7/26/2001, 9/9/2019, 12/18/2019, and 11/2/2020 did not complete 15 hours of cabinet approved early care and education 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 4. Premises Requirements.

General: Based on observation, the surveyor found two ceiling tiles in the Kindergarten Prep B classroom that were not secured to the ceiling grid. A third ceiling tile located in the restroom was buckled and not secured to the ceiling grid. Additionally, the surveyor observed water stained ceiling tiles located in the School-Age classroom, and the Movement Matters room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation in the kitchen, the surveyor found individual 2% milk cartons stored in milk crates. The staff person in charge stated that the children are served 2% milk because they are currently having issues finding skim, 1%, and whole milk individual cartons to purchase. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

General: Based on review of documentation, and the Kentucky National Background Check Service (KARES), two staff hired on 6/8/2020 and 11/2/2020 were listed as ‘in process’. The staff person in charge indicated that the staff have appointments to be fingerprinted. However, fingerprints were to be submitted and completed no later than 9/30/2021. It should be noted that both staff had the results of a Child Abuse and Neglect Check (CA/N) and a Criminal Records Check (CRC) on file at the facility. 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 2 Inspection Report Employee Records 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, there was a small ceiling tile missing in both the boys' and girls' bathrooms in the young school-age classroom. Also there were eight quarter-size holes in the wall in the older school-age classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Parent's and Children's Rights and information from the Kentucky Consumer Product Safety Program as specified in KRS 199.897 were not posted in the facility.

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 current schedule of daily activities, including lists and dates of activities to be conducted with the children were not posted in the Preschool A classroom or the Preschool B classroom. The schedules posted were dated 11/23/2020 - 11/28/2020 and 10/26/2020 - 10/31/2020, respectively. Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor found two uncovered sandboxes on the playground. The surveyor noted that there were ripped weighted covers in the middle of both sandboxes. 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 10. Director Requirements and Responsibilities.

General: Based on interview, record review and review of video surveillance of the playground on 07/24/2020, a one-year-old child received 2nd degree burns to the bottom of her feet. The child went outside at approximately 4:03pm with three other children and the staff person. The child did not have socks or shoes on her feet. The other children had on shoes while on the playground. The video shows the child walking around and playing, then at 4:18pm she comes into camera view walking onto an area of concrete that was directly in the sun. She walks on the concrete in this area for approximately forty (40) seconds and then walks over to a poured rubber mulch section of playground, next to a play structure, and falls down. She is seen getting up, trying to walk and falling down numerous times. At 4:19pm the child's teacher sees her, picks her up and she gathers the other children and goes back inside to their classroom. Video surveillance of the classroom at 4:21pm shows the children coming back inside from the playground and it appears the child without shoes on is still in distress. Her face is very red, she appears to be crying and having a difficult time walking so the teacher picks up the child. Over the next twenty-five (25) minutes, the teacher is observed, via video, trying to console the child by holding her, feeding her, giving her a pacifier and swaddling her but the child continued to appear in distress. At one point, another staff person comes into the room to give the teacher a ten (10) minute break but does not see the burns to the child's feet. At another point in the video, the child is observed lying on the floor crying, face down to the floor. At 4:45pm, the teacher appears to be putting socks and shoes on the child. The child eventually manages to get her shoes off and at approximately 5:30pm the teacher goes out of view with the child for a moment and when she reappears the child does not have socks on. The teacher is then seen showing the bottoms of the child's feet to the teacher who is in the adjacent classroom. It was reported the teacher tried sending pictures to the mother through the classroom IPad but it was not working properly. At 5:35 pm, the video shows the teacher applying some kind of ointment to the child's feet. Per interview with the teacher, she stated that she did put diaper ointment on the child's feet but immediately took it off. At 5:38pm the teacher called to the front office and asked for someone to come to the classroom. At 5:45pm the child was taken up front by another staff person and parents were called. The parents arrived to pick up the child at approximately 6:00pm. According to AccuWeather, the outside temperature that day was ninety-one (91) degrees. Interview and review of documentation confirmed the child received second degree burns to the soles of her feet. Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired on 03/11/91, 09/12/16, 12/18/02, 11/28/16, 08/04/14, 05/08/18 and 01/27/17 did not have a current staff evaluation 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, the following was found: 1) Staff hired on 06/07/99 and 10/08/18, did not have the required 15 hours of cabinet approved training on file. 2) Staff hired on 08/05/19, had not completed Orientation I and II within the first three months of employment. This information was verified through ECE-TRIS. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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: Based on observation, it was found that the lesson plans in the infant A, infant C, and transition A classrooms were outdated at the time of the survey. 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 following was found: 1. There was an uncovered light bulb in the ceiling of the bathrrom in the young school-age classroom. 2. One of the fluorescent light bulbs in the Girls Locker Room was not working; making the area very dim.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. There was a missing ceiling tile in each of the two bathrooms in the young school-age classroom. 2. In the infant B classroom, there were two large areas of missing paint. These areas were located behind where the diaper changing/handwashing steps were hanging, as well as underneath the dry erase board in the classroom. 3. In the infant C classroom, there was an area of the wall where the drywall was completely missing, which left the metal in the wall exposed. 4. In the toddler B classroom, there was a brownish-yellow substance on the wall in the back left hand corner. 5. In the transition A classroom, there was an area of the wall where something had been hanging previously. The item was no longer hanging on the wall, which resulted in there being a large area of missing or mismatched paint. As a result, there were two holes in the wall where the item had been taken down. 6. In the transition B classroom, there was a stained ceiling tile in the back corner of the room by the camera. 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, it was determined that this regulatory requirement was not met. During a tour of the bathroom in the transition B classroom, it was found that there were stains on the floor from the soap dispenser. These stains were very heavy and thick on the floor. In addition to this, it was found there was an excessive amount of toilet paper and paper towels on the floor during the tour. Lastly, it was found that the soap dispensers in this bathroom were dirty and grimey. 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 following items were found: 1. The brown leather couch and chair in the Kindergarten Prep A classroom were torn in several areas leaving exposed foam. 2. In the toddler A classroom, there was a rug in the back right hand corner that was dirty and stained. 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, it was found that there was no indicating thermometer in the refrigerator in the infant B classroom. 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, this regulatory requirement was not met. A child enrolled on 8/26/19, did not have a physician's phone number on file. 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 9. Records.

General: Based on observation and review of documentation, staff hired on 03/11/91, 09/12/16, 12/18/02, 11/28/16, 05/08/18, 01/27/17 and 08/04/14 did not have a current professional development plan on file. 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 10. Director Requirements and Responsibilities.

General: Based on observation, a current schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the Kindergarten Prep A classroom and the middle school-age classroom.. Animals 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 and review of documentation, a five (5) year old child was taken into an isolation room after showing aggressive behavior towards another child. There was a video camera in this isolation room. A review of video footage found the staff person was sitting in the isolation room with the child when he began to climb on a table and appeared to try and bite and get aggressive towards the staff person. The staff person opened the door and stepped partially out into the hallway to ask another staff person to contact the child's father. At that time the child grabbed the staff persons arm and appeared to try and bite the staff person. The staff person reacted and pushed the child off of her causing the child to fall backwards and land on the floor against a chair. The child is then seen grabbing his head. Through interview with staff, it was found that the child received a bump on his head. It should be noted that the child has a shunt in his head due to a medical condition. The child was taken to the hospital a few days after the incident due to an illness not related to this incident. During that visit the doctor was informed about the incident where the child hit his head so an x-ray was completed. It was reported that there were no injuries from the fall. Programming 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, there was a CD player located on the top of a shelving unit that was approximately three (3) feet tall in the Preschool B classroom. The player was plugged into an outlet near the bottom of the wall next to the shelf. The cord from the player was accessible to the children in care and not secured. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire dates of 07/30/2018 and 01/25/2018 did not have proof of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire dates of 07/30/18 and 01/25/2018 did not have a current physician's statement or negative TB test results 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, staff with hire dates of 11/28/2016 and 07/26/01 did not have evidence of fifteen (15) hours required annual training on file or on ECE- TRIS. 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, a narrow ceiling tile in the bathroom in the Kindergarten Prep B classroom was not placed securely in the ceiling. The tile was sideways and looked as though it could fall. In Toddler B the baseboard near the door and the children's cubbies had an accumulation of dirt and grime along the bottom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, in the medication cabinet labeled 2nd Shift the following was found: 1) A bottle of Mylecon drops was in a plastic baggy. Only the plastic baggy was labeled for an individual child. The bottle of medication was not labeled with the child's name. 2) A bottle of Infant Tylenol pain reliever stored in a baggy had the name of the child on the outside of the baggy but not on the bottle. In the medication cabinet labeled Preschool/Pre-K/School Age the following was found: 1) A bottle of Children's Tylenol Cold and Flu was stored in a baggy. The outside of the baggy was labeled with a child's name but the bottle of medication did not have the child's name on the outside. 2) A bottle of Children's Motrin was stored in its original box. The outside of the opened box had the child's name on the outside but the child's name was not on the bottle of medication inside the opened box. In a cabinet labeled Infants and Toddlers the following was found: 1) A bottle of Gripe Water with a plastic baggy that contained a syringe secured to the bottle with a rubber band. The outside of the baggy contained a child's name but the bottle did not. 2) A bottle of Little Remedies Saline mist was found inside of a clear baggy. The outside of the baggy was labeled but the bottle of saline solution was not labeled with a child's name. 3) A bottle of Children's Motrin and a large bottle of Children's Benadryl were observed inside of their original boxes and opened. The name of the child was on the outside of the box but not on the bottle of medication. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, of the large playground located off of the Transition A room, there was an area of the mulch that contained eight (8) large, brown mushrooms. The mushrooms were accessible to the children. On this same playground, a large wooden building was observed in the corner. A portion of the bottom of one (1) side of the building had an area where the wood had rotted and splintered.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation of the outdoor play area located off the end of the hallway where the infants and toddler classrooms are located a tree log was observed on its side. A chain was used to anchor the log to the ground. The children were observed climbing and sitting on the log. However, the mulch around the log was very thin and sparse. 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, one of the chest of drawers in the Sleep Room was in disrepair. The front panel of one of the drawers was no longer attached.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the outdoor playground located off of the Transition A classroom a plastic storage container was observed laying on the concrete. One (1) side of the container was cracked and had been repaired with white tape. Based on observation while in the Infant Movement Matters Zone the following was found: 1) Two vinyl triangles with a turtle print on top, a long, green vinyl wedge, and two green vinyl square had several areas that were worn leaving the mesh covering underneath exposed. Because the vinyl covering had worn away on all of these items they could not be adequately sanitized. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no evidence that the facility's Emergency Preparedness Plan had been updated or submitted to the proper authority for review since 2016. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the diapering area located in the Transition A classroom the proper procedure for washing hands after diapering was posted. However, the proper procedure for diapering a child was not posted. Based on an interview with staff it was confirmed that the area is an area used diapering children. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation, it was found that on 1-31-17, a child tripped over a rug and hit his head on the metal casing of a window, resulting in a gash on the left side of his forehead. He was taken to the hospital and required three (3) stitches to close the wound. On 2-15-17, a child fell and bit his tongue. He was taken to the hospital and required two (2) stitches to close the wound. The facility personnel were aware of the children being taken to the hospital for treatment. Neither of these incidents were reported to the Division of Regulated Child Care office as required.

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, it was found that the person named as the new Director of the facility did not have documentation on file that indicated that the Director met the requirements listed in 922 KAR 2:110. Therefore, it could not be determined that the new Director was qualified to serve in that position.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/05/2017 AND AS OF 08/03/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, it was stated that the named Director of the facility was no longer employed at the facility. The staff person in charge indicted that the named Director had been on medical leave since early May, 2017. According to the staff person in charge, the named Director decided not to return to the facility at the end of May. As of the date of the investigation, the facility had not submitted documentation for a change of Director to DRCC. 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 4. Premises Requirements.

General: Based on Observation, 1. There was a crack in the wall under the window in the block area in the Kindergarten B classroom. The crack had caused the paint to chip and exposed drywall was observed. 2. The vent in the bathroom in the Middle School-age classroom was hanging down and not flush with the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, several of the nap mats in the Middle School-age classroom had tears on the corners leaving exposed foam. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interviews and record review, the facility director failed to provide for the health, safety, and comfort of each child. Based on interviews the Kindergarten Prep children (4-5 years-old) came back to the room on 8/5/16 after visiting the Media Room and the floor was wet from where it had been mopped by the cleaning crew. The staff members told the children not to get on the wet floor, but regardless of the instructions by the staff, a child did play on the wet floor and she fell and broke her arm. The wet floor posed a safety hazard to the children. Employee Records In Compliance

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, staff hired on 6/7/99 and on 8/22/13 did not have current annual evaluations on file.

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, one (1) staff hired on 6/1/15 did not have proof of education on file.

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, one (1) staff hired on 6/22/15 completed her TB skin test on 6/26/15 and this was not prior to employment.

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, one (1) staff hired on 6/22/15 completed orientation training on 10/5/15 and this was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that in the Young School Age classroom, the baseboard behind the toilet located in the right hand bathroom area was pulled away from the wall, exposing the drywall beneath. The baseboard was lying on the floor beside the toilet. A teacher in the classroom stated that the toilet had been leaking and the area was in the process of being repaired.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, there was an area of baseboard in the hallway that was damaged and peeling away from the wall. The damaged area was near the office. The staff person in charge stated that a work order had been submitted for the repair.

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, it was found that the green paint of a climber with double slides was peeling in multiple spots. This piece of equipment was located on the Preschool Playground.

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, staff hired on 6/7/99, 8/22/13, and 8/18/14 did not have current professional development plans on file.

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, two (2) toddler children were left unsupervised in the gross motor room while the rest of the group returned to the classroom. The estimated time the children were alone was two (2) to five (5) minutes. The staff and the other children walked through the center to the classroom at the other end of the building. That was when a staff person realized two (2) children had been left in the gross motor room. Another staff person went back to the gross motor room and found the children playing in a toilet in a bathroom inside the gross motor room. The staff person stated the children were happy and laughing. The staff estimated the children were unsupervised for two (2) minutes. The transition tracking sheet completed by the staff have the children in the hall at 9:40 AM and in the classroom at 9:45 AM. That form would indicate the children were unsupervised for five (5) minutes. 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, and review of documentation, two (2) toddler children were left unsupervised in the gross motor room while the rest of the group returned to the classroom. The estimated time the children were alone was two (2) to five (5) minutes. The staff and the other children walked through the center to the classroom at the other end of the building. That was when a staff person realized two (2) children had been left in the gross motor room. Another staff person went back to the gross motor room and found the children playing in a toilet in a bathroom inside the gross motor room. The staff person stated the children were happy and laughing. The staff estimated the children were unsupervised for two (2) minutes. The transition tracking sheet completed by the staff have the children in the hall at 9:40 AM and in the classroom at 9:45 AM. That form would indicate the children were unsupervised for five (5) minutes.

Open Not marked corrected in the state record

Open / not marked corrected.